J Minim Invasive Spine Surg Tech.
2022 Apr;7(1):84-89. 10.21182/jmisst.2022.00395.
Full-endoscopic Intradiscal Surgery: State of the Art
- Affiliations
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- 1Department of Orthopedics, Tokushima University Graduate School, Tokushima, Japan
- KMID: 2562121
- DOI: http://doi.org/10.21182/jmisst.2022.00395
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.
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