By Andrea Porzionato, Veronica Macchi (auth.), Alberto Alexandre, Marcos Masini, Pier Paolo Maria Menchetti (eds.)
Radiologists, orthopedic and neurological surgeons current different minimally invasive tools. Peripheral nerve difficulties and difficulties touching on differential prognosis in specified events reminiscent of among radicular and peripheral nerve trunk lesions are mentioned, pinpointing the importance of alternative diagnostic instruments. Minimally invasive strategies, applied these days to lessen bone demolition, scarring and possibility of recurrence are analyzed. Microdiscectomy is in comparison with the result of intradiscal ideas, and new tools are mentioned dealing with difficulties corresponding to epidural fibrotisation, microinstability, osteoporotic or neoplastic or posttraumatic vertebral lesions.
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Extra resources for Advances in Minimally Invasive Surgery and Therapy for Spine and Nerves
The cold analysis of the statistics too can lead to a dehumanized approach of medicine. It would be ideal to graph scales for each patient forcing us to monitor continuously [2, 12] during our professional practice as spine surgeons, our own actions directed to provide ‘‘the best’’ to the patient , including the stage of the disease, the natural history in which we intervene, the tools used to complete a diagnosis, scientific analysis of the literature in which we argue our treatment plan , the size and route of surgical access and consequences of specific procedure on the functional unit.
One of the important aspects of minimally invasive procedures in the spine is that many of those are image guided and include automated steps, which favor reproducibility. Therefore, they may be less operator dependent, which in the future may result in more consistent and comparable results among surgeons or between institutions. The MISS is not destined to interchange a major procedure by a smaller one; that would be a shortsighted view of its scope. Really it means – on the basis of reduced risk- a sooner intervention in the natural history of a particular ailment and always with the ideal of preserving the functional unit, reducing risks and improving the quality of life and the future of the patients (Fig.
Annals of Internal Medicine 61: 1162–1193. 9. Gray G (2002) Evidence-Based Medicine: An Introduction for Psychiatrists. Journal of Psychiatric Practice 8: 5–13. 10. Hanson B (2007) The Quest for the New. In Szpalski M, Gunzburg R, Le Huec J, Brayda-Bruno M (Eds) Nonfusion Technologies in Spine Surgery. Philadelphia: Lippincott Williams & Wilkins. 11. Mayer M (2006) Minimally Invasive Spine Surgery. In: Mayer M (Ed) Minimally Invasive Spine Surgery. A Surgical Manual. Germany: Springer. 12. Resnick D (2007) Evidence-Based Spine Surgery.