Transforaminal Endoscopic Treatment of Low Lumbar Scoliosis

Morgenstern, R.
July 2007
Internet Journal of Minimally Invasive Spinal Technology;2007, Vol. 1 Issue 2, p18
Academic Journal
Low lumbar scoliosis shows alternative collapsed discs and sciatica secondary to foraminal stenosis or alternative bulging. This stenosis causes leg irradiated pain in one or in both sides. Endoscopic surgery done by transforaminal approach helps against foraminal stenosis doing a laser and reamer foraminoplasty. Unfortunately this is not enough for the associated low back pain, probably due to the collapse of the posterior articular process. Unilateral expansion of the collapsed disc, by means a B-Twin expandable implant, can help to heal the chronic low back pain and sciatica in a simple way. Through the posterolateral approach, the implant can be pushed and expanded under endoscopic control. No other incisions are necessary and it doesn't require general anesthesia, as a light sedation is sufficient. The author shows some cases as an example of this complex technique.


Related Articles

  • MISS: A Surgeon's perspective and emerging technical considerations. Chiu, J. // Internet Journal of Minimally Invasive Spinal Technology;Supplement2008, p37 

    Degenerated lumbar disc and spinal stenosis are common problems requiring decompressive lumbar surgery. Open spinal discectomy is associated with significant morbidity, long-term convalescence, prolonged general anesthesia and wide dissection of tissues that can cause bleeding, scarring and...

  • sciatica. Peters, Michael // BMA A-Z Family Medical Encyclopedia;2004, p676 

    An encyclopedia entry for "sciatica" is presented. It refers to pain that stretches along the sciatic nerve, usually felt on the buttocks and sometimes down to the feet. Typically, sciatica is caused by a ruptured intervertebral disc pushing the nerve root. It is treated with analgesic drugs or...

  • Internal iliac aneurysm presenting with lower back pain, sciatica and foot drop. Singh, Rohit; Moores, Thomas; Maddox, Mark; Horton, Andrew // Journal of Surgical Case Reports;Feb2013, Vol. 2013 Issue 2, p1 

    Internal iliac aneurysms are usually silent and are identified as an incidental finding on a radiological investigation for an unrelated condition, unless catastrophic bleeding occurs. We present the first case of a middle-aged man with a large internal iliac aneurysm presenting with a foot drop...

  • SMART®: Endoscopic Assisted Lumbar Surgery For Treatment Of Degenerative Disc Disease. Chiu, J. // Internet Journal of Minimally Invasive Spinal Technology;2007, Vol. 1 Issue 2, p10 

    In response to the rapid development and demand of outpatient minimally invasive surgical technique, the new versatile SMART® Endoscopic Lumbar Spine System (Karl Storz GmbH & Co., Tuttlingen, Germany) was developed to provide the necessary bridge between traditional and endoscopic spine...

  • Full-endoscopic operation of lumbar disc herniation versus the microsurgical technique. -- 24 months results of a prospective randomized comparative study. Almeida, A.; Ruetten, S.; Hahn, P.; Merk, H.; Godolias, G. // Internet Journal of Minimally Invasive Spinal Technology;Supplement III, p26 

    An abstract of the article "Full-Endoscopic Operation of Lumbar Disc Herniation Versus the Microsurgical Technique.--24 Months Results of a Prospective Randomized Comparative Study," by A. Almeida, S. Ruetten, P. Hahn, H. Merk, and G. Godolias is presented.

  • Back and Leg Pain. Kline, Carol Marleigh // Journal of the American Chiropractic Association;Jan/Feb2006, Vol. 43 Issue 1, p2 

    The article describes the condition called sciatica. Sciatica can be caused by herniated disc, degenerative disc disease and spinal stenosis. Sciatica is medically described as radiculopathy. It occurs when the disc has extended beyond its normal position and is causing irritation of the nerve...

  • Morphometric analysis of the lumbar intervertebral foramen in patients with degenerative lumbar scoliosis by multidetector-row computed tomography. Kaneko, Yasuhito; Matsumoto, Morio; Takaishi, Hironari; Nishiwaki, Yuji; Momoshima, Suketaka; Toyama, Yoshiaki // European Spine Journal;Dec2012, Vol. 21 Issue 12, p2594 

    Purpose: How the lumbar neural foramina are affected by segmental deformities in patients in whom degenerative lumbar scoliosis (DLS) is unknown. Here, we used multidetector-row computed tomography (MDCT) to measure the morphology of the foramina in three dimensions, which allowed us to...

  • Thoracolumbar intervertebral disc calcifications in an 8-year-old boy: case report and review of the literature. Spapens, Nouchka; Wouters, Carine; Moens, Pierre // European Journal of Pediatrics;May2010, Vol. 169 Issue 5, p577 

    An 8-year-old boy presented himself with a nontraumatic acute onset of thoracolumbar pain with an antalgic scoliosis. His past medical history did not reveal any infectious disorder. The back pain kept him from sleep and sports. Imaging revealed calcified intervertebral discs from thoracic...

  • Prolonged conservative care versus early surgery in patients with sciatica from lumbar disc herniation: cost utility analysis alongside a randomised controlled trial. van dn Hout, Wilbert B.; Peul, Wilco C.; Koes, Bart W.; Brand, Ronald; Kievit, Job; Thomeer, Ralph T.W.M. // BMJ: British Medical Journal (International Edition);6/14/2008, Vol. 336 Issue 7657, p1351 

    Objective To determine whether the faster recovery after early surgery for sciatica compared with prolonged conservative care is attained at reasonable costs. Design Cost utility analysis alongside a randomised controlled trial. Setting Nine Dutch hospitals. Participants 283 patients with...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics