Skip to main content
SpringerLink
Log in

Management of Discogenic Pain and Spinal Instability Using Minimally Invasive Surgical Techniques

  • Chapter
Arthroscopic and Endoscopic Spinal Surgery

  • 895 Accesses

Abstract

Although a causal relationship between lumbar disc herniation and radiculopathy has been well established by many clinical studies and scientific tests, the role of other pain generators of the lumbar spine in clinical manifestations of pain and disability is still being debated. The purpose of this chapter is to identify these pain generators and offer an alternative treatment modality for their management using minimally invasive surgical techniques.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 129.00
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Hardcover Book
USD 169.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Parke WW. Clinical anatomy of the lower lumbar spine, in Arthroscopic Microdiscectomy, Minimal Intervention in Spinal Surgery (Kambin P, ed.), Urban & Schwarzenberg, Baltimore, 1991, pp. 11–29.

    Google Scholar 

  2. Falconer MA, McGeorge M, Begg AC. Observations on the cause and mechanism of symptom-production in sciatica and low-back pain. J Neurol Neurosurg Psychiatry 1948;11,13–26.

    PubMed  CAS  Google Scholar 

  3. Kambin P, Nixon J, Chait A, et al. Annular protrusion: pathophysiology and roentgenographic appearance. Spine 1988;13:671–675.

    PubMed  CAS  Google Scholar 

  4. Sachs B, Vanharanta H, Spivey M, et al. Dallas discogram description: a new classification of CT/discography in low back disorders. Spine 1987;12:287–294.

    Article  PubMed  CAS  Google Scholar 

  5. Vanharanta H, Sachs B, Spivey M, et al. The relationship of pain provocation to lumbar disc deterioration as seen by CT/discogram. Spine 1987;12:295–298.

    Article  PubMed  CAS  Google Scholar 

  6. Weinstein J, Claverie W, Gibson S. The pain of discography. Spine 1988;13(12):1344–1348.

    Article  PubMed  CAS  Google Scholar 

  7. Kambin P. The role of minimally invasive surgery in spinal disorders. Adv Operat Orthop 1995;3:147–171.

    Google Scholar 

  8. Shepperd JAN. Percutaneous and minimal intervention spinal fusion, in Arthroscopic Microdiscectomy, Minimal Intervention in Spinal Surgery (Kambin P, ed.), Urban & Schwarzenberg, Baltimore, 1991, pp. 127–129.

    Google Scholar 

  9. White A, Panjabi MM. Clinical Biomechanics of the Spine, JB Lippincott, Philadelphia, 1978.

    Google Scholar 

  10. Saal, JS, Franson RC, Dobrow R, Saal JA, White AH, Goldthwaite N. High levels of inflammatory phospholipase A2 activity in lumbar disc herniations. Spine 1990;15(7):674–678.

    Article  PubMed  CAS  Google Scholar 

  11. Kambin P. Percutaneous lumbar discectomy: current practice. Surg Rounds Orthop 1988;31-35.

    Google Scholar 

  12. Kambin P. Arthroscopic microdiscectomy. Arthroscopy 1992;8(3):287–295.

    Article  PubMed  CAS  Google Scholar 

  13. Kambin P, Gennarrelli T, Hermantin F. Minimally invasive techniques in spinal surgery: current practice. Neurosurgical Focus 1998;4(2):Article 8.

    Google Scholar 

  14. Kambin P. Expandable intervertebral cage and surgical method. US patent 5,665,122,1997.

    Google Scholar 

  15. David T. Lumbar disc prosthesis, surgical technique, indications and clinical results in 22 patients with a minimum of 12 months follow up. Eur Spine J 1993;1:254–259.

    Article  CAS  PubMed  Google Scholar 

  16. Enker P, Stefee A, McMillin C, Keppler L, Biscup DO, Miller DO. Artificial disc replacement. Spine 1993;18:1061–1070.

    Article  PubMed  CAS  Google Scholar 

  17. Griffith SL, Shelokow AP, Buettner-Janz K, LeMaire JP, Zeegers WS. A multicenter retrospective study of the clinical results of the link SB Charite intervertebral disc prosthesis. Spine 1994;19:1842–1849.

    Article  PubMed  CAS  Google Scholar 

  18. Lemaire JP, Skalli W, Lavaste F, et al. Intervertebral disc prosthesis. Clin Orthop 1997;7:337:64–76.

    Google Scholar 

  19. Scott AH, Harrison OJ. Increasing age does not affect outcome after lumbar disc replacement. Int Orthop Sicot 2000;24:50–53.

    Article  Google Scholar 

  20. Sali RM, Pettine KA. Intervertebral disk arthroplasty. US patent 5,258,031,2,1993.

    Google Scholar 

  21. Monson GL. Synthetic intervertebral disc prosthesis. US patent 4,083,477,5,1969.

    Google Scholar 

  22. Hedman TP, Kostuik JP, Fernie GR, Maki BE. An artificial spinal disc. US patent 4,759,769,12,1988.

    Google Scholar 

  23. Marcolongo MS, Kambin P, Lowman A, Karduna A. Experience with minimally invasive nuclear replacement. Fourteenth International Symposium on Arthroscopic and Endoscopic Spinal Surgery May 5–6, 2000, The Graduate Hospital, Philadelphia.

    Google Scholar 

  24. Saal JS, Saal, JA. Management of chronic discogenic low back pain with thermal intradiscal catheter. Spine 2000;25(3):382–388.

    Article  PubMed  CAS  Google Scholar 

  25. Frymoyer JW, Selby DK. Segmental instability rationale for treatment. Spine 1985;10:280–286.

    Article  PubMed  CAS  Google Scholar 

  26. Albee FH. Transplantation of a portion of the tibia into the spine for Pott’s Disease: a preliminary report. JAMA 1911;57:885–888.

    Google Scholar 

  27. Hibbs RA. An operation for Pott’s disease on the spine. JAMA 1912;59:422–436.

    Google Scholar 

  28. Watkins MB. Posterolateral fusion of the lumbar and lumbosacral spine. J Bone Joint Surg Am 1953;34:1014–1018.

    Google Scholar 

  29. Wiltse LL, Bateman JG, Hutchinson RH, et al. The paraspinal sacrospinalis-splitting approach to the lumbar spine. J Bone Joint Surg Am 1968;50:919–926.

    PubMed  CAS  Google Scholar 

  30. Cloward RB. The treatment of a ruptured lumbar disc by vertebral fusion: indications, operative technique, after care. J Neursurg 1953;10:154–168.

    Article  CAS  Google Scholar 

  31. Kambin P. Posterolateral lumbar interbody fusion, in Arthroscopic Microdiscectomy, Minimal Intervention in Spinal Surgery (Kambin P, ed.), Urban & Schwarzenberg, Baltimore, 1991, pp. 117–121.

    Google Scholar 

  32. Harrington PR, Tullos HS. Reduction of severe spondylolisthesis in children. South Med J 1969;62:1–7.

    PubMed  CAS  Google Scholar 

  33. Magerl FP. Stabilization of the lower thoracic and lumbar spine with external skeletal fixation. Clin Orthop 1984;189:125–141.

    PubMed  Google Scholar 

  34. Kambin P. Arthroscopic lumbar intervertebral fusion, in The Adult Spine: Principles and Practice (Frymoyer JW, Ducker T, Hadler N, et al. eds.), Raven, New York, 1996, pp. 2037–2047.

    Google Scholar 

  35. Kambin P. Percutaneous fixation of the vertebrae. US patent 5,242,443,1930.

    Google Scholar 

  36. Kambin P. Arthroscopic lumbar fusion with pedicular bolts and subcutaneous plates. ISMISS Scientific Exhibit, Feb 20–25,1992, AAOS Meeting, Washington, DC.

    Google Scholar 

  37. Leu HJ, Schreiber A. Percutaneous fusion of the lumbar spine: a promising technique. Spine State Arts Rev 1992;6:593–604.

    Google Scholar 

  38. Kambin P. Arthroscopic lumbar interbody fusion, in Spine Care (White AH, Schofferman JA, eds.), Mosby, St. Louis, 1995, pp. 055–1066.

    Google Scholar 

  39. Kambin P. Method for percutaneous arthroscopic disc removal bone biopsy and fixation of vertebrae. US patent 6,175,758,3, 2001.

    Google Scholar 

  40. Regan JJ, Yuan H, McCullen G. Thoroscopic and endoscopic access to the spine. Instructional Course Lectures. AAOS 1997;46:127–141.

    PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Drexel University College of Medicine, Philadelphia, PA

    Parviz Kambin MD (Professor of Orthopaedic Surgery)

Authors
  1. Parviz Kambin MD
    View author publications

    You can also search for this author in PubMed Google Scholar

Editor information

Editors and Affiliations

  1. Drexel University College of Medicine, Philadelphia, PA

    Parviz Kambin MD (Professor Orthopedic Surgery and Endowed Chair of Spinal Surgery) (Professor Orthopedic Surgery and Endowed Chair of Spinal Surgery)

Rights and permissions

Reprints and permissions

Copyright information

© 2005 Humana Press Inc., Totowa, NJ

About this chapter

Cite this chapter

Kambin, P. (2005). Management of Discogenic Pain and Spinal Instability Using Minimally Invasive Surgical Techniques. In: Kambin, P. (eds) Arthroscopic and Endoscopic Spinal Surgery. Humana Press. https://doi.org/10.1385/1-59259-904-4:119

Download citation

  • DOI: https://doi.org/10.1385/1-59259-904-4:119

  • Publisher Name: Humana Press

  • Print ISBN: 978-1-58829-522-4

  • Online ISBN: 978-1-59259-904-2

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation