Removal of calcified lumbar disc herniation with endoscopic-matched ultrasonic osteotome - Our preliminary experience.

Abstract:

:Objective: To evaluate the clinical efficacy, practicability, and safety of an ultrasonic osteotome for percutaneous transforaminal endoscopic discectomy (PTED) in patients with calcified lumbar disc herniation (CLDH).Methods: A total of 25 CLDH patients who underwent PTED at our department between December 2017 and August 2018 were analyzed retrospectively. Post-operative lumbar spine CT was used to evaluate residual calcification. Efficacy was evaluated by pre- and post-operative with the pain visual analog scale (VAS), Oswestry disability index (ODI), and the Modified MacNab Scale; the incidence of intra- and postoperative complications was also analyzed.Results: All procedures were successfully completed and none of the patients was lost to follow-up. Postoperative CT verified the successful removal of calcified protrusions. VAS and ODI scores improved significantly after surgery. Based on the Modified MacNab scale, >90% patients achieved good or excellent outcomes. There were no complications such as dural tear and infection. Seven patients had varying degrees of postoperative dysesthesia. One patient experienced recurrence of herniation within 1 week after operation; successful recovery was achieved after repeat PTED.Conclusions: Use of this ultrasonic osteotome for PTED facilitated effective removal of calcified disc protrusion, relieved nerve compression, and protected the adjacent neurovascular tissues. The instrument may help expand the indications for endoscopic surgery and avoid open surgery for some CLDH patients.

journal_name

Br J Neurosurg

authors

Yu L,Wen JK,Wang S,Wang WH,Yu JM,Ye XJ

doi

10.1080/02688697.2019.1687850

subject

Has Abstract

pub_date

2020-02-01 00:00:00

pages

80-85

issue

1

eissn

0268-8697

issn

1360-046X

journal_volume

34

pub_type

杂志文章
  • Excision of pituitary adenomas: randomized comparison of surgical modalities.

    abstract::The aim of this randomized prospective study was to compare the efficacy of endoscopic versus standard microsurgical excision of pituitary adenomas, and to evaluate the merits and demerits of each approach. Twenty patients with a pituitary adenoma were randomly divided into two groups comprising of 10 cases each. Ten ...

    journal_title:British journal of neurosurgery

    pub_type: 杂志文章,随机对照试验

    doi:10.1080/02688690701395447

    authors: Jain AK,Gupta AK,Pathak A,Bhansali A,Bapuraj JR

    更新日期:2007-08-01 00:00:00

  • Establishing mild, moderate and severe criteria for the myelopathy disability index in cervical spondylotic myelopathy.

    abstract:AIM:Cervical Spondylotic Myelopathy (CSM) is a disabling condition arising from arthritic compression and consequent injury of the cervical spinal cord. Stratification of CSM severity has been useful to inform clinical practice and research analysis. In the UK the Myelopathy Disability Index (MDI) is a popular assessme...

    journal_title:British journal of neurosurgery

    pub_type: 杂志文章

    doi:10.1080/02688697.2020.1839741

    authors: Davies BM,Nourallah B,Venkatesh A,Ali AMS,Guilfoyle M,Francis J,Kotter MRN,Laing RJC

    更新日期:2020-11-10 00:00:00

  • Anterior cervical discectomy: to graft or not to graft?

    abstract::The debate regarding whether to perform an interbody fusion after anterior cervical discectomy (ACD) has been going on for the last 50 years. Several prospective randomized clinical trials have been performed to evaluate the clinical outcome following anterior cervical discectomy with and without interbody fusion. Non...

    journal_title:British journal of neurosurgery

    pub_type: 杂志文章

    doi:10.1080/02688690802610249

    authors: Konduru S,Findlay G

    更新日期:2009-02-01 00:00:00

  • Brainstem gliomas: surgical indications and technical considerations in a series of 58 cases.

    abstract::OBJECTIVES. To analyze the indications of surgical treatment, surgical management strategies and post-surgical outcome in patients with brainstem glioma (BSG). METHODS. In this retrospective study conducted from 1998 to 2012, 58 patients of surgically treated intrinsic BSG, meeting the inclusion criterion were enrolle...

    journal_title:British journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3109/02688697.2013.829562

    authors: Sinha S,Kale SS,Chandra SP,Suri A,Mehta VS,Sharma BS

    更新日期:2014-04-01 00:00:00

  • Transsphenoidal pituitary surgery in the elderly is safe and effective.

    abstract:OBJECT:With an increasingly ageing population, the number of elderly people diagnosed with pituitary tumours continues to rise. There is a concern that with increasing age and comorbidities, there is higher anaesthetic risk, as well as peri-operative morbidity and mortality from pituitary surgery. This study aimed to a...

    journal_title:British journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3109/02688697.2013.872225

    authors: Pereira EA,Plaha P,Chari A,Paranathala M,Haslam N,Rogers A,Korevaar T,Tran D,Olarinde R,Karavitaki N,Grossman AB,Cudlip SA

    更新日期:2014-10-01 00:00:00

  • Posterior approach vertebrectomy in the thoracolumbar spine with expandable cage reconstruction: indications and techniques based on eight cases.

    abstract::We present a series of eight patients undergoing circumferential neural decompression and stabilization of the thoracolumbar spine via a single midline posterior approach, with complete vertebrectomy for a variety of indications. Four had primary tumours, two secondary tumours, one patient had tuberculosis and one had...

    journal_title:British journal of neurosurgery

    pub_type: 杂志文章

    doi:10.1080/02688690701837273

    authors: Crocker M,James G,Ibrahim A,Thomas N,Chitnavis B

    更新日期:2008-04-01 00:00:00

  • Venous air embolism during microelectrode recording in deep brain stimulation surgery in an awake supine patient.

    abstract::Venous air embolism (VAE) is a potentially serious complication in neurosurgery. It occurs most commonly during craniotomy in the sitting position. Diagnosis is difficult in awake patients on spontaneous ventilation due to different clinical manifestations. Prompt diagnosis and treatment are essential. We report venou...

    journal_title:British journal of neurosurgery

    pub_type: 杂志文章

    doi:10.1080/02688690902775538

    authors: Kumar R,Goyal V,Chauhan RS

    更新日期:2009-08-01 00:00:00

  • Posteroventrolateral pallidotomy through implanted DBS electrodes monitored by recording local field potentials.

    abstract::This paper describes the use of globus pallidus internus (Gpi) local field potentials recorded through pre-implanted deep brain stimulation (DBS) electrodes on a patient affected by generalized dystonia. The recordings were made both before and after radiofrequency-induced posteroventrolateral bilateral stereotactic p...

    journal_title:British journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3109/02688697.2015.1054363

    authors: Franzini A,Cordella R,Penner F,Rosa M,Messina G,Rizzi M,Nardocci N,Priori A

    更新日期:2015-01-01 00:00:00

  • Multicentric malignant glioma.

    abstract::Multicentre gliomas are a well recognized entity but the occurrence of such tumours both above and below the tentorium remains uncommon. We report the case of an 11-year-old boy who underwent stereotactic biopsy of a brain stem ring enhancing tumour with histology of an anaplastic astrocytoma (Grade 3). Nine months fo...

    journal_title:British journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3109/02688699109002887

    authors: Pell MF,Revesz T,Thomas DG

    更新日期:1991-01-01 00:00:00

  • Acoustic neuroma surgery: results of translabyrinthine tumour removal in 300 patients. Discussion of choice of approach in relation to overall results and possibility of hearing preservation.

    abstract::The results from the Danish model of acoustic neuroma surgery are presented. In the period from 1976 to 1985, 300 patients with acoustic neuromas were operated upon using the translabyrinthine procedure. Only one small intrameatal tumour was encountered; 96 tumours were medium sized and 203 were larger than 25 mm. Of ...

    journal_title:British journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3109/02688698909002815

    authors: Thomsen J,Tos M,Harmsen A

    更新日期:1989-01-01 00:00:00

  • Intracranial plasma cell granuloma--a case report and review of the literature.

    abstract::We report a case of plasma cell granuloma which is a rare intracranial tumour showing plasma cell infiltration. It mimics meningioma and solitary plasmacytoma clinically and radiologically. Clinical presentation, diagnostic investigations and management are discussed with a review of the literature. ...

    journal_title:British journal of neurosurgery

    pub_type: 杂志文章,评审

    doi:10.1080/02688690050175382

    authors: Saxena A,Sinha S,Tatke M

    更新日期:2000-10-01 00:00:00

  • Severe low back pain with mild leg symptoms due to lumbar spine stenosis.

    abstract:BACKGROUND:Some patients with lumbar spine stenosis (LSS) have severe low back pain (LBP) with only mild leg symptoms. The effects of decompression surgery for such patients remain unknown. METHODS:Of 818 patients with LSS who underwent surgical treatment in our institution from 2011 to 2019, eight patients had a nume...

    journal_title:British journal of neurosurgery

    pub_type: 杂志文章

    doi:10.1080/02688697.2020.1868402

    authors: Kanematsu R,Hanakita J,Takahashi T,Minami M,Miyasaka K,Shimauchi-Ohtaki H,Tomita Y

    更新日期:2021-01-19 00:00:00

  • An evaluation of the epileptogenic properties of a rifampicin/clindamycin-impregnated shunt catheter.

    abstract::A process has been developed by which ventriculoperitoneal hydrocephalus shunts, which are prone to bacterial colonisation, can be impregnated with antimicrobials in order to confer antibacterial activity. Concern that their use might be associated with an increased risk of postoperative seizures has been addressed he...

    journal_title:British journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3109/02688699409101187

    authors: Abed WT,Alavijeh MS,Bayston R,Shorvon SD,Patsalos PN

    更新日期:1994-01-01 00:00:00

  • In situ posterolateral and fibular interbody fusion in high grade spondylolysthesis.

    abstract:OBJECTIVE:High-grade spondylolysthesis and spondyloptosis management have various options. There were no large series reported to support any particular treatment modality. The aim of surgery is to get solid bony fusion to get relief of instability and its symptoms as well as relief of neurological symptoms. There are ...

    journal_title:British journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3109/02688697.2012.743970

    authors: Gollapudi PR,Kotakadira S,Nandigama PK,Karla R,Maila SK,Bugude NN

    更新日期:2013-08-01 00:00:00

  • Combined motor and somatosensory evoked potential monitoring for intramedullary spinal cord tumor surgery: correlation of clinical and neurophysiological data in 17 consecutive procedures.

    abstract::The primary objective of neurophysiologic monitoring during surgery is to prevent permanent neurological sequelae. We prospectively evaluated whether the combined use of somatosensory- and motor-evoked potential (SEP/MEP) for intramedullary spinal cord tumor (IMSCT) surgery may be beneficial. Combined SEP/MEP monitori...

    journal_title:British journal of neurosurgery

    pub_type: 杂志文章

    doi:10.1080/02688690902964744

    authors: Hyun SJ,Rhim SC

    更新日期:2009-08-01 00:00:00

  • Intracranial hemangiopericytoma after radiation treatment: first case in the literature.

    abstract::Background: Radiation exposure is a known risk factor for meningioma but there are no data regarding hemangiopericytoma and radiation exposure.Case Description: We report a 29-year-old pineoblastoma patient diagnosed with a hemangiopericytoma at a different location, after a successful surgical excision and adjuvant r...

    journal_title:British journal of neurosurgery

    pub_type: 杂志文章

    doi:10.1080/02688697.2020.1759779

    authors: Demirci Otluoglu G,Zorlu E,Yılmaz B,Akakın A,Yapıcıer O,Kilic T

    更新日期:2020-05-07 00:00:00

  • Protection of the anterior visual pathways during gamma knife treatment of meningiomas.

    abstract::The anterior visual pathway (AVP) can be at risk during gamma knife surgery (GKS). There is no standardised published methodology for protecting the AVP. This paper suggests such an approach in relation to the treatment of meningiomas. There were 67 patients with a mean age of 48.8 years and a minimum follow-up of 25 ...

    journal_title:British journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3109/02688690903536611

    authors: Ganz JC,El-Shehaby A,Reda WA,Abdelkarim K

    更新日期:2010-06-01 00:00:00

  • A case report of the management of multiple metachronous haemangioblastomas in a patient with von Hippel - Lindau disease.

    abstract::Cerebellar haemangioblastomas commonly arise in patients with von Hippel - Lindau disease. We present the case of a 47-year-old male who has successfully undergone 10 separate procedures for symptomatic cerebellar haemangioblastomas. To our knowledge, this case is unique with respect to the frequency of symptomatic re...

    journal_title:British journal of neurosurgery

    pub_type: 杂志文章

    doi:10.1080/02688690701552864

    authors: Newman S,Wasserberg J

    更新日期:2008-02-01 00:00:00

  • Combined surgery, radiation, and chemotherapy for oligodendroglial gliomatosis cerebri.

    abstract::Gliomatosis cerebri (GC), which mainly consists of oligodendroglial tumour cells, is rare and six cases have been documented to date. We present a new case of oligodendroglial gliomatosis cerebri with a favourable response to combination treatment using surgery, radiotherapy and chemotherapy. ...

    journal_title:British journal of neurosurgery

    pub_type: 杂志文章,评审

    doi:10.1080/02688690410001732823

    authors: Fukushima Y,Nakagawa H,Tamura M

    更新日期:2004-06-01 00:00:00

  • Recurrent self-inflicted craniocerebral injury: case report and review of the literature.

    abstract::Self-inflicted craniocerebral injuries have been reported exclusively in mentally disturbed patients and criminals. We report a 28-year-old man with a severe mental disorder who initially hammered a nail into his brain and subsequently repeatedly inserted foreign objects into his brain. The literature is reviewed and ...

    journal_title:British journal of neurosurgery

    pub_type: 杂志文章,评审

    doi:10.1080/02688699745745

    authors: Musa BS,Simpson BA,Hatfield RH

    更新日期:1997-12-01 00:00:00

  • Chronic encapsulated intracerebral haematoma in a patient with medically intractable epilepsy.

    abstract::A patient with a chronic encapsulated intracerebral haematoma presenting with medically intractable epilepsy is described. A tough capsule containing an old haematoma was confirmed surgically, and consisted of dense collagenous tissue with rich neovascularization. The radiological features, aetiology and treatment of ...

    journal_title:British journal of neurosurgery

    pub_type: 杂志文章

    doi:10.1080/02688699845537

    authors: Kurita H,Ichi S,Shiokawa Y

    更新日期:1998-02-01 00:00:00

  • Platinum distribution in malignant glioma following intraoperative intravenous infusion of carboplatin.

    abstract::The objective of this paper was to determine the time course and extent of platinum uptake into human malignant glioma tissue. An intraoperative, intravenous infusion of carboplatin was given to nine patients (seven glioblastoma and two anaplastic glioma) undergoing tumour excision. Carboplatin dosage was calculated i...

    journal_title:British journal of neurosurgery

    pub_type: 杂志文章

    doi:10.1080/02688699943871

    authors: Whittle IR,Malcolm G,Jodrell DI,Reid M

    更新日期:1999-04-01 00:00:00

  • Cranial fasciitis of childhood: an incidental finding of a lytic skull lesion.

    abstract::We describe a case of cranial fascitis presenting as an incidental finding. A 2 1/2-year-old girl had skull radiographs performed after sustaining a minor head injury, which revealed a lytic skull lesion. We describe the salient features of the case and review the current literature of this rare benign inflammatory co...

    journal_title:British journal of neurosurgery

    pub_type: 杂志文章,评审

    doi:10.1080/02688699745989

    authors: Boddie DE,Distante S,Blaiklock CT

    更新日期:1997-10-01 00:00:00

  • Paget's disease complicated by hydrocephalus and syringomyelia.

    abstract::The authors report a case of Paget's disease involving the skull with the rare but severe complications of hydrocephalus and syringomyelia related to basilar impression. Complications of Paget's disease of the skull are briefly discussed and current treatment strategies outlined. ...

    journal_title:British journal of neurosurgery

    pub_type: 杂志文章

    doi:10.1080/026886902320909178

    authors: Raubenheimer PJ,Taylor AG,Soule SG

    更新日期:2002-10-01 00:00:00

  • Chordoid meningioma: report of 5 cases and review of the literature.

    abstract::Chordoid meningioma is a rare, more aggressive subtype of meningioma. This study documents the histological, radiological and clinical features of seven tumours in five patients among 131 meningioma patients who were treated in the Department of Neurosurgery at Istanbul Medipol University between 2014 and 2019. There ...

    journal_title:British journal of neurosurgery

    pub_type: 杂志文章

    doi:10.1080/02688697.2020.1861436

    authors: Tahta A,Genc B,Cakir A,Sekerci Z

    更新日期:2020-12-17 00:00:00

  • Type 2 herpes simplex reactivation after craniocervical decompression for hind brain hernia and associated syrinx.

    abstract::Herpes virus reactivation is a well-known phenomenon rarely described in neurosurgery. We report a case of type 2 herpes simplex virus reactivation following neurosurgery of the posterior fossa. Cerebrospinal fluid analysis revealed a lymphocytic pleocytosis of over 200 x 10(6)/l. Viral reactivation should be consider...

    journal_title:British journal of neurosurgery

    pub_type: 杂志文章

    doi:10.1080/02688690802425671

    authors: Ihekwaba UK,Battersby RD

    更新日期:2009-06-01 00:00:00

  • Cortical mapping and local anaesthetic resection as an aid to surgery of low and intermediate grade gliomas.

    abstract::We report four cases of the use of peroperative cortical mapping during craniotomy under local anaesthesia to define the relationship between the glioma and speech and somatosensory cortex. This enabled a radical subtotal (two cases) or an apparent total (two cases) excision of the tumour close to the somatosensory an...

    journal_title:British journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3109/02688699209002913

    authors: Walsh AR,Schmidt RH,Marsh HT

    更新日期:1992-01-01 00:00:00

  • Speech arrest after sleeping on the left body side.

    abstract::Stroke like episodes can occur by cortical compression due to changes in intracranial pressure. We report a patient after left hemicraniectomy who presented transient speech arrest after sleeping on the left side. We propose that mechanical compression of the left inferior or superior frontal gyrus led to this episode...

    journal_title:British journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3109/02688697.2011.569037

    authors: Wojtecki L,Schnitzler A

    更新日期:2011-06-01 00:00:00

  • Good practice in the management of adults with malignant cerebral glioma: clinical guidelines. Working Group, Royal College of Physicians.

    abstract::This paper proposes guidelines for good practice in the management of adults with malignant cerebral glioma. These guidelines were developed by a working group comprising representatives of the medical specialties involved in patient care, specialist nursing staff, purchasers, charitable bodies, and patient and relati...

    journal_title:British journal of neurosurgery

    pub_type: 指南,杂志文章,实务指引

    doi:10.1080/02688699746104

    authors: Davies E,Hopkins A

    更新日期:1997-08-01 00:00:00

  • Factors implicated for late presentations of gross congenital anomaly of the nervous system in a developing nation.

    abstract:BACKGROUND:Gross congenital lesions of the nervous system are obvious at birth and usually present early for management and corrective surgery. However in tropical and developing nations, late presentations are common. AIMS:To determine the factors responsible for very late presentations of gross congenital lesions. ...

    journal_title:British journal of neurosurgery

    pub_type: 杂志文章

    doi:10.1080/02688690802485113

    authors: Komolafe EO,Komolafe MA,Adeolu AA

    更新日期:2008-12-01 00:00:00