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The History of Korean Minimally Invasive Spine Surgery Society (KOMISS) and Global Impact on Spine Surgery

Choi I, Kim JS

Korea minimally invasive spine surgery society (KOMISS) celebrated its 20th anniversary this year in 2021. The society was established in 2002 for the purpose of research on novel techniques and...
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Unilateral Biportal Endoscopic Translaminar Keyhole Approach to Treat High-grade Up-migrated Lumbar Disc Herniation: Technical Note

Moon KS, Jeong M, Lee SH, Seo HN, Baek OK

The incidence of lumbar disc fragment migration is approximately 35%–72% of which 34% are high-grade up-migrated discs. Translaminar keyhole approach is a minimally invasive and true tissue sparing technique which...
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Minimally Invasive en bloc Excision of Rare Hemorrhagic Discal Cysts Using Unilateral Biportal Endoscopic Technique: A Report of Two Cases

Lin CH, Pao JL

Hemorrhagic discal cyst (HDC) in the lumbosacral spine is a rare cause for low back pain and radiculopathy. Although there is no treatment guideline in the literatures, it is believed...
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Full-endoscopic Foraminotomy in Degenerative Spondylolisthesis: A “Module-based” Approach for Surgical Planning and Execution

Isseldyk FV, Lim WJ, Kim YJ, Kim JH, Ryu KS, Liu Y, Kim JS

Purpose Degenerative Lumbar Spondylolisthesis (DSL) is a common spinal pathology characterized by the anterior slippage of one vertebral body on another. DSL is caused mainly by degeneration of the intervertebral...
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Full-endoscopic Intradiscal Surgery: State of the Art

Sairyo K, Yamashita K, Tezuka F, Morimoto M, Sugiura K, Takeuchi M, Inokuchi T, Fujitani J

Two types of full-endoscopic intradiscal surgery have been described in the literature. The first is full-endoscopic thermal annuloplasty, which was introduced in 2004 for discogenic pain. The proposed pain generator...
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Single-stage C6-7 ACDF with T1-2 Oblique Keyhole Transcorporeal Disectomy to Treat Cervico-thoracic Tandem Disc Herniation: A Case Report

Moon KS, Jeong M, Lee SH, Baek OK

Symptomatic cervico-thoracic tandem disc herniation occurs very rarely. On the other hand, cervical disc herniations are common and may be treated via a variety of surgical procedures. Symptomatic upper thoracic...
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Minimally Invasive Iliac Screw Insertion: Clinical Case Series and Technical Note

Srikantha U, Lokanath YK, Hari A, Somasundar D, Varma RG

Objective: Iliac screw fixation has numerous indication and techniques. To describe the technique of minimally invasive screw insertion of the iliac screw by freehand and navigated iliac screw placement using...
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Peri-operative Management and the Role of Minimally Invasive Spine Surgery in a Case of Hemophilia B

Goparaju VP, Chugh A, Rangnekar A, Kundnani V

Hemophilia A and B are rare X-chromosome-linked recessive bleeding disorders caused by mutations in the genes causing abnormalities of blood clotting factors VIII and IX, respectively. Surgery in these patients...
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Minimally Invasive Subaxial Cervical Pedicle Screw Placement with Routine Fluoroscopy: Cadaveric Feasibility Study and Report of 6 Clinical Cases

Srikantha U, Perikal PJ, Hari A, Lokanath YK, Subramaniam N, Jagannatha AT, Varma RG

Objective: Conventional cervical pedicle screw insertion necessitates extensive paraspinal muscle dissection and retraction in order to achieve the lateral to medial angulation needed to achieve the optimal screw trajectory. Minimally...
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Minimally Invasive versus Conventional Lumbar Interbody Fusion at L5–S1: A Retrospective Comparative Study

Yoo SJ, Kim KH, Chin DK, Kim KS, Cho YE, Park JY

Objective: This study aimed to evaluate the radiologic and clinical outcomes of minimally invasive transforaminal lumbar interbody fusion (MIS-TLIF) and conventional posterior lumbar interbody fusion (PLIF) at the L5–S1. Methods: We...
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Traumatic Bilateral Pars Fracture with Grade-I Spondylolisthesis Treated by Transforaminal (Trans Kambian) Endo Fusion under Epidural Analgesia: A Special Case Report

Sura S, Mallepally AR, Chamle G, Pagidimarry NK

Traumatic spine injuries are common in young and adult population with worlds incidence estimated annual rate in 10.4–130.6 cases per million [1]. We are presenting a case of traumatic bilateral...
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Lateral Lumbar Interbody Fusion in the Outpatient Setting with Multimodal Analgesic Protocol: Clinical Case Series

Jacob KC, Patel MR, Pawlowski H, Parsons AW, Vanjani NN, Lynch CP, Cha ED, Prabhu MC, Singh K

Objective: Minimally invasive techniques and multimodal analgesia protocols have made spine surgery in the outpatient setting increasingly feasible. A number of spinal procedures have been documented in the outpatient setting,...
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Oblique Lateral Lumbar Interbody Fusion at L2-L5: Proposal of a New CT-based Preoperative Assessment to Minimize Risks

Quillo-Olvera J, Kim JS, Quillo-Olvera D, Quillo-Reséndiz J, Barrera-Arreola M

Objective: Oblique anterior to psoas (ATP) lumbar fusion is associated with advantages such as sufficient indirect decompression and restoration of lordosis. However, the ATP approach risks damaging the vascular elements...
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Efficiency of Spinal Anesthesia versus General Anesthesia for Minimal Invasive Single Level Transforaminal Lumbar Interbody Fusion: A Retrospective Analysis of 178 Patients

Rangnekar A, Praveen GV, Chugh A, Raut S, Kundnani V

Objective: To evaluate the efficacy of spinal anesthesia in patients undergoing minimal invasive single level transforaminal lumbar interbody fusion surgery (MIS TLIF) and to compare the results with that of...
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The Significance of Lumbar Probing Combined with Continuous Irrigation and Undercutting Posterior Vertebral Body for Highly Upward Migrated Disc Herniation in ACDF: Case Reports and technical notes

Moon JS, Kang MS, Lee SH, Park CH

The purpose of this report was to present successful cases and technical notes of the patients with up migrated cervical disc herniation to the upper level who were successfully treated...
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A Novel Technique of the Full Endoscopic Interlaminar Contralateral Approach for Symptomatic Extraforaminal Juxtafacet Cysts

Kim HS, Kim JY, Lee DC, Lee JH, Jang IT

Objective: Extraforaminal juxtafacet cyst is rare and present a surgical challenge due to its anatomical location. This study aimed to introduce the surgical technique of interlaminar contralateral endoscopic lumbar foraminotomy...
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Tube-assisted Minimally Invasive versus Open Posterior Decompression for Multilevel Degenerative Cervical Myelopathy: A Prospective Comparative Study

Srikantha U, Perikal P, Hari A, Lokanath Y, Somasundaram D, Kondavagilu S, Subramaniam N, Kommineni PS, Jagannatha AT, Khanapure KS, Varma RG, Hegde AS

Objective: There have been several reports of minimally invasive decompression for cervical canal stenosis and degenerative myelopathy. Most of these reports are for less than 4 levels and there have...
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Do Patient Expectations Represent a More Important Clinical Difference? A Study of Surgical Outcomes in the Cervical Spine

Lynch CP, Cha ED, Jacob KC, Patel MR, Geoghegan CE, Vanjani NN, Pawlowski H, Prabhu MC, Singh K

Objective: This study aims to compare the impact of achieving an MCID or meeting preoperative expectations on patient satisfaction following cervical spine procedures. Methods: A surgical database was retrospectively reviewed for...
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Single Incision Tubular Decompression to Treat Multi-level Lumbar Spinal Stenosis: A Retrospective Review

Kulkarni AG, Khandge AkV, Yeshwanth T

Objective: To evaluate the technical feasibility and assess the clinical outcomes of tubular decompression (TD) in cases of multilevel lumbar canal stenosis operated through a single incision. TD has established...
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Only Surgical Decompression Is Sufficient for Multilevel Lumbar Spinal Stenosis with Calcified Disc Protrusion and Vacuum Disc: Case Reports

Moon JS, Kang MS, Lee SH, Park CH

The purpose of this report was to share our successful cases of only surgical decompression for symptomatic multilevel lumbar spinal stenosis, by assessing treatment outcomes and perioperative complications. Two patients...
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