Spinal Surgery: Historical Aspects and Contemporary Approaches in The Treatment of Degenerative Disorders
DOI:
https://doi.org/10.61788/njn.v1i23.03Keywords:
intervertebral disc herniation, surgical treatment, lumbar spineAbstract
The issue of treating discogenic neurocompression syndromes remains highly relevant in modern medicine due to the variability in clinical manifestations and the lack of a unified approach to its treatment. Lumbar microdiscectomy remains the standard treatment for intervertebral disc herniations in the lumbar spine. The primary goal of surgical treatment for degenerative disorders is to achieve complete decompression of neural structures with minimal surgical trauma. The widespread adoption of advanced minimally invasive endoscopic techniques for intervertebral disc herniations has significantly reduced the number of disabled individuals worldwide, thus addressing the societal challenges associated with this condition. This literature review is dedicated to the development and evolution of endoscopic technologies, transitioning from open surgical interventions to percutaneous endoscopic procedures.
References
Cieza, A., Causey, K., Kamenov, K., Hanson, S. W., Chatterji, S., & Vos, T. (2020). Global estimates of the need for rehabilitation based on the Global Burden of Disease study 2019: a systematic analysis for the Global Burden of Disease Study 2019. The Lancet, 396(10267), 2006-2017.
Zhang Q, Wei Y, Wen L, Tan C, Li X, Li B. An overview of lumbar anatomy with an emphasis on unilateral biportal endoscopic techniques: A review. Medicine (Baltimore). 2022 Dec 2;101(48):e31809. doi: 10.1097/MD.0000000000031809. PMID: 36482646; PMCID: PMC9726330.
Global burden of 369 diseases and injuries in 204 countries and territories, 1990-2019: a systematic analysis for the Global Burden of Disease Study 2019. Lancet. 2020;396:1204-22.
Cong L, Zhu Y, Tu G. A meta-analysis of endoscopic discectomy versus open discectomy for symptomatic lumbar disk herniation. Eur Spine J. 2016;25:134-43. [PubMed] [Google Scholar]
Pak DJ, Yong RJ, Kaye AD, et al.. Chronification of pain: mechanisms, current understanding, and clinical implications. Curr Pain Headache Rep. 2018;22:9. [PubMed] [Google Scholar]
Kim D. H., Choi G., Lee S.-H. Endoscopic Spine Surgery . Thieme Medical Publishers, Incorporated; 2018. [CrossRef] [Google Scholar]
Koebbe CJ, Maroon JC, Abla A, El-Kadi H, Bost J. Lumbar microdiscectomy: a historical perspective and current technical considerations. Neurosurg Focus. 2002;13(2):1-6. DOI: 10.3171/foc.2002.13.2.4.
Love JG. Removal of protruded intervertebral disks without laminectomy. Proc Staff Meeting. Mayo Clin. 1939;14:800.
Mayer HM, ed. Minimally Invasive Spine Surgery: A Surgical Manual. Berlin; Heidelberg: Springer, 2006.
Caspar W. A new surgical procedure for lumbar disc herniation causing less tissue damage through a microsurgical approach. In: Lumbar Disc Adult Hydrocephalus, ed. by Wullenweber R, Brock M, Hamer J, Klinger M, Spoerri O. Berlin; Heidelberg: Springer, 1977:74-80.
Yasargil MG. Microsurgical operation of herniated lumbar disc. In: Lumbar Disc Adult Hydrocephalus, ed. by Wullenweber R, Brock M, Hamer J, Klinger M, Spoerri O. Berlin; Heidelberg: Springer, 1977:81-81. DOI: 10.1007/978-3-642-66578-3_16.
Ebeling U, Reichenberg W, Reulen HJ. Results of microsurgical lumbar discectomy. Review on 485 patients. Acta Neurochir (Wien). 1986;81:45-52. DOI: 10.1007/BF01456264.
Goald HJ. Microlumbar discectomy: follow‐up of 477 patients. J Microsurg. 1980;2:95-100. DOI: 10.1002/micr.1920020204.
Williams RW. Microlumbar discectomy: a conservative surgical approach to the virgin herniated lumbar disc. Spine. 1978;3:175-182.
Wilson DH, Kenning J. Microsurgical lumbar discectomy: preliminary report of 83 consecutive cases. Neurosurgery. 1979;4:137-140. DOI: 10.1227/00006123- 197902000-00005.
Katayama Y, Matsuyama Y, Yoshihara H, Sakai Y, Nakamura H, Nakashima S, Ito Z, Ishiguro N. Comparison of surgical outcomes between macro discectomy and micro discectomy for lumbar disc herniation: a prospective randomized study with surgery performed by the same spine surgeon. J Spinal Disord Tech. 2006;19:344-347. DOI: 10.1097/01.bsd.0000211201.93125.1c.
Thongtrangan I, Le H, Park J, Kim DH. Minimally invasive spinal surgery: a historical perspective. Neurosurg Focus. 2004;16(1):1-10. DOI: 10.3171/foc.2004.16.1.14.
Foley KT, Smith MM. Microendoscopic discectomy. Tech Neurosurg.1997;3:301-307
Бывальцев В.А., Сороковиков В.А., Егоров А.В., Белых Е.Г. Эндоскопические задние доступы в спинальной нейрохирургии // Эндоскопическая хирургия. 2012. Т. 18. № 5. С. 51-60. [Byval’cev VA Sorokovikov VA, Egorov AV, Belykh EG. Endoscopic posterior approaches in spinal neurosurgery. Endoscopic Surgery. 2012;18(5):51-60. In Russian].
Destandau J. A special device for endoscopic surgery of lumbar disc herniation. Neurol Res. 1999;21:39-42. DOI: 10.1080/01616412.1999.11740889
Endoscopic surgery of lumbar disc herniation. A study of 1562 cases. Hir. Pozvonoc. 2006;(1):50-54. In Russian]. DOI: 10.14531/ss2006.1.50-54
Wu H, Yu WD, Jiang R, Gao ZL. Treatment of multilevel degenerative lumbar spinal stenosis with spondylolisthesis using a combination of microendoscopic discectomy and minimally invasive transforaminal lumbar interbody fusion. Exp Ther Med. 2013;5:567-571. DOI: 10.3892/etm.2012.812.
De Antoni DJ, Claro ML, Poehling GG, Hughes SS. Translaminar lumbar epidural endoscopy: anatomy, technique, and indications. Arthroscopy.1996;12:330-334. DOI: 10.1016/s0749-8063(96)90069-9
Hoogland T, Schubert M, Miklitz B, Ramirez A. Transforaminal posterolateral endoscopic discectomy with or without the combination of a low-dose chymopapain: a prospective randomized study in 280 consecutive cases. Spine. 2006;31:E890-E897. DOI: 10.1097/01.brs.0000245955.22358.3a.
Tsou PM, Yeung CA, Yeung AT. Posterolateral transforaminal selective endoscopic discectomy and thermal annuloplasty for chronic lumbar discogenic pain: a minimal access visualized intradiscal surgical procedure. Spine J. 2004;4:564-573. DOI: 10.1016/j.spinee.2004.01.014
Ruetten S. The full-endoscopic interlaminar approach for lumbar disc herniations. In: Mayer HM. (ed.). Minimally Invasive Spine Surgery. Berlin; Heidelberg: Springer. 2006:346-355. DOI: 10.1007/3-540-29490-2_38
Ruetten S, Komp M, Godolias G. A new full-endoscopic technique for the interlaminar operation of lumbar disc herniations using 6-mm endoscopes: prospective 2-year results of 331 patients. Minim Invasive Neurosurg. 2006;49:80-87. DOI: 10.1055/s-2006- 932172
Ruetten S, Komp M, Merk H, Godolias G. Full-endoscopic interlaminar and transforaminal lumbar discectomy versus conventional microsurgical technique: a prospective, randomized, controlled study. Spine. 2008;33:931-939. DOI: 10.1097/BRS.0b013e31816c8af7
Nie H, Zeng J, Song Y, Chen G, Wang X, Li Z, Jiang H, Kong Q. Percutaneous endoscopic lumbar discectomy for L5-S1 disc herniation via an interlaminar approach versus a transforaminal approach: a prospective randomized controlled study with 2- year follow up. Spine. 2016;41(Suppl 19):B30-B37. DOI: 10.1097/BRS.0000000000001810.
Wang L, Chu G, Zhang HQ, Guo CF, Tang MX, Gao QL, Qiao WM, Yan T. Endoscopic interlaminar lumbar discectomy with splitting of ligamentum flavum. Zhonghua yi xue za zhi. 2013;17:6267-6272. DOI: 10.3969/j.issn.2095- 4344.2013.35.008
Kambin P, Gellman H. Percutaneous lateral discectomy of the lumbar spine: a preliminary report. Clin Orthop Relat Res.1983;174:127-132.
Krugluger J. Transforaminal endoscopic discectomy. In: Mayer HM. (ed.). Minimally Invasive Spine Surgery. Berlin; Heidelberg: Springer. 2006:315-321. DOI: 10.1007/3- 540-29490-2_35.
Hijikata S, Yamagishi M, Nakayama T, Omori K. Percutaneous nucleotomy: a new treatment method for lumbar disc herniation. J Toden Hosp. 1975;5:5-13.
Schreiber A, Suezawa Y. Transdiscoscopic percutaneous nucleotomy in disk herniation. Orthop Rev. 1986;15:35-38.
Onik G, Helms CA, Ginsburg L, Hoaglund FT, Morris J. Percutaneous lumbar diskectomy using a new aspiration probe. Am J Roentgenol. 1985;144:1137-1140. DOI: 10.2214/ajr.144.6.1137.
Kambin P, ed. Arthroscopic and Endoscopic Spinal Surgery: Text and Atlas. Totowa: Humana Press. 2005.
Kambin P., Zhou L. History and current status of percutaneous arthroscopic disc surgery // Spine. — 1996. — Vol.21. — P. 57-61.
Kambin P., Gennarelli Th., Hermantin F. Minimally invasive techniques in spinal surgery: current practice //Neurosurgery Focus 4(2). — 1998. — Article 8. — P.31-33.
Kambin P., Casey K., O'Brien E. Transforaminal arthroscopic decompression of lateral recess stenosis // J Neurosurg. — 1996. — Vol. 84. — P.462-467.
Li P, Tong Y, Chen Y, et al.. Comparison of percutaneous transforaminal endoscopic decompression and short-segment fusion in the treatment of elderly degenerative lumbar scoliosis with spinal stenosis. BMC Musculoskelet Disord. 2021;22:906. [PMC free article] [PubMed] [Google Scholar]
Park MK, Son SK, Park WW, et al.. Unilateral biportal endoscopy for decompression of extraforaminal stenosis at the lumbosacral junction: surgical techniques and clinical outcomes. Neurospine. 2021;18:871-9. [PMC free article] [PubMed] [Google Scholar]
Park HJ, Kim SK, Lee SC, et al.. Dural tears in percutaneous biportal endoscopic spine surgery: anatomical location and management. World Neurosurg. 2020;136:e578-85. [PubMed] [Google Scholar]
Lee HG, Kang MS, Kim SY, et al.. Dural injury in unilateral biportal endoscopic spinal surgery. Global Spine J. 2021;11:845-51. [PMC free article] [PubMed] [Google Scholar]
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2026 National Association of Neurologists

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.



