A. Dezawa, P.-Q. Chen, J.-Y. Chung (Eds.)
State of the Art for Minimally Invasive Spine Surgery
A. Dezawa, P.-Q. Chen, J.-Y. Chung (Eds.)
State of the Art for
Minimally Invasive Spine Surgery
With 91 Figures, Including 2 in Color
3
Akira Dezawa, M.D., Ph.D.
Department of Orthopaedic Surgery Teikyo University School of Medicine Mizonokuchi Hospital
3-8-3 Mizonokuchi, Takatsu-ku, Kawasaki 213-8507, Japan Po-Quang Chen, M.D., Ph.D.
National Taiwan University Hospital
No. 7 Chung Shan S. Road, Taipei, Taiwan, ROC Jae-Yoon Chung, M.D., Ph.D.
Department of Orthopedic Surgery Chonnam National University Hospital 501-746 5 Hak-dong, Donggu, Gwangju, Korea
Library of Congress Control Number: 2004113934
ISBN 4-431-01248-6 Springer-Verlag Tokyo Berlin Heidelberg New York
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Foreword
The second congress of the Pacific Asian Society of Minimally Invasive Spine Surgery (PASMISS) held in Phuket, Thailand, August 5–6, 2002, was highly suc- cessful. Dr. Akira Dezawa, the president, had worked hard in organizing the congress, which was well attended. All scientific papers presented were of the highest standard and were worthy of publication in book form. This scientific meeting brought to light the practice of this modern surgical technique as it is being performed by spine surgeons in the Asia–Pacific region. Dr. Dezawa has made a great effort to collect the papers from the congress, and to have them edited and published as a text that covers all aspects of the minimally invasive spine surgical approach.
Minimally invasive spinal surgery will be a highlight of operative approaches in the twenty-first century and already has been popularized worldwide. This procedure will provide surgical options that address several pathological conditions in the spinal column without producing the types of morbidity commonly seen in open surgical procedures.
The contents of this book provide highly relevant and detailed information.
I certainly believe that it will be a great benefit to all orthopedic surgeons who are interested in performing minimally invasive spine surgery.
Charoen Chotigavanich, M.D.
Chairman, Spinal Section The Royal College of Orthopedic Surgeons of Thailand
V
Preface
Recent decades have been characterized by revolutionary changes in spinal surgery. Concurrent progress in implant technology and functional endo- scopes and the improvement of less invasive surgical techniques has opened a new dimension for spine surgery.
We now are able to perform with minimally invasive techniques the same types of procedures that traditionally were performed as open surgery. These advanced procedures bring about important benefits in the patients’ quality of life, which we believe to be the main goal of therapy.
A meeting of the Pacific Asian Society of Minimally Invasive Spine Surgery (PASMISS) was held in Phuket, Thailand, in 2002. There, we discussed the challenges and responsibilities of the new techniques. Because of the increased risk of complications during the early learning phase, we must determine the training and credentials necessary for practitioners of this pro- cedure. Regarding the course of future development, there have been calls for increased standardization of minimally invasive techniques assisted by endoscopy. More effort obviously must be devoted to establishing the guide- lines and credentials for training programs.
We appreciate the valuable contributions from all the authors and are grate- ful for the insightful comments of Professor Charoen Chotigavanich.
We also thank the staff of our publisher, Springer-Verlag Tokyo, for their assistance and cooperation.
Akira Dezawa, M.D., Ph.D.
Po-Quang Chen, M.D., Ph.D.
Jae-Yoon Chung, M.D., Ph.D.
VII
Contents
Foreword . . . . V Preface . . . . VII A Prospective, Randomized, Controlled Trial Comparing the Results of Microdiscectomy Under Regional and General Anesthesia
T. Wattanawong, P. Chamnankitkosol, and
P. Woratanarat . . . . 1 Nucleoplasty as an Alternative Intradiscal Therapy: Indications
and Technique
K.H. Bak, S.H. Oh, J.M. Kim, H.J. Yi, C.J. Hwan, and C.H. Kim . . . . 7 Surgical Procedures and Clinical Results of Endoscopic
Decompression for Lumbar Canal Stenosis
M. Yoshida, A. Ueyoshi, K. Maio, M. Kawai, and Y. Nakagawa . . . 15 Videotape-Assisted Thoracoscopy (VAT) for Anterior Release in
Neuromuscular Scoliosis
T. Wattanawong . . . . 25 Clinical Outcomes of Microendoscopic Discectomy for
Extraforaminal Lumbar Disc Herniation
K. Maio and M. Yoshida . . . . 35 Percutaneous Vertebroplasty with Hydroxyapatite for the Treatment
of Osteoporotic Vertebral Burst Fracture of Thoracolumbar Spine
S. Urayama . . . . 43
IX
Surgical Results of Endoscopic Discectomy for Lumbar Disc Herniation: Three-Year Follow-up
E. Hanaoka, M. Yamagata, K. Takahashi, T. Morinaga, and
H. Moriya . . . . 63 Laparoscopy-Assisted Mini-Open Lateral Approach for Anterior
Lumbar Interbody Fusion
C.S. Lee, S.S. Chung, and K.H. Chung . . . . 75 Treatment of Internal Disc Derangement by Posterior Lumbar
Interbody Fusion and Posterior Instrumentation
C.-H. Kang . . . . 87 Endoscopic Discectomy for Extraforaminal Lumbar Disc Herniation
Y. Takano and N. Yuasa . . . . 99 Anterolateral Approach to the Lumbar Spine
S. Kusano, A. Dezawa, K. Yoshihara, and K. Katoh . . . . 107 Posterior Endoscopic Discectomy Using as Endoscopic Lumbar
Discectomy System Developed in Japan
Y. Hiraizumi . . . . 117 Intraspinal Examination with a Spinal Fiberscope (Myelofiberscope)
A. Dezawa, T. Kitagawa, K. Katoh, I. Shibuya, and
S. Kusano . . . . 131 Clinical Outcomes of Posterior Endoscopic Discectomy for Central
Disc Herniation and Posterior Endplate Lesions in the Lumbar Spine M. Kawai, M. Yoshida, H. Sumiya, K. Iwasaki, K. Maio, and
H. Yamada . . . . 141 Diagnosis and Endoscopic Release of the Piriformis Muscle Under
Local Anesthesia for Piriformis Syndrome
T. Kosugi, A. Dezawa, S. Kusano, K. Yoshihara, and K. Katoh . . . 149
Key Word Index . . . . 155 X Contents
