Minimally invasive spine surgery
Minimal Invasive surgical methods had defined almost all surgical or medical fields same manner. Minimal invasive surgery aims to reduce tissue trauma, bleeding and to improve healing process of body without damage. Briefly minimal invasive spine surgery consist of three pillars:
- It is "Percutaneous Surgery", incision is less than 15mm.
- It is Endoscopic Surgery with or without image intensifier and Navigation assistance
- Performed via Anatomical portals or defined safe corridors (Kambin's Triangle) must be used. It avoid to damage vascular, neural and visceral tissues.
Percutaneous Endoscopic spine surgery is the main subject of the minimal invasive spine surgery. It is defined and reported first time independently by Dr Parwiz Kambin (USA) and Dr.Sadahisa Hijikata (Japan) in 1973. Dr Kambin defined safe triangle which is called his name. Following these authors Dr Schreiber at all (Hansjörg Leu, Suezawa) used an arthroscope into the intervertebral disc and reported their experience as titled "discoscopy" in 1989. Endoscopic spine surgery was popularized in worldwide then followed by pioneers of MISS. Dr Antony Yeung (USA) was created special instrument in order previous experience. The instrument is called "Yeung Endoscopic Spine System=YESS) It is produced by Wolf. Simultaneously Dr Matin Knight (UK) created (Knight Instrument Spine system=KISS) is manufactured my EKL, Dr Hansjörg Leu (Swiss) designed Leu discoscope and manufactured by Storz, Dr Thomas Hoogland (Germany) also designed his own instruments with different compaines. Most Recently there is various devices available in the market with different companies in the basis of Kambin technique.
Minimal invasive spine communities was founded by the pioneers such as ISMISS, WCMIST, PASMISS, IMLAS, ITSS, Wenmiss and AAMISS. ISMISS is one of the former society which is founded by Kambin, Schrieber at all in Zurich.
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