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“How Do We Limit Harm to Patients During Spine Surgeons’ Learning Curves For Minimally Invasive  (MI) Surgery?”; Nancy Epstein; Controversies in Spine Surgery; TLIF, XLIF, ALIF, OLIF:

In another video in the SNI Digital® Controversies in Spine surgery series, Dr. Nancy Epstein, Editor in Chief of SNI,  experienced spine surgeon for 40 years; author of many papers on Spine Surgery, discusses the learning curves for TLIF, XLIF, OLIF, complications, and avoiding trouble. How many cases must be done to be skilled at these procedures? Is fellowship training required? Or can this be learned out of training? Can working with colleague or orthopedic surgeon in community be helpful? ; What to do if a complication occurs? Is intra-operative monitoring necessary? What if it is not available? What to do with in limited resource environments? Are the new advanced technologies essential? What is the evidence for their use?  Compared to what?  Who can afford it? What to do in your community? Are other procedures valuable?  Lecture 20 min; Discussion 25 min 

Enter Spine Surgery in Search  and click on the red magnifying glass to see  other spine videos; 102, 105 and 178 are very good.  More coming  

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Moderator / Speaker
  • J
  • James I. Ausman,MD, MA, PhD

    CEO SNI and SNI Digital; Emeritus Professor Neurosurgery

James I. and Carolyn R. Educational Foundation

  • Nancy Epstein,MD

    Chief, Neurosurgical Spine and Education, Winthrop Univesrity Hospital Mineola , New York, USA

Neurosurgeon, Spine Neurosurgery, Professor of Clinical Neurosurgery, School of Medicine, State University of New York At Stony Brook, Surgical Neurology International, Editor in Chief