The Parviz Kambin Award
One of the key trailblazers in endoscopic spine surgery, Dr. Parviz Kambin, was the first surgeon in the world to highlight the potential of transforaminal endoscopic access as the natural access channel for herniated discs (TESSYS® = Transforaminal Endoscopic Surgery System).
In a series of trials on anatomical specimens, he identified a working area within the intervertebral foramen through which the spinal canal can be safely accessed. Since this safe zone is roughly triangular in shape, it was named ”Kambin‘s triangle.“
Setting the Pace for the Future
Together with SMISS (Society of Minimally Invasive Spine Surgery), joimax® established the Parviz Kambin Award in 2011. The award honors spine surgeons who have notably excelled in advancing endoscopic spine surgery, particularly in the use of transforaminal access techniques. It has come to symbolize the importance of continuous development, from early advances toward a sustainable future in endoscopy.
The Parviz Kambin Award was presented for the first time in April 2011, during the international joimax® user meeting at the Annual AANS Congress in Denver (Colorado, USA).
Dr. Parviz Kambin and the “Kambin triangle“
Dr. Parviz Kambin was the first Surgeon worldwide, who described the transforaminal endoscopic access to disc herniation1. joimax® registered and therefore named its first endoscopic system TESSYS® (Transforaminal Endoscopic Surgery System). In experimental test series on specimens, he identified a workspace within the intervertebral foramen, through which the spinal canal can be accessed safely. Because this safe zone is somewhat triangular shaped, it was named the “Kambin triangle“.
The posterolateral transforaminal access route offers some significant advantages compared to conventional posterior approaches. Since the foramen is a natural opening to the spinal canal, no muscles, no bone and no ligaments need to be resected to access the spinal canal. Therefore, it is a far more gentle tissue-sparing technique as compared to microsurgery. It presents less scarring, less complications and a faster recovery, thereby speeding up the time for patients to return to work2,3,4,5,6,7,8,.
Based on all those aspects, Dr. Parviz Kambin has significantly helped lay the groundwork for endoscopic minimally invasive spinal surgery and especially for the transforaminal access technique “TESSYS®”.
Dr. Parviz Kambin was the first surgeon, who described the transforaminal endoscopic access to herniated discs. This access, through the opening in the intervertebral foramen, is considered by experienced surgeons to be the gentlest procedure currently available – the ”gold standard“ in disc surgery.
Previous winners of the Award
- Parviz Kambin, MD, PhD himself, as recognition of his pioneering work in transforaminal endo-scopic spinal surgery.
- Dr. Michael Schubert who has successfully performed the highest numbers of surgeries until 2011, with the so-called „intra channels“ TESSYS® technique. This method and technology is a further development of the original access technique. TESSYS® was originally developed by joimax® together with Dr. Thomas Hoogland.
- Dr. Menno Iprenburg who is one of the most dedicated surgeons in this field. He is convinced that this method will become the new “gold standard“ for spinal surgery. Dr. Iprenburg renounced his position as chief surgeon to open his own private clinic to perform the TESSYS® technique. He has successfully performed more than 1,800 cases.
- Anthony Yeung, MD for his life‘s work in endoscopic spine surgery. He was awarded during the SMISS meeting.
- Dr. Florian Maria Alfen as one of the pioneers performing the TESSYS® technique, with more than 2,500 successfully treated patients.
- Daniel Laich, DO as the first-time adopter of the TESSYS® technique in the United States and a long-time faculty member.
- Albert Telfeian, MD, PhD and Gabriele Jasper, MD in recognition of their outstanding scientific and educational dedication to transforaminal surgery. The two surgeons tremendously contributed to this field with numerous high quality publications. They are treading new paths for spinal endoscopy.
- Dr. Menno Iprenburg for his lifetime achievement. He successfully treated more than 2,400 patients suffering from disc herniations.
- Sang-Ho Lee, MD, PhD for his longstanding scientific and educational dedication to transforaminal surgery. He incredibly contributed to this field with numerous high quality publications.
- Prof. Dr. Alastair Gibson, Dr. Ralf Wagner and Dr. Guntram Krzok in recognition and honor of their outstanding scientific and educational dedication to transforaminal surgery.
- Prof. Yue Zhou, MD, PhD and Hyeun Sung Kim, MD, PhD in recognition of their outstanding scientific and educational dedication to transforaminal surgery. They received their Parviz Kambin Awards at the WCMISST 2018 in Chongqing in collaboration with NASS.
Dr. Parviz Kambin
Kambin was born in Tehran, Iran on May 21, 1931. He received his doctorate degree in medicine from Tehran University Faculty of Medicine in 1956. He continued his post-graduate training as an intern at St. Joseph‘s Regional Medical Center.
He then moved on to do a four-year residency at New Jersey Orthopaedic Hospital and New York University, and received his American Board Certification in Orthopaedic Surgery in 1965.
Kambin is a Professor of Orthopaedic Surgery and has an Endowed Chair of Spinal Surgery at Drexel University, College of Medicine. He has been recognized by the College of Physicians of Philadelphia and his work in part has been exhibited in the Mutter Museum. Together with several colleagues, he assisted in the establishment of the International Society for Minimal Intervention in Spinal Surgery in 1988 and was elected the first president of the society in 1990. He coined the term „Minimally Invasive Spinal Surgery“ and is credited in the Dorland‘s Medical Dictionary for describing the Kambin Triangular Working Zone.
Parviz Kambin‘s contributions to the field of spinal surgery have been recognized both in the medical circle and the Surgical industry. Kambin‘s early experimental work, with the debulking of the nuclear mass began in 1970. By utilising a series of cadaveric studies at the University of Pennsylvania and The Graduate Hospital, Philadelphia, he developed instruments and described the anatomy and the path of the lateral access to the spinal canal for access and removal of the herniated disc fragments.
He subsequently began his experimental work on the efficacy of the postero-lateral access to the herniated lumbar discs. Kambin‘s preliminary study of nine patients who underwent lateral discectomy was published in the peer-reviewed Journal of Clinical Orthopaedics and Related Research in April 1983, and is considered to be the first publication on this subject in western literature9,10. He is also credited with 34 US and European patents in the field of minimally invasive spinal surgery.
1. Kambin P. / Gellman H. (1983): Percutaneous lateral discectomy of the lumbar spine. A preliminary report. IN: Clin Orthop. 174: pp 127-132.
2. Kambin P. et al (1999): A prospective, randomized study comparing the results of open discectomy with those of video-assisted arthroscopic microdiscectomy. IN: Journal of Bone and Joint Surgery. Juli, 81(7), pp 958–65.
3. Hoogland T. (2003): Transforaminal endoscopic discectomy with foraminoplasty for lumbar disc herniation. Surgical Techniques, IN: Orthopaedics and Traumatology. 55(120), C-40.
4. Hoogland T. et al (2008): Endoscopic transforaminal discectomy for recurrent lumbar disc herniation: a prospective. cohort evaluation of 262 consecutive cases. IN: Spine, Apr 20, 33(9), pp 973-8.
5. Iprenburg M. (2007): Transforaminal Endoscopic Surgery. Technique and Provisional Results in Primary Disc Herniation, IN: European Musculoskeletal Review 2007, Issue 2.
6. Gibson JNA. et al./(2012): Transforaminal endoscopic spinal surgery. The future ‘gold standard’ for discectomy? A review. The Surgeon, doi:10.1016/j.surge.2012.05.001.
7. Yeung Anthony T. / Yeung Christopher A. (2011): Posterolateral Endoscopic Lumbar Discectomy. IN: North American Spine Society/ AAOS, Advanced Reconstruction. Spine. pp 611-623.
8. Jasper G. et al (2013): Clinical succes of transforaminal endoscopic discectomy with foraminotomy: A retrospective evaluation. IN: Clin Neurol Neurosurg (2013), http://dx.doi.org/10.1016/j.clineuro.2013.05.033.
9. Yeung, AT; Tsou, PM (April 1, 2002). „Posterolateral endoscopic excision for lumbar disc herniation: Surgical technique, outcome, and complications in 307 consecutive cases.“. Spine 27 (7): 722–31. PMID 11923665.
10. Hoogland, Thomas; Schubert, Michael; Miklitz, Boris; Ramirez, Agnes (November 2006). „Transforaminal Posterolateral Endoscopic Discectomy With or Without the Combination of a Low-Dose Chymopapain: A Prospective Randomized Study in 280 Consecutive Cases“. Spine 31 (24): E890–E897. doi:10.1097/01.brs.0000245955.22358.3a.