Transforaminal endoscopic discectomy: a targeted spinal surgery

Introduction Open discectomy has been the gold standard of care for cases of prolapsed intervertebral disc. Tissue dissection is unavoidable in order to access the pathologic disc material. After skin incision, subcutaneous fat tissue, paraspinal muscles, ligamentum flavum, epidural fat, dura and...

Full description

Bibliographic Details
Main Authors:	Mor Japar Khan, Ed Simor Khan, Kow, Ren Yi
Format:	Conference or Workshop Item
Language:	English
Published:	2019
Subjects:	RD701 Orthopedics
Online Access:	http://irep.iium.edu.my/75413/ http://irep.iium.edu.my/75413/1/MRS%202019%20Endoscopic.pdf

id	iium-75413
recordtype	eprints
spelling	iium-754132019-11-22T06:55:29Z http://irep.iium.edu.my/75413/ Transforaminal endoscopic discectomy: a targeted spinal surgery Mor Japar Khan, Ed Simor Khan Kow, Ren Yi RD701 Orthopedics Introduction Open discectomy has been the gold standard of care for cases of prolapsed intervertebral disc. Tissue dissection is unavoidable in order to access the pathologic disc material. After skin incision, subcutaneous fat tissue, paraspinal muscles, ligamentum flavum, epidural fat, dura and nerve roots has to be encountered before reaching the disc material. With the in out transforaminal endoscopic technique, only skin and subcutaneous tissue need to be bridged before reaching the disc material. Also known as the targeted surgical technique, this technique minimized the trauma to the soft tissue. Materials and methods We present 3 case series of prolapsed intervertebral disc which was treated with transforaminal endoscopic technique. Case 1 49 year old lady presented with one year history of low back pain and left lower limb sciatica. Straight leg raising sign was positive. MRI showed 2 level disc bulge at L4L5, L5S1 with annular tear at L5S1. At 2 weeks post op pain was improved by 60% and SLR test was negative. case 2 26 year old lady presented with 6 months history of low back pain and left lower limb sciatica. Straight leg raising sign was positive. MRI showed extruded disc at L4L5. At post op day one, her sciatica completely resolved and SLR test was negative. Case 3 28 year old lady presented with 8 months history of low back pain and left lower limb sciatica. Straight leg raising sign was positive. MRI showed extruded disc at L5S1 with annular tear. At post op day one, her sciatica completely resolved and SLR test was negative. Results All three patients underwent transforaminal discectomy. Case 1 and 2 were done under monitored anaesthesia control (MAC) and case 3 was done under epidural anaesthesia. All three patients had satisfactory pain relief. The 1st patient had longer recovery period possibly because of its disease chronicity. Conclusion Early recovery is expected hence early return to work can be accomplished. In the future this might be the gold standard of treating prolapsed intervertebral disc. 2019-10-09 Conference or Workshop Item NonPeerReviewed application/pdf en http://irep.iium.edu.my/75413/1/MRS%202019%20Endoscopic.pdf Mor Japar Khan, Ed Simor Khan and Kow, Ren Yi (2019) Transforaminal endoscopic discectomy: a targeted spinal surgery. In: "5th Medical Research Symposium : Expanding Research Collaboration in Health", 9th October 2019, IIUM Medical Centre. (Unpublished)
repository_type	Digital Repository
institution_category	Local University
institution	International Islamic University Malaysia
building	IIUM Repository
collection	Online Access
language	English
topic	RD701 Orthopedics
spellingShingle	RD701 Orthopedics Mor Japar Khan, Ed Simor Khan Kow, Ren Yi Transforaminal endoscopic discectomy: a targeted spinal surgery
description	Introduction Open discectomy has been the gold standard of care for cases of prolapsed intervertebral disc. Tissue dissection is unavoidable in order to access the pathologic disc material. After skin incision, subcutaneous fat tissue, paraspinal muscles, ligamentum flavum, epidural fat, dura and nerve roots has to be encountered before reaching the disc material. With the in out transforaminal endoscopic technique, only skin and subcutaneous tissue need to be bridged before reaching the disc material. Also known as the targeted surgical technique, this technique minimized the trauma to the soft tissue. Materials and methods We present 3 case series of prolapsed intervertebral disc which was treated with transforaminal endoscopic technique. Case 1 49 year old lady presented with one year history of low back pain and left lower limb sciatica. Straight leg raising sign was positive. MRI showed 2 level disc bulge at L4L5, L5S1 with annular tear at L5S1. At 2 weeks post op pain was improved by 60% and SLR test was negative. case 2 26 year old lady presented with 6 months history of low back pain and left lower limb sciatica. Straight leg raising sign was positive. MRI showed extruded disc at L4L5. At post op day one, her sciatica completely resolved and SLR test was negative. Case 3 28 year old lady presented with 8 months history of low back pain and left lower limb sciatica. Straight leg raising sign was positive. MRI showed extruded disc at L5S1 with annular tear. At post op day one, her sciatica completely resolved and SLR test was negative. Results All three patients underwent transforaminal discectomy. Case 1 and 2 were done under monitored anaesthesia control (MAC) and case 3 was done under epidural anaesthesia. All three patients had satisfactory pain relief. The 1st patient had longer recovery period possibly because of its disease chronicity. Conclusion Early recovery is expected hence early return to work can be accomplished. In the future this might be the gold standard of treating prolapsed intervertebral disc.
format	Conference or Workshop Item
author	Mor Japar Khan, Ed Simor Khan Kow, Ren Yi
author_facet	Mor Japar Khan, Ed Simor Khan Kow, Ren Yi
author_sort	Mor Japar Khan, Ed Simor Khan
title	Transforaminal endoscopic discectomy: a targeted spinal surgery
title_short	Transforaminal endoscopic discectomy: a targeted spinal surgery
title_full	Transforaminal endoscopic discectomy: a targeted spinal surgery
title_fullStr	Transforaminal endoscopic discectomy: a targeted spinal surgery
title_full_unstemmed	Transforaminal endoscopic discectomy: a targeted spinal surgery
title_sort	transforaminal endoscopic discectomy: a targeted spinal surgery
publishDate	2019
url	http://irep.iium.edu.my/75413/ http://irep.iium.edu.my/75413/1/MRS%202019%20Endoscopic.pdf
first_indexed	2023-09-18T21:46:43Z
last_indexed	2023-09-18T21:46:43Z
_version_	1777413498642366464

Transforaminal endoscopic discectomy: a targeted spinal surgery

Similar Items