Advances in Minimally Invasive Surgery and Therapy for Spine by Alberto Alexandre, Marcos Masini, Pier Paolo Maria Menchetti

By Alberto Alexandre, Marcos Masini, Pier Paolo Maria Menchetti

Radiologists, orthopedic and neurological surgeons current the various minimally invasive equipment. Peripheral nerve difficulties and difficulties bearing on differential analysis in designated occasions similar to among radicular and peripheral nerve trunk lesions are mentioned, pinpointing the importance of alternative diagnostic instruments. Minimally invasive recommendations, applied these days to lessen bone demolition, scarring and possibility of recurrence are analyzed. Microdiscectomy is in comparison with the result of intradiscal suggestions, and new tools are mentioned dealing with difficulties comparable to epidural fibrotisation, microinstability, osteoporotic or neoplastic or posttraumatic vertebral lesions.

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Extra resources for Advances in Minimally Invasive Surgery and Therapy for Spine and Nerves (Acta Neurochirurgica Supplement)

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Fager CA. (1991) Role of laminectomy in lumbar disk herniation. Mt Sinai J Med. 58: 133 138. 5. North RB. (1994) Spinal cord stimulation versus reoperation for the failed back surgery syndrome. A prospective, randomized study design. Stereotact Funct Neurosurg; 62 (1 4): 267 272. 6. Raffaeli W. (2006) Endoscopia dello spazio epidurale. Periduros copia. In: Jankovic D, Borghi B, Rainaldi MP. Anestesia regionale. Masson. 399 403. 7. Raffaeli W, Righetti D. (2005) Surgical radio frequency epiduro scopy technique (R ResAblator) and FBSS treatment: preliminary evaluations.

Regarding the surgical procedure it is considered minimal if causing minimal consequences on the functional unit of the spine, the opposite case is considered maximal, as in the case of fusion (Fig. 6). One of the important aspects of minimally invasive procedures in the spine is that many of those are image guided and include automated steps, which favor reproducibility. Therefore, they may be less operator dependent, which in the future may result in more consistent and comparable results among surgeons or between institutions.

Luschka H. (1858) Die Halbgelenke des menschlichen Korpers. Reimer G, Berlin Dtsch Ned Wochenschr. 35:364 369 3. Oppenheim H, Krause F. (1909) Ueber Einklemmung bzw. Stran gulation der cauda equina. Dtsch Med Wochenschr. 35:697 700 4. Goldthwait JE, Osgood RB. (1905) A consideration of the pelvic articulations from an anatomical, pathological and clinical stand point. Boston Med Surg J. 152:365 2 5. Schmorl G. (1929) Ueber Knorpelknoten an der Hinterflaeche der Wilberbandscheiben. Fortachr Geb Roentgenstr.

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