| Literature DB >> 31739919 |
Sananthan Sivakanthan1, Saqib Hasan2, Christoph Hofstetter3.
Abstract
Full-endoscopic spine surgery has been developed to decrease approach-related morbidity and provide superior visualization. Using a working channel endoscope, lumbar disc herniations can be approached via two complementary corridors: the transforaminal approach and the interlaminar approach. Indications, contraindications, surgical technique, complications, and outcomes are discussed in this article. Multiple published studies have demonstrated the feasibility, safety, and efficacy of full-endoscopic lumbar discectomies. Emerging evidence suggests that full-endoscopic discectomies result in similar functional outcomes compared with microsurgical technique and are associated with shorter hospital stays, less opioid consumption, and fewer perioperative complications.Keywords: Full-endoscopic spine surgery; Interlaminar endoscopic lumbar discectomy (IELD); Lumbar discectomy; Transforaminal endoscopic lumbar discectomy (TELD)
Mesh:
Year: 2019 PMID: 31739919 DOI: 10.1016/j.nec.2019.08.016
Source DB: PubMed Journal: Neurosurg Clin N Am ISSN: 1042-3680 Impact factor: 2.509