Lumbar microdiscectomy with the simply modified taylor retractor

Lumbar microdiscectomy with the simply modified taylor retractor

Aim: To describe the modifications we made to the Taylor retractor (TR) used in routine spinal surgery and present the results of cases that underwent surgery with the modified TR. Materials and Methods: We made two basic modifications to the TR used in standard spinal surgery practice: reducing the size of the instrument and reshaping the blade part. The study included the cases in which we performed unilateral lumbar microdiscectomy (LM) at one level with standard and modified TR between January 2016 and August 2020. The preoperative and postoperative thirdmonth low back pain and ODI scores were statistically analyzed. Results: The mean age of the 50 patients was 42 years, and the male/female ratio was 1.38. Except a skin infection in Group A, no other complication was seen. The mean follow-up period was 12 months. The length of incision was 28 mm in Group A and 17 mm in Group B. When the preoperative and postoperative third-month VAS and ODI scores were statistically analyzed in terms of low back pain, a significant difference was found (p

___

  • 1. Taylor GM. A simple retractor for spinal surgery. J Bone Joint Surg (Am) 1946;28:183-4.
  • 2. Truumees E. A history of lumbar disc herniation from Hippocrates to the 1990s. Clin Orthop Relat Res 2015;473:1885-95.
  • 3. Chedid KJ, Chedid MK. The ‘tract’ of history in the treatment of lumbar degenerative disc disease. Neurosurg Focus 2004;16:E7.
  • 4. Castro I, Santos DP, Cristoph Dde H, Landeiro JA. The history of spinal surgery for disc disease: an illustrated timeline. Arq Neuropsiquiatr 2005;63:701-6.
  • 5. Robinson JS. Sciatica and the lumbar disk syndrome. A historic perspective. South Med J 1983;76:232-8.
  • 6. Padua R. The history of the diagnosis and treatment of lumbar sciatic disc herniation. Chir Organi Mov 1999;84:367-73.
  • 7. Postacchini F, Postacchini R. Operative management of lumbar disc herniation: the evalution of knowledge and surgical techniques in the last century. Acta Neurochir Suppl 2011;108:17-21.
  • 8. Yasargil MG, Vise WM, Bader DC. Techical adjuncts in neurosurgery. Surg Neurol 1977;8:331-6.
  • 9. Postacchini F, Cinotti G, Gumina S. Microsurgical excision of lateral lumbar disc herniation through an interlaminar approach. J Bone Joint Surg Br 1988;80:201-7.
  • 10. Hijikata S, Yamagishi M. Percutaneous discectomy. A new treatment method for lumbar disc herniation. J Toden Hosp 1975;5:5-13.
  • 11. Mixter W, Barr J. Rupture of the intervertebral disc with involvement of the spinal canal. N Engl J Med 1934;211:210-5.
  • 12. Deyo RA, Tsui-Wu YJ. Descriptive epidemiology of low-back pain and its related medical care in the United States. Spine 1987;12:264-8.
  • 13. Caspar W. A new surgical procedure for lumbar disc herniation causing less tissue damage through a microsurgical approach. In:Wullenweber R, Brock M, Hamer J (editors), Advances in Neurosurgery. Berlin: Springer-Verlag 1977;p.74-7.
  • 14. Yasargil MG. Microsrugical operation for herniated disc. In:Wullenweber R, Brock M, Hamer J (editors), Advances in Neurosurgery. Berlin: Springer-Verlag 1977;p.81.
  • 15. Foley KT, Smith MM. Microendoscopic discectomy. Techniques in Neurosurgery 1977;3:301-7.
  • 16. Tait MJ, Levy J, Nowell M, Pocock C, Petrik V, Bell BA, et al. Improved outcome after lumbar discectomy in patients shown their excised disc fragments: A prospective double blind, randomised, controlled trial. J NeurolNeurosurg Psychiatry 2009;80:1044-6.
  • 17. Katayama Y, Matsuyama Y, Yoshihara H, et al. 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;19:344-7.
  • 18. Kotil K, Tunckale T, Tatar Z, et al. Serum creatine phosphokinase activity and histological changes in the multifudus muscle: A prospective randomized controlled comparative study of discectomy with or without retraction. J Neurosurg Spine 2007;6:121-5.
  • 19. Nakagawa H, Kamimura M, Uchiyama S, et al. Microendoscopic discectomy (MED) for lumbar disc prolapse. J Clin Neurosci 2003;10:231-5.
  • 20. Shin DA, Kim KN, Shin HC, et al. The efficacy of microendoscopic discectomy in reducing iatrogenic muscle injury. J Neurosurg Spine 2008;8:36-43.
  • 21. Arts MP, Brand R, van den Akker ME, et al. Tubular diskectomy vs conventional microdiskectomy for sciatica: A randomized controlled trial. JAMA 2009;302:149-58.
  • 22. Muramatsu K, Hachiya Y, Morita C. Postoperative magnetic resonance imaging of lumbar disc herniation: Comparison of microendoscopic discectomy and Love’s method. Spine 2001;26:1599-605.
  • 23. Schizas C, Tsiridis E, Saksena J. Microendoscopic discectomy compared with standart microsurgical discectomy for treatment of uncontained or large contained disc herniations. Neurosurgery 2005;57:357-60.
  • 24. Bell WO, Lavyne MH. Retractor for lumbar discectomy: Technical note. Neurosurgery. 1984;14:69-70.
  • 25. Epstein NE. Further minification of the Taylor retractor for lumbar surgery. Technical note. Spine 1990;15:54.
Annals of Medical Research-Cover
  • Yayın Aralığı: Aylık
  • Yayıncı: İnönü Üniversitesi Tıp Fakültesi
Sayıdaki Diğer Makaleler

Quantification of cell-free DNA from bladder cancer patients after long-term storage and its use in determining CCAT2, HRAS, and RET polymorphism: A pilot study

Yusuf Kemal Arslan, Ilyas Sayar, Mehmet Gurbuzel, Aliseydi Bozkurt, Soner Baydeniz

Could the minor autohemotherapy be a complementary therapy for healthcare professionals to prevent COVID-19 infection?

Aydan Orscelik, Murat Parpucu, Ilker Solmaz, Burak Karaaslan, Betul Agiragac

A comparison of tetanus antibody levels between patients with high body mass indices and normal patients

Nevin Ince, Attila Onmez, Emel Caliskan

Investigation of the proteins associated with epithelial-mesenchymal transition in skin tumors

Mustafa Emre Ercin, Elif Sanli, Derya Beyza Sayin Kocakap, Fatma Benli Tanrikulu

Proximal hypospadias and 46XY disorder of sex development; which patient with hypospadias needs to be investigated?

Zehra Aycan, Elvan Bayramoglu, Veysel Nijat Bas

A rare case of acute abdomen in an elderly patient: Jejunal diverticulum perforation

Abdullah Kagan Zengin, Omer Kucuk, Server Sezgin Uludag, Mehmet Faik Ozcelik, Nazım Gures, Ahmet Askar

Preoperative embolization of meningiomas: Single center experience

Bulent Yildiz, Burcak Soylemez

A down syndrome patient diagnosed with transient myeloproliferative disease after presenting with cutaneous findings

Ufuk Cakir, Cuneyt Tayman, Dilek Gurlek Gokcebay, Burak Ceran, Turan Derme, Mehmet Orhan Erkan, Seda Sahin

Outcomes of vitreoretinal surgery in patients with posterior segment intraocular foreign body

Seyhan Dikci, Turgut Yılmaz

Linkage of ABO blood groups with ischemic stroke

Osman Korucu, Oktay Bulur