Complications and limitations of endoscopic spine surgery and percutaneous instrumentation
Endoscopic spine surgery has started replacing conventional microdiscectomy in various centers across the globe. With development in the field of optics and instrumentation, the field of percutaneous endoscopic spine surgery has evolved immensely. With increasing experience, endoscopic spine surgeon...
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2020-01-01
|
| Series: | Indian Spine Journal |
| Subjects: | |
| Online Access: | http://www.isjonline.com/article.asp?issn=2589-5079;year=2020;volume=3;issue=1;spage=78;epage=85;aulast=Kim |
| _version_ | 1818646777444696064 |
|---|---|
| author | Hyeun-Sung Kim Sagar B Sharma Pang Hung Wu Harshavardhan D Raorane Nitin M Adsul Ravindra Singh Il-Tae Jang |
| author_facet | Hyeun-Sung Kim Sagar B Sharma Pang Hung Wu Harshavardhan D Raorane Nitin M Adsul Ravindra Singh Il-Tae Jang |
| author_sort | Hyeun-Sung Kim |
| collection | DOAJ |
| description | Endoscopic spine surgery has started replacing conventional microdiscectomy in various centers across the globe. With development in the field of optics and instrumentation, the field of percutaneous endoscopic spine surgery has evolved immensely. With increasing experience, endoscopic spine surgeons have expanded the indications not only to lumbar paramedian disc herniations but also to central disc herniations, high-grade migrated disc herniations, sequestered herniations, thoracic and cervical disc herniations, and more recently, lumbar canal stenosis. With broadening indications, unexpected adverse events are bound to increase. Hence, it is essential for the endoscopic spine surgeons to be aware of the potential hazards and unexpected complications of the procedure so that appropriate care is taken to avoid adverse events as much as possible. In this article, we summarize all the complications of transforaminal endoscopic discectomy reported in the literature. We have classified the complications into intraoperative, immediate postoperative, and late postoperative complications. The senior author has also suggested the tips to avoid these complications and carry out the procedure as safely as possible. As percutaneous instrumentation, particularly, percutaneous pedicular screws, is also becoming common with the development of minimally invasive spine surgery, we have also summarized its complications and limitations. An insight into these complications will help the endoscopic surgeons to take special precautions when performing the procedure. |
| first_indexed | 2024-12-17T00:52:02Z |
| format | Article |
| id | doaj.art-3e3a94d78a834081a5f399a860162166 |
| institution | Directory Open Access Journal |
| issn | 2589-5079 2589-5087 |
| language | English |
| last_indexed | 2024-12-17T00:52:02Z |
| publishDate | 2020-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Indian Spine Journal |
| spelling | doaj.art-3e3a94d78a834081a5f399a8601621662022-12-21T22:09:44ZengWolters Kluwer Medknow PublicationsIndian Spine Journal2589-50792589-50872020-01-0131788510.4103/isj.isj_27_19Complications and limitations of endoscopic spine surgery and percutaneous instrumentationHyeun-Sung KimSagar B SharmaPang Hung WuHarshavardhan D RaoraneNitin M AdsulRavindra SinghIl-Tae JangEndoscopic spine surgery has started replacing conventional microdiscectomy in various centers across the globe. With development in the field of optics and instrumentation, the field of percutaneous endoscopic spine surgery has evolved immensely. With increasing experience, endoscopic spine surgeons have expanded the indications not only to lumbar paramedian disc herniations but also to central disc herniations, high-grade migrated disc herniations, sequestered herniations, thoracic and cervical disc herniations, and more recently, lumbar canal stenosis. With broadening indications, unexpected adverse events are bound to increase. Hence, it is essential for the endoscopic spine surgeons to be aware of the potential hazards and unexpected complications of the procedure so that appropriate care is taken to avoid adverse events as much as possible. In this article, we summarize all the complications of transforaminal endoscopic discectomy reported in the literature. We have classified the complications into intraoperative, immediate postoperative, and late postoperative complications. The senior author has also suggested the tips to avoid these complications and carry out the procedure as safely as possible. As percutaneous instrumentation, particularly, percutaneous pedicular screws, is also becoming common with the development of minimally invasive spine surgery, we have also summarized its complications and limitations. An insight into these complications will help the endoscopic surgeons to take special precautions when performing the procedure.http://www.isjonline.com/article.asp?issn=2589-5079;year=2020;volume=3;issue=1;spage=78;epage=85;aulast=Kimcomplicationsendoscopic discectomyendoscopic spine surgerylumbar discectomylumbar disc herniationsminimally invasive spine surgerypercutaneous pedicle screwsradiationroot injurytransforaminal endoscopy |
| spellingShingle | Hyeun-Sung Kim Sagar B Sharma Pang Hung Wu Harshavardhan D Raorane Nitin M Adsul Ravindra Singh Il-Tae Jang Complications and limitations of endoscopic spine surgery and percutaneous instrumentation Indian Spine Journal complications endoscopic discectomy endoscopic spine surgery lumbar discectomy lumbar disc herniations minimally invasive spine surgery percutaneous pedicle screws radiation root injury transforaminal endoscopy |
| title | Complications and limitations of endoscopic spine surgery and percutaneous instrumentation |
| title_full | Complications and limitations of endoscopic spine surgery and percutaneous instrumentation |
| title_fullStr | Complications and limitations of endoscopic spine surgery and percutaneous instrumentation |
| title_full_unstemmed | Complications and limitations of endoscopic spine surgery and percutaneous instrumentation |
| title_short | Complications and limitations of endoscopic spine surgery and percutaneous instrumentation |
| title_sort | complications and limitations of endoscopic spine surgery and percutaneous instrumentation |
| topic | complications endoscopic discectomy endoscopic spine surgery lumbar discectomy lumbar disc herniations minimally invasive spine surgery percutaneous pedicle screws radiation root injury transforaminal endoscopy |
| url | http://www.isjonline.com/article.asp?issn=2589-5079;year=2020;volume=3;issue=1;spage=78;epage=85;aulast=Kim |
| work_keys_str_mv | AT hyeunsungkim complicationsandlimitationsofendoscopicspinesurgeryandpercutaneousinstrumentation AT sagarbsharma complicationsandlimitationsofendoscopicspinesurgeryandpercutaneousinstrumentation AT panghungwu complicationsandlimitationsofendoscopicspinesurgeryandpercutaneousinstrumentation AT harshavardhandraorane complicationsandlimitationsofendoscopicspinesurgeryandpercutaneousinstrumentation AT nitinmadsul complicationsandlimitationsofendoscopicspinesurgeryandpercutaneousinstrumentation AT ravindrasingh complicationsandlimitationsofendoscopicspinesurgeryandpercutaneousinstrumentation AT iltaejang complicationsandlimitationsofendoscopicspinesurgeryandpercutaneousinstrumentation |