Laser Applications in Full Endoscopy of the Spine

Author:

Hellinger Stefan1,Yeung Anthony2,Tieber Friedrich3,Teixeira de Carvalho Paulo Sérgio4,Calderaro André Luiz5,Lewandrowski Kai-Uwe6

Affiliation:

1. Department of Orthopedic Surgery, Arabellaklinik, Munich,,Germany

2. Clinical Professor, University of New Mexico School of Medicine, Albuquerque, New Mexico Desert Institute for Spine Care, Phoenix, AZ,,United States

3. Medical Technologies Consulting, Augsburg,,Germany

4. Department of Neurosurgery, Universidade Federal do Estado do Rio de Janeiro, Rio de Janeiro, Brazil

5. Centro Ortopedico Valqueire, Departamento de Full Endoscopia da Coluna Vertebral, Rio de Janeiro, Brazil

6. Center for Advanced Spine Care of Southern Arizona and Surgical Institute of Tucson, Tucson. AZ, United States

Abstract

Lasers have been popular in spine surgery for decades. Patients frequently ask about laser spine surgery when looking for simplified ways to treat spine pain related to a herniated disc. Percutaneous interventional non-visualized needle-based laser treatments have been replaced with visualized endoscopic decompressions. This chapter reviews the fundamental physics of laser technology applications in spine surgery. Guidelines for safe laser use in the operating room and avoidance of complications are discussed in detail. Lasers suitable for spinal decompressions and their respective tissue interactions are described. The clinical evidence of percutaneous versus the hybridized use with the visualized endoscopic decompression is examined in detail.

Publisher

BENTHAM SCIENCE PUBLISHERS

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