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The wound itself takes a long time to heal; the aim of minimally invasive surgery is reduce tissue trauma and the associated bleeding and risk of infection by minimizing the size of the incision. [2] [3] Some minimally invasive spine surgery may be performed by a spinal neurosurgeon or an orthopedic surgeon and a trained medical team.
A discectomy (also called open discectomy, if done through a 1/2 inch or larger skin opening) is the surgical removal of abnormal disc material that presses on a nerve root or the spinal cord. The procedure involves removing a portion of an intervertebral disc , which causes pain, weakness or numbness by stressing the spinal cord or radiating ...
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The first blind transforaminal discectomy was done by Parvis Kambin in 1973 with Craig's canula's. The Tessys method was a further development of the existing YESS method (American Anthony Yeung ) by the Dutch Thomas Hoogland in 1989 in Munich by reaming a few mm's from the SAP (Superior Articular Process).
Anterior cervical discectomy and fusion (ACDF) is a surgical procedure to treat nerve root or spinal cord compression by decompressing the spinal cord and nerve roots of the cervical spine with a discectomy, followed by inter-vertebral fusion to stabilize the corresponding vertebrae. [1]
The very long-term outcome (mean follow-up time of 12.4 years) was excellent-to-good in 68% of patients (59% women and 73% men). Furthermore, in the longitudinal follow-up, the result improved between 1985 and 1991. No special complications were manifested during this very long-term follow-up time.
The recovery period after a laminectomy depends on the specific operative technique, with minimally invasive procedures having significantly shorter recovery periods than open surgery. Removal of substantial amounts of bone and tissue may require additional procedures such as spinal fusion to stabilize the spine and generally require a much ...
This usually results in less infection, a quicker recovery time and shorter hospital stays, or allow outpatient treatment. [5] However, the safety and effectiveness of each procedure must be demonstrated with randomized controlled trials. The term was coined by John E. A. Wickham in 1984, who wrote of it in British Medical Journal in 1987. [6]