Abstract
Minimally invasive microscopic lumbar discectomy for paramedian disc herniation is the most common surgical technique in the spine field. The herniated disc is treated with the removal of the extruded disc fragment and the removal of the material within the disc space traditionally. On the contrary, fragmentectomy only or laser-assisted small annulotomy has the advantage of effectively removing the disc through a narrow field of view than the conventional scalpel discectomy. According to using laser, normal structures can be preserved as much as possible, and small lesions can be accurately and delicately removed. It has several advantages for lower recurrence rates and postoperative low back pain. It is estimated that laser-induced metaplasia and modulating pro- and anti-inflammatory factors are the mechanisms. As a result, laser-assisted fragmentectomy could be an effective alternative to conventional microdiscectomy techniques.
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8.1 Electronic Supplementary Material
Intraoperative video showing microscopic lumbar discectomy using CO2 laser (MP4 47909 kb)
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Bae, D.H., Bae, J. (2021). Microscopic Lumbar Discectomy for Paramedian Disc Herniation with CO2 Laser. In: Bae, J., Lee, SH. (eds) Laser Spine Surgery. Springer, Singapore. https://doi.org/10.1007/978-981-16-2206-9_8
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DOI: https://doi.org/10.1007/978-981-16-2206-9_8
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