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The first operative spine surgery is credited to Paul of Aegina who lived during the 7th century. [17] However, only within the last 50 years have advances in digital fluoroscopy, image guidance, endoscopy and minimally invasive surgical tools allowed minimally invasive spine surgery to rise to the forefront of spinal procedures. [18] [19]
Epidural lysis of adhesions (LOA), also known as percutaneous adhesiolysis or the Racz procedure, is a minimally invasive spine surgery which involves the dissolution of epidural scar tissue by mechanical means to facilitate the spread of analgesics in an effort to alleviate pain. [1]
The TESSYS method (transforaminal endoscopic surgical system) is a minimally-invasive, endoscopic spinal procedure for the treatment of a herniated disc.It was a further development of the YESS method by the Dutch Dr Thomas Hoogland in the Alpha Klinik in Munich in 1989 and was first called THESSYS (Thomas Hoogland EndoScopic SYStem).
Arthroscopic surgery. Minimally invasive procedures were pioneered by interventional radiologists who had first introduced angioplasty and the catheter-delivered stent.Many other minimally invasive procedures have followed where images of all parts of the body can be obtained and used to direct interventional instruments by way of catheters (needles and fine tubes), so that many conditions ...
Spinal fusion is usually needed when a curvature reaches 40 degrees. However, there is a window of opportunity for a minimally invasive surgery. The curvature needs to be between 0 and 70 degrees. Minimal rib rotation and only one curve is preferred. Also, minimally invasive spinal fusions are almost always only done in the thoracic region.
Despite the fact that microsurgical lumbar laminoplasty is an effective and less-invasive method for decompressing spinal nerves compared to traditional laminectomy, few surgeons have adopted it because the technique is more time-consuming and requires specialized training and equipment (operating microscope).
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