Invasive Endoscopic Spine Surgery

INTERVENTION THROUGH A NATURAL CHANNEL The latest in science and technology in treating the problem of Lumbosciatica.

The intervertebral disc is often wrongly blamed and targeted as the cause of lumbar pain. It has now been proven that pain is often due to pathology that occurs in the epidural space.

MRI as a diagnostic tool cannot distinguish inflammation and often gives insufficient (unreliable) and false data.

Classic spinal surgical techniques often fail or cause further problems due to the creation of scar tissue and destruction of healthy spinal structures.

All other invasive techniques refer to one level of the spine and are not diagnostic.

INTERVENTION THROUGH A NATURAL CHANNEL The latest in science and technology in treating the problem of Lumbosciatica.

The intervertebral disc is often wrongly blamed and targeted as the cause of lumbar pain. It has now been proven that pain is often due to pathology that occurs in the epidural space.

MRI as a diagnostic tool cannot distinguish inflammation and often gives insufficient (unreliable) and false data.

Classic spinal surgical techniques often fail or cause further problems due to the creation of scar tissue and destruction of healthy spinal structures.

All other invasive techniques refer to one level of the spine and are not diagnostic.

THE TECHNIQUE TREATS MOST CAUSES OF BACK PAIN

  • Projection – herniated disc
  • Spinal stenosis
  • Degenerative spinal disease
  • Adhesions
  • Loose disc material
  • Inflammation of the nerve roots
  • Failed lumbar surgery syndrome
  • Cystic lesions (Tarlov cyst, arachnoid cyst, etc.)
  • Spinal canal tumors (biopsy)
  • Lipomatosis of the epidural space

The procedure takes place in the interventional radiology room. It lasts 30-40 minutes and the patient leaves the hospital after a few hours. Most patients return to work the next day.

During the procedure, pathologies that cannot be detected by MRI are revealed and treated. The patient, under local anesthesia and light intoxication, communicates with the doctor throughout the procedure. The doctor inserts a thin navigable catheter with a camera through the sacral fissure into the spinal canal. Under the patient’s guidance, the symptomatology is reproduced. X-rays identify the height of the lesion and endoscopy the underlying pathology.

When the problem is identified, the appropriate treatment is applied (adhesions removal, nerve root release, ablation – shrinkage of structures using LASER)

ADVANTAGES OF MICROINVASIVE ENDOSCOPIC NEUROPLASTY – SPINE SURGERY

  • The least traumatic method
  • Immediate recovery from surgery
  • Diagnoses and treats problems that MRI does not detect
  • 100% diagnostic success
  • Multi-level technique
  • Does not create scar tissue
  • High success rate

Invasive Endoscopic Neuroplasty of the OMSS

The diagnostic study and treatment, mainly of chronic degenerative diseases of the OMSS and failed surgery syndrome, is carried out in 3 stages:

1. Dynamic study

ENDOSCOPIC ACCESS TO THE SPINAL TUBE AND WOUNDS

Dr. Σκεύος Πουλλάς | Advanced Spinal Care Clinic

DYNAMIC STUDY – ENDOSCOPE NAVIGATION

Dr. Σκεύος Πουλλάς | Advanced Spinal Care Clinic

Mechanical irritation of the affected root reproduces the symptoms and has a positive predictive value ranging from 87%-100%.

MECHANICAL IRRITATION OF THE NERVE ROOT

2. Imaging study

SPINAL TUBE NESTIA

3. Endoscopic study

ENDOSCOPIC ANATOMY

(LUMBAR ROOT WITHIN THE SPINAL TUBE)

LUMBAR ROOT WITHIN THE WOUND

INFLAMED NERVE ROOT

Dr. Σκεύος Πουλλάς | Advanced Spinal Care Clinic

INFLAMED NERVE ROOT

VENOUS STATUS

DENTIFYING THE MENING SAC

Dr. Σκεύος Πουλλάς | Advanced Spinal Care Clinic

WOUND NARRATION

Dr. Σκεύος Πουλλάς | Advanced Spinal Care Clinic

LYSIS OF ADHESIONS WITH HOLMIUM LASER

NEBULA PRESURGERY

POSTOPERATIVE NEBULA

Dr. Σκεύος Πουλλάς | Advanced Spinal Care Clinic

ARTERIOVENOUS DYSPLASIA OF THE MENINGA SCLES

Dr. Σκεύος Πουλλάς | Advanced Spinal Care Clinic

TRANSTUNAL SCREW WITHIN A SPINAL TUBE

Dr. Σκεύος Πουλλάς | Advanced Spinal Care Clinic

Interventional Endoscopic Surgery of the OMSS

FREE DISC MATERIAL

Dr. Σκεύος Πουλλάς | Advanced Spinal Care Clinic

PERINEURAL CYSTS

ΠΕΡΙΝΕΥΡΙΚΗ ΚΥΣΤΗ | ASCC - Skevos Poullas

GIANT PERINEURAL CYSTS

DISCOHERAL O5-I1 – PERINEURAL CYSTS I3

Dr. Σκεύος Πουλλάς | Advanced Spinal Care Clinic

JOINT CAPSULE CYSTS – PRESURGERY

ΚΥΣΤΗ ΑΡΘΡΙΚΟΥ ΘΗΛΑΚΟΣ – ΠΡΟΕΓΧΕΙΡΙΤΙΚΗ

JOINT CAPSULE CYSTS – POST-SURGERY

ΚΥΣΤΗ ΑΡΘΡΙΚΟΥ ΘΗΛΑΚΟΣ  – ΜΕΤΕΓΧΕΙΡΙΤΙΚΗ

JOINT CAPSULE CYSTS

SPINAL TUBE NESTIA

FINAL FILAMENT

PSEUDOMENINGOCELE

ΨΕΥΔΟΜΗΝΙΓΓΟΚΗΛΗ

EPISCRECIDE LIPOMATOSIS

ΕΠΙΣΚΛΗΡΙΔΙΟΣ ΛΙΠΩΜΑΤΩΣΗ

SPACE-INCESSIVE PROCESSING OF OMSS

Dr. Σκεύος Πουλλάς | Advanced Spinal Care Clinic

FINAL RESULT SKIN INCISION 1-2 mm

Dr. Σκεύος Πουλλάς | Advanced Spinal Care Clinic

ENDOSCOPIC NEUROPLASTY 3D ANIMATION

The concept of Minimally Invasive Endoscopic Spine Surgery aims to achieve better clinical results compared to classical surgery because in this way:

  • Previously unknown pathological entities are recognized, such as the trapped meningeal sac, the nerve root, and other pathologies.
  • Therapeutic algorithms are being developed.
  • Minimal tissue exposure to the surgical wound is achieved.
  • The risk of iatrogenic harm is minimized.
  • Hospital stay is reduced (day hospital stay).
  • Drug consumption is reduced.
  • Recovery time is reduced.
  • With significant socio-economic benefits.

The detailed evaluation of clinical, endoscopic and imaging data and the correct selection of patients is the true surgical art and not the simple application of a specific surgical technique.

At ADVANCED SPINAL CARE CLINIC, surgeries are performed on the entire Spine with the appropriate techniques (minimally invasive, endoscopic, classic) depending on the pathology.