Spine

Medial Branch Transection

An endoscopic approach to medial branch nerve transection can lead to relief from pain caused by facet joint arthropathy. Combining 4K visualization with minimally invasive techniques allows surgeons to view and treat the spinal pathology while maintaining surgical precision and reducing postoperative complications.1,2
References
1. Lewandrowski KU, Ransom NA, Yeung A. Return to work and recovery time analysis after outpatient endoscopic lumbar transforaminal decompression surgery. J Spine Surg. 2020 Jan;6(Suppl 1):S100-S115. doi:10.21037/jss.2019.10.01
2. Sivakanthan S, Williams JR, Feroze AH, et al. Endoscopic spine surgery in athletes: case series and review of literature. World Neurosurg. 2021;145:702-707. doi:10.1016/j.wneu.2020.08.211​

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Spine

Transforaminal Endoscopic Discectomy

A transforaminal, or paraspinal, approach provides the ability to reach far-lateral disc herniations. Using a spine-specific endoscope minimizes soft-tissue disruption, resulting in less postoperative pain.1,2 Additionally, studies showed that approximately 85% patients who underwent endoscopic lumbar discectomy returned to athletic activity in as few as 6 to 8 weeks.3,4
References
1. Sairyo K, Matsuura T, Higashino K, et al. Percutaneous endoscopic lumbar discectomy for athletes. J Spine. 2013;S5(006):1-4. doi:10.4172/2165-7939.S5-006 ​
2. Sivakanthan S, Williams JR, Feroze AH, et al. Endoscopic spine surgery in athletes: case series and review of literature. World Neurosurg. 2021;145:702-707. doi:10.1016/j.wneu.2020.08.211
3. Polikandriotis JA, Hudak EM, Perry MW. Minimally invasive surgery through endoscopic laminotomy and foraminotomy for the treatment of lumbar spinal stenosis. J Orthop. 2013;10(1):13-16. doi:10.1016/j.jor.2013.01.006
4. Ruetten S, Komp M, Merk H, Godolias G. Use of newly developed instruments and endoscopes: Full-endoscopic resection of lumbar disc herniations via the interlaminar and lateral transforaminal approach. J Neurosurg Spine. 2007;6(6):521-530. doi:10.3171/spi.2007.6.6.2

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Spine

Interlaminar Endoscopic Discectomy

The endoscopic approach to interlaminar discectomies provides minimally invasive access to posterior herniations in the lower lumbar spine that may be difficult to reach through a transforaminal approach. Additionally, interlaminar discectomy results in less tissue and muscle disruption, faster recovery times, and a quicker return to activity than traditional open procedures.1-4 WishBone™ endoscopic instruments feature superior feel and improved ergonomics that facilitate inverted and retrograde usage with either hand.
References
1. Matsumoto M, Hasegawa T, Ito M, et al. Incidence of complications associated with spinal endoscopic surgery: nationwide survey in 2007 by the Committee on Spinal Endoscopic Surgical Skill Qualification of Japanese Orthopaedic Association. Orthop Sci. 2010;15(1):92-96. doi:10.1007/s00776-009-1428-6​
2. Ahn Y, Oh HK, Kim H, Lee SH, Lee HN. Percutaneous endoscopic lumbar foraminotomy: an advanced surgical technique and clinical outcomes. Neurosurgery. 2014;75(2):124-133. doi:10.1227/NEU.0000000000000361
3. Polikandriotis JA, Hudak EM, Perry MW. Minimally invasive surgery through endoscopic laminotomy and foraminotomy for the treatment of lumbar spinal stenosis. J Orthop. 2013;10(1):13-16. doi:10.1016/j.jor.2013.01.006
4. Ruetten S, Komp M, Merk H, Godolias G. Use of newly developed instruments and endoscopes: Full-endoscopic resection of lumbar disc herniations via the interlaminar and lateral transforaminal approach. J Neurosurg Spine 2007;6(6):521-530. doi:10.3171/spi.2007.6.6.2.​

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Spine

Spine Scorpion™ Suture Passer

The Spine Scorpion™ suture passer is ideal for closing the fascia up to 75% faster at the end of minimally invasive spine procedures.1 Its low-profile design eases access for approaches through tubular or mini open incisions. The suture passer automatically passes and retrieves multiple types of commonly used sutures, such as 0 and 2-0 absorbable suture.
Reference
1. Arthrex, Inc. Data on file (APT 05722). Naples, FL;2021.

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