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[Full-Endoscopic Spine Surgery for Lumbar Lesions; Basics and Applications].
No Shinkei Geka
January 2025
Department of Neurosurgery, Yao Tokushukai General Hospital.
Full endoscopic spine surgery is a technique to perform hernia extraction using a single-hole-type endoscope with a coaxial operation system of a sheath, endoscope, and surgical instrument in reflux water. In the lumbar region, the ventral side of the dura mater can be directly approached via the lateral route. Not only is the skin incision small, but damage to muscle tissue is also minimal, which is why it is a minimally invasive surgery.
View Article and Find Full Text PDFStandard microscopic posterior decompression(MD) for lumbar disc herniation has been well established and is a familiar procedure to virtually all spinal neurosurgeons. Traditional surgical treatments are often associated with severe postoperative pain, disability, and dysfunction. This study aimed to describe the microendoscopic discectomy(MED) technique for lumbar disc herniation and report its surgical indications.
View Article and Find Full Text PDFAnswer to the Letter to the Editor of X. Luo, et al. concerning "A new hernia blocking system to prevent recurrent lumbar disc herniation: surgical technique, intraoperative findings and six-months post-operative outcomes" by O. Godino et al. (Eur Spine J [2024]: doi.org/10.1007/s00586-024- 08595-x).
Eur Spine J
January 2025
Neurosurgery Department, Hospital Universitari Bellvitge, Barcelona, Spain.
Deep Learning for Lumbar Disc Herniation Diagnosis and Treatment Decision Making Using MRI Images: A Retrospective Study.
World Neurosurg
January 2025
Department of Spine Surgery, The Affiliated Taizhou People's Hospital of Nanjing Medical University.
Background: Lumbar disc herniation (LDH) is a common cause of back and leg pain. Diagnosis relies on clinical history, physical exam, and imaging, with magnetic resonance imaging (MRI) being an important reference standard. While artificial intelligence (AI) has been explored for MRI image recognition in LDH, existing methods often focus solely on disc herniation presence.
View Article and Find Full Text PDFLumbar intervertebral disc calcification with massive herniation: a case report.
J Int Med Res
January 2025
Department of Orthopaedics, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine; Key Laboratory of Musculoskeletal System Degeneration and Regeneration Translational Research of Zhejiang Province, Hangzhou, China.
An 18-year-old female patient presented with a 1-month history of low back pain, which had worsened and was accompanied by radiating pain in the right lower limb for half a month. She was admitted to our hospital with computed tomography and magnetic resonance imaging findings suggesting calcification of the L3/4 disc and a large intraspinal mass at the L2-4 level. The patient's symptoms did not improve with conservative treatment, and her muscle strength rapidly declined.
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