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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.
A unique how-to guide for spine surgeons on state-of-the-art computer-assisted navigation and robotic surgery techniques The past decade has seen major advances in image-guided spine surgery techniques, with robotically assisted approaches emerging in the last five years. While early adopters of this technology paved the way for more widespread use of navigated and robotic systems, barriers still exist. Navigation and Robotics in Spine Surgery by master spine surgeon Alexander Vaccaro and esteemed co-editors Jaykar Panchmatia, I. David Kaye, and Srinivas Prasad addresses existing issues such as the perception of increased upfront costs, intrusion on current workflow, and a lack of understanding about the potential ways these technologies can enhance the surgical experience and improve patient outcomes. Organized into six sections, the book starts with evidence-based fundamentals of navigated spine surgery and robotics including discussion of instrumentation and mechanics. Sections 2-5 serve as a surgical handbook for spine surgeons who wish to introduce these technologies into practice or augment their current repertoire with more complex techniques. Topics range from more routine procedures such as navigated and robotic minimally invasive TLIF to complex approaches like intraoperative ultrasound guided intradural spinal tumor resection. The final section looks at future directions and potential new applications for these technologies. Key Highlights An impressive group of international spine surgeons who pioneered navigation and robotic surgery techniques share invaluable tricks of the trade Discussion of fluoroscopy- and intraoperative CT-based platforms, applications for intraoperative sonography, and radiation exposure and minimization strategies Special topics include OR set-up and workflow, surmounting the learning curve, artificial intelligence, and lessons learned from other industries Procedural videos demonstrate the benefits of computer-assisted navigation and robotic techniques This book is essential reading for orthopaedic surgery and neurosurgery residents and spine fellows who wish to learn about and incorporate these technologies into practice. Seasoned spine surgeons seeking to expand the scope of their navigated/robotic practice will benefit from chapters detailing advanced approaches.
This is the first book to cover minimal-invasive treatment of osteoporotic, tumorous and traumatic vertebral fractures in the English language. In addition to detailed descriptions of the techniques, including tips and tricks from experts, the book contains a chapter about the medical treatment of osteoporosis, which is indispensable in the interdisciplinary approach to osteoporosis. This acclaimed innovative concept unites several treatment aspects. More conservative treatment methods are also presented in this work. All chapters reflect new developments and clinical findings in the field of orthopaedics, surgery, traumatology and neurosurgery.
A comprehensive guide to anesthesia specifically for spine surgery, explaining procedures from the point of view of both anesthesiologists and surgeons.
More than 80 complex cases in a streamlined format With more than 80 complex spine surgery cases and its streamlined case example format, this is an ideal clinical reference for the professional practice. The authors outline the patient presentation, radiologic findings, diagnosis, and treatment, followed by a discussion, to help you quickly master the thinking behind planning complicated spinal procedures. Highlights: Organizes cases in an easy-to-follow manner perfect for the busy practitioner and resident Covers challenging cases arising from a broad spectrum of causes, including traumatic, inflammatory, neoplastic, infectious, and degenerative Includes more than 180 images and illustrations, such as MRI and CT scans, myelograms, angiograms, x-rays, and intraoperative photographs Discusses the technologies pertaining to bone morphogenetic protein and percutaneous spine surgery to help the clinician remain at the forefront of the spine field Covers surgical treatments of unusual disorders, including Klippel-Feil syndrome, thoracic outlet syndrome, dysplasia, arachnoiditis, ankylosing hyperostosis of Forestier and Rotes-Querol, thoracic arteriovenous fistula, and achondroplasia This text is a must for orthopedic surgeons, spine fellows, neurosurgeons, neurologists, pain management specialists, and residents seeking the most up-to-date information and the underlying principles in the most demanding cases in spine surgery.
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
Spinal osteotomy techniques have been dramatically applied as a standard method for severe and rigid spinal deformity. Although clinical results indicate that patients who undergo osteotomy procedures typically experience well deformity correction and ameliorate the clinical appearance, aggressive peri-operative risks and follow-up complications are not rare. More meticulous and standard indication selection, osteotomy plan design and complication prevention strategy and outcome evaluation are critically needed for surgeon majored in spine deformity. The book Spinal Osteotomy is divided into sections that focus on principles of spinal osteotomy, technical and case illustration and outcomes and complications as well as computer navigation and other latest techniques. Each section is heavily illustrated and clearly written for ease of understanding. Orthopedic surgeons, neurosurgeon residents and fellows who want to focus on spinal deformity correction will find this instructive and invaluable.
Today's spinal surgeons are poised at the threshold of technological breakthroughs that will enable them to restore the disc to like-new performance, make every fusion a certainty, and reverse osteoporotic fractures - all with minimally invasive procedures. Yet several of the final barriers to success are unlike those faced by earlier researchers and clinicians. Evidence-Based Medicine Evidence-based medicine, which requires different and more stringent clinical studies than those required for regulatory approval, is now the dominant decision methodology demanded by payers of health care. This is where the treatments to be used by tomorrow's spinal surgeon will be made or broken. To ensure reimbursement, physicians must have access to scientific evidence that a new product is not only safe and effective but also appropriate for a specific condition. This comprehensive book provides a solid evidence-based foundation for evaluating developments in the spine surgery arena. It is essential reading for all spine surgeons. Emerging Spinal Surgery Technologies presents the methods from which the gold standard of the next decade will most likely emerge. It thoroughly details what lies on the horizon in every discipline dedicated to treatment of the spine. And it outlines the many new considerations, FDA approval and ever-rising reimbursement standards by Medicare and the major health insurers, that will influence the course of future developments. Leading Authorities Chapters by distinguished individuals in the field preview the most promising developments in biologic and tissue engineering as applicable to spine fusion, repair and regeneration of the intervertebral disc, and spinal cord repair and regeneration. Chapters describing the leading methods of surgical navigation, often required to verify placement of devices and to visualize anatomy, are also included. Step-by-Step Surgical Technique for All Major Procedures Readers will find authoritative, step-by-step descriptions of surgical techniques and methods for spinal implants and disc replacements. In each chapter the authors outline patient indications and then guide the reader through the intricacies of each procedure. Numerous photographs and radiographs as well as ample boxes and tables add further detail. In addition, tips and tricks, problems and complications, as well as results and benefits are discussed.
3D Printing in Medicine, Second Edition examines the rapidly growing market of 3D-printed biomaterials and their clinical applications. With a particular focus on both commercial and premarket tools, the book looks at their applications within medicine and the future outlook for the field. The chapters are written by field experts actively engaged in educational and research activities at the top universities in the world. The earlier chapters cover the fundamentals of 3D printing, including topics such as materials and hardware. The later chapters go on to cover innovative applications within medicine such as computational analysis of 3D printed constructs, personalized 3D printing - including 3D cell and organ printing and the role of AI - with a subsequent look at the applications of high-resolution printing, 3D printing in diagnostics, drug development, 4D printing, and much more. This updated new edition features completely revised content, with additional new chapters covering organs-on-chips, bioprinting regulations and standards, intellectual properties, and socio-ethical implications of organs-on-demand. - Reviews a broad range of biomedical applications of 3D printing biomaterials and technologies - Provides an interdisciplinary look at 3D printing in medicine, bridging the gap between engineering and clinical fields - Includes completely updated content with additional new chapters, covering topics such as organs-on-chips, bioprinting regulations, intellectual properties, medical standards in 3D printing, and more