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Acta Neurochirurgica

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01-12-2024 | Lumbar Disc Herniation | How I Do it

A novel repair strategy using knotless squeeze anchors for lumbar disc herniation with endplate junction lesions under biportal endoscopic spinal surgery

Authors: Lejian Jiang, Xiaowei Jing, Xiaowen Qiu, Qingfeng Hu

Published in: Acta Neurochirurgica | Issue 1/2024

Abstract

Background

Annulus fibrosus-endplate (AF-EP) junction lesions are important determinants for lumbar disc herniation (LDH). Utilizing biportal endoscopic spinal surgery (BESS), we introduce a novel repair method using bioabsorbable PushLock anchors with suture fibers to stretch disconnected AF tissues to the vertebral cortex.

Methods

The viewing and working portals are established to excise herniated disc materials causing radiculopathy. Through the working portal, a suture strand is passed through the intact AF tissue near the lesion and retrieved using the Suture Crossing Device. Then, the knotless suture limbs are secured into the cortical bone socket of the vertebral body with a PushLock anchor.

Conclusion

The procedure is a simple, safe, and feasible knotless suturing technique for the treatment of LDH with AF-EP junction lesions.

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Title: A novel repair strategy using knotless squeeze anchors for lumbar disc herniation with endplate junction lesions under biportal endoscopic spinal surgery
Authors: Lejian Jiang
Xiaowei Jing
Xiaowen Qiu
Qingfeng Hu
Publication date: 01-12-2024
Publisher: Springer Vienna
Keywords: Lumbar Disc Herniation
Lumbar Disc Herniation
Spinal Surgery
Published in: Acta Neurochirurgica / Issue 1/2024
Print ISSN: 0001-6268
Electronic ISSN: 0942-0940
DOI: https://doi.org/10.1007/s00701-024-06065-3

Keynote webinar | Spotlight on medication adherence

Springer Medicine

A novel repair strategy using knotless squeeze anchors for lumbar disc herniation with endplate junction lesions under biportal endoscopic spinal surgery

Abstract

Background

Methods

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Conclusion

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