Neurosurgery

Download Arthroscopic and endoscopic spinal surgery: text and atlas by Parviz Kambin PDF

By Parviz Kambin

This authoritative and hugely illustrated consultant to arthoscopic and endoscopic surgical procedure describes and illustrates cutting-edge thoughts and methods which are presently used for the remedy of painful backbone pathologies and the prevention of postsurgical failed again syndrome. The authors show step by step how minimally invasive options are played in spinal surgical procedure and the way anatomical buildings showing via an endoscope may also help within the analysis and popularity of varied anatomical buildings of the backbone. An accompanying DVD exhibits genuine surgeries played in the course of arthroscopic and endoscopic microdiscectomy and arthroscopic interbody fusion utilizing percutaneous pedicular fixators.

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Reprinted from ref. ) interference with the normal blood flow of delicate neural and epidural venous systems (Fig. 10) may cause venous stasis edema of the nerve root, neural fibrosis, and chronic pain (4,8). This phenomenon is usually observed in patients presenting with symptomatic disc herniation and spinal stenosis. Segmental arteries, branches from the aorta and the internal iliac artery, provide blood supply to the neural, osseous, and muscular structures of the spinal column. Branches from the lumbar arteries depart from the segmental arteries and enter the intervertebral foramen (radicular artery) with the exiting root to supply the medullary arteries of the spinal cord and the nerve roots.

It has a whitish, cotton-ball appearance (Fig. 13B). The nucleus breaks off and separates easily. It is not liquid and does not flow. Nuclear tissue absorbs a considerable amount of fluid and has a tendency to swell. By contrast, the nucleus will become dehydrated and partially collagenized in the fifth and sixth decades of life. A mixture of collagenized tissue and whitish soft nucleus may be observed within the intervertebral disc in this older group of patients (Fig. 14A,B). In addition, multiple collagenized free fragments floating within the disc space may also be seen (Fig.

Transforaminal arthroscopic decompression of lateral recess stenosis. J Neurosurg 1996;84:462–467. 80. Destandau J. A special device for endoscopic surgery of the lumbar spine. Neurol Res 1999;21:39–42. 81. Roh SW, Kim D, Cardoso A, Fessler RG. Endoscopic foraminotomy using Spine Med System in cadaveric specimens. Spine 2000;25(2):260–264. 82. Mathews HH, Evans MT, Molligan HJ, Long BH. Laparoscopic diskectomy with anterior lumbar interbody fusion: a preliminary review. Spine 1995;20:1797–1802.

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