1 Background</h5> Transforaminal endoscopic lumbar discectomy is a minimally invasive spinal surgery procedure that was introduced by Kambin and Gellman in 1983  . Advances in endoscopic visualization and instrumentation, as well as increased patient demand for more minimally invasive procedures, have lead to an increased popularity of the technique. Transforaminal endoscopic surgery, used in the TESSYS™ method in conjunction with instruments developed by Joimax, incorporates an ‘outside-in’ approach in which the working cannula tip is not positioned inside of the disc space unlike former transforaminal approaches. The cannula is instead positioned in the lower portion of the neuroforamina into the epidural space and positioned under fluoroscopic guidance directly at the site of the herniation  .</P>Paramount to the success of an endoscopic discectomy is the experience and technical ability of the surgeon to identify, visualize, and physically access the herniation  . Identification of the most offending lumbar level is localized through review of medical history and dermatomal distribution of pain. Central, paramedian or far lateral herniation is diagnosed objectively using the patient films such as MRI or CT scan. Radiography facilitates diagnosis of the level with the largest herniation and smallest spinal canal cross-sectional area and/or
Clinical Neurology and Neurosurgery – Elsevier
Published: Oct 1, 2013
It’s your single place to instantly
discover and read the research
that matters to you.
Enjoy affordable access to
over 18 million articles from more than
15,000 peer-reviewed journals.
All for just $49/month
Query the DeepDyve database, plus search all of PubMed and Google Scholar seamlessly
Save any article or search result from DeepDyve, PubMed, and Google Scholar... all in one place.
Get unlimited, online access to over 18 million full-text articles from more than 15,000 scientific journals.
Read from thousands of the leading scholarly journals from SpringerNature, Elsevier, Wiley-Blackwell, Oxford University Press and more.
All the latest content is available, no embargo periods.
“Hi guys, I cannot tell you how much I love this resource. Incredible. I really believe you've hit the nail on the head with this site in regards to solving the research-purchase issue.”Daniel C.
“Whoa! It’s like Spotify but for academic articles.”@Phil_Robichaud
“I must say, @deepdyve is a fabulous solution to the independent researcher's problem of #access to #information.”@deepthiw
“My last article couldn't be possible without the platform @deepdyve that makes journal papers cheaper.”@JoseServera