Since the first diskectomy was performed in 1934, major advances have been made in the understanding of the regional anatomy and pathophysiology of lumbar disk herniation. In addition, major technological advances in image intensification and materials engineering have allowed surgeons to perform lumbar diskectomy through increasingly limited exposures: In an era of increased cost containment, minimally invasive procedures are being emphasized to provide equivalent or superior results while minimizing perioperative morbidity and its resultant costs to insurers and to society as a whole. Although currently somewhat limited, endoscopic diskectomy may provide a superior alternative to conventional microdiskectomy.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References and Recommended Reading
Mixter WJ, Barr JS: Rupture of the intervertebral disc with involvement of spinal canal.N Engl J Med1934, 211:210–215
Burman MS: Myeloscopy or direct visualization of the spinal canal and its contents.J Bone Joint Surg1931, 13:695–696
Pool JL: Direct visualization of dorsal nerve roots of cauda equina by means of myeloscope.Arch Neurol Psychiatry1938, 39:1308–1312
Hijikata S, Yamagishi N, Nakayama T,et al.: Percutaneous discectomy: A new treatment method for lumbar disc herniation. Journal of Toden Hospital 1975, 5:5
Kambin P, Gellman H: Percutaneous lateral discectomy of the lumbar spine: Apreliminary report.Clin Orthop1983, 174:127–132
Schreiber A, Leu HI: Percutaneous nucleotomy: Technique with discoscopy.Orthopedics1991, 14:439–444
Mathews HH: Transforaminal endoscopic microdiscectomy.Neurosurg Clin North Am1996, 7(1):59–63
Onik G, Maroon JC, Davis GW: Automated percutaneous discectomy: A prospective multi-institutional study.Neurosurgery1990, 2:228–232
Zahrawi F: Microlumbar discectomy.Spine1994, 19:1070–1074
Bookwalter JW III, Busch MD, Nicely D: Ambulatory surgery is safe and effective in radicular disk disease.Spine1994, 19(5):526–530
Newman MH: Outpatient conventional laminotomy and disc excision.Spine1995, 20(3):353–355
Savitz MH: Same–day microsurgical arthroscopic lateralapproach laser–assisted (SMALL) fluoroscopic discectomy.J Neurosurg1994, 80(6):1039–1045
Mayer HM, Brock M: Percutaneous endoscopic discectomy: Surgical technique and preliminary results compared to microsurgical discectomy.J Neurosurg1993, 78(2):216–225
Surgical Technique: MEDTM System [introducer set]. Memphis: Sofamor Danek Group; 1996
Kambin P, Zhou L: Arthroscopic discectomy of the lumbar spine.Clin Orthop Related Res1997, 337:49–57
Kambin P: Arthroscopic microdiscectomy of the lumbar spine.Clin Sports Med1993, 12(1):143–150
Hirabayashi S, Kumano K, Ogawa Y,et al.: Microdiscectomy and second operation for lumbar disc herniation.Spine1993, 18(15):2206–2211
Mayer HM, Brock M: Complications of percutaneous diskectomy. In Complications of Spinal Surgery. Neurosurgical Topics. Edited by Tarlov EC. Park Ridge, IL: American Association of Neurological Surgeons; 1991:115–127
Kambin P, Cohen LF:Arthroscopic discectomyversus nucleotomy techniques.Clin Sports Med1993, 12:587–598
Mayer HM: Spine update: Percutaneous lumbar disc surgerySpine1994, 19(23):2719–2723
Faulhauer K, Manicke C: Fragment excision versus conventional disc removal in the microsurgical treatment of herniated lumbar disk.Acta Neurochir1995, 133:107–111
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 1998 Current Medicine, Inc.
About this chapter
Cite this chapter
Waitze, A.S., Comey, C.H., Rodts, G.E., Haid, R.W. (1998). Microdiskectomy versus Endoscopic Diskectomy. In: Salcman, M. (eds) Current Techniques in Neurosurgery. Springer, New York, NY. https://doi.org/10.1007/978-1-4613-9350-4_8
Download citation
DOI: https://doi.org/10.1007/978-1-4613-9350-4_8
Publisher Name: Springer, New York, NY
Print ISBN: 978-1-4613-9352-8
Online ISBN: 978-1-4613-9350-4
eBook Packages: Springer Book Archive