Master Techniques in Minimally Invasive Spine Surgery: Lumbar Endoscopic Spine Surgery.

Abstract

The difficult learning curve remains the major obstacle to adoption of lumbar endoscopic spine surgery (LESS) techniques. Detailed, step-by-step techniques are described for the uniportal transforaminal technique, as well as uniportal and biportal interlaminar approaches. Special emphasis is placed on specific areas of the learning curve that pose obvious challenges to the completion of successful surgery. Logistical challenges of the first case are addressed with electronic checklists with interactive photographs of key instruments and equipment for easy identification by staff, interactive animations of the room set-up, and interactive animations of the surgical anatomy. This technique guide is part of a comprehensive training program with the goal to "make the first case go well."