Skip to main content Skip to main navigation menu Skip to site footer

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

Abstract

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.

References

  1. Ravindra VM, Senglaub SS, Rattani A, Dewan MC, Härtl R, Bisson E, Park KB, Shrime MG. Degenerative Lumbar Spine Disease: Estimating Global Incidence and Worldwide Volume. Global Spine Journal. 2018;8(8):784–794. https://doi.org/10.1177/2192568218770769
  2. Teraguchi M, Yoshimura N, Hashizume H, Muraki S, Yamada H, Minamide A, Oka H, Ishimoto Y, Nagata K, Kagotani R, Takiguchi N, Akune T, Kawaguchi H, Nakamura K, Yoshida M. Prevalence and distribution of intervertebral disc degeneration over the entire spine in a population-based cohort: The Wakayama Spine Study. Osteoarthritis and Cartilage. 2014;22(1):104–110. https://doi.org/10.1016/j.joca.2013.10.019
  3. Kim HS, Wu PH, Jang IT. 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. https://doi.org/10.14245/ns.2040188.094
  4. Choi G, Pophale CS, Patel B, Uniyal P. Endoscopic Spine Surgery. J Korean Neurosurg Soc. 2017;60(5):485–497.
  5. Bhaisare R, Kamble B, Patond K. Long-Term Results of Endoscopic Lumbar Discectomy by "Destandau's Technique". Asian Spine J. 2016;10(2):289-97. doi: 10.4184/asj.2016.10.2.289.
  6. Burkhardt BW, Oertel JM. The Learning Process of Endoscopic Spinal Surgery for Degenerative Cervical and Lumbar Disorders Using the EasyGO! System. World Neurosurgery. 2018;119:479-487. DOI: 10.1016/j.wneu.2018.06.206.
  7. Butler AJ, Alam M, Wiley K, Ghasem A, Rush AJ, Wang JC. Endoscopic lumbar surgery: The state of the art in 2019. Neurospine. 2019;16(1):15–23. https://doi.org/10.14245/ns.1938040.020.
  8. Ratish S, Mangal PH, Zeng XG, Cheng LY. Clinical outcome of Percutaneous Transforaminal Endoscopic Lumbar Surgery (PTELS) in patient above 60 years of age with low back pain. Clinical Practice. 2017;4(4):258-265. https://doi.org/10.4172/clinical-practice.1000121.
  9. Zou H, Li Z, Sheng H, Tan M, Yang F, Liang L, Zhao J. Intraoperative blood loss, postoperative drainage, and recovery in patients undergoing lumbar spinal surgery. BMC Surg. 2015;20;15:76. doi: 10.1186/s12893-015-0062-9.
  10. Arsene MM, Wu XT, Jiang ZL, Zhu L. Percutaneous Endoscopic Spine Surgery for Extruded Lumbar Disc Herniation. The Open Orthopaedics Journal. 2018;12(1):482–495. https://doi.org/10.2174/1874325001812010482.
  11. Kim HS, You JD, Ju C. Predictive Scoring and Risk Factors of Early Recurrence after Percutaneous Endoscopic Lumbar Discectomy. BioMed Research International. 2019;(13):9–12. https://doi.org/10.1155/2019/6492675.

How to Cite

Risdianto, A., Arianto, H. K. B., Priambada, D., Arifin, M. T., Bakhtiar, Y., Brilliantika, S. P., & Tsaniadi, K. (2021). The role of endoscopic spinal surgery for the management of degenerative spinal diseases. Bali Medical Journal, 10(1), 300–303. https://doi.org/10.15562/bmj.v10i1.2158

HTML
0

Total
17

Share

Search Panel

Ajid Risdianto
Google Scholar
Pubmed
BMJ Journal


Happy Kurnia Broto Arianto
Google Scholar
Pubmed
BMJ Journal


Dody Priambada
Google Scholar
Pubmed
BMJ Journal


Muhammad Thohar Arifin
Google Scholar
Pubmed
BMJ Journal


Yuriz Bakhtiar
Google Scholar
Pubmed
BMJ Journal


Surya Pratama Brilliantika
Google Scholar
Pubmed
BMJ Journal


Krisna Tsaniadi
Google Scholar
Pubmed
BMJ Journal