TY - JOUR AU - Zhang, Yong AU - Pan, Zhimin AU - Yu, Yanghong AU - Zhang, Daying AU - Ha, Yoon AU - Yi, Seong AU - Shin, Dong Ah AU - Sun, Jingyi AU - Koga, Hisashi AU - Phan, Kevin AU - Azimi, Parisa AU - Huang, Wei AU - Cao, Kai AU - AME Spine Surgery Collaborative Group, written on behalf of PY - 2018 TI - The modified transforaminal endoscopic technique in treating intracanalicular combining foraminal and/or extraforaminal lumbar disc herniations JF - Quantitative Imaging in Medicine and Surgery; Vol 8, No 9 (October 29, 2018): Quantitative Imaging in Medicine and Surgery Y2 - 2018 KW - N2 - Background: To develop a modified transforaminal endoscopic spine system (TESSYS ® ) technique for treating intracanalicular combining foraminal and/or extraforaminal lumbar disc herniation (ICFE-LDH), and evaluate the technical efficacy and safety. Methods: Twenty-three patients with ICFE-LDH underwent the modified TESSYS technique were enrolled. Magnetic resonance imaging (MRI) was used to verify the reduction of herniated disc. Pre- and post-operative neurological functions were compared by visual analogue scale (VAS) score, Oswestry disability index (ODI) and the modified MacNab criteria. The technical safety was evaluated by surgical complications. Results: MRI demonstrated reductions of disc herniations in 22 patients (95.7%) after surgeries. The VAS scores were significantly improved at 1 year follow-up (low back: P=0.001, lower limbs: P Conclusions: The modified TESSYS technique is a minimally-invasive, effective and safe surgery for treating ICFE-LDHs in selected patients. UR - https://qims.amegroups.org/article/view/21844