Technical considerations in transforaminal endoscopic spine surgery at the thoracolumbar junction: Report of 3 cases

Albert E. Telfeian, Gabriele P. Jasper, Adetokunbo A. Oyelese, Ziya L. Gokaslan

Research output: Contribution to journalArticle

Abstract

Objective In this study the authors describe the technical considerations and feasibility of transforaminal discectomy and foraminoplasty for the treatment of lumbar radiculopathy in patients who have herniated discs at the thoracolumbar junction. Methods After institutional review board approval, charts from 3 consecutive patients with lumbar radiculopathy and T12-L1 herniated discs who underwent endoscopic procedures between 2006 and 2014 were reviewed. Results Consecutive cases (n = 1316) were reviewed to determine the incidence and success of surgery performed at the T12-L1 level. Only 3 patients (0.23%) treated with endoscopic surgery for their herniated discs had T12-L1 herniated discs; the rest were lumbar or lumbosacral herniations. For patients with T12-L1 disc herniations, the average preoperative visual analog scale score was 8.3 (indicated in the questionnaire as describing severe and constant pain). The average 1-year postoperative visual analog scale score was 1.7 (indicated in the questionnaire as mild and intermittent pain). Conclusions Transforaminal endoscopic discectomy and foraminotomy can be used as a safe yet minimally invasive technique for the treatment of lumbar radiculopathy in the setting of a thoracolumbar disc herniation.

Original languageEnglish (US)
Pages (from-to)1-4
Number of pages4
JournalNeurosurgical Focus
Volume40
Issue number2
DOIs
StatePublished - 2016
Externally publishedYes

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Intervertebral Disc Displacement
Radiculopathy
Spine
Diskectomy
Visual Analog Scale
Foraminotomy
Pain
Research Ethics Committees
Incidence
Therapeutics
Surveys and Questionnaires

Keywords

  • Endoscopic discectomy
  • Minimally invasive
  • Thoracolumbar
  • Transforaminal

ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology

Cite this

Technical considerations in transforaminal endoscopic spine surgery at the thoracolumbar junction : Report of 3 cases. / Telfeian, Albert E.; Jasper, Gabriele P.; Oyelese, Adetokunbo A.; Gokaslan, Ziya L.

In: Neurosurgical Focus, Vol. 40, No. 2, 2016, p. 1-4.

Research output: Contribution to journalArticle

Telfeian, Albert E. ; Jasper, Gabriele P. ; Oyelese, Adetokunbo A. ; Gokaslan, Ziya L. / Technical considerations in transforaminal endoscopic spine surgery at the thoracolumbar junction : Report of 3 cases. In: Neurosurgical Focus. 2016 ; Vol. 40, No. 2. pp. 1-4.
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