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Paradigm Shift in Spinal Surgery

Kim HS, Wu PH

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Commentary on “Complications and Management of Endoscopic Spinal Surgery”

Kim HS, Wu PH, Jang IT

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Development of Endoscopic Spine Surgery for Healthy Life: To Provide Spine Care for Better, for Worse, for Richer, for Poorer, in Sickness and in Health

Kim HS, Wu PH, Jang IT

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Maximal Benefit Zone of Endoscopic Spine Surgery in the Cervical and Thoracic Spine: Rationale of Endoscopic Spine Surgery in the Cervical-thoracic Region

Kim HS, Wu PH, Jang IT

Complex anatomy, difficult access, and low tolerance of cord manipulation in the cervical and thoracic spine are some of the most challenging aspects of spine surgery. Open cervical and thoracic...
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Narrative Review of Pathophysiology and Endoscopic Management of Basivertebral and Sinuvertebral Neuropathy for Chronic Back Pain

Kim HS, Wu PH, Jang IT

Chronic lower back pain is a leading cause of disability in musculoskeletal system. Degenerative disc disease is one of the main contributing factor of chronic back pain in the aging...
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Rationale of Endoscopic Spine Surgery: A New Paradigm Shift In Spine Surgery From Patient’s benefits to Public Interest In This New Era of Pandemic

Kim HS, Wu PH, Jang IT

Advancement of technology and surgical skills act in synergy to lead to exploration of new solutions in spine surgery. One of the key areas of spine innovation is endoscopic spine...
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A Narrative Review of Development of Full-Endoscopic Lumbar Spine Surgery

Wu PH, Kim HS, Jang IT

In the first phase of development of lumbar endoscopic spine surgery, the focus was on removal of soft disc material through the working corridor of Kambin’s triangle using transforaminal endoscopic...
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Overview of Tips in Overcoming Learning Curve in Uniportal and Biportal Endoscopic Spine Surgery

Wu PH, Kim HS, Choi DJ, Gamaliel YHT

There is increasing trend of spine surgeries performed with uniportal and biportal endoscopic spine surgery. Despite its good outcomes and supportive literature, the proportion of spine surgeons regularly doing endoscopic...
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Lumbar Endoscopic Unilateral Laminotomy for Bilateral Decompression Outside-In Approach: A Proctorship Guideline With 12 Steps of Effectiveness and Safety

Kim HS, Wu PH, Jang IT

Minimally invasive spinal surgery in particular lumbar endoscopic unilateral laminotomy with bilateral decompression becomes popular as it can be performed with regional anesthesia, soft tissue damages are minimized as endoscopic...
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Safe Extraforaminal Docking and Floating Technique in Transforaminal Endoscopic Discectomy for Thoracolumbar Junction for Calcified Disc Herniation: A Case Report and Technical Review Junction for Calcified Disc Herniation

Wu PH, Kim HS, Raorane HD, Heo DH, Yi YJ, Yang KH, Jang IT

Objective: Thoracolumbar disc herniation is an uncommon disabling spine condition. Methods: There is relatively large dura expansion to lateral recess in the thoracolumbar junction leading to potential hazard in docking...
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Clinical Results And Review of Techniques of Lumbar Endoscopic Unilateral Laminotomy With Bilateral Decompression (LE-ULBD) for Lumbar Stenosis

Kim HS, Wu PH, Jang IT

Uniportal Lumbar Endoscopic decompression can be performed through transforaminal and interlaminar route. Interlaminar lumbar endoscopic unilateral laminotomy for bilateral decompression allows good decompression of central and lateral recess of the...
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Endoscopic Resection of Symptomatic Degenerative Repetitive Stress Related Fracture of the Tip of Superior Articular Process. An Unusual Cause of Severe Back Pain: Report of 2 Cases and Technical Note

Kim HS, Wu PH, Raorane HD, Heo DH, Lee YJ, Yang KH, Jang IT

Neglected stress related fracture of superior articular process fracture leading to disability is not commonly reported. Intravertebral foraminal ligament attachment to superior articular process is well described but its repetitive...
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Spinal Canal Remodeling and Indirect Decompression of Contralateral Foraminal Stenosis After Endoscopic Posterolateral Transforaminal Lumbar Interbody Fusion

Wu PH, Lau ETC, Kim HS, Grasso G, Jang IT

Objective: There is a lack of literature on indirect decompression in uniportal endoscopic posterolateral transforaminal lumbar interbody fusion (EPTLIF). Our aim is to evaluate the dimensions of the spinal canal...
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Clinical Results and Review of Techniques of Thoracic Endoscopic Unilateral Laminotomy with Bilateral Decompression (TE-ULBD) Using the Outside-In Technique for Thoracic Ossified Ligamentum Flavum

Kim HS, Wu PH, Jang IT

Objective: Uniportal full endoscopic thoracic endoscopic surgery can be performed through transforaminal and interlaminar approaches. The interlaminar approach is commonly described as thoracic endoscopic unilateral laminotomy for bilateral decompression (TE-ULBD),...
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Initial Factors Influencing Duration of Hospital Stay in Adult Patients With Peritonsillar Abscess

Liu YH, Su HH, Tsai YW, Hou YY, Chang KP, Chi CC, Lin MY, Wu PH

OBJECTIVES: To review cases of peritonsillar abscess and investigate the initial clinical factors that may influence the duration of hospitalization. To determine the predictive factors of prolonged hospital stay in...
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Uniportal Endoscopic Lateral to Medial Direction Transforaminal Lumbar Interbody Fusion: A Case Report and Technical Guide for Navigating Through Landmarks in Left Lumbar 4/5 Post Laminotomy Revision Lumbar Fusion Surgery

Wu PH, Kim HS, Jang IT

Post lumbar laminotomy anatomical changes can be disorienting to uniportal spinal endoscopist. This which led to many open conversionconversion to open surgery to verify landmarks. Isthmus tends not to be...
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Anatomical Importance of Inner Ligamentum Flavum Parameters for Successful Endoscopic Lumbar Decompression Surgery

Kim JY, Kim HS, Wu PH, Jang IT

Objective: Predicting the gross anatomy of the inner ligament flavum and surrounding interlaminar window is essential for sufficient neural decompression because endoscopic spine surgery is performed in a limited, narrow...
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Feasibility of Endoscopic Transforaminal Lumbar Interbody Fusion (eTLIF) Through the Posterior Paraspinal Approach: Technical Note and Preliminary Result

Kim HS, Raorane HD, Wu PH, Heo DH, Yi YJ, Yang KH, Jang IT

Objective: The implement of endoscopic spinal surgery has minimized the requirement of fusion procedures. However, certain patients still require fusion surgery such as instability. We performed a full-endoscopic transforaminal lumbar...
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Prospective Cohort Study with a 2-Year Follow-up of Clinical Results, Fusion Rate, and Muscle Bulk for Uniportal Full Endoscopic Posterolateral Transforaminal Lumbar Interbody Fusion

Wu PH, Kim HS, An JW, Kim M, Lee I, Park JS, Lee JH, Kang S, Lee J, Yi Y, Lee JH, Park JH, Lim JH, Jang IT

Study Design: Retrospective cohort study. Purpose: Postoperative evaluation of the cross-sectional area of paraspinal muscle and clinical findings in patients who had interlaminar route uniportal full endoscopic posterolateral transforaminal lumbar interbody...
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Remodeling of Epidural Fluid Hematoma after Uniportal Lumbar Endoscopic Unilateral Laminotomy with Bilateral Decompression: Comparative Clinical and Radiological Outcomes with a Minimum Follow-up of 2 Years

Wu PH, Kim HS, Grasso G, An JW, Kim M, Lee I, Park JS, Lee JH, Kang S, Lee J, Yi Y, Lee JH, Park JH, Lim JH, Jang IT

Study Design: Retrospective cohort study. Purpose: To evaluate the clinical and radiological effects of epidural fluid hematoma in the medium term after lumbar endoscopic decompression. Overview of Literature: There is limited literature...
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