By Andrea Porzionato, Veronica Macchi (auth.), Alberto Alexandre, Marcos Masini, Pier Paolo Maria Menchetti (eds.)

Radiologists, orthopedic and neurological surgeons current different minimally invasive equipment. Peripheral nerve difficulties and difficulties bearing on differential prognosis in distinctive occasions corresponding to among radicular and peripheral nerve trunk lesions are mentioned, pinpointing the importance of other diagnostic instruments. Minimally invasive recommendations, applied these days to reduce bone demolition, scarring and threat of recurrence are analyzed. Microdiscectomy is in comparison with the result of intradiscal thoughts, and new tools are mentioned dealing with difficulties reminiscent of epidural fibrotisation, microinstability, osteoporotic or neoplastic or posttraumatic vertebral lesions.

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Extra info for Advances in Minimally Invasive Surgery and Therapy for Spine and Nerves

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4). The main goal of improving pain and neurological deficit in the practice of spine surgery is changing for a more ambitious goal, namely to improve the overall quality of life and the future of patients through three major actions (1) preserving the vertebral anatomical structures; (2) preserving the paravertebral anatomical structures; and (3) preserving the functionality of the segment. Thus, three new concepts have emerged (a) minimal surgery; (b) minimal access surgery; and (c) motion preservation surgery.

21] reported that after contrast injection in the epidural space in patients with previous surgical procedure all of them presented some kind of block in the diffusion around the roots which did not happen in places not submitted to procedure. They also confirmed that patients underwent epidural endoscopy and injection of steroids and anesthetics had a reduction in their pain and dysfunction of fibers A? and A? associated with chronic sciatica. Geurts et al. [4] described their experience using clonidine with analgesic and antineurophatic properties at the dorsal ganglion and antinociceptive property at the posterior horn of the spinal cord.

Jose´-Antonio et al. 30 Fig. 11 Methodology is the main difference between the traditional medical practice and evidence-based practice STAGE OF NATURAL HISTORY ANALYSIS, PLANNING AND EXECUTION OF TREATMENT LEVEL OF SCIENTIFIC EVIDENCE PRESERVATION OF FUNCTION PRESERVATION OF STRUCTURE ACCESS MINIMALLY INVASIVE SURGERY MINIMAL ACCESS SURGERY MOTION PRESERVATION SURGERY MAXIMALLY INVASIVE SURGERY SCALE 0 100 Fig. 12 Scale guide suggested to recognize and define our performance as spine surgeons and evolve for developing a better surgical practice Philosophy and Concepts of Modern Spine Surgery based on personal experience and intuition [14].

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