Neurospine

NASS/Neurospine Endoscopic Spine Surgery Special Issue

Commentary on “Complications and Management of Endoscopic Spinal Surgery”: Hyeun-Sung Kim, Pang Hung Wu, Il-Tae Jang; Neurospine 2023;20(1):78-79. Published online March 31, 2023; DOI: https://doi.org/10.14245/ns.2346308.154

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Commentary on “Complications and Management of Endoscopic Spinal Surgery”

Neurospine. 2023;20(1):78-79. Published online March 31, 2023

DOI: https://doi.org/10.14245/ns.2346308.154

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Commentary on “Complications and Management of Endoscopic Spinal Surgery”

Neurospine. 2023;20(1):78-79. Published online March 31, 2023

DOI: https://doi.org/10.14245/ns.2346308.154

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Across-the-Top—Biportal Endoscopic Spinal Surgery for Right-Sided Pathologies: Technical Note
Mohammad A. Ansari, Faiz K. Yusufi
Asian Journal of Neurosurgery.2026; 21(01): 074. CrossRef

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NASS/Neurospine Endoscopic Spine Surgery Special Issue

Spinal Canal Remodeling and Indirect Decompression of Contralateral Foraminal Stenosis After Endoscopic Posterolateral Transforaminal Lumbar Interbody Fusion: Pang Hung Wu, Eugene Tze-Chun Lau, Hyeun-Sung Kim, Giovanni Grasso, Il-Tae Jang; Neurospine 2023;20(1):99-109. Published online March 31, 2023; DOI: https://doi.org/10.14245/ns.2346132.066

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Spinal Canal Remodeling and Indirect Decompression of Contralateral Foraminal Stenosis After Endoscopic Posterolateral Transforaminal Lumbar Interbody Fusion

Neurospine. 2023;20(1):99-109. Published online March 31, 2023

DOI: https://doi.org/10.14245/ns.2346132.066

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Spinal Canal Remodeling and Indirect Decompression of Contralateral Foraminal Stenosis After Endoscopic Posterolateral Transforaminal Lumbar Interbody Fusion

Neurospine. 2023;20(1):99-109. Published online March 31, 2023

DOI: https://doi.org/10.14245/ns.2346132.066

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Objective
There is a lack of literature on indirect decompression in uniportal endoscopic posterolateral transforaminal lumbar interbody fusion (EPTLIF). Our aim is to evaluate the dimensions of the spinal canal and contralateral foramen before and after EPTLIF.
Methods
This is a retrospective study of patients who underwent EPTLIF in a tertiary spine centre over a 2-year period. The cross-sectional area of the spinal canal and the contralateral foramen at the level of fusion were measured on magnetic resonance imaging scan at 1-day postoperation and at the final follow-up. Patients were grouped according to the decompression performed as per the clinician’s judgement.
Results
One hundred fifty-two levels of fusion were performed in 120 patients. There was a statistically significant clinical improvement in visual analogue scale and Oswestry Disability Index scores postoperation. The measurements of the spinal canal area were 106.0 mm², 138.8 mm², and 195.5 mm²; while contralateral foraminal area were 73.2 mm², 104.4 mm², and 120.7 mm² at preoperation, 1-day postoperation, and at the final follow-up, respectively (p < 0.001). For the subgroup analyses, spinal canal area measurements for the bilateral decompression cohort (n = 35) were 57.0 mm², 123.9 mm², and 191.8 mm²; for the ipsilateral decompression cohort (n = 42) were 89.3 mm², 128.9 mm², 183.3 mm²; and for the cohort without any decompression and only cage inserted (n = 75) were 138.3 mm², 151.2 mm², and 204.1 mm² (p < 0.001). Contralateral foraminal area measurements were 73.3 mm², 106.4 mm² and 120.4 mm² in the bilateral decompression cohort; 69.5 mm², 99.0 mm², 116.9 mm² in the ipsilateral decompression cohort; and 75.1 mm², 106.5 mm², 122.9 mm² in the cohort without any decompression (p < 0.001).
Conclusion
Indirect decompression of both the spinal canal and the contralateral foramen can be achieved via EPTLIF. Decompression on an asymptomatic contralateral side is not necessary.

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Computed tomography imaging for exploring the appropriate angle of a visible Trephine in endoscopic spine lumbar interbody fusion
Wei Wang, Yukai Cui, Xiaohao Sun, Wen Yin, Xilong Cui, Haiyang Yu, Wenjie Diao, Wenbo Diao, Wei Jiao
European Spine Journal.2026; 35(6): 3448. CrossRef
Robot-assisted unilateral biportal endoscopic lumbar interbody fusion for lumbar spondylolisthesis: ipsilateral direct with contralateral indirect decompression
Han Yi, Siyang He, Senglin Zhang, Peng Liu, Shu Lin, Kun Zhang, Jiang Hu, Fei Wang, Fang Tang, Wei Zhang
BMC Musculoskeletal Disorders.2026;[Epub] CrossRef
Outcomes in Lumbar Fusion Patients Stratified by the Clinical and Radiographic Degenerative Spondylolisthesis (CARDS) Classification System
Justin J Turcotte, Jane C Brennan, Parimal Rana, Andrea H Johnson, Chad Patton
Cureus.2024;[Epub] CrossRef
Trends in degenerative lumbar spinal surgery during the early COVID-19 pandemic in Republic of Korea: A national study utilizing the national health insurance database
Woon Tak Yuh, Jinhee Kim, Mi-Sook Kim, Jun-Hoe Kim, Young Rak Kim, Sum Kim, Chun Kee Chung, Chang-Hyun Lee, Sung Bae Park, Kyoung-Tae Kim, John M. Rhee, Young San Ko, Chi Heon Kim, Kentaro Yamada
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Asian Spine Journal.2024; 18(6): 846. CrossRef

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Anatomical Importance Between Neural Structure and Bony Landmark: Clinical Importance for Posterior Endoscopic Cervical Foraminotomy: Ji Yeon Kim, Dae Hwan Kim, Yeon Jin Lee, Jun Bok Jeon, Su Yong Choi, Hyeun Sung Kim, Il-Tae Jang; Neurospine 2021;18(1):139-146. Published online March 31, 2021; DOI: https://doi.org/10.14245/ns.2040440.220

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Anatomical Importance Between Neural Structure and Bony Landmark: Clinical Importance for Posterior Endoscopic Cervical Foraminotomy

Neurospine. 2021;18(1):139-146. Published online March 31, 2021

DOI: https://doi.org/10.14245/ns.2040440.220

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Anatomical Importance Between Neural Structure and Bony Landmark: Clinical Importance for Posterior Endoscopic Cervical Foraminotomy

Neurospine. 2021;18(1):139-146. Published online March 31, 2021

DOI: https://doi.org/10.14245/ns.2040440.220

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Objective
Posterior endoscopic cervical foraminotomy (PECF) is a well-established, minimally invasive surgery for cervical radiculopathy, but have the more chances of neural structure damage due to the limited visibility and steeper learning curve. So, the anatomical understanding of the nerve associated with the bony structure will be an essential surgical guideline.
Methods
We measured the distance between the bilateral dura lateral edge and bilateral V-point on axial cuts of cervical magnetic resonance imaging and 3-dimensional spine computed tomography imaging, respectively, from 80 patients. We then calculate the distance and position between the dura lateral edge and the V-point as surgically critical width (SCW). Transverse interdural distance (TIDW), transverse inter-V-point distance, and anatomical facet joint width were measured.
Results
The mean TIDW decreased as the levels down in the 40s–60s but increased at the C4–5, C5–6, and C6–7 levels in the 70s. Statistically significant difference was shown at the C6–7 level between the 40s and the 70s. The mean anatomical inter-V-point distance markedly decreased at C5–6 and continued till the C7–Tl level at all age groups. Moreover, a statistically significant difference was shown at the C3–4 and C4–5 level between the 40s and the 70s. The mean negative values of SCW increased from the 40s to 70s at the C5–6 and C6–7 levels (C5–6: -0.60 ± 1.10 mm to -1.63 ± 1.56 mm; C6–7: -0.90 ± 0.74 mm to -2.18 ± 1.25 mm). There were statistically significant differences between the 2 aged groups at the C3–4, C4–5, C5–6, and C6–7 levels.
Conclusion
A prediction of the correlated position between the lateral dura edge and the V-point is essential for the PECF not to injure the neural structure. In the case of a performing the PECF at the C5–6 and C6–7 level in the old-aged patient, it should be considered the laterally moved dura edge, and more extended bony remove is needed for less neural structure damage.

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Development of Endoscopic Spine Surgery for Healthy Life: To Provide Spine Care for Better, for Worse, for Richer, for Poorer, in Sickness and in Health: Hyeun-Sung Kim, Pang Hung Wu, Il-Tae Jang; Neurospine 2020;17(Suppl 1):S3-S8. Published online July 31, 2020; DOI: https://doi.org/10.14245/ns.2040188.094

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Development of Endoscopic Spine Surgery for Healthy Life: To Provide Spine Care for Better, for Worse, for Richer, for Poorer, in Sickness and in Health

Neurospine. 2020;17(Suppl 1):S3-S8. Published online July 31, 2020

DOI: https://doi.org/10.14245/ns.2040188.094

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Development of Endoscopic Spine Surgery for Healthy Life: To Provide Spine Care for Better, for Worse, for Richer, for Poorer, in Sickness and in Health

Neurospine. 2020;17(Suppl 1):S3-S8. Published online July 31, 2020

DOI: https://doi.org/10.14245/ns.2040188.094

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Benjamin K. Stone, Ria Paradkar, George M. Anderson, Alan Daniels, Sravisht Iyer, Peter B. Derman, Albert E. Telfeian, Bryce Basques
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A Narrative Review of Development of Full-Endoscopic Lumbar Spine Surgery: Pang Hung Wu, Hyeun-Sung Kim, Il-Tae Jang; Neurospine 2020;17(Suppl 1):S20-S33. Published online July 31, 2020; DOI: https://doi.org/10.14245/ns.2040116.058

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A Narrative Review of Development of Full-Endoscopic Lumbar Spine Surgery

Neurospine. 2020;17(Suppl 1):S20-S33. Published online July 31, 2020

DOI: https://doi.org/10.14245/ns.2040116.058

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A Narrative Review of Development of Full-Endoscopic Lumbar Spine Surgery

Neurospine. 2020;17(Suppl 1):S20-S33. Published online July 31, 2020

DOI: https://doi.org/10.14245/ns.2040116.058

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In the first phase of development of lumbar endoscopic spine surgery, the focus was on removal of soft disc material through the working corridor of Kambin’s triangle using transforaminal endoscopic lumbar discectomy. With the introduction of the interlaminar approach and increased interest from both industry and surgeons, there has been an exponential development of endoscopic surgical equipment and a corresponding expansion of endoscopic techniques. Endoscopic treatment strategies are applied to conditions ranging from contained prolapsed intervertebral discs to noncontained migrated herniated discs, hard calcified discs, spinal stenosis in the central or lateral recess and the foraminal and extraforaminal region, and other combinations of degenerative conditions requiring decompression or fusion surgery. The further expansion of endoscopic surgical management involving complicated spinal cases and the final quartet of trauma, infections, tumors, and possibly deformities could be the future stage of endoscopic spine surgery development. This article covers the full range of current treatment strategies and presents possible future developments of endoscopic spine surgery for the management of lumbar spinal conditions.

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Lumbar Endoscopic Unilateral Laminotomy for Bilateral Decompression Outside-In Approach: A Proctorship Guideline With 12 Steps of Effectiveness and Safety: Hyeun-Sung Kim, Pang Hung Wu, Il-Tae Jang; Neurospine 2020;17(Suppl 1):S99-S109. Published online July 31, 2020; DOI: https://doi.org/10.14245/ns.2040078.039

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Lumbar Endoscopic Unilateral Laminotomy for Bilateral Decompression Outside-In Approach: A Proctorship Guideline With 12 Steps of Effectiveness and Safety

Neurospine. 2020;17(Suppl 1):S99-S109. Published online July 31, 2020

DOI: https://doi.org/10.14245/ns.2040078.039

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Lumbar Endoscopic Unilateral Laminotomy for Bilateral Decompression Outside-In Approach: A Proctorship Guideline With 12 Steps of Effectiveness and Safety

Neurospine. 2020;17(Suppl 1):S99-S109. Published online July 31, 2020

DOI: https://doi.org/10.14245/ns.2040078.039

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Minimally invasive spinal surgery in particular lumbar endoscopic unilateral laminotomy with bilateral decompression becomes popular as it can be performed with regional anesthesia, soft tissue damages are minimized as endoscopic visualization and instruments can be brought close to operating area bypassing much of the intervening soft tissues for sufficient spinal decompression with ligamentum flavum resection despite less bony resection compared to open surgery. Overall, when well executed, it preserves spinal stability. Outside-in technique of decompression is also known as over the top decompression in minimally invasive literature. It involves maintaining deep layer of ligamentum flavum integrity till satisfactory bony decompression is achieved. Deep layer of ligamentum flavum is removed as final step of decompression. Preservation of the deep layer of ligamentum flavum protects the neural elements, allowing drills and sharp equipment to be used safely to perform bony decompression.In this study, we demonstrate the technical details of outside-in approach lumbar endoscopic unilateral laminotomy with bilateral decompression (LE-ULBD). LE-ULBD Outside-in Technique is an effective and safe procedure in relieving lumbar spinal stenosis with favorable results with a follow-up for more than 1 year.

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Overview of Tips in Overcoming Learning Curve in Uniportal and Biportal Endoscopic Spine Surgery
Pang Hung Wu, Hyeun Sung Kim, Dae Jung Choi, Yu-Heng Tan Gamaliel
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Clinical Results And Review of Techniques of Lumbar Endoscopic Unilateral Laminotomy With Bilateral Decompression (LE-ULBD) for Lumbar Stenosis
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How I do it? Uniportal full endoscopic pseudoarthrosis release of left L5/S1 Bertolotti’s syndrome under intraoperative computer tomographic guidance in an ambulatory setting
Pang Hung Wu, Matthew Sebastian, Hyeun Sung Kim, Gamaliel Tan Yu Heng
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Rod Fracture Causing Relief of Back Pain That Developed After Adult Lumbar Degenerative Flat-Back Correction Surgery: A Case Report: Jeong-Hoon Choi, Jee-Soo Jang, Il-Tae Jang; Neurospine 2019;16(4):789-792. Published online December 9, 2019; DOI: https://doi.org/10.14245/ns.1836198.099

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Rod Fracture Causing Relief of Back Pain That Developed After Adult Lumbar Degenerative Flat-Back Correction Surgery: A Case Report

Neurospine. 2019;16(4):789-792. Published online December 9, 2019

DOI: https://doi.org/10.14245/ns.1836198.099

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Rod Fracture Causing Relief of Back Pain That Developed After Adult Lumbar Degenerative Flat-Back Correction Surgery: A Case Report

Neurospine. 2019;16(4):789-792. Published online December 9, 2019

DOI: https://doi.org/10.14245/ns.1836198.099

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A 73-year-old woman underwent deformity correction surgery (anterior lumbar interbody fusion of L2-L3-L4-L5-S1, pedicle subtraction osteotomy at L4, and posterior screw fixation from T10 to the pelvis) due to lumbar degenerative flat-back. Following the operation, the patient experienced pain in her back and buttocks, for which she regularly took medications. She reported frequently feeling a heavy and stretched sensation of pain after the operation in those areas, which made her regret undergoing the operation. However, at 33 months postoperatively, she reported that one day, while getting up from a chair, she felt a crack in her back, which was followed by an improvement in her back and buttock pain; thereafter, she stopped taking pain medications. Follow-up radiography revealed a bilateral rod fracture at the L4–5 level on the right side and at the L3–4 level on the left side. The overall pelvic parameters, except pelvic incidence, slightly changed after the rod fracture. Therefore, the broken rod was replaced and another rod was added to the broken rod area; however, the changed pelvic parameters were not corrected further during the reoperation. Following the reoperation, the patient showed improvements and she no longer required pain medication.

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Commentary on “Characteristics and Risk Factors of Rod Fracture Following Adult Spinal Deformity Surgery: A Systematic Review and Meta-Analysis”
Junseok Bae
Neurospine.2021; 18(3): 455. CrossRef

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171 Download
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Anatomical Relationship of the Vertebral Artery With the Lateral Recess: Clinical Importance for Posterior Cervical Foraminotomy: Sung Woon Oh, Ravindra Singh, Nitin Maruti Adsul, Jung Hoon Noh, Jun Hwan Park, Hyeun-Sung Kim, Il-Tae Jang, Seong Hoon Oh; Neurospine 2019;16(1):34-40. Published online March 31, 2019; DOI: https://doi.org/10.14245/ns.1836304.152

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Anatomical Relationship of the Vertebral Artery With the Lateral Recess: Clinical Importance for Posterior Cervical Foraminotomy

Neurospine. 2019;16(1):34-40. Published online March 31, 2019

DOI: https://doi.org/10.14245/ns.1836304.152

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Anatomical Relationship of the Vertebral Artery With the Lateral Recess: Clinical Importance for Posterior Cervical Foraminotomy

Neurospine. 2019;16(1):34-40. Published online March 31, 2019

DOI: https://doi.org/10.14245/ns.1836304.152

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Objective
Vertebral artery injuries during posterior cervical foraminotomy are rare, but can be fatal. Therefore, we investigated the anatomical correlation between the lateral recess and the vertebral artery.
Methods
On axial cuts of cervical magnetic resonance imaging from 108 patients, we measured the distance between the vertebral arteries and the medial border of the facet joints. The anatomical vertebro-facet distance (AVFD), surgical vertebro-facet distance (SVFD), and vertebro-facet angle (VFA) were measured.
Results
The mean AVFD values on the right side at the C3–4, C4–5, C5–6, and C6–7 levels showed statistically significant differences. On the right side, the mean SVFD values were equivalent to the AVFD values. The mean values of the VFA on the right side at all levels showed statistically significant differences. For all measurements, the greatest differences were seen between the C5–6 and C6–7 levels, and higher levels were associated with smaller distances from the lateral recess. The mean values of the AVFD on the right and left sides showed statistically significant differences at all levels, and the distances on the left were smaller than those on the right.
Conclusion
The vertebral artery is closer to the lateral recess at higher cervical levels than at lower cervical levels. The largest distances were found at the C5–6 and C6–7 levels, and the left vertebral arteries were closer to the lateral recess than the right vertebral arteries.

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Complications in Full-Endoscopic Posterior Cervical Surgery: A Review of the Literature and Preventive Strategies
Vit Kotheeranurak, Pramod V. Lokhande, Thanadol Tangdamrongtham, Teerachat Tassanasoomboon, Khanathip Jitpakdee, Weerasak Singhatanadgige, Worawat Limthongkul, Wicharn Yingsakmongkol, Yanting Liu, Jin-Sung Kim, Surachat Jaroenwareekul
Global Spine Journal.2025; 15(7): 3379. CrossRef
Single-Incision Posterior Endoscopic Cervical Foraminotomy for 2-Level Cervical Radiculopathy
Florian Wanivenhaus, Christoph Johannes Laux, Sohrab Gollogly, Jin-Sung Kim, Mazda Farshad
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Minimally Invasive Microscopic C5-6 Foraminotomy and Discectomy: Operative Nuances
Het Shah, Manoj Phalak
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Chien-Wei Liao, Kuo-Tai Chen, Kai-Sheng Chang, Li-wei Sun, Chun Tseng, Chien-Min Chen
Journal of Minimally Invasive Spine Surgery and Technique.2023; 8(Suppl 1): S9. CrossRef
Cervical kinematic change after posterior full-endoscopic cervical foraminotomy for disc herniation or foraminal stenosis
Seungyoon Paik, Yunhee Choi, Chun Kee Chung, Young Il Won, Sung Bae Park, Seung Heon Yang, Chang-Hyun Lee, John Min Rhee, Kyoung-Tae Kim, Chi Heon Kim, Thamer Hamdan
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Hyeun-Sung Kim, Harshavardhan Dilip Raorane, Jin Woo An, Yeon Jin Yi, Il Tae Jang
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Feasibility of Full Endoscopic Spine Surgery in Patients Over the Age of 70 Years With Degenerative Lumbar Spine Disease: Jeong Hoon Kim, Hyeun Sung Kim, Ankur Kapoor, Nitin Adsul, Ki Joon Kim, Sung Ho Choi, Jee-Soo Jang, Il-Tae Jang, Seong-Hoon Oh; Neurospine 2018;15(2):131-137. Published online June 19, 2018; DOI: https://doi.org/10.14245/ns.1836046.023

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Feasibility of Full Endoscopic Spine Surgery in Patients Over the Age of 70 Years With Degenerative Lumbar Spine Disease

Neurospine. 2018;15(2):131-137. Published online June 19, 2018

DOI: https://doi.org/10.14245/ns.1836046.023

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Feasibility of Full Endoscopic Spine Surgery in Patients Over the Age of 70 Years With Degenerative Lumbar Spine Disease

Neurospine. 2018;15(2):131-137. Published online June 19, 2018

DOI: https://doi.org/10.14245/ns.1836046.023

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Objective
Degenerative spine disease, encompassing disc prolapse and stenosis, is a common ailment in old age. This prospective study was undertaken to evaluate the role of endoscopic spine surgery in elderly patients (above 70 years of age) with clinical and radiological follow-up.
Methods
In this study, a prospective analysis was conducted of 53 patients with lumbar disc prolapse or spinal stenosis who were treated with percutaneous endoscopic discectomy or decompression from November 2015 to June 2017. Clinical follow-up was done at 1 week, 3 months, and 1 year, and at yearly intervals thereafter. The outcomes were assessed using the modified Macnab criteria, a visual analogue scale, and the Oswestry Disability Index.
Results
Of the 53 patients, 21 were men and 32 were women. Their mean age was 76±4 years. The mean follow-up period was 17 months. Percutaneous endoscopic discectomy was performed in 24 patients and endoscopic decompression in 24 patients, while 5 patients underwent combined surgery. An excellent outcome in terms of the MacNab criteria was observed in 9 patients (16.98%), a good outcome in 38 patients (71.7%), and a poor outcome in 6 patients (11.3%). Of the 6 patients with a poor outcome, 5 (9.4%, 5 of 53) developed recurrent disc prolapse, and 1 developed hematoma with motor weakness. All 6 of these cases required revision surgery.
Conclusion
Managing degenerative spine disease in elderly patients with multiple comorbidities is a challenging task. Percutaneous endoscopic spine surgery is pivotal for addressing this concern. The authors have shown that optimal results can be achieved with various types of disc prolapse and stenosis with favorable long-term outcomes.

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Combined Interlaminar and Paraisthmic Approach for Co-existing Intracanal and Foraminal Lesion: Jung-Sup Lee, Jong-Yun Woo, Jee-Soo Jang, Il-Tae Jang; Korean J Spine 2015;12(4):256-260. Published online December 31, 2015; DOI: https://doi.org/10.14245/kjs.2015.12.4.256

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Combined Interlaminar and Paraisthmic Approach for Co-existing Intracanal and Foraminal Lesion

Korean J Spine. 2015;12(4):256-260. Published online December 31, 2015

DOI: https://doi.org/10.14245/kjs.2015.12.4.256

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Combined Interlaminar and Paraisthmic Approach for Co-existing Intracanal and Foraminal Lesion

Korean J Spine. 2015;12(4):256-260. Published online December 31, 2015

DOI: https://doi.org/10.14245/kjs.2015.12.4.256

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Objective

Stenosis or herniated nucleus pulposus (HNP) occupying lumbar intracanal and foraminal area is an important cause of double radicular symptoms. Using the combined interlaminar and paraisthmic approach, we performed decompression surgery in patients with co-existing intracanal and foraminal lesions. The objective of this study is to describe usefulness and outcome of combined interlaminar and paraisthmic approach surgery and to analysis the cause of poor outcome.

Methods

Between Apr 2009 and Apr 2014, 78 patients (42 males and 36 females) with intracanal and foraminal lesions were enrolled in this study. Patients with a vacuum disc, spondylolisthesis, instability or an isthmic defect on the preoperative dynamic view radiograph were excluded from this study. All patients underwent surgery through a combined approach for discectomy and decompression. The outcome of surgery was evaluated and classified into excellent, good, fair and poor.

Results

The results were excellent in 53 patients, good in 9, fair in 6 and poor in 10 during the follow-up. The outcome of the combined approach was excellent to fair in 87% (68 of 78) patients in our study. In the poor outcome group, three patients complained of early-onset relapsed pain (<1 month) and another seven patients complained of delayed-onset pain (>3 months).

Conclusion

Combined approach for both intracanal and foraminal area lesions may be useful if selectively performed on patients whose facet joint is relatively intact, and that it is worthy of consideration as an alternative to fusion surgery; however, further studies are needed.

Citations

Citations to this article as recorded by

Extreme lateral and interlaminar approach for intra-canal and foraminal double disc herniation at lumbosacral level
Jung-Sik Bae, Ki Joon Kim, Mun Soo Kang, Il-Tae Jang
Neurocirugía.2019; 30(2): 53. CrossRef
Minimally invasive surgical techniques for the therapy of far lateral disc herniation in middle-aged and elderly patients
Weijian Ren, Yu Chen, Liangbi Xiang
Computer Assisted Surgery.2019; : 1. CrossRef
Minimally invasive surgical techniques for the therapy of far lateral disc herniation in middle-aged and elderly patients
Weijian Ren, Yu Chen, Liangbi Xiang
Computer Assisted Surgery.2019; 24(sup1): 13. CrossRef
Extreme lateral and interlaminar approach for intra-canal and foraminal double disc herniation at lumbosacral level
Jung-Sik Bae, Ki Joon Kim, Mun Soo Kang, Il-Tae Jang
Neurocirugía (English Edition).2019; 30(2): 53. CrossRef
Surgical treatment of intraforaminal/extraforaminal lumbar disc herniations: Many approaches for few surgical routes
Giorgio Lofrese, Lorenzo Mongardi, Francesco Cultrera, Giorgio Trapella, Pasquale De Bonis
Acta Neurochirurgica.2017; 159(7): 1273. CrossRef

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The Clinical Characteristics of Lower Lumbar Osteoporotic Compression Fractures Treated by Percutaneous Vertebroplasty : A Comparative Analysis of 120 Cases: Seok Han, Heung-Sik Park, Yong-Hun Pee, Seong-Hoon Oh, Il-Tae Jang; Korean J Spine 2013;10(4):221-226. Published online December 31, 2013; DOI: https://doi.org/10.14245/kjs.2013.10.4.221

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The Clinical Characteristics of Lower Lumbar Osteoporotic Compression Fractures Treated by Percutaneous Vertebroplasty : A Comparative Analysis of 120 Cases

Korean J Spine. 2013;10(4):221-226. Published online December 31, 2013

DOI: https://doi.org/10.14245/kjs.2013.10.4.221

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The Clinical Characteristics of Lower Lumbar Osteoporotic Compression Fractures Treated by Percutaneous Vertebroplasty : A Comparative Analysis of 120 Cases

Korean J Spine. 2013;10(4):221-226. Published online December 31, 2013

DOI: https://doi.org/10.14245/kjs.2013.10.4.221

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Objective

The purpose of this study is to provide accurate understanding of clinical presentations and surgical outcomes as well as to identify the unique characteristics of lower lumbar osteoporotic compression fracture (OCF).

Methods

Clinical data were collected from 120 patients who had L3, L4 or L5 percutaneous vertebroplasty (PVP) performed from 2008 to 2012 at the single institute. L4 or L5 PVP patients were classified into group 1 and group 2 was for L3 PVP patients. Medical records were retrospectively investigated at 1 month after PVP. Long term follow-up results were obtained at a median value of 22 months after PVP.

Results

75% of the patients in group 1 were not associated with traumatic events, 71% presenting with leg radiating symptoms and 46% requiring an additional decompressive surgery, more often than those in group 2. These differences are statistically significant (p<0.05). The short term medical record review demonstrated that only 73% of patients in group 1 were ameliorated with regard to back motion pain, whereas those in group 2 reported 87.7% rates of amelioration in identical category (p<0.05). The long term follow up confirmed a significantly worse outcome in group 1, with only 55.7% of patients reporting amelioration in their pain or functional status, but 71.7% rate of amelioration in group 2.

Conclusion

The OCFs at the L4 or L5 level have different clinical characteristics from those at upper levels of the lumbar spine.

Citations

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Percutaneous vertebroplasty and compression screw fixation for osteoporotic vertebral fractures with bilateral pedicle fractures: A case report
Jin-Quan Long, Hua Yang, You-Wei Cheng, Tong Shen, Jian-Yu Zou, Guo-Wei Zhang
World Journal of Orthopedics.2026;[Epub] CrossRef
Formononetin–piperine–phospholipid complex: enhancement of anti-osteoporotic activity and bioavailability in bone marrow in rats
Arun Agarwal, Shailesh D. Dadge, Richa Garg, Divya Chauhan, Roshan Katekar, Debalina Maity, Sachin K. Vishwakarma, Shivam Rathaur, Shubhi Yadav, Jiaur R. Gayen
Future Journal of Pharmaceutical Sciences.2025;[Epub] CrossRef
Short-segment pedicle screw fixation combined with vertebroplasty in the treatment of lumbar burst fracture: A case report
Weiwei Huang, Junpeng Liu, Xianfu Han, Xingwen Xie
Asian Journal of Surgery.2023; 46(5): 1987. CrossRef
Treatment for Osteoporotic Vertebral Fracture - A Short Review of Orthosis and Percutaneous Vertebroplasty and Balloon Kyphoplasty
Masahiro Kawanishi, Hidekazu Tanaka, Yutaka Ito, Makoto Yamada, Kunio Yokoyama, Akira Sugie, Naokado Ikeda
Neurospine.2023; 20(4): 1124. CrossRef
Subsequent fractures after vertebroplasty in osteoporotic vertebral fractures: a meta-analysis
Ji-Kang Ding, Bin Zhao, Yi-fan Zhai
Neurosurgical Review.2022; 45(3): 2349. CrossRef
Percutaneous Vertebroplasty with Side‐Opening Cannula or Front‐Opening Cannula in the Treatment of Kummell Disease?
Xi‐fa Wu, Yong Ping, Xiang‐qin Zeng, Yong Feng, Zhen Wang, Tao Li, Dong‐jin Wu
Orthopaedic Surgery.2020; 12(4): 1190. CrossRef
Therapeutic Effect of Bone-Filling Mesh Container in Treating Vertebral Metastases with Vertebral Body Posterior Marginal Damage
Zi-Kun Duan, Xin-Guo Kang, Jin-Feng Zou, Sheng-Li Ye, Chun-Jing He
Iranian Journal of Radiology.2019;[Epub] CrossRef
The Effectiveness of Gelfoam Technique before Percutaneous Vertebroplasy: Is It Helpful for Prevention of Cement Leakage? A Prospective Randomized Control Study
Jae-Sang Oh, Jae-Won Doh, Jai-Joon Shim, Kyeong-Seok Lee, Seok-Mann Yoon, Hack-Gun Bae
Korean Journal of Spine.2016; 13(2): 63. CrossRef
Effects of handholding and providing information on anxiety in patients undergoing percutaneous vertebroplasty
Bong‐Hee Kim, Hee‐Young Kang, Eun‐Young Choi
Journal of Clinical Nursing.2015; 24(23-24): 3459. CrossRef

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