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Comparative Efficacy of 3 Methods of Lumbar Interbody Fusion for Lumbar Degenerative Diseases in a Tertiary Public Hospital.
World Neurosurg
December 2024
Department of Spine Surgery, The Third Affiliated Hospital of Soochow University, Changzhou, China. Electronic address:
Objective: To evaluate the clinical efficacy of large-channel endoscope-assisted posterior lumbar interbody fusion (Endo-PLIF), minimally invasive transforaminal lumbar interbody fusion (MIS-TLIF), and open posterior lumbar interbody fusion in treatment of degenerative diseases of the lumbar spine.
Methods: Data of 110 patients with degenerative diseases of the lumbar spine were analyzed retrospectively: 31 patients underwent Endo-PLIF, 36 patients underwent MIS-TLIF, and 43 patients underwent modified TLIF. We compared operative duration, intraoperative blood loss, latent blood loss, intraoperative radiation dose, visual analog scale score, Oswestry Disability Index, anterior protrusion angle of the intervertebral space, postoperative ambulatory time, postoperative duration of hospital stay, and complications among the 3 groups.
Transforming Subdural Hematoma Treatment in the Elderly: Insights from an Endoscopic Case Series.
In Vivo
October 2024
Department of Neurosurgery, Taichung Veterans General Hospital, Taichung, Taiwan, R.O.C.;
Article Synopsis
- Subdural hematoma (SDH) is a serious brain condition primarily affecting older adults, for whom traditional surgery poses high risks due to possible complications and blood loss.
- The study examined six patients treated with endoscopic evacuation, a minimally invasive method that uses a burr hole and rigid lens endoscope to remove hematomas more efficiently.
- Results showed no surgical fatalities among patients aged 63 to 84, with significant improvements in hematoma clearance rates, demonstrating the effectiveness of endoscope-assisted techniques for this demographic while highlighting the need for further research on patient selection and long-term outcomes.
Endoscope-assisted treatment for delayed cystic radiation necrosis after stereotactic radiosurgery for metastatic brain tumors: illustrative cases.
J Neurosurg Case Lessons
October 2024
Department of Neurosurgery, Gifu University Graduate School of Medicine, Gifu, Japan.
Article Synopsis
- Cystic radiation necrosis, resulting from radiation therapy for metastatic brain tumors, can require surgical intervention when symptoms arise, making excision of necrotic tissue crucial to avoid recurrence.
- Neuroendoscopic surgery is presented as a minimally invasive technique that allows for effective treatment of these cystic formations by accessing deep brain lesions without extensive procedures.
- In two patient cases, this method successfully removed radiation necrotic tissue, leading to rapid cyst shrinkage and resolution of symptoms, demonstrating the effectiveness of endoscopic surgery for this condition.
Biportal Endoscopic Transforaminal Lumbar Interbody Fusion: How to Improve Fusion Rate?
Int J Spine Surg
November 2024
Spine Center and Department of Orthopedic Surgery, Seoul National University College of Medicine and Seoul National University Bundang Hospital, Seongnam, South Korea
Background: Biportal endoscopic transforaminal lumbar interbody fusion (BE-TLIF) is a minimally invasive surgical technique for treating degenerative lumbar spine conditions. It offers advantages such as reduced soft tissue trauma and lower infection rates, but certain technical aspects may be challenging. The current study aims to identify strategies to enhance the fusion rate in BE-TLIF by addressing these specific challenges.
View Article and Find Full Text PDFClinical effect and prognosis of transoral or endoscope-assisted transoral release for irreducible atlantoaxial dislocation: A retrospective cohort study.
Heliyon
August 2024
College of Biomedical Engineering, Chongqing Medical University, Chongqing, People's Republic of China.
Background: The clinical applications of endoscope-assisted transoral release for irreducible atlantoaxial dislocations are limited. This study aimed to investigate the clinical effect and prognostic factors of traditional and endoscope-assisted transoral release, as well as posterior reduction and fixation, in treating irreducible atlantoaxial dislocations.
Materials And Methods: We conducted a retrospective study on 59 patients with irreducible atlantoaxial dislocation who underwent either traditional or endoscope-assisted transoral release, posterior fixation, and fusion between January 2018 and January 2023.
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