Author:
Bambang Darwono Aloysius,Radchenko Volodymyr
Abstract
Multilevel spine degeneration with deformity should be described in 3 column theory of lumbar degeneration cascade to detect completely the degenerative damages or deformers. Theory of degenerative spine deformity is a combination between 2 factors: 1. spine stabilizer (disc, 2 facet joints, anterior and posterior longitudinal ligament, supraspinatus ligament, multifidus muscle) and 2. spine deformer (degenerative injury). The common gold standard is to remove the deformer by open surgery, but this open surgery will sacrifice the stabilizer, so it requires artificial stabilizer or fusion device. The concept of minimally invasive endoscopic spine surgery is simply to remove the deformer while retaining the stabilizer. After deformer are removed, the stabilizers will be reapplied, and the deformity can be corrected naturally.
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