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  4. Technical Notes and Clinical Outcomes of Full-Endoscopic Interbody Fusion Via Transforaminal Approach for Hard Disc Herniations in Thoracolumbar Junction

Technical Notes and Clinical Outcomes of Full-Endoscopic Interbody Fusion Via Transforaminal Approach for Hard Disc Herniations in Thoracolumbar Junction

Orthopaedic Surgery, 2023 · DOI: 10.1111/os.13759 · Published: July 1, 2023

Surgery

Simple Explanation

This study introduces a novel surgical technique combining full-endoscopic decompression and interbody fusion via a transforaminal approach for treating hard disc herniations in the thoracolumbar junction. The procedure involves removing the herniated disc and fusing the adjacent vertebrae to stabilize the spine, all done through a minimally invasive endoscopic approach. The study aims to evaluate the safety and effectiveness of this technique by assessing clinical and radiographic outcomes after a 1-year follow-up period.

Study Duration
January 2018 and September 2021
Participants
14 patients with 20 segments of thoracolumbar hard disc herniation
Evidence Level
Not specified

Key Findings

  • 1
    All operations were successfully completed with sufficient decompression of the spinal cord or cauda equina, and no residual compression was observed.
  • 2
    At the 1-year follow-up, all surgical segments achieved complete bony fusion, and patients experienced relief from back and radicular pain with restored neurological function.
  • 3
    The average recovery rate of the mJOA (modified Japanese Orthopaedic Association scale) was 72.5%, indicating significant improvement in neurological function.

Research Summary

This study introduces and evaluates a combined full-endoscopic decompression and interbody fusion via a transforaminal approach for treating hard disc herniations in the thoracolumbar junction. The results demonstrate successful decompression, solid interbody fusion, and significant clinical improvement in patients, with fewer approach-related injuries. The authors conclude that this technique is a safe and effective minimally invasive option for treating hard disc herniations in the thoracolumbar junction.

Practical Implications

Minimally Invasive Option

Offers a less invasive surgical approach for treating hard disc herniations, potentially leading to faster recovery and reduced complications.

Effective Decompression and Fusion

Demonstrates the ability to achieve complete spinal canal decompression and solid interbody fusion, addressing both the immediate and long-term issues associated with hard disc herniations.

Improved Patient Outcomes

Results in significant pain relief and neurological function restoration, enhancing the quality of life for patients suffering from thoracolumbar hard disc herniations.

Study Limitations

  • 1
    Small sample size
  • 2
    Short-term follow-up
  • 3
    Lack of comparative study with traditional open surgery

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