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Enhanced Restoration After Surgical procedure™ Awake Minimally-Invasive Transforaminal Lumbar Interbody Fusion: 2-Dimensional Operative Video.

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Enhanced Restoration After Surgical procedure™ Awake Minimally-Invasive Transforaminal Lumbar Interbody Fusion: 2-Dimensional Operative Video.

Oper Neurosurg (Hagerstown). 2018 Jul 19;:

Authors: Chang HK, Kolcun JPG, Chang PY, Wang MY

Summary
This video demonstrates the awake endoscopic minimally-invasive transforaminal lumbar interbody fusion (MIS-TLIF) utilized in our establishment’s creating Enhanced Restoration After Surgical procedure program. This method depends on 6 key parts, together with (1) acutely aware sedation, (2) endoscopic visualization, (three) long-acting native anesthesia, (four) an expandable interbody system, (5) osteobiologics, and (6) percutaneous instrumentation. In becoming a member of these applied sciences, this process embodies the rules of minimally invasive surgical procedure whereas reaching glorious medical outcomes. We now have beforehand described this process intimately, in addition to its impression at our establishment, together with vital reductions in operative time, blood loss, postoperative size of keep, and hospital prices.The process depicted on this video includes the off-label use of bone morphogenetic protein-2 and the Spineology Optimesh allograft containment system.All procedures carried out in research involving human contributors had been in accordance with the moral requirements of the institutional and/or nationwide analysis committee and with the 1964 Helsinki declaration and its later amendments or comparable moral requirements.The affected person gave direct consent for the usage of the video footage and related data from this surgical procedure for the making and publication of this surgical video.

PMID: 30032276 [PubMed – as supplied by publisher]

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