Biomechanical Model Study of the Effect of Partial Facetectomy on Lumbar Stability Under Percutaneous Endoscopy

Li, Xin-ru; Yu, Jia; Wen, Zheng; Gao, Guoquan; Han, Long; Chen, Liang; Nong, Luming

doi:10.1016/j.wneu.2020.03.190

Cited by 11 publications

(12 citation statements)

References 27 publications

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“…With advances in surgical instrumentation and endoscopic techniques, MI spine surgery has gradually and rapidly evolved from a miniature open to a tubular or percutaneous endoscopic approach. In addition to the potential benefits of the MI spinal surgical approach (smaller wounds, reduced local pain, less blood loss, less postoperative wound pain and shorter hospital stays), numerous biomechanical studies have demonstrated the importance of the posterior column, including the interspinous ligaments and small joints, in maintaining spinal stability [20][21]. Minimising disruption to the paravertebral muscles and posterior stabilising structures is therefore the most critical issue in the long-term developmental progress of MI spine surgery [22].…”

Section: Discussionmentioning

confidence: 99%

Safety and Efficacy of Oblique Lateral Interbody Fusion (OLIF) in the Treatment of Degenerative Lumbar Spinal Stenosis

He¹,

Mei²,

Yao³

et al. 2022

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Background: Lumbar spinal stenosis is a common degenerative disease of the elderly and adequate decompression is the most critical determinant for the surgical management of degenerative DLCS. Objective: To compare and analyse the safety and effectiveness of the oblique lateral interbody fusion (OLIF) technique and conventional lumbar posterior laminar decompression for lumbar spinal stenosis (DLCS). Methods: Sixty-eight patients over 60 years of age with lumbar spinal stenosis were included from October 2019 to November 2021, and were divided into the OLIF group and the conventional decompression group (conventional posterior laminar decompression and internal fixation) according to their treatment methods. The general data, operation time, intraoperative bleeding, hospital stay, surgical complications, clinical efficacy evaluated by modified MacNab criteria, and the patients' preoperative and final postoperative pain visual analogue scale scores (VAS) and Oswestry dysfunction index (ODI) were statistically analysed in the two groups. Results: There was no statistically significant difference in age, gender, BMI, duration of disease, lesion segment, VAS score and ODI index between the two groups of patients before treatment (p > 0.05). After treatment, the OLIF group had a greater advantage in terms of operative time, intraoperative bleeding, length of hospital stay and operative complications than the conventional decompression group, with statistical significance between the groups (P < 0.05). Compared with the pre-treatment period, the VAS scores and ODI scores of patients in both groups showed significant improvement (P < 0.05). A comparison between the two groups revealed a statistically significant difference (P < 0.05) in the improvement of VSA and ODI scores at the end of the postoperative period in the OLIF group compared with the conventional decompression group. The clinical efficacy of the two groups evaluated by the modified MacNab criteria at the final follow-up was 90.625% in the OLIF group and 80.55% in the conventional decompression group, respectively, with a statistical difference (P < 0.05). Conclusion: Compared with traditional decompression fusion, the use of OLIF technique can safely and effectively decompress DLCS, and also has many advantages such as less trauma, less bleeding, shorter operation time and hospital stay, and lower postoperative complications, which is worthy of clinical preference.

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Section: Discussionmentioning

confidence: 99%

Safety and Efficacy of Oblique Lateral Interbody Fusion (OLIF) in the Treatment of Degenerative Lumbar Spinal Stenosis

He¹,

Mei²,

Yao³

et al. 2022

View full text Add to dashboard Cite

show abstract

“…With advances in surgical instrumentation and endoscopic techniques, MI spine surgery has gradually and rapidly evolved from a miniature open to a tubular or percutaneous endoscopic approach. In addition to the potential benefits of the MI spinal surgical approach (smaller wounds, reduced local pain, less blood loss, less postoperative wound pain, and shorter hospital stays), numerous biomechanical studies have demonstrated the importance of the posterior column, including the interspinous ligaments and small joints, in maintaining spinal stability [20,21].…”

Section: Discussionmentioning

confidence: 99%

Clinical Results of Oblique Lateral Interbody Fusion (OLIF) Technique Compared with Conventional Lumbar Posterior Laminar Decompression for Lumbar Spinal Stenosis

Sun

2022

AJBSR

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“…These modifications demand a more refined and targeted endoscopic decompression, as well as a final revision to ensure that the nerve root has been freed Full endoscopic surgery in degenerative listhesis. The evidence so far: Biomechanical studies have shown that transforaminal partial facetectomy has minimal impact on the biomechanics of the lumbar spine [20], and even the total endoscopic removal of the facet joint has less consequences than open laminectomy [21].…”

Section: Discussionmentioning

confidence: 99%

Full-endoscopic Foraminotomy in Degenerative Spondylolisthesis: A “Module-based” Approach for Surgical Planning and Execution

Isseldyk

Lim

Kim

et al. 2022

J Minim Invasive Spine Surg Tech

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Purpose Degenerative Lumbar Spondylolisthesis (DSL) is a common spinal pathology characterized by the anterior slippage of one vertebral body on another. DSL is caused mainly by degeneration of the intervertebral disc in the first place, with subsequent degeneration of the facet joints that end causing the slippage. As the disease evolves, stability is restored as a result of advanced degeneration and disc collapse. But while this natural evolution takes place, DSL may produce radicular symptoms by different mechanisms. To present a “module-based” approach for the surgical planning and execution of full-endoscopic foraminotomy in DSL, combined with case examples of the most common surgical scenarios. Methods We propose a “module-based surgery” using the standard endoscopic foraminotomy technique as a baseline. According to the patient’s clinical and imaging characteristics, several “modules” can be added. The resulting endoscopic surgery is a summation of the basic endoscopic foraminotomy plus all the additional required modules. ResultsSurgical modules description and case examples are provided. ConclusionTransforaminal lumbar endoscopic foraminotomy represents a minimally invasive technique to treat foraminal and combined foraminal-lateral recess stenosis. DSL and its multiple scenarios represent a challenge to the endoscopic surgeon. Module-based approach can help systematize and execute these demanding endoscopic procedures.

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Biomechanical Model Study of the Effect of Partial Facetectomy on Lumbar Stability Under Percutaneous Endoscopy

Cited by 11 publications

References 27 publications

Safety and Efficacy of Oblique Lateral Interbody Fusion (OLIF) in the Treatment of Degenerative Lumbar Spinal Stenosis

Safety and Efficacy of Oblique Lateral Interbody Fusion (OLIF) in the Treatment of Degenerative Lumbar Spinal Stenosis

Clinical Results of Oblique Lateral Interbody Fusion (OLIF) Technique Compared with Conventional Lumbar Posterior Laminar Decompression for Lumbar Spinal Stenosis

Full-endoscopic Foraminotomy in Degenerative Spondylolisthesis: A “Module-based” Approach for Surgical Planning and Execution

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