With the years of technological advances, the way surgery is performed today has completely changed. Open surgery is becoming less common, and minimally invasive surgery is becoming more and more popular.
The treatment of degenerative disc disease has developed from traditional spinal open surgery to minimally invasive spinal surgery, including endoscopic spinal surgery.
Minimally invasive spinal surgery can be performed with various endoscopic techniques for lumbar, cervical, and thoracic areas such as optical, high-resolution cameras, light sources, high-speed Burr, and irrigation pumps.
Minimally invasive surgery has proven to be more advantageous than conventional open surgery methods in that it preserves natural anatomical structures as much as possible and minimizes postoperative complications.
There are fewer tissue dissection and muscle trauma, and fewer scars due to minimal skin damage.
There is less damage to the epidural blood supply, resulting in reduced blood loss and no epidural fibrosis and scarring.
Minimizing the surgical site, shortening the surgical period, and minimizing blood loss can aim for shortening the hospitalization period and early functional recovery.
However, the big disadvantage is that these advancements require a longer learning curve.
Climbing the learning curve is diffcult & takes time.
In performing surgery using c-arm, exposure to radiation in the learning process is inevitable.