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Evaluation of Surgical Indications for Full Endoscopic Discectomy at Lumbosacral Disc Levels Using Three-Dimensional Magnetic Resonance/Computed Tomography Fusion Images Created with Artificial Intelligence

Background and Objectives: Although full endoscopic lumbar discectomy with the transforaminal approach (FED-TF) is a minimally invasive spinal surgery for lumbar disc herniation, the lumbosacral levels present anatomical challenges when performing FED-TF surgery due to the presence of the iliac bone...

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Autores principales: Yamada, Katsuhisa, Nagahama, Ken, Abe, Yuichiro, Hyugaji, Yoshinori, Ukeba, Daisuke, Endo, Tsutomu, Ohnishi, Takashi, Ura, Katsuro, Sudo, Hideki, Iwasaki, Norimasa, Takahata, Masahiko
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10224500/
https://www.ncbi.nlm.nih.gov/pubmed/37241092
http://dx.doi.org/10.3390/medicina59050860
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author Yamada, Katsuhisa
Nagahama, Ken
Abe, Yuichiro
Hyugaji, Yoshinori
Ukeba, Daisuke
Endo, Tsutomu
Ohnishi, Takashi
Ura, Katsuro
Sudo, Hideki
Iwasaki, Norimasa
Takahata, Masahiko
author_facet Yamada, Katsuhisa
Nagahama, Ken
Abe, Yuichiro
Hyugaji, Yoshinori
Ukeba, Daisuke
Endo, Tsutomu
Ohnishi, Takashi
Ura, Katsuro
Sudo, Hideki
Iwasaki, Norimasa
Takahata, Masahiko
author_sort Yamada, Katsuhisa
collection PubMed
description Background and Objectives: Although full endoscopic lumbar discectomy with the transforaminal approach (FED-TF) is a minimally invasive spinal surgery for lumbar disc herniation, the lumbosacral levels present anatomical challenges when performing FED-TF surgery due to the presence of the iliac bone. Materials and Methods: In this study, we simulated whether FED-TF surgery could be safely performed on a total of 52 consecutive cases with L5–S1 or L5–L6 disc herniation using fused three-dimensional (3D) images of the lumbar nerve root on magnetic resonance imaging (MRI) created with artificial intelligence and of the lumbosacral spine and iliac on computed tomography (CT) images. Results: Thirteen of the fifty-two cases were deemed operable according to simulated FED-TF surgery without foraminoplasty using the 3D MRI/CT fusion images. All 13 cases underwent FED-TF surgery without neurological complications, and their clinical symptoms significantly improved. Conclusions: Three-dimensional simulation may allow for the assessment from multiple angles of the endoscope entry and path, as well as the insertion angle. FED-TF surgery simulation using 3D MRI/CT fusion images could be useful in determining the indications for full endoscopic surgery for lumbosacral disc herniation.
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spelling pubmed-102245002023-05-28 Evaluation of Surgical Indications for Full Endoscopic Discectomy at Lumbosacral Disc Levels Using Three-Dimensional Magnetic Resonance/Computed Tomography Fusion Images Created with Artificial Intelligence Yamada, Katsuhisa Nagahama, Ken Abe, Yuichiro Hyugaji, Yoshinori Ukeba, Daisuke Endo, Tsutomu Ohnishi, Takashi Ura, Katsuro Sudo, Hideki Iwasaki, Norimasa Takahata, Masahiko Medicina (Kaunas) Article Background and Objectives: Although full endoscopic lumbar discectomy with the transforaminal approach (FED-TF) is a minimally invasive spinal surgery for lumbar disc herniation, the lumbosacral levels present anatomical challenges when performing FED-TF surgery due to the presence of the iliac bone. Materials and Methods: In this study, we simulated whether FED-TF surgery could be safely performed on a total of 52 consecutive cases with L5–S1 or L5–L6 disc herniation using fused three-dimensional (3D) images of the lumbar nerve root on magnetic resonance imaging (MRI) created with artificial intelligence and of the lumbosacral spine and iliac on computed tomography (CT) images. Results: Thirteen of the fifty-two cases were deemed operable according to simulated FED-TF surgery without foraminoplasty using the 3D MRI/CT fusion images. All 13 cases underwent FED-TF surgery without neurological complications, and their clinical symptoms significantly improved. Conclusions: Three-dimensional simulation may allow for the assessment from multiple angles of the endoscope entry and path, as well as the insertion angle. FED-TF surgery simulation using 3D MRI/CT fusion images could be useful in determining the indications for full endoscopic surgery for lumbosacral disc herniation. MDPI 2023-04-28 /pmc/articles/PMC10224500/ /pubmed/37241092 http://dx.doi.org/10.3390/medicina59050860 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Yamada, Katsuhisa
Nagahama, Ken
Abe, Yuichiro
Hyugaji, Yoshinori
Ukeba, Daisuke
Endo, Tsutomu
Ohnishi, Takashi
Ura, Katsuro
Sudo, Hideki
Iwasaki, Norimasa
Takahata, Masahiko
Evaluation of Surgical Indications for Full Endoscopic Discectomy at Lumbosacral Disc Levels Using Three-Dimensional Magnetic Resonance/Computed Tomography Fusion Images Created with Artificial Intelligence
title Evaluation of Surgical Indications for Full Endoscopic Discectomy at Lumbosacral Disc Levels Using Three-Dimensional Magnetic Resonance/Computed Tomography Fusion Images Created with Artificial Intelligence
title_full Evaluation of Surgical Indications for Full Endoscopic Discectomy at Lumbosacral Disc Levels Using Three-Dimensional Magnetic Resonance/Computed Tomography Fusion Images Created with Artificial Intelligence
title_fullStr Evaluation of Surgical Indications for Full Endoscopic Discectomy at Lumbosacral Disc Levels Using Three-Dimensional Magnetic Resonance/Computed Tomography Fusion Images Created with Artificial Intelligence
title_full_unstemmed Evaluation of Surgical Indications for Full Endoscopic Discectomy at Lumbosacral Disc Levels Using Three-Dimensional Magnetic Resonance/Computed Tomography Fusion Images Created with Artificial Intelligence
title_short Evaluation of Surgical Indications for Full Endoscopic Discectomy at Lumbosacral Disc Levels Using Three-Dimensional Magnetic Resonance/Computed Tomography Fusion Images Created with Artificial Intelligence
title_sort evaluation of surgical indications for full endoscopic discectomy at lumbosacral disc levels using three-dimensional magnetic resonance/computed tomography fusion images created with artificial intelligence
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10224500/
https://www.ncbi.nlm.nih.gov/pubmed/37241092
http://dx.doi.org/10.3390/medicina59050860
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