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29 Aug 2018 ... Download PDFill PDF Editor 14.0.0.0 for Windows. Fast downloads of the latest free software ! ... Insert your signature into a PDF document . surgeon and pinpoint the exact location of the damaged disc based on the presurgical evaluation of the MRI s spinal scans. After the location of the problem disc is marked on the skin, a small hollow tube (about 6 mm) is inserted by the surgeon into the disc s space (Fig. 24.7A). An endoscope and a variety of MISS surgical instruments can be inserted through the hollow tube including miniature-forceps, curettes, trephines, rasps, burrs, cutters, and other types of probes (Fig. 24.7B) for disc decompression guided by real-time continuous endoscopic video images (Fig. 24.6D). Lasers are also used to shrink and tighten the disc and to remove portions of the protruded disc (Fig. 24.8). The procedure takes about 30 minutes per disc on average. The discectome, a hollow probe, is used to cut, suction, and remove (Fig. 24.9) small pieces of disc material until enough of the disc is removed to decompress the affected nerve root (Fig. 24.9, bottom right). The supporting structure of the disc is not disturbed. Upon completion, several sutures and a small Band-aid are applied to the external incision. The patient is then relocated to the recovery area for monitoring, and is discharged in about 45 minutes to one hour. This endoscopic procedure is also used currently for bony decompression in spinal stenosis. Based on more than 5000 patient studies in the California Spine Institute (CSI) in Thousand Oaks, California, endoscopic spine surgery has a patient satisfaction score of 91%, and a 94% success rate (for a single level of disc problem). The complication rate is much less than 1%, and the mortality rate directly from spinal disc surgery is zero (Figure 24.10). free online pdf editor windows 7: Win PDF Editor : Edit PDF Content, Remove PDF Text - Downloada adobe pdf editor software with crack Download Pdf Editor for Windows 7 - Best Software & Apps - Softonic
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