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  • The Internet Journal of Minimally Invasive Spinal Technology
  • Volume 1
  • Number 2

Original Article

SMART®: Endoscopic Assisted Lumbar Surgery For Treatment Of Degenerative Disc Disease

J Chiu

Citation

J Chiu. SMART®: Endoscopic Assisted Lumbar Surgery For Treatment Of Degenerative Disc Disease. The Internet Journal of Minimally Invasive Spinal Technology. 2006 Volume 1 Number 2.

Abstract

In response to the rapid development and demand of outpatient minimally invasive surgical technique, the new versatile SMART® Endoscopic Lumbar Spine System (Karl Storz GmbH & Co., Tuttlingen, Germany) was developed to provide the necessary bridge between traditional and endoscopic spine surgical techniques. Through a small skin incision, and dilatation surgical technology, this endoscopic assisted surgical system, with progressive sized serial tubular retractors or working channels, provides superior lighting and clear viewing of internal operative field, for performing minimally invasive spinal surgery (MISS). It incorporates the advantages of posterolateral endoscopic lumbar system, and paramedian endoscopic assisted microdecompressive surgical spinal system. Because of the unique features of the SMART® endoscopic tubular access set, the surgeon can take advantage of microscopic, endoscopic, or direct-vision imaging during spinal surgery for microdecompression Iof herniated lumbar disc, degenerative spinal disease, spinal stenosis, and removal of intraspinal lesions besides spinal arthroplasty and spinal fixation. This less traumatic easier outpatient SMART® Endoscopic MISS treatment appears to be easy, safe, and efficacious leads to excellent results, speedier recovery, and significant economic savings.

 

References

1. Chiu J, Endoscopic Assisted Lumbar Microdecompressive Spinal Surgery with a New SMART® Endoscopic System. In, Szabo Z, Coburg AJ, Savalgi R, Reich H, Yamamotto M, eds. Surgical Technology International XV, UMP, San Francisco, CA 2006: p.265-275
2. Chiu, J, Emerging Endoscopic Minimally Invasive Spinal (MISS) Innovative and Digital Technologies, The 6th Pacific Asian Society of Minimally Invasive Spine Surgery, Taiwan, 8/17-19/2006, Proceedings, p. 7-10
3. Chiu J. Endoscopic lumbar foraminoplasty In: Kim D, Fessler R, Regan J (eds). Endoscopic Spine Surgery and Instrumentation. New York: Thieme Medical Publisher, 2004, 212-29. Chiu J. Digital technology assisted minimally invasive spinal surgery (MISS) for spinal motion preservation. In: Lemke HU, Vannier MN, Invamura RD (eds). Computer Assisted Radiology and Surgery. Amsterdam: Elsevier Medical Publisher, 2004, 461-6.
4. Chiu J, Savitz MH. Use of laser in minimally invasive spinal surgery and pain management. In: Kambin P (ed). Arthroscopic and Endoscopic Spinal Surgery - Text and Atlas, 2d Ed. New Jersey: Humana Press, 2005, 259-69.
5. Chiu J, Clifford T. Transforaminal endoscopic decompression: In: Savitz M, Chiu J, Rauschning W, Yeung A (eds). The Practice of Minimally Invasive Spinal Technique: 2005 Edition. New York: AAMISS Press, 2005:60, 435-41. Chiu J. Transforaminal endoscopic laser microdecompression for herniated lumbar discs and spinal stenosis. In: Khamlichi A (ed). Reprinted from Intl Proc 13th World Congress of Neurological Surgery, Marrakesh, Morocco, 6/19-24/2005, 77-82.
6. Chiu J, Transforaminal Endoscopic Laser Microdecompression for Herniated Lumbar Discs and Spinal Stenosis, World Spine III: The Third Interdisciplinary Congress on Spine Care, Rio de Janeiro, Brazil, 7/31-8/3/2005, Proceedings: pp. 1-2.

Author Information

J. Chiu, M.D., FRCS, D.Sc.
Director, Neurospine Surgery, California Spine Institute Medical Center

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