By Parviz Kambin
This authoritative and hugely illustrated advisor to arthoscopic and endoscopic surgical procedure describes and illustrates state of the art suggestions and methods which are at the moment used for the therapy of painful backbone pathologies and the prevention of postsurgical failed again syndrome. The authors show step by step how minimally invasive options are played in spinal surgical procedure and the way anatomical constructions showing via an endoscope can assist within the analysis and popularity of varied anatomical buildings of the backbone. An accompanying DVD exhibits genuine surgeries played in the course of arthroscopic and endoscopic microdiscectomy and arthroscopic interbody fusion utilizing percutaneous pedicular fixators.
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Extra resources for Arthroscopic and endoscopic spinal surgery: text and atlas
Coarse fibrous bands of the annulus are observed after removal of the adipose tissue (Fig. 6A,B). At times, a thin layer of fibers of the psoas muscle are observed on the dorsolateral surface of the annulus in the triangular working zone (Fig. 7). NERVE ROOTS AND ROOT GANGLIA Both exiting and traversing roots that form the lateral and medial boundaries of the triangular working zone are in the path of dorsolaterally inserted instruments and may be subject to insult during intradiscal or extraannular approaches to the lumbar spine.
61. Kambin P. Diagnostic and therapeutic spinal arthroscopy. Neurosurg Clin N Am 1996;(1): 65–76. 62. Kambin P. Arthroscopic microdiscectomy and lumbar intervertebral fusion, in The Adult Spine: Principles and Practice (Frymoyer J W, Ducker T, Hadler N, et al. ), New York, 1996, pp. 2037–2047. 63. Kambin P. ), Lippincott-Raven, Philadelphia, 1996, pp. 1215–1225. 64. Kambin P, Gennarelli T, Hermantin F. Minimally invasive techniques in spinal surgery: current practice. Neurosurg Focus 1998;4(2):l–l0.
However, positioning the instruments medial to the lateral pedicular line at the onset of operative procedures will help avoid any complications (see Chapter 4). EPIDURAL ADIPOSE TISSUE Epidural adipose tissue is usually seen as rather large globules of fat that move in and out of the cannula when a patient inhales and exhales. This adipose tissue is surrounded by the epidural venous system, which must be controlled when transforaminal intracanalicular access is employed for the removal of a sequestered disc.
Arthroscopic and endoscopic spinal surgery: text and atlas by Parviz Kambin