By Andrea Porzionato, Veronica Macchi (auth.), Alberto Alexandre, Marcos Masini, Pier Paolo Maria Menchetti (eds.)
Radiologists, orthopedic and neurological surgeons current the various minimally invasive tools. Peripheral nerve difficulties and difficulties referring to differential prognosis in distinctive occasions resembling among radicular and peripheral nerve trunk lesions are mentioned, pinpointing the importance of other diagnostic instruments. Minimally invasive strategies, applied these days to reduce bone demolition, scarring and hazard of recurrence are analyzed. Microdiscectomy is in comparison with the result of intradiscal strategies, and new equipment are mentioned dealing with difficulties equivalent to epidural fibrotisation, microinstability, osteoporotic or neoplastic or posttraumatic vertebral lesions.
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Additional info for Advances in Minimally Invasive Surgery and Therapy for Spine and Nerves
The catheter and fiberoptic ‘‘Myeloscope’’ were manipulated and rotated in multiple directions with visualization of the nerve roots at various levels. The widening of the epidural space was carried out by slowly injecting normal saline (maximum of 120 ml) and manipulation of the catheter under the endoscope and fluoroscopic visualization. It was not necessary to inject contrast medium for correct positioning of the catheter. 5 ml(25 mg/ml). Ozone (O2/O3 mixture) 20 ml with a concentration of 20 mg/ml is injected at the end.
A prospective, randomized study design. Stereotact Funct Neurosurg; 62 (1–4): 267–272. 6. Raffaeli W. (2006) Endoscopia dello spazio epidurale. Periduroscopia. In: Jankovic D, Borghi B, Rainaldi MP. Anestesia regionale. Masson. 399–403. 7. Raffaeli W, Righetti D. (2005) Surgical radio-frequency epiduroscopy technique (R-ResAblator) and FBSS treatment: preliminary evaluations. Acta Neurochir Suppl; 92: 121–125. , Manoel J. Teixeira, and Erich T. Fonoff Abstract Failed Back Surgery Syndrome (FBSS) is a multidimensional painful condition and its treatment remains a challenge for the surgeons.
Clinical signs and image can be challenging. Sometimes there is no explanation for patient’s symptoms or they are contradictory, mainly in patients already submitted to surgical procedures of the spine [3, 15, 22]. Epidural endoscopy is an option among conservative modalities in the management of refractory low back pain. It can be used for its diagnosis and treatment, and was included in the armamentarium in 1966 by Saberski and Kitahama . The technique permits to navigate, diagnose and treat the exact place of conflict without additional (other tissues) lesions.
Advances in Minimally Invasive Surgery and Therapy for Spine and Nerves by Andrea Porzionato, Veronica Macchi (auth.), Alberto Alexandre, Marcos Masini, Pier Paolo Maria Menchetti (eds.)