The Endoscopic Approach to Lumbar Discectomy, Fusion, and Enhanced Recovery: A Review
- PMID: 32528809
- PMCID: PMC7263329
- DOI: 10.1177/2192568219884913
The Endoscopic Approach to Lumbar Discectomy, Fusion, and Enhanced Recovery: A Review
Abstract
Study design: Review.
Objectives: To review the current state of endoscopic spine surgery with regard to discectomy, interbody fusion, and combination with Enhanced Recovery After Surgery programs in order to evaluate its relevance to the future of spine care.
Methods: A review of the literature and expert opinion is used to accomplish the objectives.
Results: The greatest strength of endoscopic spine surgery lies in its adherence to the basic tenets of minimally invasive surgery and its innate compatibility with Enhanced Recovery After Surgery programs, which aim to improve outcomes and reduce health care costs. The greatest challenge faced is the unique surgical skill set and significant learning curve.
Conclusions: Endoscopic spine surgery strives to achieve the core goals of minimally invasive surgery, while reducing cost and enhancing quality. In a healthcare market that is becoming increasingly burdened by cost and regulatory constraints, the utilization of endoscopy may become more widespread in the coming years.
Keywords: endoscopy; minimally invasive surgical procedures; spine.
© The Author(s) 2019.
Conflict of interest statement
Declaration of Conflicting Interests: The author(s) declared the following potential conflicts of interest with respect to the research, authorship, and/or publication of this article: Dr Michael Y. Wang is a consultant for Depuy-Synthes Spine, K2M, Spineology, and Stryker; receives royalties from Children’s Hospital of Los Angeles, Depuy-Synthes Spine, Springer Publishing, and Quality Medical Publishing; is on the Advisory Board of Vallum; holds direct stock ownership in Innovative Surgical Devices; and receives support for a non–study-related clinical or research effort overseen by the US Department of Defense.
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