Endoscopic Discectomy and Foraminal Decompression In Interventional Spine: An Algorithmic Approach
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- Create Date July 19, 2008
Endoscopic disc surgery is evolving rapidly because of improvements in surgical technique, endoscope design, adjunctive surgical tools, and instrumentation. New endoscopes and complementary surgical devices enhances the endoscopic spine surgeon’s ability to also probe spinal anatomy in a conscious patient. The surgeon can then evolve his diagnostic and surgical skills with this newly found ability to evaluate pathologic, anatomic, and physiologic processes causing the patient’s pain.
Now that diagnostic spinal endoscopy can be performed, conditions previously not even considered for surgery may be probed, evaluated and surgically treated with greater accuracy. Our understanding of discogenic back pain is enhanced, as endoscopic visualization of pathologic lesions not previously seen, intradiscally and in the “hidden" extra-foraminal zone is increasing our understanding of the pain generators in the lumbar spine.