A pre fabricated construct in Ilizarov fixation

The conventional approach to the lumbar discectomy requires significant tissue dissection to obtain a sufficient working space and is known to cause possible complications and injuries. The minimally invasive, fully endoscopic uniportal interlaminar discectomy provides numerous advantages to the typical open procedure. Some advantages include: good visualization of anatomical structures utilizing continuous lavage; lower rates of operative complications such as dural injury, bleeding, and infection; and shorter hospitalization, with increased post-operative rehabilitation. Surgical procedure utilizes guided fluoroscopy to gain access to the interlaminar window, with subsequent placement of the working channel endoscope. Microscopic debridement of herniated lumbar disc and decompression of nerve roots is conducted.

This case highlights a patient with significant disc herniation at the L5-S1 level with concurrent mild to moderate cervicothoracic scoliosis. The patient elected for the minimally invasive, fully endoscopic interlaminar microdiscectomy.

Authors: William Fuell, Eylem Ocal M.D., Salih Aydin M.D.

Institutions: Emsey Hospital-Istanbul, Arkansas Children’s Hospital

Videos:   Theresa Wyrick and Asa Shnaekel

In this video, we show the open surgical release of the A1/proximal transverse pulley in the thumb to restore movement in a patient with a thumb interphalangeal joint flexion deformity consistent with pediatric trigger thumb.

DOI# http://dx.doi.org/10.17797/b70rwrfg0p

Contributors:  Jonathan Isaacs and Amy Kite

Median nerve autogenous vein wrapping for revision carpal tunnel release due to traction neuritis.

DOI: http://dx.doi.org/10.17797/lr0euenlv3

Editor Recruited By: David Bozentka, MD