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Paradigm Changing Transforaminal lumbar spine Surgery Course
1 Unanswered Questions and evolving answers in Spine Surgery
Unanswered questions in degenerative lumbar spine even in 2026 (14:54)
DUE to stitchless surggery under local anesthesia and better literarture review what answers have evolved? (14:47)
Answers nucleus, tissue origin and mechanisms # 3 PAPERS
Etiopathology specific preventive and therapeutic approaches; over coming uncertainty
Evolution of spine surgery from posterior midline to transforaminal: history and contributing factors
why microdiscectomy is an old standard
basic papers
what are numbers in degenerative lumbar spine true and virtual?
what are ailments related to degenerative lumbar spine?why should i know?
2 Mission spine books from dr Satishchandra Gore
GORE SYSTEM Audio primer is downloadable mp3s about 173 minutes
BOOK 1 primer of gore system from disc to stenosis
BOOK 2 3z 3w concept for lumbar canal stenosis podcast, chat with the book and quiz.
BOOK 3 gore sign : insights in sciatica, book, chat with it, audio overview.
BOOK 4 gore system manual of surgery
3 Cadaver dissections
1 spine anatomy basic (3:57)
2 spine anatomy walls (4:06)
3 post wall 3 part ligt (3:24)
4 Anatomy basic and UPPER foraminal zone and canal (32:50)
5 Anatomy of middle foraminal zone and canal (19:38)
6 Anatomy of lower foraminal zone and canal (27:35)
7 symptom generators in 3 columns how to reach them (26:23)
8 cadaver dissection in kambins traingle (9:42)
9 dissection on cadaver from inside foramen at med pedicle line (5:02)
10 clinical anatomy
4 EMERGENCE OF GORE SYSTEM
1 EVOLUTION OF GORE SYSTEM framework (7:59)
2 EMERGENCE OF GORE SYSTEM: please READ think READ AGAIN
3 shift away from images to symptoms (37:42)
4 pain generators (0:45)
5 pain generators 1 2 3 core concepts in gore system (63:33)
6 3 d understanding of gore system (2:03)
7 line drawing basics (1:40)
8 line drawing and root block in foramen (8:35)
9 line drawing and prp injection (8:08)
10 why gore system viv a vis other systems (3:26)
11 what is paradigm shift wrt awake aware surgery?
5 understand anatomy access and concerns
0 introduction and what this is all about why i need to learn TFE? (23:07)
1. importance of patient concerns and the matrix (24:58)
2. Concept of transforaminal access in AA patient why? (18:09)
3. CONCERN : safety. KAMBIN'S cone (15:56)
4. CONCERN precision: Access to foramen basics (25:41)
6 History taking and examination back pain sciatica and claudication
1 Read this first (5:44)
2 assessing back pain sciatica and claudication (52:12)
3 BASIC philosophy of gore system and distal block. THIS IS CORE LECTURE plus videos (77:00)
4 gore sign in sciatica and distal block for prolonged relief (10:59)
5 understanding gore sign and matrix (51:10)
6 INFLAMMATION concern: disc non op care (21:14)
7 reading material for the gore sign
8 assess claudication , whats new pdf (15:02)
9 facet pain and discogenic back pain papers
10 facet joint tip, ridge and lower pole (13:19)
11 Literature on back pain
12 how to choose patient for tfe gore system (24:05)
7 Pre op planning and surgery
1 DR GORE work flow
2 assessment and choosing a patient for surgery vid 104,105 (46:32)
3 imaging anatomy xrays. ct. mri and all other relevant modalities vid 106,7,8,9 (79:39)
4 summary- how to read mri - followup and summary (37:47)
5 pre op planning key concepts and algorithm vid 110 (37:53)
6 instruments in tssula, tressula and gore system vid 111 (20:36)
7 surgery for back pain and patchy pains vid 112 (18:35)
8 surgery for facet origin back pain etc. vid 113 (18:42)
9 surgery for sciatica vid 116,17,18,19,120 (132:14)
10 surgery for disc migrations vid 121 (9:59)
11 transfacet surgery (6:39)
12 Safe precise innovative novel and enabling tssula solutions vid 124 (17:41)
13 surgery for upper zone stenosis (46:21)
14 surgery for lower zone stenosis (4:20)
15 post op care tssula
18 care and maintenance of instruments
20 imaging papers
21 preop papers
25 New Lecture ALLIED TOPICS (107:51)
8 TFE surgery what it should be
1 foraminal stenosis (3:06)
2 dorsal rhizotomy (3:21)
3 central disc herniation (3:27)
4 extra foraminal herniation (1:43)
5 discogenic back pain (2:48)
6 my talk on difficult L5S1 and all its aspects (49:13)
7 synovial cysts etc and related
9 gore system for facet or discogenic back pain
PHILOSOPHY OF GORE SYSTEM
basic biochemical origin of pain :papers etc
understanding sciatica and non op care
snrb prp ozone biologicals etc
images videos papers books
LEAKING ANNULAR TEAR IMAGES
sciatica and knee pain special
sodium channels and distal block blocker (5:11)
10 GORE SYSTEM FOR sciatica DISC SURGERY
how is posterior midline and transforaminal surgery is different (11:48)
why do we need transforaminal surgery under LA (1:41)
short video intro to technique of gore system evolution from 1 to no stitch (4:46)
line drawing and access to foramen and disc
alternatives eg interlaminar and transiliac for L5S1
herniations c p f ef migrations u d
endoworld and instruments & preparations
IMAGES . OP IN FIXED SPINE
high LUMBAR DISC ACCESS
IMAGES 2 IN OP FIXED SPINE
TINY DOWN MIGRATION
ENDOSCOPY PREVIOUS CAGE
PARACENTRAL DISC
UP MIGRATION
POST OP granulation
central paracx disc
down migrated
central paracx disc
down migrated
Reading for this course
HOW WE DO STEP BY STEP SURGERY UNDER GORE SYSTEM
reading and analysing about miss abt >2000 pages
Learning anatomy analysis of > 7500 pages
Learning on disc degeneration analysis of > 2000 pages
Unanswered questions in degenerative lumbar spine even in 2026
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