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Patient Testimonials   Superior Techniques About Us Introduction Finest Equipment Superb Approach NoTrauma vs Micro Small Bandaid Ask a Specialist  Spine Surgery Exposed Compare Misleading Terms   Eval and Treatments  Video and images  Motion MRI  What is herniated disc? Spine Nutrition Pain Management Links and Dictionary Surgery Pictures Patient walking out of the hospital - same day as Non Traumatic Discectomy   Forms Download, fill them in your house, print, bring it to office   Post Surgery Forms This area is only for the patients who had surgery with Back Institute   Career Opportunities Check out current openings Minimally invasive endoscopic methods, performed by passing the scope from the skin surface, should be differentiated from open surgery. These are "dot" opening procedures, (with skin openings just large enough to admit the scope), for internal viewing through scope placement directly at the tissue, to be addressed (with no cutting muscle or removal of bone or ligament in gaining access) as compared to working from an external view,(either with or without a microscope), through an open incision (cutting muscle, removing ligament, bone and joint capsule; pulling and holding over nerves for an extended period, in obtaining access to the disc). Why is non-traumatic discectomy so safe? Small Size (2.8.mm) Precise Control Visualization while working No access Damage Local Anesthesia Builds upon the safest proven approach(APLD) INDICATIONS Radiculopathy caused by disc compromise(Contained or non-contanined) accessible to percutaneous intruments Pain that has not responded to conservative treatments Herniated , prolapsed, bulging, or extruded discs confirmed by CT, MRI, Myelogram or Discogram Indications are evolving due to rapid changes in percutaneous instruments Radiating pain, numbness, weakness (not responding to conservative treatment) CONTRA-INDICATIONS Lateral lumbar spinal canal stenosis caused by bone Bony spurs, facet hypertrophy, ligamentous hypertrophy causing neural encroachment Spinal Instability Inaccessible free fragments Distal major joint pathology Significant cicatrix or arachnoiditis TECHNIQUE Posterior-Lateral approach Symptomatic Side up Lateral Position (Safer for avoiding abnominal structures) Puncture Opening Inject Local Maek approx. 5mm skin opening(to be closed with a steri-strip and bandaid) No stitches EXTRUDED DISC Grasper can remove a 2cm disc fragment through the working channel scope ALPD : Long-Term Follow-up "This procedure was the lowest morbidity of all invasive treatment options in the care of patients with herniated lumbar discs" [Gill & Blumenthal, Actaorthop scand] © 1995-2009 BACKINSTITUTE.COM Any questions about this site, mail to Webmaster. Please read our disclaimer before using this site. Lowest Cost!! Click Here Solve the Problem Send Your Question Where do Medical Doctors have surgery? Learn more! Founder ABC Interview NBC Interview Symptoms  1. Sciatica  2. Sciatica Pain  3. Back Pain Articles Click here to read Articles Message Board Email from Patients who have had spine surgery elsewhere.