Endoscopic Spine Surgery has evolved rapidly in the past 5 years, and is getting less pushback by traditional spine surgeons who have no exposure or training in endoscopic spine surgery in their training. The author has dedicated his last 25 years to transforaminal endoscopic surgery. He has previously reported on his 12 years’ experience in 2007 in IJAS Surgery, but 13 years later, continued evolution of the transforaminal approach aided by new endoscopes and endoscopic instrumentation has allowed the author and experienced endoscopic surgeons adopting this approach, with the ability to treat 90 percent of painful degenerative conditions of the lumbar spine after the learning curve is conquered.
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