By Parviz Kambin

This authoritative and hugely illustrated advisor to arthoscopic and endoscopic surgical procedure describes and illustrates cutting-edge strategies and techniques which are at the moment used for the remedy of painful backbone pathologies and the prevention of postsurgical failed again syndrome. The authors exhibit step by step how minimally invasive suggestions are played in spinal surgical procedure and the way anatomical constructions showing via an endoscope may also help within the analysis and popularity of assorted anatomical constructions of the backbone. An accompanying DVD indicates real surgeries played in the course of arthroscopic and endoscopic microdiscectomy and arthroscopic interbody fusion utilizing percutaneous pedicular fixators.

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9A–D). The inflamed nerve roots are highly sensitive to palpation and compression. The traversing root may be 34 Kambin Fig. 6. Interoperative photos showing (A) annular surface following removal of adipose tissue and (B) magnified view of avascular fibers of annulus following extraction of superficial adipose tissue. Anatomy of Lumbar Spine 35 Fig. 7. A thin layer of psoas muscle that covers the triangular working zone is observed and is being removed with the aid of laser light. Fig. 8. Cadaveric dissection showing fibers of posterior longitudinal ligamentum, which extends to dorsolateral aspect of annulus, foraminal, and extraforaminal region.

J Laparoendosc Surg 1991;1:145–149. 87. Obenchain TG, Cloyd D, Slavin M. Outpatient laparoscopic lumbar discectomy. Description of technique and review of first twenty-one cases. Surg Tech Int 1993;2:415–418. 88. Regan JJ. Technique and approach for laparoscopic discectomy and fusion, Atlas of Endoscopic Spine Surgery (Regan, Mcaffee, Mack, eds). Quality Medical Publishing st. Louis, pp. 130–135. 89. Regan JJ, Mack M J, Picetti GDI, A technical report on video-assisted thoracoscopy in thoracic spinal surgery: preliminary description.

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. 65. Shepperd JAN. Percutaneous and minimal intervention spinal fusion. in Arthroscopic Microdiscectomy Minimal Intervention in Spinal Surgery (Kambin p, ed), Urban & Schwarzenberg, Baltimore, 1991, pp. 127–129. 66. Kambin P. Principles and experiences with monoportal arthroscopic microdiscectomy.

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