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OBJECTIVE To study the surgical outcome of outpatient percutaneous microdecompressive endoscopic cervical discectomy with lower energy laser for shrinkage of disc material (thermodiskoplasty). METHOD Since 1994, 200 patients with herniated cervical discs have presented at the authors' clinic, with unilateral radicular pain. The diagnosis was confirmed by(More)
OBJECTIVES The A3243G mutation of mitochondrial DNA (mtDNA) has been associated with maternally inherited diabetes and deafness (MIDD) in a number of reports; however, the involvement of the nervous system has rarely been mentioned, prompting this exploration of the manifestation of neurological disorders in MIDD cases. MATERIAL AND METHODS We(More)
Introduction: To demonstrate outpatient anterior endoscopic microdecompressive cervical discectomy and foraminal decompression (foraminoplasty), by utilizing GPS (grid positional system), can treat herniated cervical discs and cervical foraminal stenosis efficaciously and successfully, by mechanical decompression and application of lower level non-ablative(More)
Introduction: Fusions of the cervical and lumbar spine are often followed within months or several years by protrusion of discs at the adjacent level or levels. Mobility lost at the fused levels is thought to be transferred to the adjacent segment/s increasing stress on the disc, resulting in early recurrent protrusion at that level. In a number of anterior(More)
Introduction: With increase in life expectancy and the aging of baby boomers, more people are living to an age where degenerative lumbar spinal stenosis (LSS) becomes symptomatic presenting as neurogenic intermittent claudication (NIC). Minimally invasive surgical treatment of neurogenic intermittent claudication secondary to lumbar spinal stenosis with an(More)
Purpose: To demonstrate the benefit of diagnostic " weight bearing and upright position simulation " MRI/CT scanning to enhance diagnostic accuracy and precise pathology findings in degenerative spinal disorders. This system more accurately demonstrates the " real life " patho-anatomy and patho-physiology of the degenerative spine and the neural compression(More)
Keyword: Endoscopic thoracic discectomy GPS Purpose: To demonstrate the safety and efficacy of outpatient based endoscopic thoracic discectomy with laser thermodiskoplasty performed for symptomatic thoracic herniated nucleus pulposus. patients' (516 discs) with symptomatic thoracic discs without myelopathy, who failed at least 12 weeks of conservative care,(More)
Introduction: Morbid obesity is characterized by an individual weighing more than 100 pounds over his or her ideal body weight, or having a body mass index (BMI) of 40 or higher. The morbidly obese patient poses many unusual surgical/anatomical challenges during endoscopic laser minimally invasive spine surgery (MISS), and has a greater incidence of spinal(More)
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