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  • Minimally invasive endoscopic methods, performed by passing the scope from the skin surface, should be differentiated from open surgery.

  • These are "dot" opening procedures, (with skin openings just large enough to admit the scope), for internal viewing through scope placement directly at the tissue, to be addressed (with no cutting muscle or removal of bone or ligament in gaining access) as compared to working from an external view,(either with or without a microscope), through an open incision (cutting muscle, removing ligament, bone and joint capsule; pulling and holding over nerves for an extended period, in obtaining access to the disc).

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