Kerrison/Ball Tip Probe, handle, WishBone handle

Finished Product

AR-S7400-000-000W

Human

Spine

Product

Procedure

This is a powerful approach option for treating all types of thoracic disc herniations while significantly minimizing collateral damage, blood loss, postoperative pain, and spinal cord manipulation.1-4 This is the only approach that offers an unobstructed view of the ventral thoracic canal without extensive bony resection and without requiring entry into the thoracic cavity.&nbsp;
References
1. Bae J. Chachan S. Shin SH, Lee SH. Transforaminal endoscopic thoracic discectomy with foraminoplasty for the treatment of thoracic disc herniation. J Spine Surg. 2020:6(2):397-404. doi:10.21037/iss.2019.11.19
2. Komp M. Ruetten S. Full-endoscopic anterior excision of thoracic disc herniations, including giant and calcified discs with spinal cord compression: surgical technique and outcomes. Eur Spine J. 2023.32(8):2685-2693. doi:10.1007/00586-023-07807-0
3. Konakondia S, Sofoluke N, Barber SM, Rimini SA, Siotkin JR. Outpatient endoscopic resection of large calcified thoracic disc herniation with caudal displacement. Neurosurg Focus Video. 2022:6(1):V/18. doi:10.3171/2021.10.FOCVID2112
4. Telfeian AE, Wagner R. Transforaminal endoscopic thoracic discectomy, surgical technique. J Spine Surg. 2023:9(2):166-175. doi:10.21037/ss-22-109

Endoscopic Thoracic Transforaminal Discectomy

Child (D)

The traditional open approach for treating far lateral disc herniations at L5-S1 is challenging. Alternatively, the transforaminal endoscopic approach lands directly at the far lateral zone and requires little or no facet resection to achieve decompression.

Endoscopic Far Lateral Transforaminal Lumbar Discectomy 

The endoscopic approach to interlaminar discectomies provides minimally invasive access to posterior herniations in the lower lumbar spine that may be difficult to reach through a transforaminal approach. Additionally, interlaminar discectomy results in less tissue and muscle disruption, faster recovery times, and a quicker return to activity than traditional open procedures.1-4 WishBone™ endoscopic instruments feature superior feel and improved ergonomics that facilitate inverted and retrograde usage with either hand.
References
1. Matsumoto M, Hasegawa T, Ito M, et al. Incidence of complications associated with spinal endoscopic&nbsp;surgery: nationwide survey in 2007 by the Committee on Spinal Endoscopic Surgical Skill Qualification of&nbsp;Japanese&nbsp;Orthopaedic&nbsp;Association.&nbsp;Orthop&nbsp;Sci. 2010;15(1):92-96. doi:10.1007/s00776-009-1428-6​
2. Ahn Y, Oh HK, Kim H, Lee SH, Lee HN. Percutaneous endoscopic lumbar foraminotomy: an advanced&nbsp;surgical technique and clinical outcomes. Neurosurgery. 2014;75(2):124-133.&nbsp;doi:10.1227/NEU.0000000000000361
3.&nbsp;Polikandriotis JA, Hudak EM, Perry MW. Minimally invasive surgery through endoscopic laminotomy and&nbsp;foraminotomy for the treatment of lumbar spinal stenosis. J Orthop. 2013;10(1):13-16.&nbsp;doi:10.1016/j.jor.2013.01.006
4. Ruetten&nbsp;S,&nbsp;Komp&nbsp;M, Merk H, Godolias G. Use of newly developed instruments and endoscopes: Full-endoscopic resection of lumbar disc herniations via the interlaminar and lateral transforaminal approach. J&nbsp;Neurosurg Spine 2007;6(6):521-530. doi:10.3171/spi.2007.6.6.2.​

Interlaminar Endoscopic Discectomy

An endoscopic approach to medial branch nerve transection can lead&nbsp;to relief from pain caused by facet joint arthropathy. Combining 4K visualization&nbsp;with minimally invasive techniques allows surgeons to&nbsp;view and treat the spinal pathology while maintaining surgical precision&nbsp;and reducing postoperative complications.1,2
References
1. Lewandrowski&nbsp;KU, Ransom NA, Yeung A. Return to work and recovery time analysis after&nbsp;outpatient endoscopic lumbar transforaminal decompression surgery. J Spine Surg. 2020&nbsp;Jan;6(Suppl 1):S100-S115. doi:10.21037/jss.2019.10.01
2. Sivakanthan&nbsp;S, Williams JR,&nbsp;Feroze&nbsp;AH, et al. Endoscopic spine surgery in athletes: case series&nbsp;and review of literature. World&nbsp;Neurosurg. 2021;145:702-707.&nbsp;doi:10.1016/j.wneu.2020.08.211​

Medial Branch Transection

A transforaminal, or paraspinal, approach provides the ability to reach far-lateral disc herniations. Using a spine-specific endoscope minimizes soft-tissue disruption, resulting in less postoperative pain.1,2 Additionally, studies showed that approximately 85% patients who underwent endoscopic lumbar discectomy returned to athletic activity in as few as 6 to 8 weeks.3,4
References
1. Sairyo&nbsp;K, Matsuura T,&nbsp;Higashino&nbsp;K, et al. Percutaneous endoscopic lumbar&nbsp;discectomy for athletes. J Spine. 2013;S5(006):1-4. doi:10.4172/2165-7939.S5-006&nbsp;​
2. Sivakanthan&nbsp;S, Williams JR,&nbsp;Feroze&nbsp;AH, et al. Endoscopic spine surgery in&nbsp;athletes: case series and review of literature. World&nbsp;Neurosurg. 2021;145:702-707. doi:10.1016/j.wneu.2020.08.211
3. Polikandriotis&nbsp;JA, Hudak EM, Perry MW. Minimally invasive surgery through&nbsp;endoscopic laminotomy and foraminotomy for the treatment of lumbar spinal&nbsp;stenosis. J&nbsp;Orthop. 2013;10(1):13-16. doi:10.1016/j.jor.2013.01.006
4. Ruetten&nbsp;S,&nbsp;Komp&nbsp;M, Merk H,&nbsp;Godolias&nbsp;G. Use of newly developed instruments&nbsp;and endoscopes: Full-endoscopic resection of lumbar disc herniations via the&nbsp;interlaminar and lateral transforaminal approach. J&nbsp;Neurosurg&nbsp;Spine.&nbsp;2007;6(6):521-530. doi:10.3171/spi.2007.6.6.2

Kerrison/Ball Tip Probe, handle, WishBone handle

AR-S7400-000-000W

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