A5078148801- Spine and Intervertebral Disc Pathology
- Spinal Fractures and Fixation Techniques
- Cervical and Thoracic Myelopathy
- Pelvic and Acetabular Injuries
- Musculoskeletal pain and rehabilitation
- Medical Imaging and Analysis
- Spinal Dysraphism and Malformations
- Anesthesia and Pain Management
- Head and Neck Surgical Oncology
- Clinical practice guidelines implementation
- Spinal Hematomas and Complications
- Pediatric Pain Management Techniques
- Esophageal and GI Pathology
- Glioma Diagnosis and Treatment
- Cardiac, Anesthesia and Surgical Outcomes
- Foreign Body Medical Cases
- Airway Management and Intubation Techniques
- Surgical site infection prevention
- Pain Management and Opioid Use
- Aortic Disease and Treatment Approaches
Cardiovascular Center Frankfurt
2016-2023
Neurological Surgery
2020
University of Washington
2020
Scripps Green Hospital
2017
John Brown University
2017
Cardiovascular Center Bethanien
2010
International consensus paper on a unified nomenclature for full-endoscopic spine surgery.Minimally invasive endoscopic spinal procedures have undergone rapid development during the past decade. Evolution of working-channel endoscopes and surgical instruments as well innovation in techniques expanded types pathology that can be addressed. However, there is literature heterogeneous defining approach corridors procedures, this lack common language has hampered communication between surgeons,...
OBJECTIVE The aim of this study was to describe patient radiation exposure during single-level transforaminal endoscopic lumbar discectomy procedures at levels L2–5 and L5–S1. METHODS Radiation monitored in 151 consecutive patients undergoing procedures. Two groups were studied: the L4–5 level or above those an L5–S1 procedure. RESULTS For above, average duration fluoroscopy 38.4 seconds mean calculated dose 1.5 mSv. procedures, time 54.6 2.1 among these cases represents a 3.5-fold decrease...
The cause of radiculopathy is the compression nerve root which can be secondary to sliding vertebra and reduced disc height. In some patients, decompression alone does not resolve this problem. We describe uniportal endoscopic transforaminal lumbar interbody fusion technique. Full-endocopic foraminotomy discectomy are followed by cage implementation percutaneous instrumentation. goal surgical method roots, segment stabilization, height, sagittal alignment restoration. Uniportal facet sparing...
In the last ten years, there has been an exponential increase in endoscopic spinal surgery practice. With improvements equipment quality and availability of high definition camera systems, cervical disc resection is now a viable alternative to anterior decompression fusion (ACDF) or arthroplasty for treatment prolapse low grade stenosis. Based on current literature, strong evidence support use transforaminal approaches thoracic prolapse. There level I show that outcomes following discectomy...
We tested whether computer-based decision support (CBDS) could enhance the ability of primary care physicians (PCPs) to manage chronic pain. Structured summaries were generated for 50 pain patients referred by PCPs a clinic. A specialist used system determine appropriate therapy and sent letters referring outlining these recommendations. Separately, five board-certified CBDS “treat” cases. successful outcome was defined as one in which new or adjusted therapies recommended software...
Abstract: Posterior cervical foraminotomy is an effective surgical treatment method for relieving radicular symptoms that result from nerve root compression. Minimally invasive techniques and tubular retractor systems are available to minimize tissue retraction, but minimally approaches can carry with them the challenge of trying pass instruments through a long narrow also port visualizing pathology. Herein, authors present case 65-year-old man who presented left C6 C7 radiculopathy C5-6...
Abstract BACKGROUND Transforaminal approaches to the lumbar spine are typically performed utilizing Kambin's triangle as approach corridor; however, degenerative changes can distort anatomy and expose exiting nerve root inadvertent injury. OBJECTIVE To describe surgical technique of a novel full-endoscopic access lateral recess report clinical outcomes. METHODS The trans-superior articular process (SAP) involves partial resection SAP, allowing both ventral dorsal traversing root. A...
Thoracic disc herniation and stenosis are relatively rare, various symptoms make them difficult to diagnose. Due the complexity of neural vascular structure, surgical treatment thoracic pathology is challenging. Endoscopic spine surgery an emerging minimally invasive option. Based on wide experience cervical lumbar spine, endoscopic approach for can be performed beyond learning curve. Transforaminal herniation, unilateral approach, bilateral decompression have been reported as favorable safe...
The proposed advantages of total disc replacement (TDR) over fusion in the lumbar spine are preservation motion and avoidance adjacent-level disease. One complications inherent TDR is possibility vertebral body fracture due to trauma or a malpositioned implant. resulting dilemma that posterior decompression displaced bone fragment could then have destabilizing effect possibly require fusion, thus obviating benefit an arthroplasty procedure. In this study, authors describe technical...
Multicenter, prospective, randomized, and double-blinded study.To compare tubular endoscopic interlaminar approach.Patients with lumbar spinal stenosis neurogenic claudication of were randomized to or technique. Enrollment period was 12 months. Clinical follow up at 1, 3, 6 months after surgery visual analogue scale (VAS), Oswestry Disability Index (ODI), Japanese Orthopedic Association (JOA) score. Radiologic evaluation magnetic resonance pre- postsurgery.Twenty patients enrolled: 10 in...
Abstract: Lumbar lateral recess stenosis that results from a degenerative bulging of the disc and overgrowth facet is very common cause for lumbar radiculopathy in elderly. The standard surgical treatment symptomatic often requires laminectomy or hemi-laminectomy medial facetectomy which can further destabilize pathological motion segment. authors present here novel technique contralateral endoscopic access to pathology truly minimally invasive spares most joint complex: 6 patient cases are...
Background: Lumbar facet cysts are a benign, degenerative, and fairly uncommon cause for lumbar radiculopathy. The standard surgical treatment often requires laminectomy medial facetectomy which can further destabilize pathological motion segment. authors present here novel technique transpedicular endoscopic access to the pathology that obviates need violate lamina or facet. Methods: Two patient cases described where 4–5 arise pedicle. Percutaneous was established by drilling through...
Lumbar central and lateral recess stenosis that results from a degenerative bulging of the disc overgrowth facet is very common cause for lumbar claudication radiculopathy in elderly. The standard surgical treatment symptomatic often requires laminectomy. evolution minimally invasive techniques have created advantages patients undergoing surgery authors present here novel technique endoscopic access to pathology truly offers several spine surgeon. 14 cases were performed, 10 at L4–5 4 L5-S1,...
<h3>ABSTRACT</h3> <h3>Background:</h3> Conventional approaches to the thoracic spine can require extensive tissue dissection, bony disruption, and instability that may warrant need for instrumentation fusion. Furthermore, anterior involvement of various surgeons from multiple disciplines ensure a successful operation mitigate complications. Currently, available minimally invasive still removal usually rely heavily on computed tomography (CT)-guided imaging without direct gross visualization....