KMID : 1040920220070010084
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Journal of Minimally Invasive Spine Surgery and Technique 2022 Volume.7 No. 1 p.84 ~ p.89
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Full-endoscopic Intradiscal Surgery: State of the Art
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Sairyo Koichi
Yamashita Kazuta Tezuka Fumitake Morimoto Masatoshi Sugiura Kosuke Takeuchi Makoto Inokuchi Takashi Fujitani Junzo
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Abstract
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Two types of full-endoscopic intradiscal surgery have been described in the literature. The first is full-endoscopic thermal annuloplasty, which was introduced in 2004 for discogenic pain. The proposed pain generator is a high signal intensity zone or a toxic annular tear, which can be treated by full-endoscopic thermal annuloplasty using a bipolar radio-pulse device. The second is full-endoscopic disc cleaning surgery, which is more recent and has been used to treat intractable chronic low back pain due to type 1 Modic change. In this review, we describe the current status of full-endoscopic intradiscal surgery.
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KEYWORD
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Full-endoscopic spine surgery, Thermal annuloplasty, Disc cleaning, Local anesthesia
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