Minimally invasive spinal column surgery using neuroendoscopic techniques: a 5-year retrospective study
DOI:
https://doi.org/10.47464/MetroCiencia/vol29/3/2021/24-31Keywords:
Minimally invasive spine surgery, neuroendoscopy, spinal column, spinal stenosis, herniated discAbstract
Introduction: During the last decades, neurosurgery has experienced considerable technological and technical advances. Endoscopic spine surgery presents numerous advantages compared to open spine surgery: it allows shorter hospitalization time as well as less soft tissue manipulation, less bleeding volume, less infection rate in the surgical area, shorter surgical wound, early recovery for movement. These are the reasons for which this technique has become handier and minimally invasive for decompressing herniated disc and treating spinal stenosis. Metodology: The procedures performed in 198 patients who were intervened by the lumbar spine minimally invasive technique were studied retrospectively. Results: 130 patients with spinal stenosis and 68 with herniated discs were studied, the results observed were a good evaluated response according to modified Macnab criteria: 91% in men and 95% in women were excellent. In the 6% of men and 4% of women, the complication found was CSF fistula. The average hospital stay was of three days, presenting a 42% cost reduction compared to open spine surgery costs. Conlusions: Minimally invasive surgery through neuroendoscopic techniques has proved to be an excellent option when treating degenerative spinal column pathologies, since it presents good results with the Macnab criteria and has a lower complication rate, compared to open spine surgery.
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References
Patel PD, Canseco JA, Houlihan N, Gabay A, Grasso G, Vaccaro AR. Overview of minimally invasive spine surgery. World Neurosurg. 2020;142:43–56.
Caspar W. A new surgical procedure for lumbar disc herniation causing less tissue damage through a microsurgical approach. In: Advances in Neurosurgery. Berlin, Heidelberg: Springer Berlin Heidelberg; 1977. p. 74–80.
Ferroli P, Franzini A, Messina G, Tringali G, Broggi G. Use of self-closing U-clips for dural repair in mini-invasive surgery for herniated disc. Acta Neurochir (Wien). 2008;150(10):1103–5.
Quiñones-Hinojosa A, Tumialan LM. Microdiscectomía lumbar mínimamente invasiva: Indicaciones y técnicas. In: Técnicas Neuroquirúrgicas Operatorias. 6. a. Amolca; 2017. p. 1865–1870.
Kanno H, Aizawa T, Hahimoto K, Itoi E. Minimally invasive discectomy for lumbar disc herniation: current concepts, surgical techniques, and outcomes. Int Orthop. 2019;43(4):917–22.
Ahn Y. Current techniques of endoscopic decompression in spine surgery. Ann Transl Med. 2019;7(Suppl 5):S169.
Levin, K. (2019b, December 18). Lumbar spinal stenosis: Pathophysiology, clinical features, and diagnosis. Retrieved April 28, 2021, from Uptodate.com website: https://www.uptodate.com/contents/lumbar-spinal-stenosis-pathophysiology-clinical-features-and-diagnosis
Hsiang, J. K. (2020, March 26). Spinal Stenosis: Epidemiology. Retrieved April 28, 2021, from Medscape.com website: https://emedicine.medscape.com/article/1913265-overview#a6
Kreiner DS, Shaffer WO, Baisden JL, Gilbert TJ, Summers JT, Toton JF, et al. An evidence-based clinical guideline for the diagnosis and treatment of degenerative lumbar spinal stenosis (update). Spine J. 2013;13(7):734–43.
Armin S. Minimally Invasive Neurosurgery: Mark R. Proctor and Peter M. Black, editors. Totowa, NJ: Humana Press, 2005, 448 pp, illus, ISBN 1–58829–147–2. J Neurosurg. 2006;104(2):335.
Deer TR, Grider JS, Pope JE, Falowski S, Lamer TJ, Calodney A, et al. The MIST guidelines: The Lumbar Spinal Stenosis Consensus Group guidelines for minimally invasive spine treatment. Pain Pract. 2019;19(3):250–74.
Amin RM, Andrade NS, Neuman BJ. Lumbar disc herniation. Curr Rev Musculoskelet Med. 2017;10(4):507–16.
Carlson BB, Albert TJ. Lumbar disc herniation: what has the Spine Patient Outcomes Research Trial taught us? Int Orthop. 2019;43(4):853–9.
Delgado-López PD, Rodríguez-Salazar A, Martín-Alonso J, Martín-Velasco V. Hernia discal lumbar: historia natural, papel de la exploración, timing de la cirugía, opciones de tratamiento y conflicto de intereses. Neurocirugia (Astur). 2017;28(3):124–34.
Ahn Y. Endoscopic spine discectomy: indications and outcomes. Int Orthop. 2019;43(4):909–16.
Schick U, Döhnert J, Richter A, König A, Vitzthum HE. Microendoscopic lumbar discectomy versus open surgery: an intraoperative EMG study. Eur Spine J. 2002;11(1):20–6.
Martín-Láez R, Martínez-Agüeros JA, Suárez-Fernández D, Montiaga-Núñez F, Vázquez-Barquero A. Complications of endoscopic microdiscectomy using the EASYGO! system: is there any difference with conventional discectomy during the learning-curve period? Acta Neurochir (Wien). 2012;154(6):1023–32.
Minamide A, Yoshida M, Yamada H, Nakagawa Y, Kawai M, Maio K, et al. Endoscope-assisted spinal decompression surgery for lumbar spinal stenosis: Technical note. J Neurosurg Spine. 2013;19(6):664–71.
Grob D, Humke T, Dvorak J. Degenerative lumbar spinal stenosis. Decompression with and without arthrodesis. J Bone Joint Surg Am. 1995;77(7):1036–41.
Ruetten S, Komp M, Merk H, Godolias G. Use of newly developed instruments and endoscopes: full-endoscopic resection of lumbar disc herniations via the interlaminar and lateral transforaminal approach. J Neurosurg Spine. 2007 Jun;6(6):521-30. doi: 10.3171/spi.2007.6.6.2. PMID: 17561740.
Oztürk C , Tezer M, Aydogan M, Sarier M, Hamzaoglu A. Posterior endoscopic discectomy for the treatment of lumbar disc Herniation, Acta Orthop Belg. 2006 Jun;72(3):34752
Gross E. Eidelson E. Transforaminal Selective Endoscopic Discectomy: Recovery, Complications, Procedure and Contraindications. 2016. https://www.spineuniverse.com/print/treatments/surgery/lumbar/transforaminal-selective-endoscopic-discectomy-recovery-complications
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Copyright (c) 2021 Juan Francisco Lasso Fernández de Córdova, María Paz Lasso Cisneros
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