BACKGROUND CONTEXT  Lower back pain is one of the most prevalent and expensive health conditions in the Western world. The standard treatment, interbody fusion, is an invasive procedure that requires the stripping of muscles and soft tissue, leading to surgical morbidity. Current minimally invasive (MI) spinal fusions are technically demanding and suffer from technical limitations. PURPOSE Ob...

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 c...

BACKGROUND The unilateral biportal endoscopic (UBE) technique is a minimally invasive procedure for spinal surgery, while open microscopic discectomy is the most common surgical treatment for ruptured or herniated discs of the lumbar spine. A new endoscopic technique that uses a UBE approach has been applied to conventional arthroscopic systems for the treatment of spinal disease. In this study...

BACKGROUND Lumbar discectomy is usually a successful operation with a relatively low cost. Potential adjunctive procedures, such as repairing the anulus fibrosus or nucleus replacements, necessitate a cost-benefit analysis. PURPOSE This economic analysis was performed to understand the potential value of advanced implantable technologies designed to improve outcomes after discectomy. STUDY ...

conclusions lumbar discectomy improves both the physical and mental health subscale of the quality of life in patients with chronic disc herniation. results physical and mental health scores of patients significantly improved after 6 and 12 months of lumbar discectomy. the mean improvement in physical health scores was significantly higher in female patients than in male patients. however, the ...

STUDY DESIGN An in vivo biomechanical anterior cervical discectomy and instrumented fusion (ACDFI) model employing a calibrated distractor and a subminiature load cell used to intraoperatively measure distractive force across the discectomy site and subsequent compressive force across the interbody load cell following distractor removal. OBJECTIVE To determine the relationship between the dis...

Using data obtained by questionnaire in a retrospective review of patients with low-back and sciatic pain (eighty-five treated by injection of chymopapain and seventy-one, by open discectomy), the results at one and ten years after treatment were analyzed. For this analysis we used six measures of pain relief, six measures of the patients' course during the ten-year period since primary treatme...

Background: Revision discectomy is the principal procedure for recurrent lumbar disk herniation (RLDH). The clinicaloutcomes after this procedure are as good as or slightly poorer than those produced by primary discectomy. In thisstudy, the clinical outcomes of patients treated with microsurgical discectomy for RLDH were analyzed.Methods: We examined 179 patients undergoing lumbar microdiscecto...

In the book ”Contemporary Endoscopic Spine Surgery”, edited by Kai-Uwe Lewandrowski, Jorge Felipe Ramírez León, and Anthony Yeung, information on history of spinal endoscopy is provided. A number aspects surgery are covered, in particular pain, preoperative examination, indications for endoscopic surgery, anesthesia, outpatient surgery. New technologies described. Leading scientists presented c...