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The ultimate resource for learning and mastering minimally invasive spine surgery techniques An estimated 1.5 million instrumented spinal procedures are performed every year in the US. The majority of decompressions and about 50% of fusion procedures can be performed completely or partially using minimally invasive spine surgery (MISS) techniques. The full potential of MISS techniques has yet to be realized. Essential Step-by-Step Techniques for Minimally Invasive Spinal Surgery by internationally renowned MISS neurosurgeon Roger Härtl, spine-neurosurgeon Rodrigo Navarro-Ramirez, and an impressive group of global multidisciplinary contributors is the most comprehensive and detailed textbook written to date on this topic. The foundation of the book is built on six interacting principles critical to surgical success, and MISS in particular: Target, Technology, Technique, Teaching and Training, Testing, and Talent. The text starts with an opening chapter on the definition of MISS and introduction of these principles. Fifty-six subsequent chapters provide a comprehensive discussion on how to utilize an MISS approach for a full spectrum of spinal pathologies using nuanced variations specific to the operating surgeon. To ensure readers are well versed in all aspects of MISS, these chapters include painstaking details on indications, contraindications, pathoanatomy, operating room set-up, step-by-step techniques, and postoperative management. Key Highlights Contributions from master spine surgeons across the world provide a balanced global perspective on mastering and incorporating diverse techniques into practice Invaluable clinical pearls including tips/tricks and complication avoidance High-quality images, figures, anatomic drawings, and imaging studies illustrate relevant anatomic approaches and corridors and delineate why anatomic mastery is critical to MISS Twenty-five videos enhance the ability to learn and implement MISS approaches This is a must-have resource for practicing spine surgeons interested in MISS who wish to learn the latest techniques from master surgeons and achieve optimal patient outcomes. The text and videos also provide a robust training tool for senior-level orthopaedic and neurosurgery residents and spine fellows.
Don’t miss it! The second, completely revised and expanded edition of the successful surgical manual on minimally invasive spine surgery includes 51 chapters (including more than 20 new chapters) covering all current minimally invasive techniques in spine surgery. A complete survey of all microsurgical and endoscopic techniques with a special focus on semi-invasive injection techniques for diagnostic and therapeutic purposes in low back pain is given. The clear chapter structure with terminology, history, surgical principles, advantages/disadvantages, indications, access principles, complications, and results facilitates navigation through the manual. Topics include the principles of microsurgical and endoscopic treatment, spinal navigation and computer-assisted surgery, minimally invasive reconstruction, fusion, dynamic stabilization in fractures, degenerative disc disease, spinal stenosis, low back pain and deformities. The didactic presentation of surgical steps makes the reader familiar with all types of new minimally invasive techniques in clinical use or still in ongoing clinical trials such as minimally invasive spine arthroplasty.
This book describes and illustrates a variety of minimally invasive approaches to the thoracic spine, covering procedures applicable in not only degenerative diseases but also deformities and trauma. Surgery to the thoracic spine is demanding because of the surrounding ribs, lungs, heart, and large blood vessels and the challenges posed by the vulnerable spinal cord within a relatively small spinal canal. Consequently, postsurgical morbidity is often high. In this context, minimally invasive surgery offers significant benefits, but to date, comprehensive coverage in textbooks is lacking owing to the limited experience in the use of minimally invasive surgical techniques. This book will be ideal for all who are searching for clear guidance that is faithful to the established principles of spine surgery and evidence-based medicine. In addition to the comprehensive coverage of procedures appropriate in different pathologies, including thoracic disc herniation, ossification of the posterior longitudinal ligament, ossification of the ligamentum flavum, and stenosis, individual chapters address the transforaminal endoscopic approach, interventional treatment, intraoperative neuromonitoring, and navigation for thoracic spine surgery.
Minimally invasive procedures are increasingly utilized and are replacing open surgery to reduce scarring and pain, enhance patient recovery, and minimize cost. This guide provides step-by-step guidance, expert instruction, and detailed illustration of the most recent minimally invasive orthopedic spine procedures. With a variety of chapters covering critical developments in the field including the utilization of biologic materials, image-guided surgery, and bone fusion, this guide delves into discussions of indications, methods for preoperative planning, complication avoidance strategies, and patient outcomes.
This book includes operative videos and teaches the reader how to perform all currently available minimally invasive spine surgery (MISS) techniques. Each chapter covers a MISS procedure and includes an introduction, indications and contraindications, surgical technique, pitfalls and pearls, discussion, conclusion, references, videos and figures. Minimally Invasive Spine Surgery Techniques is aimed at spine surgeons who are interested in learning or improving their MISS skills.
Minimally Invasive Spine Surgery is a beautifully illustrated atlas describing the 18 most widely accepted minimally invasive procedures in spine surgery. Written by leaders in both neurologic and orthopedic spine surgery, this book offers the most up-to-date material and the broadest perspective on the subject. Procedures range from simple to complex and cover the cervical, thoracic and lumbar regions of the spine.
This book Minimally Invasive Spine Surgery: An Algorithmic Approach is organized in a logical fashion with an introduction, clinical evaluation, intraoperative positioning, surgical techniques, potential pitfalls and pearls of treatment and discussion. This book has written extremely well-known surgeons who are experts in their respective fields of minimally invasive surgery. This textbook attempts to formally describe a simple to understand decision-making process that is the essence of minimally invasive surgery. The chapters of this book are organized in a very technique-focused text that provides intraoperative pearls, pitfalls and technical descriptions. The reader can quickly review the decision-making algorithm at the beginning of each chapter and read the text for a more detailed description of the decision-making surgical process. Readers will enjoy a high-level sophistication with the text. The remainder of the chapter is devoted to the surgical pearls that are rarely mentioned in other surgical textbooks. All aspects of minimally invasive spine surgery are covered especially special topics including Tumor, Trauma and Deformity. Routine procedures are covered in detail with particular emphasis given to surgical nuances and pearls learned from experienced MIS spine surgeons. All levels of experience will truly appreciate the detail, clarity and sophistication associated with this comprehensive MIS Spine Surgery algorithmic textbook. Make this book well-suited for medical students, residents, fellows, and surgeons who not only want to be introduced to a new method of surgical management but also to refresh an experienced surgeon on a particular surgical technique.
The quintessential guide to state-of-the-art instrumentation in minimally invasive spine surgery In recent decades, technological innovations in minimally invasive surgery (MIS) have revolutionized spine surgery. The integration of devices tailored to MIS spine techniques has allowed spine surgeons to tackle more complex spinal pathologies and generate new ways to improve clinical outcomes. Instrumentation for Minimally Invasive Spine Surgery by renowned orthopaedic surgeon Kern Singh and esteemed collaborators, provides practical, evidence-based insights into important surgical decisions spine surgeons face every day. The primary goal of this book is to help spine surgeons navigate a daunting number of available devices and leverage the optimal ones to achieve improved patient outcomes. Organized in 3 parts and 16 chapters, the text starts with the past, present, and future of MIS spinal instrumentation. The first two parts detail cutting-edge posterior and lateral approaches with discussion of required devices. The final part covers percutaneous cement augmentation, biologics, and navigation systems. The text combines a thorough review of empirical literature with expert experience and manufacturer specifications to elucidate the advantages and capabilities of currently available instrumentation. Key Highlights Discussion of commonly used MIS spinal instrumentation including retractors; percutaneous pedicle, cortical, and facet screw systems; interbody cages; and fixation systems Concise, yet in-depth technical descriptions include an introduction and potential complications, followed by design features, modular aspects, applicable procedures, and compatible devices for each type High-quality detailed images provide greater understanding of techniques This unique book is an essential surgical companion for orthopaedic and neurosurgical residents and fellows, as well as spine surgeons who wish to incorporate MIS techniques into clinical practice.
Minimally Invasive Spine Surgery combines up-to-date research on surgical techniques with high-definition surgical video and concise algorithmic evidence. Each of its sixteen chapters begins with a brief summary followed by imaging indications, instrumentation, a step-by-step surgical technique (and video guide), as well as the potential complications and adverse outcomes that may develop. Techniques discussed in the text include: Posterior Cervical Foraminotomy; Percutaneous Posterior Pedicle Screw Placement; Lumbar Discectomy; Transforaminal Lumbar Interbody Fusion (TLIF); Lateral Lumbar Interbody Fusion (LLIF). Also included is a discussion on the types of implants and instrumentation available today and the potential advantages they offer, making Minimally Invasive Spine Surgery an essential and relevant book for orthopaedic and neurosurgeons. Key Points Authored by experts from Rush University Medical Centre and Thomas Jefferson University Hospital in the United States Includes DVD to enhance clinical instruction 273 full colour illustrations
This book provides a timely, comprehensive and evidence-based review of minimally invasive surgery of the cervical, thoracic and lumbar spine. Minimally invasive techniques are now aided by more advanced endoscopic instruments, video, and computerised navigation systems broadening the range of surgical procedures that can be carried out with similar efficacy as traditional open spinal surgeries, without the significant burden on the patient recovery and rehabilitation. This book thoroughly reviews the preclinical and clinical data on minimally invasive spinal surgery and describes and illustrates the current effective techniques. An authoritative, international team of contributors add their clinical experience and expertise to provide a clear, authoritative and practical guide. The book is organised in four sections covering cervical, thoracic and lumbar spine regions with a final section on the latest advances in technologies and the cost-effectiveness of current treatments.