Pain physician
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Foot drop that results from compression of the exiting L5 nerve as a result of far lateral disc herniation (FLDH) at L5-S1 poses a significant surgical challenge to the minimally-invasive spine surgeon given the narrow corridor for an extraforaminal approach because of the high iliac crest. ⋯ Endoscopic spine surgery, minimally-invasive, transforaminal, foot drop, far lateral disc herniation.
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Transforaminal endoscopic lumbar disc decompression (TELD) has emerged as a treatment alternative to open lumbar discectomy, but rates of herniated lumbar disc (HLD) recurrence after TELD are higher by comparison. ⋯ Disc herniation, lumbar, endoscopic, recurrence, early.
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Observational Study
Radiation Dose Practice Audit of 6,234 Fluoroscopically-Guided Spinal Injections.
Fluoroscopic imaging guidance is frequently used in performing spinal interventional techniques. Reference level standards are a quality improvement tool to help reduce radiation dose and serve as benchmarks for physicians and their technologists to achieve reasonable radiation exposure while performing fluoroscopically-guided spinal procedures. There are limited data describing radiation dose for musculoskeletal injections - in particular, spinal injections without any published reference standards. ⋯ Spinal procedures, radiation dose, patient safety.