BACKGROUND The number of interventions on intervertebral discs rapidly increased and the treatment options for lumbar disc surgery quickly evolved. It is important that the safety and efficacy of all new innovative procedures be compared with currently accepted forms of treatment; however, the previous pairwise meta-analyses could not develop the hierarchy of these treatments. OBJECTIVES The ...

UNLABELLED Objectives should be describe a modular training scheme (MTS) which aims to provide training in percutaneous nephrolithotripsy (PCNL) and ensure the safety of the patients. SUBJECTS AND METHODS Two trainees with no experience in PCNL attended the MTS under the supervision of an experienced mentor. The MTS included five modules, comprising an initial animal laboratory course (using ...

Aims: To Study and Analyze the Clinical presentation, Management, post operative outcome and complications in a series of patients with cervical disc prolapse who underwent anterior cervical discectomy and bone graft fusion with Titanium Recon plating between JANUARY 2013 to DECEMBER 2014 at Government General Hospital Guntur. Objectives 1. to Study and Analyze the Clinical presentation, Manage...

Percutaneous endoscopic laser discectomy (PELD) is a painful intervention that requires deep sedation and analgesia. However, sedation should be light at some point because cooperation by the patient during the procedure is required for successful surgical treatment. Light sedation poses a problem for endotracheal intubation, while patients placed in the prone position during percutaneous endos...

BACKGROUND Percutaneous endoscopic laminar discectomy is a typical minimally invasive discectomy operation that is classified into the percutaneous endoscopic transforaminal discectomy and the percutaneous endoscopic interlaminar discectomy. Based on whether the surgeon chooses to deal with the ligamentum flavum under endoscope guidance, percutaneous endoscopic discectomy by the interlaminar ap...

In conventional percutaneous disc surgery, introducing instruments into disc space starts by inserting a guide needle into the triangular working zone. However, landing the guide needle tip on the annular window is a challenging step in endoscopic discectomy. Surgeons tend to repeat the needling procedure to reach an optimal position on the annular target. Obturator guiding technique is a modif...

Epiduroscopic laser discectomy and neural decompression (ELND) is known as an effective treatment for intractable lumbar pain and radiating pain which develop after lumbar surgery, as well as for herniation of the intervertebral disk and spinal stenosis. However, various complications occur due to the invasiveness of this procedure and epidural adhesion, and rarely, cranial nerve damage can occ...

Spring 2007 • Vol. 2 – No. 1 10 ABSTRACT This report describes the author’s experience in an ongoing multi-institutional trial of two alternative therapies for cervical disc disease: conventional anterior cervical discectomy with cortical allograft fusion and plating (ACDF), versus discectomy and replacement with the PrestigeTM ST cervical disc device. Because the artifi cial disc preserves mot...

background: intervertebral disc herniation is a major cause of low back pain. several treatment methods are available for lumbar disc herniation including chemonucleolysis, open surgery, nucleoplasty, laser disc decompression, and intradiscal electrothermal therapy. the high prevalence of lumbar disc herniation necessitates a minimally invasive yet effective treatment method. in this study, we ...