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The Evolution of Transforaminal Endoscopic Spine Surgery
Ashwinkumar Vasant Khandge1, Sagar Bhupendra Sharma2, Jin-Sung Kim2
1Department of Orthopaedics, Dr D Y Patil Medical College, Hospital and Research Centre, Pune, India.
World Neurosurgery
|August 22, 2020
Summary
Transforaminal endoscopic spine surgery (T-ESS) evolved significantly from early percutaneous discectomy. Key advancements include the transforaminal triangle of safety and new surgical approaches, expanding T-ESS indications.
Area of Science:
- Neurosurgery
- Orthopedic Surgery
- Minimally Invasive Spine Surgery
Background:
- Percutaneous discectomy pioneered endoscopic spine surgery.
- The transforaminal triangle of safety by Kambin was a critical development.
- Adoption of T-ESS grew in the late 20th century.
Purpose of the Study:
- To review historical advancements in transforaminal endoscopic spine surgery (T-ESS).
- To discuss the evolution of T-ESS techniques, instruments, and indications.
- To provide an overview of T-ESS scope and future directions.
Main Methods:
- Historical review of transforaminal endoscopic spine surgery.
- Analysis of key publications and technological developments.
- Discussion of surgical approaches and expanded indications.
Main Results:
- T-ESS has evolved from early techniques to include diverse approaches (inside-out, outside-in).
- Technological advancements in endoscopes and instruments have improved T-ESS.
- Indications for T-ESS have broadened, including thoracic procedures and interbody fusions.
Conclusions:
- Transforaminal endoscopic spine surgery has a rich history of innovation.
- Continued evolution of T-ESS promises further advancements in spine care.
- This review offers a comprehensive perspective on T-ESS development.
