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Download e-book for kindle: Arthroscopic and Endoscopic Spinal Surgery: Text and Atlas by Parviz Kambin (Editor)

By Parviz Kambin (Editor)

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4 × 10 mm od that provides a 5 × 8 mm id working area; and a larger oval cannula, primarily used for arthroscopic anterior column stabilization, that provides a 10 × 5 mm id working area (4,5) (available from Stryker, Howmedica, Osteonics, Allendale, NJ). I and others have used a series of telescoping oval cannulas (Fig. 2) in order to maximize access to the intervertebral disc for the introduction of bone grafts. These cannulas were designed to fit within the dimensions of the triangular working zone.

Fig. 20. Photo of our original working-channel arthroscope that permitted manipulation and angulation of inserted instruments within intervertebral disc. nular, and neural structures was demonstrated (42,43). In the mid- and late 1980s, during our investigational phase, when our efforts were being directed toward intradiscal access and retrieval of herniated disc fragments, with the cooperation of industry (Dyonics, Andover, MA), we developed a working channel arthroscope that provided ample space for manipulation and angulation of instruments inserted within the intervertebral disc space (Fig.

Fig. 8. Cadaveric dissection showing fibers of posterior longitudinal ligamentum, which extends to dorsolateral aspect of annulus, foraminal, and extraforaminal region. observed adjacent to the dural sac in the medial pedicular line region and is usually surrounded by epidural veins and adipose tissue. VASCULAR STRUCTURES Vascular structures of epidural and neural tissue play an important role in the pathophysiology of pain that is commonly observed in individuals with symptomatic disc herniation, spinal stenosis, and failed back surgery syndrome.

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