Abstract
The TESSYS technique (transforaminal endoscopic spine system) is gradually becoming a new gold standard surgical procedure for lumbar disc herniation (LDH), which can remove part of the articular process by special reamers, thus providing more space for operation and expanding the scope of application of transforaminal endoscopic lumbar discectomy. Puncture location and foraminoplasty are the key steps of TESSYS technique, which directly determine the position of the working channel and the operability of subsequent exploration and decompression. In order to establish a good working channel and improve the accuracy of surgery, aiming devices or computer navigation technology are introduced for spinal surgery. Electromagnetic navigation is helpful for making the preoperative plan, selecting the best surgical approach, and designing the surgical incision for lumbar foraminoplasty. With real-time navigation assistance, surgeons can accurately locate and reach the lesion through the best path, which can avoid the loss of direction, minimize the iatrogenic trauma, and reduce the difficulty and risk of operation. At present, the results of EM-based navigation-guided lumbar foraminoplasty are still preliminary, albeit encouraging. We believe that the combined use of the electromagnetic navigation and endoscopic surgery will further develop the accuracy, safety, and efficiency of lumbar foraminoplasty.
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Abbreviations
- CT:
-
Computerized tomography
- EM:
-
Electromagnetic
- LDH:
-
Lumbar disc herniation
- MRI:
-
Magnetic resonance imaging
- SAP:
-
Superior articular process
- SEESSYS:
-
I-See (Full Visualization Endoscopic System) Electromagnetic navigation Endoscopic Spinal Surgery System
- TESSYS:
-
Transforaminal endoscopic surgical system
- VAS:
-
Visual analog scale
- YESS:
-
Yeung Endoscopic Spine System
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Li, YJ., Lin, YP., Rao, SY. (2022). EM-based Navigation-Guided Percutaneous Endoscopic Lumbar Foraminoplasty. In: Kim, JS., Härtl, R., Wang, M.Y., Elmi-Terander, A. (eds) Technical Advances in Minimally Invasive Spine Surgery. Springer, Singapore. https://doi.org/10.1007/978-981-19-0175-1_15
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