Complications and limitations of endoscopic spine surgery and percutaneous instrumentation

Kim, Hyeun Sung; Sharma, Sagar; Wu, Pang Hung; Raorane, Harshavardhan Dilip; Adsul, Nitin; Singh, Ravindra; Jang, Il‐Tae

doi:10.4103/isj.isj_27_19

Cited by 16 publications

(20 citation statements)

References 44 publications

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“…The surgeon should always seek to ensure a good inflow and outflow system, while maintaining irrigation pressure at an average of 25-30 mmHg. 106…”

Section: ) Increased Cerebrospinal Fluid Pressure and Neurological Dmentioning

confidence: 99%

“…Hence, it is important for endoscopic surgeons to be alert to patients’ reports of neck pain during the procedure, and perhaps to pause the procedure for a period of time to allow equilibration of the pressure. The surgeon should always seek to ensure a good inflow and outflow system, while maintaining irrigation pressure at an average of 25–30 mmHg [ 106 ].…”

Section: Challenges Of Endoscopic Spine Surgerymentioning

confidence: 99%

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A Narrative Review of Development of Full-Endoscopic Lumbar Spine Surgery

Kim

Jang

2020

Neurospine

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In the first phase of development of lumbar endoscopic spine surgery, the focus was on removal of soft disc material through the working corridor of Kambin's triangle using transforaminal endoscopic lumbar discectomy. With the introduction of the interlaminar approach and increased interest from both industry and surgeons, there has been an exponential development of endoscopic surgical equipment and a corresponding expansion of endoscopic techniques. Endoscopic treatment strategies are applied to conditions ranging from contained prolapsed intervertebral discs to noncontained migrated herniated discs, hard calcified discs, spinal stenosis in the central or lateral recess and the foraminal and extraforaminal region, and other combinations of degenerative conditions requiring decompression or fusion surgery. The further expansion of endoscopic surgical management involving complicated spinal cases and the final quartet of trauma, infections, tumors, and possibly deformities could be the future stage of endoscopic spine surgery development. This article covers the full range of current treatment strategies and presents possible future developments of endoscopic spine surgery for the management of lumbar spinal conditions.

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“…The surgeon should always seek to ensure a good inflow and outflow system, while maintaining irrigation pressure at an average of 25-30 mmHg. 106…”

Section: ) Increased Cerebrospinal Fluid Pressure and Neurological Dmentioning

confidence: 99%

Section: Challenges Of Endoscopic Spine Surgerymentioning

confidence: 99%

A Narrative Review of Development of Full-Endoscopic Lumbar Spine Surgery

Kim

Jang

2020

Neurospine

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“…23 However, amid the optimism regarding the expansion of indications for endoscopic spine surgery to encompass increasingly challenging cases, one needs to be cautious of the potential complications of endoscopic surgery, such as incidental durotomy, neurological sequelae, and inadequate decompression, all of which are confounded by a steep learning curve. [24][25][26]…”

Section: For Worse Case Scenarios (Revision Surgery Complications Amentioning

confidence: 99%

“…For example, a contralateral approach can reach the same foraminal region in a previous surgical site where a paraspinal approach or transforaminal approach was used [ 23 ]. However, amid the optimism regarding the expansion of indications for endoscopic spine surgery to encompass increasingly challenging cases, one needs to be cautious of the potential complications of endoscopic surgery, such as incidental durotomy, neurological sequelae, and inadequate decompression, all of which are confounded by a steep learning curve [ 24 - 26 ].…”

Section: For Worse Case Scenarios (Revision Surgery Complications Amentioning

confidence: 99%

Development of Endoscopic Spine Surgery for Healthy Life: To Provide Spine Care for Better, for Worse, for Richer, for Poorer, in Sickness and in Health

Kim

Jang

2020

Neurospine

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“…The use of water medium however brings the risk of water pressure related complications to central nervous systems. Water based complications such as soft tissue edema, cerebral edema, post-operative neck pain 22) . Recently, Kang et al showed that an irrigation pressure of mean 30 mmHg is safe for irrigation based surgeries 19) .…”

Section: Basic Mediummentioning

confidence: 99%

Overview of Tips in Overcoming Learning Curve in Uniportal and Biportal Endoscopic Spine Surgery

Kim

Choi

et al. 2021

J Minim Invasive Spine Surg Tech

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There is increasing trend of spine surgeries performed with uniportal and biportal endoscopic spine surgery. Despite its good outcomes and supportive literature, the proportion of spine surgeons regularly doing endoscopic spine surgeries is relatively low. The main limitation is the steep learning curve in the early phase of endoscopic spine surgeries practice. There is paucity of literature in discussion of tips in overcoming these 2 schools of endoscopic spine surgery practice. In this tips and tricks overview, the authors highlights the key differences these 2 main school of endoscopic spine surgeries practice with specific discussions pertaining to "BIPORTALS": the areas of basic medium of surgery, instruments for visualization and working, placement of portal(s), outflow of fluids, route of approach, technical challenges, anatomical challenges, location of lens and light source and start point to work. A ladder of progression of endoscopic spine surgery is proposed to effectively ease into the practice of endoscopic spine surgery.

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Complications and limitations of endoscopic spine surgery and percutaneous instrumentation

Cited by 16 publications

References 44 publications

A Narrative Review of Development of Full-Endoscopic Lumbar Spine Surgery

A Narrative Review of Development of Full-Endoscopic Lumbar Spine Surgery

Development of Endoscopic Spine Surgery for Healthy Life: To Provide Spine Care for Better, for Worse, for Richer, for Poorer, in Sickness and in Health

Overview of Tips in Overcoming Learning Curve in Uniportal and Biportal Endoscopic Spine Surgery

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