Arthroscopic Microdiscectomy and Selective Fragmentectomy

Kambin, Parviz; O'Brien, Evan; Zhou, Linqiu; Schaffer, Jonathan

doi:10.1097/00003086-199802000-00018

Cited by 178 publications

(129 citation statements)

References 54 publications

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“…However, the majority of patients who have undergone arthroscopic microdiscectomy at our institution also have demonstrated one or two neurological abnormalities. [28,48] …”

Section: Inclusion Criteriamentioning

confidence: 99%

“…[12,28,48] In a prospective study of 100 consecutively treated patients with clinical and imaging evidence of disc herniation who underwent arthroscopic microdiscectomy, the authors reported an 85% satisfactory outcome rate in a 2-year follow-up period.…”

Section: Outcome Datamentioning

confidence: 99%

“…In a recent prospective study of 169 consecutive patients who required disc extraction and treatment via posterolateral arthroscopic fragmentectomy, [28] reviewed by an independent examiner, a satisfactory outcome rate ranging from 86 to 92% was realized. The average length of preoperative conservative treatment in this group of patients was 3.5 months.…”

Section: Outcome Datamentioning

confidence: 99%

See 2 more Smart Citations

Minimally invasive techniques in spinal surgery: current practice

Kambin

Gennarelli²,

Hermantin³

1998

FOC

Self Cite

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Minimally invasive spinal surgery under arthroscopic or endoscopic magnification and illumination is emerging as an alternative, reliable method of treatment in a variety of spinal disorders. The operative techniques being used for discectomy and retrieval of herniated disc fragments or stabilization of unstable spinal motion segments are being utilized for visual diagnosis and debridement of infectious discitis and osteomyelitis transpedicular and transforaminal vertebral body biopsy, temporary diagnostic fixation of unstable lumbar motion segments, and transforaminal epidural steroid therapy.

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“…However, the majority of patients who have undergone arthroscopic microdiscectomy at our institution also have demonstrated one or two neurological abnormalities. [28,48] …”

Section: Inclusion Criteriamentioning

confidence: 99%

Section: Outcome Datamentioning

confidence: 99%

Section: Outcome Datamentioning

confidence: 99%

See 1 more Smart Citation

Minimally invasive techniques in spinal surgery: current practice

Kambin

Gennarelli²,

Hermantin³

1998

FOC

Self Cite

View full text Add to dashboard Cite

show abstract

“…With the developing surgical proficiency, the far lateral approach was criticized by many professionals. In 7% to 11% of the cases, patients underwent re-exploration surgery because of the lack of radicular pain relief [8] [9] [10] [11]. In a relative review Kim and Park mentioned that the percutaneous discectomy is limited to anatomical factors, such as iliac crest, large facet joint, or L5 transverse process [12].…”

Section: Introductionmentioning

confidence: 99%

The Clinical Outcomes of Transforaminal Percutaneous Endoscopic Discectomy in Treating Lumbar Disc Herniation: A Review

Rakesh¹,

Wang²

2018

OJO

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Percutaneous endoscopic lumbar discectomy (PELD) is a minimally invasive technique started during the late 20 th century. This process is done through microscopic view under local anesthesia. There is a growing but still insufficient evidence that lumbar EDS shows slightly better results in terms of minor tissue damage, shorter hospital stay, faster return to ordinary daily activities, and patient satisfaction. Recurrence rate still remains a matter of debate, and is related with the surgical skills of the surgeon. The complication rate seems to be similar in both of the techniques i.e., open and endoscopic. More randomized controlled trials, systematic reviews and meta-analysis are needed to clarify whether lumbar EDS can be considered comparable if not superior to standard open discectomy. In spite of lacking defined clinical evidence, lumbar EDS is without doubt a rapidly expanding PELD and its future developments are incredibly promising. Due to less complication rate this technique can be considered as a gold standard compared to the open discectomy. The surgeons still require more cadaveric practices for learning the curve and to approach the herniated disc area. The main objective of this review article is to show the clinical outcomes of the Transforaminal Percutaneous Endoscopic Discectomy in treating the lumbar disc herniation.

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“…The percutaneous transforaminal approach creates less damage to muscular and ligamentous structures, and allow for faster rehabilitation, shorter hospital stays, and earlier return to work by its minimally invasive approach, preserving bone and facet structures [2][3][4][5][6]. With application of three-dimensional (3-D) printing in spine surgery, individualized anatomy models improve the accuracy of the operation, especially for the percutaneous surgical approach.…”

Section: Introductionmentioning

confidence: 99%

Three-Dimensional Printing for Percutaneous Endoscopic Thoracic Discectomy in Thoracic Disc Herniations: Case Report and Anatomy Review

Zhou¹,

Yeung²,

Hui³

et al. 2017

J Spine

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Introduction: Thoracic disc herniations causing unrelenting neuralgia are relatively rare, especially cephalad to T-10 because the rib cage provides enough stability to offer relief with non-surgical methods over time. A transforaminal percutaneous endoscopic thoracic approach (PETD) however, is a feasible minimally invasive option for decompressing and removing the herniation without resorting to a more invasive and surgically more morbid open approach requiring thoracotomy and removal of the rib head through the thoracic cavity.

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Arthroscopic Microdiscectomy and Selective Fragmentectomy

Cited by 178 publications

References 54 publications

Minimally invasive techniques in spinal surgery: current practice

Minimally invasive techniques in spinal surgery: current practice

The Clinical Outcomes of Transforaminal Percutaneous Endoscopic Discectomy in Treating Lumbar Disc Herniation: A Review

Three-Dimensional Printing for Percutaneous Endoscopic Thoracic Discectomy in Thoracic Disc Herniations: Case Report and Anatomy Review

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