By A. Dezawa, P.-Q. Chen, J.-Y. Chung
The sector of endoscopic spinal surgical procedure has visible major progress lately and has ended in new and leading edge surgical recommendations that deal with numerous pathological stipulations within the spinal column with out working the hazards quite often linked to open surgical procedure. This ebook, because the results of the PASMISS (Pacific Asian Society of Minimally Invasive backbone surgical procedure) assembly held in Thailand in 2002, is a set of the newest examine via across the world famous specialists within the box. They talk about present recommendations for appearing endoscopic backbone surgical procedure, in addition to reading thoracoscopic and laparoscopic recommendations. person chapters handle topics as diversified as microdiscectomy, laparoscopic epidural surgical procedure, and foraminoscopic backbone surgical procedure, The amassed wisdom contained inside this quantity is bound to be of gain to orthopedic surgeons drawn to studying quite a lot of new methods.
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Additional info for State of the Art for Minimally Invasive Spine Surgery
The incision was extended to the fascia of the tensor fasciae latae muscle. This portion is already transitional to the gluteus maximus muscle, and the ventral portion to the gluteus Diagnosis and Endoscopic Release of the Piriformis Muscle 151 incision piriformis muscle sciatic nerve Fig. 2. Illustration of the procedure of arthroscopic release of the piriformis muscle b,c a Fig. 3. Magnetic resonance imaging (MRI) ﬁndings. a Sagittal section (parallel to femoral neck). b Frontal section before surgery.
Of the conventional endoscopic systems, myeloscopes correspond to the last two categories, but they are mostly rigid, and their areas of access have been markedly limited, although they provide clear images. On the other hand, myeloﬁberscopes are smaller in diameter and are highly ﬂexible, so that they can be advanced relatively freely to regions that have been difﬁcult to approach with conventional instruments. 75 mm in diameter, and in 1987 we attempted clinical examination and diagnosis of injuries of the cervical spine.
In addition, training of cooperative movements between manual sensation and visual sensation should be performed for anatomically accurate arrival of the dilator at the ischiatic notch and accurate manipulation. Patients in whom this procedure is difﬁcult can be dealt with by changing the size of the tubular retractor of the syringe to 20 or 30 ml. In this technique of releasing the piriformis muscle, a cavity can be produced and maintained by a procedure similar to posterior endoscopic lumbar discectomy for intervertebral disc herniation.