Advances in Minimally Invasive Surgery and Therapy for Spine and Nerves

Radiologists, orthopedic and neurological surgeons present the different minimally invasive methods. Peripheral nerve problems and problems concerning differential diagnosis in special situations such as between radicular and peripheral nerve trunk lesion

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Advances in Minimally Invasive Surgery and Therapy for Spine and Nerves Edited by Alberto Alexandre Marcos Masini Pier Maria Menchetti Acta Neurochirurgica Supplement 108

SpringerWienNewYork

Alberto Alexandre European Neurosurgical Institute, Centro per lo studio e la cura delle malattie del sistema nervoso periferico 31000 Treviso, Italy

Marcos Masini School of Medicine, University of Planalto Central and South Lake Hospital, SCN Qd 05 Bl. A Sala 912, Brasilia, Distrito Federal, Brazil

Pier Maria Menchetti Florence University, Via Jacopo Nardi, 15, 50132 Firenze, Italy

This work is subject to copyright. All rights are reserved, whether the whole or part of the material is concerned, specifically those of translation, reprinting, re-use of illustrations, broadcasting, reproduction by photocopying machines or similar means, and storage in data banks. Product Liability: The publisher can give no guarantee for all the information contained in this book. This does also refer to information about drug dosage and application thereof. In every individual case the respective user must check its accuracy by consulting other pharmaceutical literature. The use of registered names, trademarks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use.

# 2011 Springer-Verlag/Wien Printed in Germany SpringerWienNewYork is part of Springer Science+Business Media springer.at

Typesetting: SPI, Pondichery, India

Printed on acid-free and chlorine-free bleached paper SPIN: 12674503

With 172 (partly coloured) Figures

ISSN 0065-1419 ISBN 978-3-211-99369-9 e-ISBN 978-3-211-99370-5 DOI: 10.1007/978-3-211-99370-5 SpringerWienNewYork

Preface

On behalf of the International Study Group on Spinal Degenerative Pathologies (ISSDP) (head Dr Alberto Alexandre) and the Committee for Peripheral Nerve Surgery of the World Federation of Neurosurgical Societies (head Dr Eduardo Fernandez) and sponsored by EU. N.I., European Neurosurgical Institute, the Sixth Symposium on Peripheral Nerve Microsurgery and Minimally Invasive Treatments for Spinal Diseases was held in Treviso with wide international participation. The course was also supported by the European Association of Neurosurgical Societies and by the Latin-American Federation of Neurosurgery. Peripheral nerve problems were discussed and problems concerning differential diagnosis were highlighted, i.e. differential diagnosis in special situations such as between radicular and peripheral nerve trunk lesions, pinpointing the significance of different diagnostic tools. Minimally invasive techniques, utilized nowadays to minimize bone demolition, scarring and risk of recurrence, were carefully analyzed. Microdiscectomy was compared with the results of intradiscal techniques, and new methods were discussed in the face of problems such as epidural fibrotisation, microinstability, osteoporotic or neoplastic or postraumatic vertebral lesions. The differe