Abstract
A variety of instruments have been marketed by at least five industries. All of them share the already published principles (1–4):
-
1.
Precise positioning of needle or guide pin under fluoroscopic control in the triangular working zone.
-
2.
Use of a blunt-ended cannulated obturator or soft-tissue dilator over the previously positioned guide pin. The blunt end of the obturator will have a tendency to bypass the traversing or exiting root as it descends toward the triangular working zone.
-
3.
Final positioning of a working cannula that is passed over the previously positioned soft-tissue dilator.
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
Kambin P, Gellman H. Percutaneous lateral discectomy of the lumbar spine: a preliminary report. Clin Orthop 1983;174:127–132.
Kambin P. Arthroscopic microdiscectomy. Arthroscopy 1992;8:287–295.
Kambin P. Arthroscopic techniques for spinal surgery, in Operative Arthroscopy (McGinty JB, Casperi RB, Jackson RW, Poehling GG, eds.), Lippincott-Raven, Philadelphia, 1996, pp. 1215–1225.
Kambin P, Gennarelli T, Hermantin F. Minimally invasive techniques in spinal surgery: current practice. Neurosurg Focus 1998;4(2):1–10.
Kambin P. Arthroscopic microdiscectomy, in The Adult Spine: Principles and Practice, 2nd ed. (Frymoyer JW, Ducker T, Hadler N, et al. eds.), Raven, New York, 1996, pp. 2023–2036.
Kambin P. Unilateral biportal percutaneous surgical procedures and instrumentation. US patent 5,395,317, October 1991.
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2005 Humana Press Inc., Totowa, NJ
About this chapter
Cite this chapter
Kambin, P. (2005). Instruments and Surgical Approaches for Minimally Invasive Spinal Surgery Via Posterolateral Access. In: Kambin, P. (eds) Arthroscopic and Endoscopic Spinal Surgery. Humana Press. https://doi.org/10.1385/1-59259-904-4:049
Download citation
DOI: https://doi.org/10.1385/1-59259-904-4:049
Publisher Name: Humana Press
Print ISBN: 978-1-58829-522-4
Online ISBN: 978-1-59259-904-2
eBook Packages: MedicineMedicine (R0)