Thoracic microendoscopic discectomy: a human cadaver study.

Abstract:

STUDY DESIGN:Feasibility analysis of percutaneous posterolateral thoracic microendoscopic discectomy in a human cadaver model. OBJECTIVE:To describe a new, minimally invasive, posterolateral approach to the thoracic spine for the treatment of disc herniations. SUMMARY OF BACKGROUND:Thoracoscopic discectomy offers surgeons direct ventral access to thoracic disc herniations but requires entry into the chest. Many surgeons favor a posterolateral approach to the thoracic spine, thereby avoiding morbidity associated with entry into the thoracic cavity. By adapting minimal access surgical techniques to the thoracic spine, effective treatment of thoracic disc herniations should be possible and may help expedite recovery. METHODS:Two cadaveric human torsos were used. Using simple adaptations of our standard lumbar microendoscopic discectomy technique, endoscopic discectomies were performed throughout the mid and lower thoracic spine. Operative time was recorded. The extent of the discectomy as well as the extent of bony removal was evaluated using computed tomography myelography. RESULTS:Nine discectomies were performed in two cadaveric specimens, from T5-T6-T9-T10. Operative times ranged from 46 to 77 minutes (mean 60 minutes). The procedure required removing 3.4 mm (+/-1.9 mm) of the ipsilateral facet, which amounted to 35.4% (+/-17.5%) of the facet complex. Canal decompression averaged 73.5% (+/-7.9%). CONCLUSIONS:Thoracic microendoscopic discectomy allows for a posterolateral approach to thoracic disc herniation without entry into the chest cavity that consistently gives access to the majority of the canal while requiring only a minimal amount of bone removal. This technique provides an approach angle similar to that obtained with other posterolateral discectomy techniques while limiting the morbidity associated with exposure.

journal_name

Spine (Phila Pa 1976)

journal_title

Spine

authors

Isaacs RE,Podichetty VK,Sandhu FA,Santiago P,Spears JD,Aaronson O,Kelly K,Hrubes M,Fessler RG

doi

10.1097/01.brs.0000162275.95579.ee

keywords:

subject

Has Abstract

pub_date

2005-05-15 00:00:00

pages

1226-31

issue

10

eissn

0362-2436

issn

1528-1159

pii

00007632-200505150-00020

journal_volume

30

pub_type

杂志文章

相关文献

SPINE文献大全
  • Family stature in idiopathic scoliosis.

    abstract::The standing heights of 40 children with scoliosis and 110 persons from their immediate families were compared with those of a group of 349 contemporary control subjects. Skeletal bone ages and puberty ratings did not differ from normal, but the children with scoliosis were found to be significantly taller than the co...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-199301000-00004

    authors: Carr AJ,Jefferson RJ,Turner-Smith AR

    更新日期:1993-01-01 00:00:00

  • Tandem interbody fusion grafting after cervical vertebrectomy.

    abstract:STUDY DESIGN:A case is presented with clinical and radiologic follow-up assessment to evaluate the possible effectiveness of tandem interbody fusion grafting. OBJECTIVE:To design a technique for rescuing a long iliac crest bone autograft that is too short or must be shortened because of the undesirable shape some long...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-200106010-00023

    authors: Telfeian AE,Marcotte P

    更新日期:2001-06-01 00:00:00

  • Quantification of leakage pressures after durotomy repairs in the canine.

    abstract::This study was undertaken to investigate the relative strengths of dural repair using standard suture techniques, suture supplemented with tissue adhesive, and tissue adhesive alone. Uniform 2 mm dural defects were created in adult beagles, repaired, and then subjected to pressurization testing. Defects repaired with ...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-199009000-00024

    authors: Cain JE Jr,Rosenthal HG,Broom MJ,Jauch EC,Borek DA,Jacobs RR

    更新日期:1990-09-01 00:00:00

  • Patient characteristics associated with diagnostic imaging evaluation of persistent low back problems.

    abstract:STUDY DESIGN:Post hoc analysis of data from the National Low Back Pain Study, a prospective observational multicenter study of patients referred for the evaluation and treatment of persistent low back problems. OBJECTIVE:To identify patient characteristics associated with use of particular diagnostic imaging examinati...

    journal_title:Spine

    pub_type: 杂志文章,多中心研究

    doi:10.1097/00007632-199707150-00021

    authors: Ackerman SJ,Steinberg EP,Bryan RN,BenDebba M,Long DM

    更新日期:1997-07-15 00:00:00

  • Differences in standing and forward bending in women with chronic low back or pelvic girdle pain: indications for physical compensation strategies.

    abstract:STUDY DESIGN:This cohort study compares motion characteristics during forward bending of a group of chronic female patients either with low back pain (LBP) or pelvic girdle pain (PGP) and healthy subjects using computer-video analysis. OBJECTIVE:This study determines whether subcategories of back pain patients could b...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0b013e318170fcf6

    authors: van Wingerden JP,Vleeming A,Ronchetti I

    更新日期:2008-05-15 00:00:00

  • Biomechanical study of C1-C2 posterior arthrodesis techniques.

    abstract::Fifteen cervical spines from cadavers were used to compare the rotational and translational stability of the Brooks fusion, a fusion construct using Halifax interlaminar clamps, and the Gallie fusion. The Brooks and Halifax clamp constructs exhibited significantly greater rotational and translational stiffness than th...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-199302000-00001

    authors: Hajek PD,Lipka J,Hartline P,Saha S,Albright JA

    更新日期:1993-02-01 00:00:00

  • Functional morphology of the thoracolumbar transversospinal muscles.

    abstract::STUDY DESIGN. A qualitative and semiquantitative study of the morphology of the human thoracolumbar transversospinal (TSP) muscles. OBJECTIVE. To further define the functional morphology of the thoracolumbar TSP muscles. SUMMARY OF BACKGROUND DATA. The TSP muscle group plays an important role in vertebral function but...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0b013e3181f79629

    authors: Cornwall J,Stringer MD,Duxson M

    更新日期:2011-07-15 00:00:00

  • Intercellular signaling pathways active during and after growth and differentiation of the lumbar vertebral growth plate.

    abstract:STUDY DESIGN:Vertebral growth plates at different postnatal ages were assessed for active intercellular signaling pathways. OBJECTIVE:To generate a spatial and temporal map of the major signaling pathways active in the postnatal mouse lumbar vertebral growth plate. SUMMARY OF BACKGROUND DATA:The growth of all long bo...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0b013e3181f7a3ca

    authors: Dahia CL,Mahoney EJ,Durrani AA,Wylie C

    更新日期:2011-06-15 00:00:00

  • Clinical and radiographic outcomes of anterior lumbar interbody fusion using recombinant human bone morphogenetic protein-2.

    abstract:STUDY DESIGN:A prospective, nonblinded, multicenter study of outcomes in patients undergoing single-level anterior lumbar discectomy and interbody fusion with InFUSE Bone Graft. OBJECTIVE:To determine the safety and effectiveness of InFUSE Bone Graft applied to an absorbable collagen sponge in anterior lumbar interbod...

    journal_title:Spine

    pub_type: 临床试验,杂志文章,多中心研究,随机对照试验

    doi:10.1097/00007632-200211010-00015

    authors: Burkus JK,Transfeldt EE,Kitchel SH,Watkins RG,Balderston RA

    更新日期:2002-11-01 00:00:00

  • A ligament in the lumbar foramina: inverted Y ligament: an anatomic report.

    abstract:OBJECTIVES:The objective of this study was to investigate the ligaments in the exit zone of lumbar foramen and describe their anatomic relationships with adjacent structures. Few studies have been reported on the ligaments of foramen and the anatomic relationships on the lumbar level. The ligament described in this stu...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/01.brs.0000131437.86606.63

    authors: Caglar Y YS,Dolgun H,Ugur HC,Kahilogullari G,Tekdemir I,Elhan A

    更新日期:2004-07-15 00:00:00

  • Comparison of in vivo and in vitro adjacent segment motion after lumbar fusion.

    abstract:STUDY DESIGN:For in vitro studies, there is no basis for choosing a "load control study" over a "displacement control" study. This study qualitatively compared results from in vitro and in vivo tests, allowing the authors to address the experimental assumptions that in vitro testing contributes to the understanding of ...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-199408000-00015

    authors: Dekutoski MB,Schendel MJ,Ogilvie JW,Olsewski JM,Wallace LJ,Lewis JL

    更新日期:1994-08-01 00:00:00

  • Development of the Hispanic Low Back Pain Symptom Check List.

    abstract:STUDY DESIGN:The Low Back Pain Symptom Check List identifies psychological disturbance in patients with low back pain. This report traces the development of a translation for Hispanic populations. OBJECTIVE:The study explores the reliability and assesses the equivalence of the translation in providing pain and psychol...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-199405000-00009

    authors: Leavitt F,Gilbert NS,Mooney V

    更新日期:1994-05-01 00:00:00

  • Study of distribution and characteristics of spinal disorders using a validated questionnaire in a group of male subjects not exposed to occupational spinal risk factors.

    abstract::This article presents the content and the application criteria of a questionnaire intended for the study of spinal disorders in workers and the results of an investigation, carried out via this questionnaire, in a group of 1205 male workers not exposed to occupational risks for the spine either currently or in the pas...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-199307000-00006

    authors: Occhipinti E,Colombini D,Grieco A

    更新日期:1993-07-01 00:00:00

  • Clinical experience using Cortoss for treating vertebral compression fractures with vertebroplasty and kyphoplasty: twenty four-month follow-up.

    abstract:STUDY DESIGN:Forty patients were enrolled in 2 FDA-approved pilot Investigational Device Exemption (IDE) studies using Cortoss for the treatment of vertebral compression fractures (VCF). Twenty patients were treated at 3 centers, using vertebroplasty (VP) and 20 patients were treated at 5 centers, using kyphoplasty (KP...

    journal_title:Spine

    pub_type: 杂志文章,多中心研究

    doi:10.1097/BRS.0b013e3181dcda75

    authors: Bae H,Shen M,Maurer P,Peppelman W,Beutler W,Linovitz R,Westerlund E,Peppers T,Lieberman I,Kim C,Girardi F

    更新日期:2010-09-15 00:00:00

  • Functional limitations due to stiffness as a collateral impact of instrumented arthrodesis of the lumbar spine.

    abstract:STUDY DESIGN:Prospective cohort study. OBJECTIVE:To understand whether patients actually perceive increased limitations as compared with their preoperative state due to stiffness after lumbar arthrodesis. SUMMARY OF BACKGROUND DATA:Lumbar arthrodesis by intention eliminates spinal motion in an attempt to decrease pai...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0000000000000595

    authors: Hart RA,Marshall LM,Hiratzka SL,Kane MS,Volpi J,Hiratzka JR

    更新日期:2014-11-15 00:00:00

  • Posterior spinal fusion in neuromuscular scoliosis using a tibial strut graft. Results of a long-term follow-up.

    abstract:STUDY DESIGN:Risks and benefits of using a tibial graft for posterior spinal fusion in neuromuscular scoliosis were evaluated in a long-term follow-up study. A consecutive series of 72 patients underwent posterior spinal fusion for neuromuscular scoliosis. OBJECTIVES:Radiologic outcome was assessed to evaluate the qua...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-199407001-00012

    authors: Zeller RD,Ghanem I,Miladi L,Dubousset J

    更新日期:1994-07-15 00:00:00

  • Augmentation of pedicle screw fixation strength using an injectable calcium sulfate cement: an in vivo study.

    abstract:STUDY DESIGN:An in vivo landrace model of cement augmentation of pedicle screw was established, and axial pull-out tests and histological analysis were performed. OBJECTIVE:To investigate the long-term in vivo biomechanical performance of pedicle screws augmented with calcium sulfate cement. SUMMARY OF BACKGROUND DAT...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0b013e318184e750

    authors: Yi X,Wang Y,Lu H,Li C,Zhu T

    更新日期:2008-11-01 00:00:00

  • The action of resveratrol, a phytoestrogen found in grapes, on the intervertebral disc.

    abstract:STUDY DESIGN:Basic science, biologic study. OBJECTIVE:To determine the potential benefits of using resveratrol (RSV) for intervertebral disc (IVD) matrix repair and regeneration. SUMMARY OF BACKGROUND DATA:The phytoestrogen RSV is a natural compound found in various plants including grapes and red wines. RSV has been...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0b013e3181883883

    authors: Li X,Phillips FM,An HS,Ellman M,Thonar EJ,Wu W,Park D,Im HJ

    更新日期:2008-11-15 00:00:00

  • Does long-term compressive loading on the intervertebral disc cause degeneration?

    abstract:STUDY DESIGN:Coil springs were stretched and attached to produce a compressive force across the lumbar intervertebral discs of dogs for up to 53 weeks. OBJECTIVE:To test the hypothesis that compressive forces applied to the intervertebral disc for a long period of time cause disc degeneration in vivo in a dog model. ...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-200012010-00006

    authors: Hutton WC,Ganey TM,Elmer WA,Kozlowska E,Ugbo JL,Doh ES,Whitesides TE Jr

    更新日期:2000-12-01 00:00:00

  • Health outcome assessment before and after lumbar laminectomy for radiculopathy.

    abstract:STUDY DESIGN:Forty-one patients undergoing lumbar laminectomy for radiculopathy resulting from herniated discs assessed their health status using a generic health outcome instrument (Medical Outcomes Study Short Form 36) before surgery and at an average of 2 years after surgery. OBJECTIVES:To assess whether lumbar lam...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-199604150-00010

    authors: Albert TJ,Mesa JJ,Eng K,McIntosh TC,Balderston RA

    更新日期:1996-04-15 00:00:00

  • Preoperative serum albumin level as a predictor of postoperative complication after spine fusion.

    abstract:STUDY DESIGN:Retrospective cohort study. OBJECTIVE:To investigate the association between preoperative baseline serum albumin and postoperative surgical complication. SUMMARY OF BACKGROUND DATA:The prevalence of malnutrition in the hospitalized patient population has only been recently recognized. Preoperative hypoal...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0000000000000450

    authors: Adogwa O,Martin JR,Huang K,Verla T,Fatemi P,Thompson P,Cheng J,Kuchibhatla M,Lad SP,Bagley CA,Gottfried ON

    更新日期:2014-08-15 00:00:00

  • The treatment of concomitant odontoid fracture and lower cervical spine injuries.

    abstract:STUDY DESIGN:A retrospective study. OBJECTIVE:To investigate the treatment of odontoid fractures combined with lower cervical spinal injury. SUMMARY OF BACKGROUND DATA:Odontoid fractures combined with a lower cervical spinal injury are rarely reported in the literature and their incidence and characteristics are not ...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0b013e31817c4ecf

    authors: Li F,Chen Q,Xu K

    更新日期:2008-09-01 00:00:00

  • Five-year results from chemonucleolysis with chymopapain or collagenase: a prospective randomized study.

    abstract:STUDY DESIGN:A 5-year clinical follow-up assessment of a prospective randomized study of chemonucleolysis using chymopapain (4000 IU) or collagenase (400 ABC units) was performed. SUMMARY OF BACKGROUND DATA:Intradiscal therapy can be performed for patients with contained discs by chemonucleolysis, percutaneous discect...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-200109010-00002

    authors: Wittenberg RH,Oppel S,Rubenthaler FA,Steffen R

    更新日期:2001-09-01 00:00:00

  • Accuracy of intermittent fluoroscopy to detect intravascular injection during transforaminal epidural injections.

    abstract:STUDY DESIGN:Prospective validity study. OBJECTIVE:To determine how accurately intermittent fluoroscopy detects inadvertent intravascular injection during transforaminal epidurals. SUMMARY OF BACKGROUND DATA:Serious morbidity caused by transforaminal epidural injections is frequently related to inadvertent vascular i...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0b013e31816960fe

    authors: Smuck M,Fuller BJ,Chiodo A,Benny B,Singaracharlu B,Tong H,Ho S

    更新日期:2008-04-01 00:00:00

  • A cross-sectional study correlating cervical radiographic degenerative findings to pain and disability.

    abstract:STUDY DESIGN:A cross-sectional design was used to correlate cervical radiographic findings of spinal degeneration to neck pain and disability. OBJECTIVES:The results were correlated to assess the clinical importance of radiographic spinal degeneration. SUMMARY OF BACKGROUND DATA:Past investigations suggest little ass...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-199612010-00007

    authors: Marchiori DM,Henderson CN

    更新日期:1996-12-01 00:00:00

  • Resting energy expenditure and respiratory quotient in adolescents following spinal fusion surgery.

    abstract:STUDY DESIGN:Prospective, 2-factor design. The first factor was the group with 2 levels, spine surgery and control. The second factor was timing with 3 levels, baseline, 1-week follow-up, and 6-week follow-up. OBJECTIVES:The purpose of this study was to assess changes in caloric requirements and the body's nutritional...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/01.brs.0000134564.24874.10

    authors: McMulkin ML,Ferguson RL

    更新日期:2004-08-15 00:00:00

  • Preoperative and postoperative anesthetic and analgesic techniques for minimally invasive surgery of the spine.

    abstract:STUDY DESIGN:A review of methods to optimize anesthesia and analgesia for minimally invasive spine procedures. OBJECTIVE:To provide information to surgeons and anesthesiologists of methods to provide optimal anesthesia and pain control for minimally invasive spine surgery with an emphasis on preoperative planning. SU...

    journal_title:Spine

    pub_type: 杂志文章,评审

    doi:10.1097/BRS.0b013e31820240f8

    authors: Buvanendran A,Thillainathan V

    更新日期:2010-12-15 00:00:00

  • Predictors of Distal Adding-on in Thoracic Major Curves With AR Lumbar Modifiers.

    abstract:STUDY DESIGN:Retrospective review of prospectively collected data. OBJECTIVE:To determine whether the last substantially touched vertebra (LSTV) is a valid lowest instrumented vertebra (LIV) for both Lenke 1 and 2 curve patterns with AR lumbar modifiers, and to identify preoperative risk factors of distal adding-on. ...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0000000000001761

    authors: Murphy JS,Upasani VV,Yaszay B,Bastrom TP,Bartley CE,Samdani A,Lenke LG,Newton PO

    更新日期:2017-02-15 00:00:00

  • Wire-holding frame for sublaminar segmental spinal instrumentation.

    abstract:METHODS:A wire-holding frame developed for sublaminar segmental instrumentation (SSI) has been used at the authors' institution for 14 years. RESULTS:In addition to careful technique of sublaminar wire passage, the frame reduces the risk of potential neurologic injury after wire passage by keeping the wires taut again...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-199405001-00020

    authors: Segal LS,Schwentker EP

    更新日期:1994-05-15 00:00:00

  • Smokers show less improvement than nonsmokers two years after surgery for lumbar spinal stenosis: a study of 4555 patients from the Swedish spine register.

    abstract:STUDY DESIGN:A cohort study based on the Swedish Spine Register. OBJECTIVE:To determine the relation between smoking status and disability after surgical treatment for lumbar spinal stenosis. SUMMARY OF BACKGROUND DATA:Smoking and nicotine have been shown to inhibit lumbar spinal fusion and promote disc degeneration....

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0b013e3181e92b36

    authors: Sandén B,Försth P,Michaëlsson K

    更新日期:2011-06-01 00:00:00