Download Advances in Minimally Invasive Surgery and Therapy for Spine by Andrea Porzionato, Veronica Macchi (auth.), Alberto PDF

By Andrea Porzionato, Veronica Macchi (auth.), Alberto Alexandre, Marcos Masini, Pier Paolo Maria Menchetti (eds.)

Radiologists, orthopedic and neurological surgeons current the several minimally invasive tools. Peripheral nerve difficulties and difficulties referring to differential prognosis in exact occasions corresponding to among radicular and peripheral nerve trunk lesions are mentioned, pinpointing the importance of other diagnostic instruments. Minimally invasive options, applied these days to reduce bone demolition, scarring and probability of recurrence are analyzed. Microdiscectomy is in comparison with the result of intradiscal innovations, and new tools are mentioned dealing with difficulties similar to epidural fibrotisation, microinstability, osteoporotic or neoplastic or posttraumatic vertebral lesions.

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In a limited fashion, epidural steroids injections were introduced to reduce residual or persistent pain. During this era, neural compression was considered to be the sole reason for all spinal pain. The surgical community firmly believed in the presence of a concrete-structural alteration to explain the pain, and spinal arthrodesis was introduced into the surgical care of the spine. Salvage fusions were developed to deal with the iatrogenic persistent pain pictures. ’’ The next era started with pain programs to deal with the chronic pain patients created by multiple failed surgeries.

Sometimes there is no explanation for patient’s symptoms or they are contradictory, mainly in patients already submitted to surgical procedures of the spine [3, 15, 22]. Epidural endoscopy is an option among conservative modalities in the management of refractory low back pain. It can be used for its diagnosis and treatment, and was included in the armamentarium in 1966 by Saberski and Kitahama [20]. The technique permits to navigate, diagnose and treat the exact place of conflict without additional (other tissues) lesions.

1934) Rupture of the intervertebral disc with involvement of the spinal canal. New Engl J Med. 211:210–5 21 8. Filippi A. (1935) La guarigione del disco intervertebrale dopo l’asportazione del nucleo polposo negli animali da esperimento. Chir Org Mov. 21:1–9 9. De Se`ze S. (1940) Sciatique ‘‘banale’’ et disques lombosacre´s. Presse Me´d. 48:570–5 10. Love JG, Walsh MN. (1938) Protruded intervertebral disks: report of one hundred cases in which operation was performed. JAMA. 111:396–400 11. Lane JD, Moore ES.

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