Paradigm Changing Transforaminal lumbar spine Surgery Course

Gore system for treating symptomatic degenerative lumbar spine by stitch less surgery under LA

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Your Instructor

satishchandra gore

Dr Gore is in spine practice in pune, and as orthopedic surgeon for last 43 years. He started spine endoscopy in india and has "gore system" from karl storz (R) to his credit. He recently introduced smrutii system for stenosis.

Course Curriculum

1 Unanswered Questions and evolving answers in Spine Surgery

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Unanswered questions in degenerative lumbar spine even in 2026 (14:54)
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DUE to stitchless surggery under local anesthesia and better literarture review what answers have evolved? (14:47)
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Answers nucleus, tissue origin and mechanisms # 3 PAPERS
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Etiopathology specific preventive and therapeutic approaches; over coming uncertainty
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Evolution of spine surgery from posterior midline to transforaminal: history and contributing factors
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why microdisc is an old standard
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basic papers you read and reread:
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what are numbers in degenerative lumbar spine true and virtual?
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what are ailments related to degenerative lumbar spine?why should i know?

2 Mission spine books from dr Satishchandra Gore

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GORE SYSTEM Audio primer is downloadable mp3s about 173 minutes
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BOOK 1 primer of gore system from disc to stenosis
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BOOK 2 3z 3w concept for lumbar canal stenosis podcast, chat with the book and quiz.
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BOOK 3 gore sign : insights in sciatica, book, chat with it, audio overview.
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BOOK 4 gore system manual of surgery

3 Cadaver dissections

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1 spine anatomy basic (3:57)
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2 spine anatomy walls (4:06)
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post wall 3 part ligt (3:24)
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5. Anatomy basic and UPPER foraminal zone and canal (32:50)
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6. Anatomy of middle foraminal zone and canal (19:38)
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7. Anatomy of lower foraminal zone and canal (27:35)
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8. symptom generators in 3 columns how to reach them (26:23)
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cadaver dissection in kambins traingle (9:42)
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dissection on cadaver from inside foramen at med pedicle line (5:02)
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clinical anatomy

4 EMERGENCE OF GORE SYSTEM

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EVOLUTION OF GORE SYSTEM framework (7:59)
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EMERGENCE OF GORE SYSTEM: please READ think READ AGAIN
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shift away from images to symptoms (37:42)
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pain generators 1 (0:45)
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pain generators 1 2 3 core concepts in gore system (63:33)
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line drawing basics (1:40)
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3 d understanding of gore system (2:03)
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line drawing and root block in foramen (8:35)
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line drawing and prp injection (8:08)
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why gore system viv a vis other systems (3:26)
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what is paradigm shift wrt awake aware surgery?

5 understand anatomy access and concerns

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introduction and what this is all about why i need to learn TFE? (23:07)
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1. importance of patient concerns and the matrix (24:58)
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2. Concept of transforaminal access in AA patient why? (18:09)
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3. CONCERN : safety. KAMBIN'S cone (15:56)
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4. CONCERN precision: Access to foramen basics (25:41)

6 History taking and examination back pain sciatica and claudication

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Read this first (5:44)
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assessing back pain sciatica and claudication (52:12)
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BASIC philosophy of gore system and distal block. THIS IS CORE LECTURE plus videos (77:00)
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gore sign in sciatica and distal block for prolonged relief (10:59)
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understanding gore sign and matrix (51:10)
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INFLAMMATION concern: disc non op care (21:14)
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reading material for the gore sign
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assess claudication , whats new pdf (15:02)
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read facet pain and discogenic back pain papers
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facet joint tip, ridge and tail: (13:19)
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Literature on back pain
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how to choose patient for tfe gore system (24:05)

7 Pre op planning and surgery

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11. assessment and choosing a patient for surgery vid 104,105 (46:32)
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12. imaging anatomy xrays. ct. mri and all other relevant modalities vid 106,7,8,9 (79:39)
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summary- how to read mri - followup and summary (37:47)
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13. pre op planning key concepts and algorithm vid 110 (37:53)
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14. instruments in tssula, tressula and gore system vid 111 (20:36)
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15. surgery for back pain and patchy pains vid 112 (18:35)
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16. surgery for facet origin back pain etc. vid 113 (18:42)
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17. surgery for sciatica vid 116,17,18,19,120 (132:14)
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18. surgery for disc migrations vid 121 (9:59)
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20. Safe precise innovative novel and enabling tssula solutions vid 124 (17:41)
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21. surgery for upper zone stenosis (46:21)
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23. surgery for lower zone stenosis (4:20)
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24. post op care tssula
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27. care and maintenance of instruments
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New Lecture (107:51)

8 TFE surgery what it should be

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foraminal stenosis (3:06)
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dorsal rhizotomy (3:21)
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central disc herniation (3:27)
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extra foraminal herniation (1:43)
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discogenic back pain (2:48)
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my talk on difficult L5S1 and all its aspects (49:13)
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3 synovial cysts etc and related

9 gore system for facet or discogenic back pain

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PHILOSOPHY OF GORE SYSTEM
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basic biochemical origin of pain :papers etc
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understanding sciatica and non op care
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snrb prp ozone biologicals etc
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images videos papers books
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LEAKING ANNULAR TEAR IMAGES
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sciatica and knee pain special
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sodium channels and distal block blocker (5:11)

10 GORE SYSTEM FOR sciatica DISC SURGERY

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how is posterior midline and transforaminal surgery is different (11:48)
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why do we need transforaminal surgery under LA (1:41)
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short video intro to technique of gore system evolution from 1 to no stitch (4:46)
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line drawing and access to foramen and disc
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alternatives eg interlaminar and transiliac for L5S1
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herniations c p f ef migrations u d
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endoworld and instruments & preparations
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IMAGES . OP IN FIXED SPINE
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high LUMBAR DISC ACCESS
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IMAGES 2 IN OP FIXED SPINE
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TINY DOWN MIGRATION
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ENDOSCOPY PREVIOUS CAGE
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PARACENTRAL DISC
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UP MIGRATION
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POST OP granulation
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central paracx disc
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down migrated
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central paracx disc
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down migrated

Frequently Asked Questions

When does the course start and finish?

The course starts now . It is a completely self-paced online course - you decide when you start and when you finish.

off original price!

The coupon code you entered is expired or invalid, but the course is still available!

Get started now!

paradigm changing Coupon Discount

learn basics of transforaminal endoscopy from pioneer

price is monthly payment till cancelled

This is a subscription product billed on a monthly basis until you cancel. Cancel anytime from the account management page. Contact Satishchandra Gore at mission spine international for more info.

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4 day free trial then ₹8,999/month

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