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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.
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 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.
In the past few years spine surgery has undergone revolutionary changes leading towards minimally invasive techniques. This book is a survey of microsurgical as well as endoscopic surgical techniques for the treatment of a variety of spinal disorders. The structure of the individual chapters includes terminology, history, surgical principles, advantages/disadvantages, indications, surgical technique, complications and hazards as well as results. However all chapters are focused on a very didactic presentation of surgical steps. Thus, the reader will get familiar with a variety of new techniques some of which are already integrated into clinical routine others still being part of ongoing clinical trials and development.
Minimally Invasive Percutaneous Spinal Techniques, by Daniel H. Kim, MD, FACS, Kyung Hoon Kim, MD, and Yong Chul Kim, MD, helps you apply methods of spinal pain relief that involve less risk and shorter recovery times. Focusing on the broad appeal of this goal for you and your patients, this volume will help surgeons and specialists in various areas of pain management provide less invasive alternatives and faster recovery procedures for those suffering with spinal injuries. Step-by-step techniques are well-illustrated in the book and demonstrated extensively on DVD and online. Get accurate, step-by-step guidance by reviewing full-color, richly illustrated descriptions of various techniques. Make the most of extensive surgical videos demonstrating many of the procedures from the book on expertconsult.com and on DVD. Reduce the risk associated with invasive spinal procedures by considering new perspectives on pain management techniques that can be used by specialists from various disciplines. Address the growing need for less invasive surgeries with shorter recovery times among a large and aging population with musculoskeletal problems. You and your patients both want less invasive, less risky options for faster recovery & better outcomes
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.
Minimally invasive spine surgery, in some form or other, has historical roots dating back more than 100 years, and recent advances in technology now make it increasingly effective in treating suitable spine patients. While minimally invasive approaches have shown to reduce muscle damage, blood loss, and post-operative pain, to perform this t ype of surgery correctly, even highly skilled modern-day surgeons must prepare themselves for a demanding learning curve. For this reason, AOSpine proudly presents Minimally Invasive Spine Surgery: Techniques,Evidence, and Controversies, the most comprehensive book of its kind, which includes more than 500 pages of surgical techniques, illustrations, case images, tips and tricks, and research, providing an invaluable tool for spine surgeons around the world. Each technique is fully examined: The pros and cons of each is objectively reviewed Its spectrum of indications and contraindications is summarized Historical and modern day controversies relating to each technique are discussed Uniquely, chapters in the text are further supported by an evidence-based section summarizing research studies, analysis, and conclusions into each technique, from peer-reviewed journals The text covers more than just a range of interesting medical techniques. By including brief historical introductions on each technique and the surgeons that explored and founded its methods, their early (sometimes self-made) instrumentation, right through to todays current best-practice, this book provides an interesting, informative, and topical instruction on minimally invasive surgery and its increasingly encouraging results for spine-patient care.
Offering in-depth coverage of an often-neglected topic, Revision Lumbar Spine Surgery identifies clinical problems and discusses recent major advances in this challenging area. Dr. Robert F. Heary and a team of international experts share their knowledge and experience with even the most difficult lumbar cases, helping you provide optimal outcomes for your patients. You'll find authoritative guidance on indications, diagnosis, approaches, and follow-up, with a focus on the significant advances that have occurred over the past two decades in this fast-changing field. - Identifies the clinical problems related to unsuccessful back spine surgery as well as indications, diagnosis, and new treatment options and advances in this complex area. - Provides in-depth information on the multiple options that exist for most clinical situations: anterior, posterior, lateral, and combined anterior and posterior approaches. - Covers methods of fixation, the use of interbody grafting, and surgical planning related to scar tissues, bleeding, and spinal fluid leaks. - Discusses critical follow-up topics such as key clinical procedures, radiography, patient reported outcomes, and pain management. - Includes timely chapters on robotics, bone density issues, medical fitness concerns, instrumentation options, imaging considerations, and much more.
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.