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KMID : 1040920220070010084
Journal of Minimally Invasive Spine Surgery and Technique
2022 Volume.7 No. 1 p.84 ~ p.89
Full-endoscopic Intradiscal Surgery: State of the Art
Sairyo Koichi

Yamashita Kazuta
Tezuka Fumitake
Morimoto Masatoshi
Sugiura Kosuke
Takeuchi Makoto
Inokuchi Takashi
Fujitani Junzo
Abstract
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.
KEYWORD
Full-endoscopic spine surgery, Thermal annuloplasty, Disc cleaning, Local anesthesia
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