ID | 115977 |
Title Alternative | Full-endoscopic disc cleaning surgery
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Author |
Sairyo, Koichi
Tokushima University
Tokushima University Educator and Researcher Directory
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Maeda, Toru
Tokushima University
Morimoto, Masatoshi
Tokushima University
Tokushima University Educator and Researcher Directory
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Yagi, Kiyoshi
Tokushima University
Kishima, Kazuya
Tokushima University
Sugiura, Kosuke
Tokushima University
Tokushima University Educator and Researcher Directory
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Yamada, Yuji
Tokushima University
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Keywords | Type 1 Modic change
inflammation
Propionibacterium acnes (P. acnes)
transforaminal full-endoscopic spinal surgery
disc cleaning
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Content Type |
Journal Article
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Description | It has been reported that Modic change of the lumbar spine endplate includes three types: i.e. . edema or inflammation for type 1, fatty marrow change for type 2 and sclerotic change for type 3. Basically, type 1 Modic change may be related to the chronic low back pain. There are two kinds of the treatment for the type 1 Modic change to heal the pain : the anti-inflammatory drugs, and intra-discal injection of steroid. When the inflammatory change would be intractable, surgical intervention is needed. The gold standard for the surgical intervention is the segmental fusion of the affected level. The fusion surgery may cause the adjacent degeneration ; thus, motion preservation surgery is better, if possible. Our department started the motion preservation full-endoscopic intradiscal debridement surgery for this pathology, since some of the type 1 Modic change may be chronic discitis by P. Acnes. In this paper, we describe the first patient of type 1 Modic change who was successfully treated by the full-endoscopic intra-discal debridement and drainage under the local anesthesia. We named this procedure as transforaminal full-endoscopic disc cleaning surgery (FEDC). Finally, pathology, conservative and surgical intervention of Modic change was discussed.
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Journal Title |
The Journal of Medical Investigation
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ISSN | 13496867
13431420
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NCID | AA11166929
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Publisher | Tokushima University Faculty of Medicine
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Volume | 68
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Issue | 1-2
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Start Page | 1
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End Page | 5
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Sort Key | 1
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Published Date | 2021-02
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EDB ID | |
DOI (Published Version) | |
URL ( Publisher's Version ) | |
FullText File | |
language |
eng
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TextVersion |
Publisher
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departments |
Medical Sciences
University Hospital
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