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 different minimally invasive tools. Peripheral nerve difficulties and difficulties bearing on differential analysis in specific occasions corresponding to among radicular and peripheral nerve trunk lesions are mentioned, pinpointing the importance of other diagnostic instruments. Minimally invasive innovations, applied these days to lessen bone demolition, scarring and hazard of recurrence are analyzed. Microdiscectomy is in comparison with the result of intradiscal concepts, and new equipment are mentioned dealing with difficulties corresponding to epidural fibrotisation, microinstability, osteoporotic or neoplastic or posttraumatic vertebral lesions.

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Extra resources for Advances in Minimally Invasive Surgery and Therapy for Spine and Nerves

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1 Gender and Age data. The left bar shows the total number of patients (n¼32) included in the research, separated by gender. The upper part represents 18 females and the lower one 14 males. The graph on the right side shows that a bigger portion of the patients was between 41 to 59 years old Number of Patients 30 Group age in decades 25 18 33,3% 20 26,7% 20,0% 15 10,0% 10 14 3,3% 3,3% 3,3% 5 2 0 Male Female 3 4 5 6 7 8 Minimally Invasive Treatment for Refractory Low Back Pain, Targeted by Epidural Endoscopy with O2/O3 and Steroid Therapy back pain without progressive neurology and no indication to open surgical procedure.

In few areas of medicine have been so many advances in knowledge in recent times, as in spine surgery [16]. As examples, we have moved from the approximate anatomical drawings and descriptive anatomy of the spine to the deep knowledge of surgical anatomy, functional anatomy (biomechanics) and radiological anatomy. It is worth to mention that in the basic sciences have been great advances in histology, biochemistry, genetics, immunology, physiology, biomechanics, etc. Which have increased our understanding on the complex structure and function of the intervertebral disc, which in turn has opened the hope to new possibilities of more specific and thorough treatments in the future, such as biological treatments; even though we must recognize that we too need to understand, to the point that it has not even been possible to define the meaning of degenerative disc disease and differences as far as the natural aging process [1].

12] in 2008 reported their experience with 2,900 cases of patients treated by discolysis with O2/O3 intradiscal, periganglionic and periradicular injection. They describe an initial success of 80% of substantial pain relief in disc protrusions and no major complications related to this method. This is the conclusion we have sustained from this work. Igarashi et al. [7] reports the effect of epidural endoscopy and injection in the treatment of 58 patients with lumbar stenosis relating the improvement of the patients to sympathetic block and better blood supply in the compressed roots.

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