Current Indications for Spinal Endoscopic Surgery and Potential for Future Expansion

Author:

Chen Kuo-TaiORCID,Kim Jin-SungORCID,Huang Abel Po-HaoORCID,Lin Martin Hsiu-ChuORCID,Chen Chien-MinORCID

Abstract

Endoscopic spine surgery (ESS) has evolved as a safe, effective, and efficient alternative for minimally invasive spine surgery (MISS). The innovation of full-endoscopic systems makes definitive decompression surgery through different approaches feasible. The approach can be determined according to the location of the target lesion or the surgeon's preference. During the past 2 decades, ESS has expanded its indications from lumbar to cervical spines. Except for decompression, endoscopy-assisted fusion surgery is also developing. However, ESS is still evolving and has a steep learning curve. The revolution of technologies and ESS techniques will enable surgeons to treat various spinal diseases more practically. In recent years, the application of the computer-assisted navigation system and augmented reality have reformed imaging quality and interpretation. The endoscopic rhizotomy techniques have opened a new way for MISS of chronic low back pain. This review introduces the current indications of ESS and its potential future expansion.

Publisher

The Korean Spinal Neurosurgery Society

Subject

Neurology (clinical),Surgery

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