Symptomatic Lumbar canal stenosis by smrutii.
This course outlines new look at posterior wall of lumbar canal from ventral aspect going from upper foramen down along ligamentum that covers sub pars area and then IAP facet [ventral] and the interlaminar window. This is new way of accessing ligament and changes causing central canal stenosis, upper foraminal and lateral recess stenosis researched and validated by Dr Gore with help from Dr Hillol Kanti Pal, Neurosurgeon for imaging and Dr Prashant Moolya Prof Anatomy for cadaver dissections. Lumbar canal stenosis is not a lumping together of 3 distinct entities UZ foraminal stenosis [mainly soft tissue], MZ central canal stenosis LZ latearl recess or root canal stenosis. These 3 have different presentations and need separate access and management. welcome to ourcourse
Watch PromoThis course outlines new look at posterior wall of lumbar canal from ventral aspect going from upper foramen down along ligamentum that covers sub pars area and then IAP facet [ventral] and the interlaminar window. This new way of accessing ligament and changes causing central canal stenosis, upper foraminal and lateral recess stenosis. Lumbar canal stenosis is not a lumping together of 3 distinct entities UZ foraminal stenosis [mainly soft tissue], MZ central canal stenosis LZ latearl recess of root canal stenosis. These 3 have different presentations and need separate access and management.
Your Instructor
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
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PreviewStenosis is narrowing of inner cavity of spinal bony tube (0:10)
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Startsmruti system in 1 min (1:00)
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Startvery short concept videos MZ 1', going to uz from mz 1.35' and MZ to LZ 1' (3:35)
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Startaudio preview 15 ' of stenosis: rubbery legs caused by drowning nerves
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Startlearning about stenosis from literature >30 sources
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Start1-intro-L-C-Stenosis (19:43)
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Start2-how-we-do-open-lcs (1) (15:46)
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Start3-symptom-generators-universal (29:47)
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StartUNIVERSAL targets-in-3z3w-concepts dnldble (9:34)
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Startupper-zone-concept (6:05)
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StartEvolved Upper Zone (3:37)
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Startmiddle-zone-concepts (6:53)
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StartEvolved Middle Zone (3:27)
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StartLower-zone-concepts (6:21)
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StartEvolved Lower Zone (3:28)
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Start4-Detailed-bony-anatomy (12:45)
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StartReality of anetrior canal wall with "pain generators" T1 T3 T5 T6 (2:58)
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StartReality of posterior wall with "symptom generators" T2 T4 T7 T8 (3:44)
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StartEvolved basics 1 (11:57)
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StartEvolved basics 2 (18:44)
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Start5-CT-anatomy-correlation (10:33)
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Start6-study-of-cadaver-anatomy (18:52)
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Start7-study-mri-anatomy imaging for symptom-generators (16:13)
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Start8-IMP synthesis of basic anatomy +CT+Cadaver+Mri leading to concepts (20:29)
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Startgore tfe system video (10:00)
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Start9-gore-TFE system -in-l-c-s (11:42)
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Start10-emergence-of-smrutii-system and 2 text books (18:19)
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Startf-plasty-and-ch-plasty-inside-out-and-outside in dnldble (10:00)
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Start11-SMRUTII-system-for-stenosis revision downloadable (20:19)
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Startsmruti system in 3D (3:28)
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Startcentral canal stenosis role of f plasty and more (3:49)
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StartReality of central stenosis wrt LF lateral medial or middle and central (6:59)
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StartSMRUTII surgery: in steps PLUS gore system. Demo by Drs Sudame, Nadkarni, narration Dr Gore. (39:39)
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Startlaser as a cutting tool (14:18)