Why use methylene blue ?

Why use methylene blue ?

Why use methylene blue ? Why use methylene blue ? How can methylene blue assist with endoscopic spine surgery ? Endoscopic spine surgery is, in many ways,  a self-taught skill set. Especially as one advances from beginner to expert. Of course this steep learning curve...
Failed Back Surgery – Why?

Failed Back Surgery – Why?

Failed Back Surgery…Why? What causes a failed back surgery? One answer could be an inadequate preoperative workup, before the fusion, to help identify the painful disc.  This is a situation that I’m seeing more often, as fusions are being performed more...
Annular Tears and Fragments – Part 1

Annular Tears and Fragments – Part 1

Annular Tears and Fragments – Part 1 What causes an annular tear?   Here is my theory. When I first started doing discography and CT scans to visualize annular tears in a painful lumbar spine, I thought it was wear and tear that caused all the fissures. I...