| Abstract: |
ABSTRACTMinimal invasive techniques is safe and effective for performing some lumbar degenertive disease. Careful attention to surgical technique will ensure that complications are minimized and will optimize patient outcomes. Dural tear was the most frequently recognized complication, and it is reduced with increased experience with this surgical technique. In essence, the MED system provides a conduit to the numerous benefits of minimally invasive spinal surgery. Further randomized, prospective investigations are needed to evaluate fully the impact of the MED system and other minimally invasive spinal discectomy techniques on clinical outcomes.Although minimally invasive microendoscopic laminectomy is a safe and effective treatment alternative to classic laminectomy and laminotomy procedures, surgical times may initially be longer because of the learning curve associated with endoscopic techniques, MEDL can afford significant improvements in surgical blood loss and postoperative recovery. MEDL offered symptomatic outcomes that were at least equivalent to, if not slightly better than, the open-surgery control group.
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