A Transforaminal Endoscopic Surgical Technique for Treating Lumbar Disc Herniation in the Setting of Spina Bifida

Recent literature suggests that adult patients with spina bifida receive surgery for degenerative disc disease at higher rates than the general population. However, sometimes the complex anatomic features of co-occurring spina bifida and lumbar disc herniation can significantly challenge standard su...

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Main Authors: Albert E. Telfeian, Adetokunbo Oyelese, Jared Fridley, Rohaid Ali, Deus Cielo, Ziya L. Gokaslan
Format: Article
Language:English
Published: Wiley 2020-01-01
Series:Case Reports in Neurological Medicine
Online Access:http://dx.doi.org/10.1155/2020/1076847
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author Albert E. Telfeian
Adetokunbo Oyelese
Jared Fridley
Rohaid Ali
Deus Cielo
Ziya L. Gokaslan
author_facet Albert E. Telfeian
Adetokunbo Oyelese
Jared Fridley
Rohaid Ali
Deus Cielo
Ziya L. Gokaslan
author_sort Albert E. Telfeian
collection DOAJ
description Recent literature suggests that adult patients with spina bifida receive surgery for degenerative disc disease at higher rates than the general population. However, sometimes the complex anatomic features of co-occurring spina bifida and lumbar disc herniation can significantly challenge standard surgical techniques. Here, the technical steps are presented for treating a foraminal lumbar 4-5-disc herniation in the setting of a patient with multifaceted degenerative and spina bifida occulta anatomy. Utilized is a minimally invasive approach that does not require general anesthesia or fusion and allows the patient to leave the same day. To the best of our knowledge, this is the first-reported case of endoscopic surgical decompression of a lumbar disc in a patient with spina bifida.
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issn 2090-6668
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publishDate 2020-01-01
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series Case Reports in Neurological Medicine
spelling doaj-art-c9c5d9a0cb16435d8775486fb9423d492025-02-03T01:25:17ZengWileyCase Reports in Neurological Medicine2090-66682090-66762020-01-01202010.1155/2020/10768471076847A Transforaminal Endoscopic Surgical Technique for Treating Lumbar Disc Herniation in the Setting of Spina BifidaAlbert E. Telfeian0Adetokunbo Oyelese1Jared Fridley2Rohaid Ali3Deus Cielo4Ziya L. Gokaslan5Department of Neurosurgery, Warren Alpert Medical School of Brown University, Providence, RI, USADepartment of Neurosurgery, Warren Alpert Medical School of Brown University, Providence, RI, USADepartment of Neurosurgery, Warren Alpert Medical School of Brown University, Providence, RI, USADepartment of Neurosurgery, Warren Alpert Medical School of Brown University, Providence, RI, USADepartment of Neurosurgery, Warren Alpert Medical School of Brown University, Providence, RI, USADepartment of Neurosurgery, Warren Alpert Medical School of Brown University, Providence, RI, USARecent literature suggests that adult patients with spina bifida receive surgery for degenerative disc disease at higher rates than the general population. However, sometimes the complex anatomic features of co-occurring spina bifida and lumbar disc herniation can significantly challenge standard surgical techniques. Here, the technical steps are presented for treating a foraminal lumbar 4-5-disc herniation in the setting of a patient with multifaceted degenerative and spina bifida occulta anatomy. Utilized is a minimally invasive approach that does not require general anesthesia or fusion and allows the patient to leave the same day. To the best of our knowledge, this is the first-reported case of endoscopic surgical decompression of a lumbar disc in a patient with spina bifida.http://dx.doi.org/10.1155/2020/1076847
spellingShingle Albert E. Telfeian
Adetokunbo Oyelese
Jared Fridley
Rohaid Ali
Deus Cielo
Ziya L. Gokaslan
A Transforaminal Endoscopic Surgical Technique for Treating Lumbar Disc Herniation in the Setting of Spina Bifida
Case Reports in Neurological Medicine
title A Transforaminal Endoscopic Surgical Technique for Treating Lumbar Disc Herniation in the Setting of Spina Bifida
title_full A Transforaminal Endoscopic Surgical Technique for Treating Lumbar Disc Herniation in the Setting of Spina Bifida
title_fullStr A Transforaminal Endoscopic Surgical Technique for Treating Lumbar Disc Herniation in the Setting of Spina Bifida
title_full_unstemmed A Transforaminal Endoscopic Surgical Technique for Treating Lumbar Disc Herniation in the Setting of Spina Bifida
title_short A Transforaminal Endoscopic Surgical Technique for Treating Lumbar Disc Herniation in the Setting of Spina Bifida
title_sort transforaminal endoscopic surgical technique for treating lumbar disc herniation in the setting of spina bifida
url http://dx.doi.org/10.1155/2020/1076847
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