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Debilitating pain or neurologic abnormalities can result from lumbar spine degenerative disease, which typically occurs with aging. Traditional therapy has involved decompression surgery followed by the potential need for lumbar fusion when minimally invasive therapies and pain management strategies are unable to relieve the patient's symptoms. A mechanical implant system called the Total Posterior Spine (TOPS) System has been presented as a dynamic substitute for fusion surgery after decompression. By offering multiaxial, three-column stabilization, the device-a dynamic posterior arthroplasty with pedicle screw insertion—maintains range of motion, flexibility, and mobility. Percutaneous endoscopic discectomy was the original form of endoscopic spine surgery (ESS), which has since developed over 20 years ago.
Sadik Basha Syed (Sun,) studied this question.