Spinal Stenosis

Patel, Chetan K.; Truumees, Eeric

doi:10.1016/b978-1-4160-6726-9.00062-6

Cited by 3 publications

(1 citation statement)

References 88 publications

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“…Surgery for treatment of multilevel spine degeneration with deformity, where are we now: open surgery, minimally invasive spine surgery, fusion or non-fusion. In fusion technique related to the nature of illness, the degenerative cascade will go to the adjacent level [1][2][3][4][5][6][7]. In non-fusion technique or decompression, the degenerative damages should be removed completely related to the nature of illness [8][9][10].…”

Section: Introductionmentioning

confidence: 99%

Endoscopic Technique for Multilevel Spine Degeneration Based on 3 Column Theory: Do We Need Fusion?

Darwono¹,

Radchenko²

2023

Frontiers in Spinal Neurosurgery

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Multilevel spine degeneration with deformity should be described in 3 column theory of lumbar degenerative cascade to detect completely the degenerative damage or deformator Theory of degenerative spine deformity is a combination between 2 factors : - spine stabilizer ( disc, 2 facet joints, anterior and posterior longitudinal ligament, supraspinatus ligament and multifidus muscle ) - spine deformator ( degenerative damage ) Gold standard is open surgery to remove deformator, but this will sacrifice the stabilizer, then need an artificial stabilizer or fusion Concept of Minimally invasive Endoscopic spine surgery is removing the deformator only, while still preserving the stabilizer, then no fusion is needed After removing deformator, the stabilizer will be refunctioned again and deformity is corrected naturally

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