Endoscopic spinal surgery

Endoscopic spinal surgery (also known as minimally invasive spine surgery) is any minimally invasive procedure that targets conditions specifically within the spine often through the use of endoscopic tools.

Methods

Minimally-invasive surgery aims to reduce tissue trauma and bleeding and risk of infection while improving the healing process of the body by minimizing the size of the incision.[1] This type of surgery can often be performed percutaneously using incisions of less than 15 mm. Endoscopic surgery can be carried out using an image intensifier and navigation assistance. In order to avoid damage to blood vessels, nerves and organs, the use of anatomical "safe corridors" (Kambin's triangle) is advised.[2]

History

Percutaneous endoscopic surgery has become the most frequent type of endoscopic spinal surgery. It was first described independently by Dr Parviz Kambin (United States) and Dr Sadahisa Hijikata (Japan) in 1973. Dr Kambin defined the "safe triangle" named after him. Following these authors Dr Schreiber and others (Hansjörg Leu, Suezawa) used an arthroscope into the intervertebral disc and reported on their trials under the name "discoscopy" in 1989. Endoscopic spine surgery was popularized worldwide, and was followed by the development of Minimally Invasive Endoscopic Spinal Surgery (MISS). Dr Antony Yeung (USA) created a purpose-designed instrument known as "Yeung Endoscopic Spine System" (YESS). It is produced by Wolf. Simultaneously Dr Martin Knight (UK) created the Knight Instrument Spine system (KISS), manufactured by EKL, Dr Hansjörg Leu (Swiss) designed the Leu discoscope, manufactured by Storz, Dr Thomas Hoogland (Germany) also designed his own instruments with different companies. Recently various devices have been marketed by different companies on the basis of the Kambin technique.

Communities

Minimal invasive spine communities were founded by groups such as ISMISS, WCMIST, PASMISS, IMLAS, ITSS, Wenmiss and AAMISS. One of these groups, ISMISS, was founded by Kambin, Schrieber and others in Zurich.

References

  1. ↑ "Minimally Invasive Endoscopic Spinal Surgery". June 20, 2005. Cleveland Clinic contribution to SpineUniverse.com.
  2. ↑ C. Birkenmaier, J. Chiu, A. Fontanella & H. Leu for ISMISS, "Guidelines of Endoscopic Spine Surgery", Issue 1: February 2008.


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