By Alberto Alexandre, Marcos Masini, Pier Paolo Maria Menchetti
Radiologists, orthopedic and neurological surgeons current different minimally invasive equipment. Peripheral nerve difficulties and difficulties bearing on differential analysis in precise events equivalent to among radicular and peripheral nerve trunk lesions are mentioned, pinpointing the importance of other diagnostic instruments. Minimally invasive strategies, applied these days to reduce bone demolition, scarring and threat of recurrence are analyzed. Microdiscectomy is in comparison with the result of intradiscal suggestions, and new equipment are mentioned dealing with difficulties corresponding to 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
All patients were classified as group 5 initially due to the pain, meaning that they were unable to work or assume activities. After 3 month analysis, 70% were classified as group 1 representing total capacity for activities. The index line in 3 means patients that were still in the rehabilitation program 60 40 20 0 1 2 3 Index 4 5 36 Discussion Saberski et al.  in 1995 mentioned that epidural endoscopy is not limited to injections but can also be used as an instrument for diagnosis in many situations such as hematomas, abscess, tumors, inflammations and adhesions.
No infections. No motor deficit or sphincter disturbance. In one patient it was decided to proceed with an open surgical procedure, the other 31 patients were kept in clinical treatment as described previously (Fig. 3). Fig. 2 Improvement VAS. Each square shows the mean percentage of pain improvement after the procedure in VAS and the deviation in group and bars for the time frame analysed. Therefore, just after the procedure (zero time), the patients showed a pain relief of 80% mean. The data also suggests a better improvement in females than in males, probably related to the way they assume the completion of the treatment and to the life style of each group Functional Index (1-5), based on Oswestry Disability Index (3 months) 100 80 Percentage Fig.
The patient was evaluated and oriented to back school by the physiotherapist and discharged on the same day. The patient was maintained under anti-inflammatory/ analgesics for 10 days, antidepressant drugs for 2 months or as long as necessary and submitted to hydrotherapy of 10 20 sections. treatments that included anti inflammatory and analgesic drugs, physiotherapy and posterior epidural steroids and/or facet joint injections. These procedures were performed during the year 2006. Patients with facet joint pain or sacroiliac joint pain as major causative factors of disability were excluded.
Advances in Minimally Invasive Surgery and Therapy for Spine and Nerves by Alberto Alexandre, Marcos Masini, Pier Paolo Maria Menchetti