By Alberto Alexandre, Marcos Masini, Pier Paolo Maria Menchetti

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

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6] describes two cases of intravenous injections of contrast medium during epidural endoscopic procedures and relates to vein lesions and absence of wall collapse associated to fibrotic adhesions. Gill et al. [5], in 2005, reviewed 12 cases of retinal venous hemorrhagic complication associated to epidural endoscopic injection and concluded the it could be associated to the speed of volume injection. Their conclusion is that the injection should not exceed 1 ml/s. Even with no complication in our patient group, this is very interesting knowledge to follow during the procedures.

Hanson B (2007) The Quest for the New. In Szpalski M, Gunzburg R, Le Huec J, Brayda Bruno M (Eds) Nonfusion Technologies in Spine Surgery. Philadelphia: Lippincott Williams & Wilkins. 11. Mayer M (2006) Minimally Invasive Spine Surgery. In: Mayer M (Ed) Minimally Invasive Spine Surgery. A Surgical Manual. Germany: Springer. 12. Resnick D (2007) Evidence Based Spine Surgery. Spine 32: S15 S19. 13. Rulffes W (2006) Technological Advances of Surgical Micro scopes for Spine Surgery. In: Mayer M (Ed) Minimally Invasive Spine Surgery.

Stran gulation der cauda equina. Dtsch Med Wochenschr. 35:697 700 4. Goldthwait JE, Osgood RB. (1905) A consideration of the pelvic articulations from an anatomical, pathological and clinical stand point. Boston Med Surg J. 152:365 2 5. Schmorl G. (1929) Ueber Knorpelknoten an der Hinterflaeche der Wilberbandscheiben. Fortachr Geb Roentgenstr. 40:629 34 6. Alajouanine T, Petit Dutaillis D. (1930) Le nodule fibrocartila gineux de la face poste´riore des disques intervertebraux. Presse Me´d. 98:1657 7.

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