BACKGROUND The primary goal of the surgical treatment of nerve root compression from a disc protrusion continues to be the relief of compression by removing the herniated nuclear material with open discectomy. However, poor results have been reported for contained disc herniations with open surgical interventions. In recent years, a number of minimally invasive nuclear decompression techniques ...

background: several prognostic factors exist influencing the outcome of surgical discectomy in the patients with lumbar disc herniation (ldh). the aim of this study is to evaluate the relationship between severity of preoperative impaired ankle reflex and outcomes of lumbar discectomy in the patients with l5-s1 ldh. methods: we retrospectively evaluated 181 patients (108 male and 73 female) who...

Up to date the seasoned spine surgeon has many options for the treatment of Cervical Radiculopathy that range from muscle and motion preserving procedures to the well-known Anterior Cervical Discectomy and Fusion and the Anterior Cervical Disk Replacement surgeries. We wish to present a brief review of the literature to address two minimally invasive and motion preserving techniques known as, C...

STUDY DESIGN Prospective evaluation of 24 consecutive patients with isthmic spondylolisthesis with chronic back, buttock, and leg pain treated by endoscopic foraminal decompression and followed for a minimum of 2 years. OBJECTIVES To assess the efficacy of endoscopic foraminal decompression and mobilization of the exiting and transiting nerves, discectomy, ablation of osteophytes, and impingi...

Objective. To describe the two-level percutaneous endoscopic lumbar discectomy (PELD) technique in transforaminal approach for highly migrated disc herniation and investigate its clinical outcomes. Methods. A total of 22 consecutive patients with highly migrated lumbar disc herniation were enrolled for the study from June 2012 to February 2014. Results. There were 12 males and 10 females, with ...

To introduce a new designed suture technique in annular repair under the microendoscopic discectomy (MED) surgery and to evaluate the clinical application of the technique in annular repair under MED with at least 2-year follow-up period.A new method of annular repair was designed and named "jetting suture" technique. Thirty consecutive patients with lumbar disc herniation were enrolled in the ...

OBJECTIVES This study aims to perform a biomechanical comparison of changes on motion segments after minimally invasive percutaneous endoscopically discectomized and intact spine and to investigate the effects of endoscopic discectomy on the lumbar spine of the lamb. MATERIALS AND METHODS Ten fresh-frozen lamb spines were used in this study. Percutaneous endoscopic discectomy was performed on...

BACKGROUND Back pain is one of the most common health problems for which physicians are consulted, and it can considerably decrease the quality of life of patients during a great part of their lives. OBJECTIVES Our study was designed for assessing the improvement in the quality of life of patients undergoing lumbar discectomy for chronic low back pain. PATIENTS AND METHODS We included 148 p...

INTRODUCTION During microsurgical disc operation, usually a sequestrectomy and a nucleotomy are performed. Whether a nucleotomy is necessary in any case is disputed. The aim of this study is to examine this question on the basis of clinical results and to compare rates of recurrence between the two groups. METHODS A prospective analysis was performed in 100 patients with sequestrectomy and th...

STUDY DESIGN Systematic review. OBJECTIVE The primary objectives of this review were to compare the effectiveness and safety of various anterior cervical decompressive and reconstructive procedures for diffuse or multifocal cervical spondylotic myelopathy (CSM). An additional objective was to describe the most common ancillary stabilization techniques used with the different anterior decompre...