New Developments
Recent advances in endoscopic surgical technique has allowed for successful endoscopic treatment of conditions such as Failed Back Surgery Syndrome caused by recurrent disc herniation, lateral recess stenosis, foraminal osteophytes, facet cysts, and many degenerative conditions of the lumbar spine such as degenerative and isthmic spondylolisthesis. Where the patho-anatomy can be accessed through the foraminal approach, treatment options may be possible. Biologics are also being considered for tissue healing and regeneration.
This approach is also possible for nucleus replacement or fusion. Advancements are being made yearly, and more alternatives to fusion will be available for painful degenerative conditions of the lumbar spine each year.
Glossary
Nucleus: The inner portion of the disc which has a gel-like consistency composed mostly of water and is surrounded by the annulus fibrosus (collagen).
Rev. 9/4/2001
Rev. 6/10/2003
Rev. 7/9/2004