Is navigation beneficial for transforaminal endoscopic lumbar foraminotomy? A preliminary comparison study with fluoroscopic guidance

Kim, Jung-Hoon; Jitpakdee, Khanathip; Kotheeranurak, Vit; Quillo-Olvera, Javier; Choi, Kyung-Chul; Kim, Young‐Jin; Lee, Cho-Rong; Kim, Jin-Sung

doi:10.1007/s00586-023-07624-5

Cited by 1 publication

(1 citation statement)

References 30 publications

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“…Studies have shown that surgeons in full endoscopic surgery are exposed to far more radiation than in open surgery, and that surgeons performing 291 unprotected full endoscopic procedures per year is the limit, while effective protection can substantially exceed this limit [ 46 ]. Computer-assisted navigation technology is expected to provide new strategies to minimize surgeon radiation exposure during full endoscopic procedures and more secure surgical options [ 47 ]. Finally, as a result of the number of cases being too small and the short follow-up period, the efficacy of this technique needs to be further investigated.…”

Section: Discussionmentioning

confidence: 99%

Anterior transcorporeal approach combined with posterior translaminar approach in percutaneous endoscopic cervical discectomy for two-segment cervical disc herniation treatment: a technical report and early follow-up

Wang,

Du,

Wang

et al. 2024

J Orthop Surg Res

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Objective Full endoscopic techniques are being gradually introduced from single-segment cervical disc herniation surgery to two-segment cervical disc herniation surgery. However, there is no suitable full endoscopic treatment for mixed-type two-segment cervical disc herniation (MTCDH) in which one segment herniates in front of the spinal cord and the other segment herniates behind the spinal cord. Therefore, we introduce a new full endoscopic technique by combining an anterior transcorporeal approach and a posterior translaminar approach. In addition, we provide a brief description of its safety, efficacy, feasibility, and surgical points. Methods Thirty patients with MTCDH were given full endoscopic surgical treatment by a combined transcorporeal and transforaminal approach and were followed up for at least 12 months. Results Clinical assessment scales showed that the patient’s symptoms and pain were significantly reduced postoperatively. Imaging results showed bony repair of the surgically induced bone defect and the cervical Cobb angle was increased. No serious complications occurred. Conclusion This technique enables minimally invasive surgery to relieve the compression of the spinal cord by MTCDH. It avoids the fusion of the vertebral body for internal fixation, preserves the vertebral motion segments, avoids medical destruction of the cervical disc to the greatest extent possible, and expands the scope of adaptation of full endoscopic technology in cervical surgery.

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Section: Discussionmentioning

confidence: 99%