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Endoscopic Surgery

What types of scoliosis can be treated with endoscopic surgery?


Endoscopic surgery is a developing field and at this time our experience has been limited to rigid curvatures that would otherwise require a large incision to gain access to the anterior portion of the spine. Rigid curvatures are difficult to correct by a posterior surgery alone. By comparing the degree of curvature between the standing Xray and a bending supine (lying down) Xray, the degree of curve rigidity is evaluated. When planning surgical correction of a scoliosis, adding an anterior portion to the surgical plan, can lead to a more controlled and more significant correction of the spinal deformity.


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Can endoscopic surgery be applied to the lumbar spine?


Anterior endoscopic surgery at the level of the lumbar spine is possible and may be applied in performing a fusion/stabilization procedure. The lumbar discs may be removed by endoscopy and then a fusion can be performed by placing bone or a fusion cage. This does not necessarily prevent the need for a posterior stabilization procedure.


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