ORIGINAL ARTICLE

The role of endoscopic spinal surgery for the management of degenerative spinal diseases

Ajid Risdianto , Happy Kurnia Broto Arianto, Dody Priambada, Muhammad Thohar Arifin, Yuriz Bakhtiar, Surya Pratama Brilliantika, Krisna Tsaniadi

Ajid Risdianto
Neurosurgery Department, Faculty of Medicine, Universitas Diponegoro-Kariadi Hospital, Semarang, Indonesia. Email: ajidrisdianto@gmail.com

Happy Kurnia Broto Arianto
Neurosurgery Department, Faculty of Medicine, Universitas Diponegoro-Kariadi Hospital, Semarang, Indonesia

Dody Priambada
Neurosurgery Department, Faculty of Medicine, Universitas Diponegoro-Kariadi Hospital, Semarang, Indonesia

Muhammad Thohar Arifin
Neurosurgery Department, Faculty of Medicine, Universitas Diponegoro-Kariadi Hospital, Semarang, Indonesia

Yuriz Bakhtiar
Neurosurgery Department, Faculty of Medicine, Universitas Diponegoro-Kariadi Hospital, Semarang, Indonesia

Surya Pratama Brilliantika
Neurosurgery Department, Faculty of Medicine, Universitas Diponegoro-Kariadi Hospital, Semarang, Indonesia

Krisna Tsaniadi
Neurosurgery Department, Faculty of Medicine, Universitas Diponegoro-Kariadi Hospital, Semarang, Indonesia
Online First: April 30, 2021 | Cite this Article
Risdianto, A., Arianto, H., Priambada, D., Arifin, M., Bakhtiar, Y., Brilliantika, S., Tsaniadi, K. 2021. The role of endoscopic spinal surgery for the management of degenerative spinal diseases. Bali Medical Journal 10(1): 300-303. DOI:10.15562/bmj.v10i1.2158


Background: Degenerative spinal disease increases in proportion to life expectancy. Surgical treatments that play an essential role in the management of degenerative spinal disease have evolved from open surgery to minimally invasive surgery as well as endoscopic spinal surgery. Advanced pathological understanding, diagnostic imaging, and instrument progress have support for endoscopic spinal surgery. The study aims to report the current situation of endoscopic spinal surgery to treat degenerative spinal diseases in the Department of Neurosurgery of Kariadi Hospital.

Method: Review the Endoscopy Spine Surgery case in the Department of Neurosurgery of Kariadi Hospital with degenerative spinal diseases including canal stenosis and disc herniation at all levels.

Results: A total of 123 degenerative spinal diseases have been treated with endoscopic spinal surgery. Most of patients comes with HNP (89 patients, 72.4%) and operated in lumbal segment (87 patients, 70,7%). Estimated blood loss parameter in <50 years group had mean 72.85 ± 44.79 ml and >50 years group had mean 115.00 ± 95.25 ml with p=0.001. We got high correlation between operation time and estimated blood loss with r = 0.779 and statistically significant (p=0.000)

Conclusion: Endoscopic surgery appears to be an option for treating degenerative spinal diseases especially for herniation and canal stenosis. The lumbar and thoracic regions are common areas for endoscopic spinal surgery.

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