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Tag: Patient

Comparable Alternatives to Traditional Spinal Fusion Procedures

This new playlist features special situations helped by Endoscopic Decompression as well as alternatives to fusion for painful spinal conditions that can be compared to traditional procedures touted by current key opinion leaders (KOL’s).

These examples are from Dr. Yeung’s personal database of over 10,000 procedures since 1991. Dr. Yeung adopted and evolved Kambin’s “inside-out ” intradiscal endoscopic technique, and evolved it over 25 years to include “foraminoplasty” versus simple foraminotomy. It involves 1) directly decompressing and visualizing the hidden zone of McNab (when deemed necessary) between the traversing and exiting nerve, the site of painful patho-anatomy, as the graveyard of Failed Back Surgery Syndrome (FBSS) and 2) the appropriate use of laser under endoscopic visualization (not as a marketing ploy) facilitating endoscopic surgery as a valuable surgical tool when utilized appropriately.

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Advances in Transforaminal Endoscopic Decompression

These videos showcase more procedures offering the least invasive alternatives to fusion that target the pain generator such as foraminal stenosis and patho-anatomy in the hidden zone that is successfully treated with transforaminal decompression following excellent results with diagnostic and therapeutic injections. 

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YESS Instrumentation and Techniques

This series of videos illustrate the YESS transforaminal endoscopic technique for the common causes of back pain and sciatica, demonstrating the surgical technique and the instrumentation needed. It is intended for patients and surgeons wanting more information on the FDA approved, least invasive surgical techniques in the lumber spine developed since 1996 by Anthony T. Yeung, MD.

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Herniated Disc and Obesity

Obesity is a challenge for herniated disc excision, especially with extrusion and sequestration open removal. The transforaminal approach is best, but may be challenging if the cannula is too short.

This patient was challenging because the proximal cannula was buried below the skin. The procedure was done under local anesthesia and the patient was able to communicate and provide feedback during surgery.

The patient volunteered that her pain was gone in the recovery room. Transforaminal Percutaneous Endoscopic spine surgery was much less surgically morbid than a similar translaminar or open discectomy which is an ideal approach for large patients. Minimal sedation is also an advantage for efficacy and safety.

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Treating Failed Back Surgery Syndrome

This series of videos is for physicians and patients seeking endoscopic alternatives to traditional surgery. These examples demonstrate how transforaminal decompression can treat Failed Back Surgery Syndrome and primary stenosis often missed by traditional surgeons.

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Transforaminal Decompression for Spondylolisthesis

Although fusion is considered the “gold standard ” for treatment of spondylolisthesis, we have over 10 years experience following our favorable experience with transforaminal endoscopic decompression for mild, but stable spondylolisthesis in patients who refused recommended fusion.

Favorable results with endoscopic results for foraminal stenosis since 1997 allowed us to evolve our indications to include carefully selected patients with spondylolisthesis who refused recommended fusion and elected to undergo endoscopic foraminal decompression as a “staged procedure” since 2005.

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Post-op Dysesthesia and Treatment

Post-op dysesthesia is an unavoidable phenomenon that is a risk of nay transforaminal decompression, especially stenosis. It can be a result of the decompression itself or due to anomalous anatomy not known to surgeons.

Operating with the patient awake is the best way to avoid dysesthesia as the patient will have pain during the surgery that will alert the surgeon. Pain is a warning sign. The surgeon must know how to manipulate his instruments and recognize patho-anatomy.

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Common Scenarios For Patients Seeking Endoscopic Surgery

This playlist summarizes the most common clinical presentations for patients seeking the least invasive procedure for their lumbar pain and who have sought out Dr. Anthony Yeung for SED. DISC is the only private spine group that can offer the full spectrum of options with experienced and skilled surgeons.

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