Technical Pearls for Difficult Cases, Controversies and Complications of Lumbar Endoscopy

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Spinal endoscopy has the stigma of being reserved for only a few that figureout how to master the steep learning curve and develop clinical practice settings wherean endoscopic spine surgery can thrive. In essence, endoscopic treatment of herniateddiscs specifically and nerve root compression in the lumbar spine in general amounts toreplacing traditional open spine surgery protocols with spinal endoscopic surgerytechniques. In doing so, the endoscopic spine surgeon must be confident that thedegenerative spine's common painful problems can be handled with the endoscopicspinal surgery techniques with at least comparable clinical results and complicationrates. This chapter illustrates several complex clinical examples and proposes treatmentalgorithms with pertinent pearls and tips for revision and complication cases.