2. Targets: inflammation- pain-deficit.
• 1. Mechanical Instability:
• Facet joints: inflammation- pain and instability- facet injections, radiofrequency
ablation, or minimally invasive fusion.
• Disc pathology: Disc removal-repair- replacement- restore disc function.
• Ligaments and muscles: targeted muscle releases can address these issues.
• 2. Painful Inflammation:
• Nerve roots: Inflamed or compressed -disc herniation, stenosis- Decompression-
create more space.
• Facets and other spinal joints: Inflammation- pain-injections, nerve blocks, or
radiofrequency ablation.
• Inflammatory mediators: Blocking specific chemicals- medications or targeted
injections.
• 3. Neurological Dysfunction:
• Spinal cord: spinal cord- leading to neurological deficits- Decompression- create
more space.
• Nerve pathways: Disruption- compression or inflammation- sensory or motor issues-
address the underlying cause and improve nerve function.
4. 22-07-2024 gore system and smrutii 2024 Feb at merengo hospital 4
0+8 symptom generators
Segment changes here.
May lead to symptoms , progressive.
Access thru foramen M or U.
Awake aware Surgery stitch less Under LA
NO symptom Generator in post midline