This is a critical review of the data supporting current endoscopic surgical techniques for the spine, limitations, economic barriers to adoption, and the future of the field. Endoscopic spine approaches can be applied to all levels of the spine, with many robust trials supporting its clinical outcomes. Although financial limitations with starting an endoscopic program can be justified by its cost effectiveness and positive societal impact, challenges facing its widespread adoption are present and more endoscopic spine programs are needed. Technological advancements will further enhance endoscopic techniques as they become an integral part of a spine surgeon's repertoire.
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http://dx.doi.org/10.1016/j.nec.2024.08.002 | DOI Listing |
J Orthop Surg Res
December 2024
Department of Orthopaedics, The First Affiliated Hospital of Anhui Medical University, Hefei, Anhui, 230032, China.
Objective: Percutaneous Endoscopic Transforaminal Discectomy (PETD) is recognized as the leading surgical intervention for lumbar disc herniation (LDH). Moreover, Body Mass Index (BMI) has been established as an independent risk factor for disc reherniation post-PETD. Furthermore, there is a lack of studies investigating the biomechanical changes in the disc post-PETD in relation to diverse BMI levels.
View Article and Find Full Text PDFSpine (Phila Pa 1976)
December 2024
Hospital for Special Surgery, 535 E 70th St, New York, NY, 10021 USA.
Study Design: Retrospective cohort study.
Objective: to analyze trends in PROMs improvement and recovery kinetics following transforaminal endoscopic lumbar discectomy and foraminotomy (TELD).
Summary Of Background Data: As TELDs become an increasingly common alternative to fusions for lateral disc herniations, it is important to understand patients' postoperative recovery timelines to manage patient expectations.
BMC Anesthesiol
December 2024
Department of Anesthesiology and Surgery, The First Affiliated Hospital, Jiangxi Medical College, Nanchang University, Nanchang, Jiangxi, 330001, China.
Objective: This study aimed to observe the impact of Tthoracic paravertebral nerve blockade(TPVB) at left T7 level on the α7nAChR-dependent cholinergic anti-inflammatory pathway in patients undergoing thoracoscopic lobectomy.
Methods: Scheduled thoracoscopic lung surgery patients at the First Affiliated Hospital of Nanchang University from August to September 2023 were divided into two groups according to the surgical site. The experimental group underwent left T7 paravertebral nerve blockade (LTPVB group), while the control group underwent right T7 paravertebral nerve blockade (RTPVB group).
Jt Dis Relat Surg
January 2025
Department of Orthopaedics, The Third People's Hospital of Chengdu, Sichuan, PR China.
Objectives: The study aimed to evaluate the hidden blood loss (HBL) and its possible risk factors in patients with lumbar disc herniation undergoing percutaneous endoscopic lumbar discectomy (PELD) via posterolateral approach.
Patients And Methods: The clinical data of 170 lumbar disc herniation patients (101 males, 69 females; mean age: 57.7±18.
Jt Dis Relat Surg
January 2025
Department of Orthopaedics, The Third People's Hospital of Chengdu, Chengdu, China.
Objectives: The study aimed to evaluate the hidden blood loss (HBL) and its possible risk factors in patients undergoing percutaneous endoscopic cervical discectomy (PECD) via posterior approach to better guide the management of perioperative anemia in patients.
Patients And Methods: The study retrospectively analyzed the clinical data of 60 patients (33 males, 27 females; mean age: 55.3±7.
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