Arthroscopic and Endoscopic Spinal Surgery Text and Atlas by Parviz Kambin

By Parviz Kambin

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Endoscopic laser discectomy. Jan 1990;FDA, IDE G890238–S1. 52. Kambin P. ), CV Mosby, St. Louis, 1995, pp. 1002–1016. 26 Kambin 53. Craig, FS. Vertebral-body biopsy. J Bone Joint Surg 1956;38-A:93–102. 54. Ottolenghi, CE. Vertebral body biopsy, aspiration biopsy. J Bone Joint Surg 1955;37–A. 55. Valls J, Ottolenghi CE, Schajowicz F. Aspiration biopsy in diagnosis of lesions of vertebral bodies. JAMA 1948;136:376. 56. Kambin P. Percutaneous lumbar discectomy: current practice. Surg Rounds Orthop 1988; 31–35.

A,B) Arthroscopic view of annular surface in triangular working zone. Note the loose/woven adipose tissue on the surface of annulus. The mobility of the traversing and exiting roots at the lower lumbar region allows the operative surgeon to retract these structures during both arthroscopic and open spinal surgery. However, limited mobility of the nerve roots in the upper lumbar spine and at the thoracolumbar junction, combined with the bulk of the cauda equina and conus medullaris in the subarachnoid space, demands protection of neural tissue by accurate positioning of the instruments, clear visualization, and careful handling of the resecting instruments.

60. Kambin P. Arthroscopic foraminal surgical procedures performed through a working channel scope. Patent application 08/207831,1994. 61. Kambin P. Diagnostic and therapeutic spinal arthroscopy. Neurosurg Clin N Am 1996;(1): 65–76. 62. Kambin P. Arthroscopic microdiscectomy and lumbar intervertebral fusion, in The Adult Spine: Principles and Practice (Frymoyer J W, Ducker T, Hadler N, et al. ), New York, 1996, pp. 2037–2047. 63. Kambin P. ), Lippincott-Raven, Philadelphia, 1996, pp. 1215–1225.

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