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Journal of Neurology and Neurorehabilitation Research | Volume 3
November 26-27, 2018 | Dubai, UAE
Spine and Spine Disorders
Addiction Research and Therapy
3rd International Conference on
International Conference on
Joint Event
&
Full-endoscopic operations of Lumbar Disc Herniation and Spinal Stenosis - State of the art,
possibilities and retrospective review of overall 1054 operated patients
Marko Markovic
1
and
Nenad Živkovi
2
1
Medigroup Hospital, Serbia
2
Clinical Hospital Center Zemun, Serbia
Introduction:
Full-endoscopic operations of lumbar spine
are truly Minimally Invasive surgical procedures. Endoscopic
techniques have become the standard in many areas because
of the advantages they offer intraoperatively and after surgery.
With the interlaminar and transforaminal approach, two full-
endoscopic procedures are available for lumbar compressive
lesion operations.
Aim:
To present and explain all aspects of the full-endoscopic
operative technique, and presentation of results of lumbar
discectomies and Monosegmental Decompression in Ddisc
Herniation and Monosegmental Spinal Canal Stenosis.
Material and Methods:
A series of overall 1054 patients
underwent full-endoscopic interlaminar and transforaminal
lumbar discectomy and spinal canal decompression, 946
patients had disc herniation and 108 Spinal Canal Stenosis. In
addition to general and specific parameters, VAS and ODI scale
are used as a measuring instrument.
Results:
In disc herniation group 88% of the patients no
longer had leg pain, and 7% had only occasional pain,
postoperatively. In seven patients minor nerve damage
resulted in transient parestesias, and in two patients resulted
in neurological deficit. Dural tear occurred in 8 patients, and
only one had reoperation for direct dural repair. The recurrence
rate was 8%. Resection of the herniated disc and enough
decompression was technically possible in all cases. In the
spinal stenosis group 78.1% had significant improvement,
13.6% had improvement with occasional pain and parestesias,
and 8% had no significant improvement. Dural tear occurred
in 4 (3.7%) patients and none of them had reoperation.
Conclusion:
The clinical results of the full-endoscopic technique
are highly acceptable with advantages such as reduced
traumatization, improvedpatientmobility, and lowcomplication
and recurrence rate. All forms of lumbar disc herniations and
Monosegmental Stenosis could be sufficiently removed using
the full-endoscopic interlaminar and transforaminal approach,
when taking the appropriate indication criteria into account.
Speaker Biography
Marko Markovic is currently working as surgeon in Medigroup Hospital at Serbia and he
was born on February 13th, 1974 in Belgrade, Serbia. He graduated on School of Medicine
University of Belgrade in 1998. Finished specialization of Neurosurgery in April 2006. on
Clinic of Neurosurgery, Clinical Centre of Serbia. Also, master’s degree from Neurosurgery
on School of Medicine, University of Belgrade in 2003. Defended doctoral dissertation in
2013 and the thesis title is “Prognostic value of Peritumoral Edema and Angiogenesis in
Intracranial Meningioma surgery’’. Finished highly specialized advanced training courses
for Full-Endoscopic and Microsurgical Minimally Invasive Spine Surgery in one of the
biggest references centres in Europe “St Anna Hospital” in Herne and “Schon Klinik”
in Munich, Germany. Introduced in Serbia (in standardized and routine clinical practice)
Full-Endoscopic surgical technique in treatment of degenerative spinal disorders, on
beginning of 2011, and became pioneer of truly minimally invasive spine surgery in
Serbia and surrounding region. Author of numerous articles, among them especially
significant “Full-endoscopic interlaminar operations in lumbar compressive lesions surgery:
prospective study of 350 patients - Endos study” published in “Journal of Neurosurgical
Science” in June 2016, and “Full-endoscopic interlaminar versus microsurgical operations
in lumbar compressive lesions surgery: Prospective randomized trial of overall 570
Patients” published in “Journal of Pain & Relief” in November 2017. Promoted in
International Instructor for Full-Endoscopic Surgery of Spine from “Riwo Spine”
company, on beginning of 2017. Leader of “centre of excellence” for minimally invasive
spine surgery in Medigroup Hospital the biggest healthcare private system in Serbia.
e:
alejandro.vallejo@salud.madrid.org