1.Strengths and Merits of Transforaminal Full-Endoscopic Lumbar Spine Surgery Under the Local Anesthesia: A Review Article
Koichi SAIRYO ; Kazuta YAMASHITA ; Fumitake TEZUKA ; Mosatoshi MORIMOTO ; Hiroaki MANABE ; Kosuke SUGIURA ; Makoto TAKEUCHI ; Shunsuke TAMAKI ; Masashi KUMON ; Kozaburo MIZUTANI ; Yutaro KANDA ; Saori SOEDA ; Hiroshi KAGEYAMA ; Junzo FUJITANI
Journal of Minimally Invasive Spine Surgery and Technique 2024;9(Suppl 2):S143-S151
In the 2 decades or so since full-endoscopic spine surgery (FESS) was introduced, the procedure has advanced considerably. There are 2 major approaches of FESS, transforaminal (TF) and interlaminar. In this review article, we discuss the key strengths and merits of TF-FESS based on a literature search. First, the minimal invasiveness of the procedure allows for early return to work. Second, minimal invasiveness of the back muscles enables athletes to make a faster return to their previous competitive level. Third, the ability to perform TF-FESS under local anesthesia means it is suitable even in the elderly with poor general health.
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