STUDY DESIGN Clinical study. PURPOSE The dimensions of the working zone for endoscopic lumbar discectomy should be evaluated by preoperative magnetic resonance images. The aim of this study was to analyze the angle of the roots, root area, and foraminal area. OVERVIEW OF LITERATURE Few studies have reported on the triangular working zone during transforaminal endoscopic lumbar discectomy. M...

The procedure of posterior endoscopic discectomy (PED) is an attempt to allow for a standard familiar microsurgical discectomy to be performed using standard microsurgical techniques via a minimally invasive approach. The aim of this study was to evaluate our results with PED for lumbar disc herniation and to assess the advantages, disadvantages and clinical outcomes of the technique. Between F...

Background: The authors present a case of cervical myelopathy and radiculopathy in the setting of multiple Klippel-Feil syndrome abnormalities treated surgically with a single-level C3–C4 anterior cervical discectomy and fusion. We discuss the clinical presentation, radiographic findings, and various treatment options for cervical spine abnormalities in Klippel-Feil syndrome. Case Presentation:...

OBJECTIVE To evaluate the effectiveness and safety of cervical arthroplasty and anterior cervical discectomy fusion methods. METHODS The randomised clinical trial was conducted at the neurosurgical clinic of University of Harran, Turkey, between February 2009 and January 2010. The patients had single level disc disorder between C4-C7 levels. Before surgery, all of the patients had taken medic...

The thoracic spine is a structurally unique region that renders it uniquely susceptible to thoracic disc herniation. Surgical management strategies are complicated, in part, by the regional anatomical and biomechanical nuances. Surgical approaches include posterior, posterolateral, and anterior routes. Each is associated with specific indications and contraindications. The biomechanical princip...

The most frequent pain syndrome in the musculoskeletal system after the low back pain is the neck and arm pain. Classically, every person out of three suffers neck pain at5 least once in his/her lifetime.4 The frequency of chronic neck pain can be as high as 70%. The prevalence of acute neck pain is 10% in males, while the same is 13% in females. Frequency of the acute and self-limiting neck pa...

I have recently reviewed the interesting article by Farzanegan et al. (1), published in the 2011 issue of the Anesthesiology and Pain Medicine: “Quality of life (QOL) evaluation of patients undergoing lumbar discectomy using Short Form 36”. Lumbar discectomy improved both the physical and mental health subscales in patients’ QOL with chronic disc herniation. The mean improvement in physical hea...

STUDY DESIGN A radiographic review of 87 patients with either unilateral or bilateral facet dislocations or fracture/dislocations treated with anterior cervical discectomy, fusion, and plating. OBJECTIVE The primary objective of this study was to report the incidence of radiographic failure and factors that would predispose to this loss of alignment. The secondary objective was to report the ...

Objectives: To evaluate the demographic characteristics, surgical safety in addition to highlighting major complications in 1525 consecutive patients who underwent microscopic inter-laminar discectomy electively at King Hussein Medical Center. Methods: A series of 1525 consecutive patients underwent elective inter-laminar lumbar discectomy, during a 5year period (January 2009 to January 2014) i...

Adjacent level cervical disc disease and secondarily progressive disc space degeneration that develops years after previously successful anterior cervical fusion at one or more levels is a common, but potentially complex problem to manage. The patient is faced with the option of further open surgery which involves adding another level of disc removal with fusion, posterior decompression, and st...