Min-Seok Kang1, Hoon-Jae Chung1, Ki-Han You2, Hyun-Jin Park3. 1. Department of Orthopedic Surgery, Endoscopic Spine Surgery Center, Bumin Hospital, Seoul, Korea. 2. Department of Orthopedic Surgery, Spine Center, Kangnam Sacred Heart Hospital, Hallym University College of Medicine, 1, Singil-ro, Yeongdeungpo-gu, Seoul, 07441, Korea. 3. Department of Orthopedic Surgery, Spine Center, Kangnam Sacred Heart Hospital, Hallym University College of Medicine, 1, Singil-ro, Yeongdeungpo-gu, Seoul, 07441, Korea. phjfrog@gmail.com.
Abstract
BACKGROUND: Currently, decompressive laminectomy with or without concomitant fusion is a standard treatment for ossification of the ligamentum flavum (OLF). However, conventional thoracic decompressive laminectomy is not free of the inevitable destruction of the posterior ligamentous complex, and facet injury may lead to various sequelae. METHOD: We used the biportal endoscopic technique for posterior thoracic decompression (BE-PTD) and describe the steps with discussion regarding the indications, advantages, possible complications, and ways to overcome complications. CONCLUSION: BE-PTD can obtain endoscopic visualizations of all the boundaries of the OLF lesion and achieve direct neural decompression of thoracic OLF.
BACKGROUND: Currently, decompressive laminectomy with or without concomitant fusion is a standard treatment for ossification of the ligamentum flavum (OLF). However, conventional thoracic decompressive laminectomy is not free of the inevitable destruction of the posterior ligamentous complex, and facet injury may lead to various sequelae. METHOD: We used the biportal endoscopic technique for posterior thoracic decompression (BE-PTD) and describe the steps with discussion regarding the indications, advantages, possible complications, and ways to overcome complications. CONCLUSION: BE-PTD can obtain endoscopic visualizations of all the boundaries of the OLF lesion and achieve direct neural decompression of thoracic OLF.
Authors: Sung Uk Kuh; Young Soo Kim; Yong Eun Cho; Byung Ho Jin; Keun Su Kim; Young Sul Yoon; Dong Kyu Chin Journal: Eur Spine J Date: 2005-05-18 Impact factor: 3.134
Authors: Nebiyu S Osman; Zoe B Cheung; Awais K Hussain; Kevin Phan; Varun Arvind; Khushdeep S Vig; Luilly Vargas; Jun S Kim; Samuel Kang-Wook Cho Journal: Spine (Phila Pa 1976) Date: 2018-07-15 Impact factor: 3.241