Arthroplasty Of The Spine

Joint replacement is a logical step in the treatment of severe joint pathologies with irreversible lesions resisting conservative therapy. At the spinal level, arthrodesis became, very early, the gold standard of treatment for severe intervertebral disc pathologies. The next logical step was to envision functional replacement, and this step was taken as early as 1956, when the first intervertebral implant was described. However, it took many more years and a great variety of proposed implant designs before clinical applications could be attempted.

The Spine-a volume in the new Arthritis and Arthroplasty series-offers expert guidance on everything from patient selection and pre-operative planning to surgical approaches and techniques. Francis H. Shen and Christopher I. Shaffrey present clear, evidence-based coverage detailing which technology and methodology is best for each patient. Access discussions of debates on anterior versus posterior approaches for the surgical management of cervical myelopathy, indications for thoracoscopic surgery, options for minimally invasive surgery (MIS) in degenerative spinal conditions, and more. Explore the role for evolving technologies and non-fusion techniques for the management of various spinal pathologies and view expertly narrated video demonstrations of surgical techniques. In addition to providing practical, pragmatic advice in a concise, readable format, this Expert Consult title offers the full text of the book, as well as links to PubMed and periodic content updates, online at www.expertconsult.com. Access the full text of the book-as well as links to PubMed and periodic content updates-online at www.expertconsult.com. Provides evidence-based, clinically focused guidance on patient selection, pre-operative planning, surgical approach and techniques, instrumentation, disease specific options, the management and avoidance of complications, and more. Discusses variations in technique, including thoracoscopy, microdiscectomy, interbody fusion, osteotomies, laminectomy, MIS decompression techniques and more. Explores alternatives to fusion in younger arthritic patients, including disc arthroplasty, facet joint replacement, nucleus replacement. Includes a review page in every chapter for quick reference to pearls and pitfalls for each topic. Presents photographs and interpretive drawings of surgical techniques in full color to bring out intraoperative details as they appear in the operating room. Features procedural videos-narrated by experts-on the included DVD so you can see how to perform particular techniques.

New motion-preserving devices are revolutionizing spine surgery...but the learning curve for these operations is steep, and great attention must be given to patient and device selection and the perfect execution of each procedure. Only one reference spells out exactly how to perform these new techniques...and its peerless author team, comprised of key investigators involved in the devices' actual clinical trials, is uniquely qualified to help you get the best results! These global leaders in this area discuss the advantages and disadvantages of the full range of non-fusion technologies...and present the step-by-step, richly illustrated operative guidance you need to achieve optimal outcomes! Select the best device and approach for each patient! * cervical total disc arthroplasty * lumbar total disc arthroplasty * lumbar partial disc replacement: nucleus replacement * lumbar posterior dynamic stabilization: pedicle screw based * lumbar posterior dynamic stabilization: interspinous based * lumbar facet replacement Produce optimal outcomes with detailed advice on... * advantages and disadvantages of each option * indications and contraindications * patient selection * interpretation of imaging studies * surgical anatomy and biomechanics * surgical techniques * tips and pearls See how to perform each technique, thanks to step-by-step, full-color illustrations

Thieme congratulates Frank P. Cammisa on being chosen by New York magazine for its prestigious 'Best Doctors 2015' list. Dynamic Reconstruction of the Spine, Second Edition is the most up-to-date resource on the instrumentation, technologies, and fundamental science integral to achieving spine motion preservation and stabilization. It is a completely revised text that includes not only the latest technologies and surgical approaches, including MIS techniques, but also significantly more detail on the clinical biomechanics of the spine than the previous edition. Readers will appreciate the guidance this book provides on how to: successfully adopt new technology, find appropriate indications, address common safety and efficacy issues, and answer health economics questions for ethics committees and payers. Key Features: A substantial revision, with entirely new chapters in three quarters of the book, including a large section on basic as well as more advanced biomechanics topics Highly visual - contains 20% more figures than the previous edition Discusses and explains current advances in genetic and molecular technologies used to repair the spinal disc Includes an unbiased critique of the pro cons, clinical outcomes, and comparative outcomes of different devices This new edition is an indispensable reference for orthopedic surgeons, neurosurgeons, and radiologists, as well as residents and fellows seeking the latest information on the technologies used in spine motion preservation and stabilization.

Spine surgery is evolving much like hip surgery did 30 years ago. It is progressing away from fusion towards mobility retention. The LINK SB Charité Artificial Disc is the only motion-retaining disc replacement for which there is long-term clinical experience with thousands of the devices having been implanted. In this book, the topic of artificial disc replacement is thoroughly discussed by the inventors and top spine specialists. Key features, such as the history of the SB Charité Disc, spinal anatomy, technical background, and clinical results are presented. This provides much valuable information to spinal surgeons interested in the state of the art of this exciting treatment. The SB Charité disc replacement, used in dedicated European centers for more than 10 years, is presently creating much interest in the Americas, too. This book is a must for anyone in the field of medicine interested in the operative treatment of low back pain.

Written by an international group of expert spine surgeons, this volume thoroughly examines new nonfusion technologies for treating spinal degenerative conditions while preserving motion. Major sections describe various surgical techniques and devices for nucleus pulposus replacement and total lumbar and cervical disc arthroplasty, as well as other stabilization techniques. Coverage includes indications and contraindications, surgical approaches, and the latest clinical trial results. Several chapters discuss nonsurgical and minimally invasive treatments, including gene therapy, nucleus pulposus regeneration, and IDET. Other chapters address economic and ethical issues, including use of registries, medical device regulation, and outcome and cost of lumbar disc replacement versus lumbar fusion.

This proceedings book of the Biolox Symposium in Seoul is composed of 10 sessions and plenary lectures of the most current knowledge available in the use of Bioceramics and alternative bearings. More than 50 speakers with world-famous reputations from 12 countries cover 52 topics on recent developments in Bioceramic and alternative bearings in arthroplasty.

Ch. 1. The Debate of Fusion and Non-fusion Strategies for Symptomatic Cervical Degenerative Disc Disease -- Ch. 2. The debate of Fusion and Non-fusion Strategies for Symptomatic Lumbar Degenerative Disc Disease -- Ch. 3. History of Spinal Fusion -- Ch. 4. History of Motion-Sparing Surgery -- Ch. 5. Anatomy -- Ch. a. Cervical Spine -- Ch. b. Lumbar Spine -- Ch. 6. Spinal Biomechanics -- Ch. 7. Spinal Imaging Intervertebral Disc and Facet Degeneration -- Ch. 8. The Effects of Fusion and Motion Sparing Procedures on the Biomechanics of the Spine -- Ch. 9. Biomaterials in Spinal Arthroplasty -- Ch. 10. Total Disc Athroplasty: Clinical Indications and Surgical Approach -- Ch. a. Cervical Spine -- Ch. b. Lumbar Spine -- Ch. 11. Cervical Arthroplasty: Biomechanics, Design Considerations, Clinical Outcome -- Ch. a. Overview of Cervical Arthroplasty: Biomechanics and Design Considerations -- Ch. b. Bryan Disc -- Ch. c. Prestige Disc, LP -- Ch. d. Prodisc C -- Ch. e. PCM -- Ch. 12. Posterior Cervical Motion Sparing Technology- Biomechanics, Design Considerations, and Clinical Outcome -- Ch. 13. Lumbar Anular and Intra-discal Treatment for Degenerative Disc Disease -- Ch. a. Genetic Engineering -- Ch. b. Anular Repair: Anulex Tech and Barricaid Intrinsic Therapeutic -- Ch. c. Nucleoplasty -- Ch. 14. Lumbar Nucleus Pulposus Replacement -- Ch. a. Ray Medica PDN -- Ch. b. Neudisc-Replication Medica -- Ch. c. Nucore-Spinewave -- Ch. d. Nautilus -- Ch. e. Newcleus (Spiral) -- Ch. f. DASCOR-Disc Dynamics -- Ch. g. Sinitec-Depuy Spine Sinux -- Ch. h. Biomet-EBI -- Ch. i. Biodisc-Cryolife -- Ch. j. Aquarelle-Stryker -- Ch. 15. Lumbar Disc Arthroplasty -- Biomechanics, Design Considerations, and Clinical Outcome -- Ch. a. Lumbar Disc Arthroplasty Biomechanics and Design Considerations -- Ch. b. Charite -- Ch. c. Prodisc -- Ch. d. Maverick -- Ch. e. Spinecore -- Ch. f. Mobidisk -- Ch. 16. Facet Arthroplasty-Archus Orthopedics and Facet Solutions -- Ch. 17. Lumbar Posterior Motion Sparing Technology -- Ch. a. Dynamic Rodding: Globus Spiral Rod, Dynesis- Zimmer, Graf Ligomentoplasty, Scientx, and Biorthex OrthoBiom -- Ch. b. Dynamic Stenosis Management: St Francis Medical X-Stop, Spine Next Wallis, Fixano Interspinous, DIAM Medronics, and Tension Band System -- Ch. 18. Complications of Motion Sparing Surgery -- Ch. 19. Revision Strategies for Failed Cervical Arthroplasty -- Ch. 20. Revision Strategies for Failed Lumbar Arthroplasty -- Ch. 21. Retrieval Analysis of Arthroplasty Devices.