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Epiduroscopic Trans-Sacral Approach: Anatomic and Technical Considerations

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Endoscopic Procedures on the Spine

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Abstract

With advances in optical technology, endoscopy has begun to play an ever-increasing role in the diagnosis and treatment of lumbar pathologic lesion.

The technique of Trans-Sacral Epiduroscopic laser decompression (SELD) is very useful in the treatment of small herniated disc, annular tear syndrome, discal cyst and ventral epidural adhesions.

We recommend that the surgeon have analyzed the anatomical variation of the thecal end at the beginning of the procedure evident on MRI T1 sequence.

The aim of this study presented in this chapter is to determine the anatomical variations in epidural space of lumbosacral area before procedure by MRI for correct placement of epiduroscopy, laser and for a successful operation.

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Author information

Authors and Affiliations

  1. Department of Neurosurgery–Spine, Good Doctor Teun Teun Hospital, Anyang City, South Korea

    Elmer Jose Arevalo Meceda & Kang Taek Lim

  2. Department of Neurosciences, University of the East Ramon Magsaysay Memorial Medical Center, Quezon City, Philippines

    Elmer Jose Arevalo Meceda

Authors
  1. Elmer Jose Arevalo Meceda
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  2. Kang Taek Lim
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Editor information

Editors and Affiliations

  1. Department of Neurosurgery, Seoul St Mary’s Hospital, College of Medicine, The Catholic University of Korea, Seocho gu, Seoul, Korea (Republic of)

    Jin-Sung Kim

  2. Department of Neurosurgery, Kyung Hee University Medical Center, Seoul, Korea (Republic of)

    Jun Ho Lee

  3. Department of Neurosurgery, Gachon University Gil Medical Center, Incheon, Korea (Republic of)

    Yong Ahn

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Meceda, E.J.A., Lim, K.T. (2020). Epiduroscopic Trans-Sacral Approach: Anatomic and Technical Considerations. In: Kim, JS., Lee, J., Ahn, Y. (eds) Endoscopic Procedures on the Spine. Springer, Singapore. https://doi.org/10.1007/978-981-10-3905-8_26

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  • DOI: https://doi.org/10.1007/978-981-10-3905-8_26

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  • Publisher Name: Springer, Singapore

  • Print ISBN: 978-981-10-3904-1

  • Online ISBN: 978-981-10-3905-8

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