03/19/2025
๐ ๐๐ผ๐ฒ๐ ๐๐ถ๐๐ฒ ๐ฟ๐ฒ๐ฎ๐น๐น๐ ๐บ๐ฎ๐๐๐ฒ๐ฟ?? ๐
Absolutely!
One of the coolest aspects of uniportal endoscopic spine surgery is that the entire procedure is performed through a tiny camera. But even in this cutting-edge field, there are various scopes of different diameters, lengths, and angles.
Iโve mostly used narrower scopes, which are perfect for addressing disc herniations. However, when it comes to tackling severe lumbar stenosis, these smaller scopes have their limitations. They can only accommodate smaller instruments, making it challenging to efficiently remove overgrown bone and soft tissue (i.e., ligamentum flavum).
But hereโs the exciting part: Iโve been involved in developing new tools for a slightly wider (10 mm diameter) scope, and Iโm amazed by how effective it is! This platform is a game-changer for treating stenosis. Iโm excited to add the 10 mm scope to my arsenal as we continue to develop the field of sports spine surgery. Right now, I perform a large majority of my surgeries endoscopically, and with ongoing technological innovations, Iโm optimistic that Iโll someday reach 100%!
Key takeaway: In endoscopic spine surgery, thereโs no one-size-fits-all solution. As we push the boundaries of whatโs possible, we should always ask:
๐ ๐๐๐๐ฉโ๐จ ๐ฉ๐๐ ๐๐๐จ๐ฉ ๐ฉ๐ค๐ค๐ก ๐๐ค๐ง ๐๐๐๐ ๐ฅ๐๐ฉ๐๐๐ฃ๐ฉโ๐จ ๐ช๐ฃ๐๐ฆ๐ช๐ ๐ฃ๐๐๐๐จ ๐๐ฃ๐ ๐๐ฃ๐๐ฉ๐ค๐ข๐ฎ?