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A Narrative Review of Development of Full-Endoscopic Lumbar Spine Surgery

In the first phase of development of lumbar endoscopic spine surgery, the focus was on removal of soft disc material through the working corridor of Kambin’s triangle using transforaminal endoscopic lumbar discectomy. With the introduction of the interlaminar approach and increased interest from bot...

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Detalles Bibliográficos
Autores principales: Wu, Pang Hung, Kim, Hyeun-Sung, Jang, Il-Tae
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Korean Spinal Neurosurgery Society 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7410380/
https://www.ncbi.nlm.nih.gov/pubmed/32746515
http://dx.doi.org/10.14245/ns.2040116.058
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author Wu, Pang Hung
Kim, Hyeun-Sung
Jang, Il-Tae
author_facet Wu, Pang Hung
Kim, Hyeun-Sung
Jang, Il-Tae
author_sort Wu, Pang Hung
collection PubMed
description In the first phase of development of lumbar endoscopic spine surgery, the focus was on removal of soft disc material through the working corridor of Kambin’s triangle using transforaminal endoscopic lumbar discectomy. With the introduction of the interlaminar approach and increased interest from both industry and surgeons, there has been an exponential development of endoscopic surgical equipment and a corresponding expansion of endoscopic techniques. Endoscopic treatment strategies are applied to conditions ranging from contained prolapsed intervertebral discs to noncontained migrated herniated discs, hard calcified discs, spinal stenosis in the central or lateral recess and the foraminal and extraforaminal region, and other combinations of degenerative conditions requiring decompression or fusion surgery. The further expansion of endoscopic surgical management involving complicated spinal cases and the final quartet of trauma, infections, tumors, and possibly deformities could be the future stage of endoscopic spine surgery development. This article covers the full range of current treatment strategies and presents possible future developments of endoscopic spine surgery for the management of lumbar spinal conditions.
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spelling pubmed-74103802020-08-13 A Narrative Review of Development of Full-Endoscopic Lumbar Spine Surgery Wu, Pang Hung Kim, Hyeun-Sung Jang, Il-Tae Neurospine Review Article In the first phase of development of lumbar endoscopic spine surgery, the focus was on removal of soft disc material through the working corridor of Kambin’s triangle using transforaminal endoscopic lumbar discectomy. With the introduction of the interlaminar approach and increased interest from both industry and surgeons, there has been an exponential development of endoscopic surgical equipment and a corresponding expansion of endoscopic techniques. Endoscopic treatment strategies are applied to conditions ranging from contained prolapsed intervertebral discs to noncontained migrated herniated discs, hard calcified discs, spinal stenosis in the central or lateral recess and the foraminal and extraforaminal region, and other combinations of degenerative conditions requiring decompression or fusion surgery. The further expansion of endoscopic surgical management involving complicated spinal cases and the final quartet of trauma, infections, tumors, and possibly deformities could be the future stage of endoscopic spine surgery development. This article covers the full range of current treatment strategies and presents possible future developments of endoscopic spine surgery for the management of lumbar spinal conditions. Korean Spinal Neurosurgery Society 2020-07 2020-07-31 /pmc/articles/PMC7410380/ /pubmed/32746515 http://dx.doi.org/10.14245/ns.2040116.058 Text en Copyright © 2020 by the Korean Spinal Neurosurgery Society This is an open access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Review Article
Wu, Pang Hung
Kim, Hyeun-Sung
Jang, Il-Tae
A Narrative Review of Development of Full-Endoscopic Lumbar Spine Surgery
title A Narrative Review of Development of Full-Endoscopic Lumbar Spine Surgery
title_full A Narrative Review of Development of Full-Endoscopic Lumbar Spine Surgery
title_fullStr A Narrative Review of Development of Full-Endoscopic Lumbar Spine Surgery
title_full_unstemmed A Narrative Review of Development of Full-Endoscopic Lumbar Spine Surgery
title_short A Narrative Review of Development of Full-Endoscopic Lumbar Spine Surgery
title_sort narrative review of development of full-endoscopic lumbar spine surgery
topic Review Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7410380/
https://www.ncbi.nlm.nih.gov/pubmed/32746515
http://dx.doi.org/10.14245/ns.2040116.058
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