Current Indications for Spinal Endoscopic Surgery and Potential for Future Expansion

Endoscopic spine surgery (ESS) has evolved as a safe, effective, and efficient alternative for minimally invasive spine surgery (MISS). The innovation of full-endoscopic systems makes definitive decompression surgery through different approaches feasible. The approach can be determined according to...

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Bibliographic Details
Published in:Neurospine Vol. 20; no. 1; pp. 33 - 42
Main Authors: Chen, Kuo-Tai, Kim, Jin-Sung, Huang, Abel Po-Hao, Lin, Martin Hsiu-Chu, Chen, Chien-Min
Format: Journal Article
Language:English
Published: Korea (South) Korean Spinal Neurosurgery Society 01.03.2023
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ISSN:2586-6583, 2586-6591
Online Access:Get full text
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Summary:Endoscopic spine surgery (ESS) has evolved as a safe, effective, and efficient alternative for minimally invasive spine surgery (MISS). The innovation of full-endoscopic systems makes definitive decompression surgery through different approaches feasible. The approach can be determined according to the location of the target lesion or the surgeon's preference. During the past 2 decades, ESS has expanded its indications from lumbar to cervical spines. Except for decompression, endoscopy-assisted fusion surgery is also developing. However, ESS is still evolving and has a steep learning curve. The revolution of technologies and ESS techniques will enable surgeons to treat various spinal diseases more practically. In recent years, the application of the computer-assisted navigation system and augmented reality have reformed imaging quality and interpretation. The endoscopic rhizotomy techniques have opened a new way for MISS of chronic low back pain. This review introduces the current indications of ESS and its potential future expansion.
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ISSN:2586-6583
2586-6591
DOI:10.14245/ns.2346190.095