Endoscopic Spinal Surgery

Endoscopic technology has advanced to the point where practitioners can now access, visualize, and treat spine pathologies previously only accessible through open surgical approaches. Endoscopic Spine Surgery 2nd Edition provides a comprehensive background on endoscopic spine surgery and covers an unparalleled number of minimally invasive spine procedures that have revolutionized the spine treatment paradigm. Readers will greatly benefit from many years of expertise and wisdom shared by master spine surgeons Daniel Kim, Gun Choi, Sang-Ho Lee, and Richard Fessler, and their expert contributors. Due to the narrow endoscopic view, subtle microanatomical differences in the lumbar, thoracic, and cervical regions are not always easy to visually discern. To address this challenge, the book contains detailed procedural descriptions and images mirroring endoscopic views spine surgeons encounter in the OR. Organized anatomically, 53 chapters guide readers systematically through lumbar, thoracic, cervical, and craniocervical junction procedures for pathologies ranging from low back pain and deformities to tumors, lesions, infections, and trauma. Key Features More than 1000 high quality images including color procedural photographs and medical illustrations provide in-depth visual understanding. Spinal pathologies and procedures delineated in 75 videos accessible via the Media Center - from case studies to step-by-step technique tutorials. Covers the full spectrum of spine endoscopy including percutaneous approaches, microdiscectomy, laminectomy, discectomy foraminotomy, hemilaminectomy, thoracic decompressions, fusion, fixation, and thoracoscopic procedures. The use of state-of-the-art technology such as ultrasonic bone dissectors, endoscopic radiofrequency denervation, the video telescope operating monitor (VITOM), minimally invasive tubular retractors, and 3D stereo-tubular endoscopic systems. Neurosurgical and orthopaedic residents, spine fellows, and seasoned spine surgeons will all greatly benefit from the significant knowledge and insights revealed in this remarkable multimedia resource. This book may also be of interest to neurosurgical and orthopaedic nurses, physical therapists, chiropractors, and medical device professionals.

This book is a superbly illustrated guide to the latest endoscopic approaches employed in surgery to the lumbar spine. In the past, spinal endoscopic surgeries have been performed mainly in the treatment of lumbar disc herniation, but indications have now expanded owing to breakthroughs in surgical methods and instruments. Furthermore, in addition to the traditional percutaneous transforaminal approach, various other approaches are now feasible, including the posterior, paraspinal, transpedicular, and contralateral. This book describes and illustrates the full array of approaches in indications including lumbar central stenosis, lumbar foraminal stenosis, and lumbar disc herniation. Detailed guidance is also provided on endoscopic lumbar interbody fusion, covering the oblique, uniportal, and biportal approaches. Supplementary surgical videos further facilitate understanding and execution of the described procedures. Written by expert spinal endoscopy surgeons with extensive practical experience and a record of academic achievement, the book will be an ideal aid for spine surgeons at all levels of experience.

The term “minimally invasive spinal surgery” was coined in early 1990 following pub- cation of the first edition of this text entitled Arthroscopic Microdiscectomy: Minimal Intervention in Spinal Surgery, and subsequent establishment of the International Society for Minimal Intervention in Spinal Surgery (ISMISS) under the auspices of the International Society of Orthopaedic Surgery and Traumatology (SICOT) in April l990. The orthopedic and neurological surgeons who participated in lectures and hands-on wo- shops both in Philadelphia and abroad have witnessed the evolution of minimally invasive spinal surgery from blind nucleotomy to endoscopic fragmentectomy, decompression of l- eral recess stenosis, foraminoplasty, and spinal stabilization. In Arthroscopic and Endoscopic Spinal Surgery: Text and Atlas, Second Edition, experts describe and illustrate various techniques and approaches that are currently used in this field. In addition, the ongoing research for the betterment of spine care via minimally invasive approaches is briefly reviewed. I would like to express my sincere appreciation to so many of my colleagues who s- ported my efforts in the field of minimally invasive spinal surgery throughout the years. Many of them participated in our teaching symposiums and have provided valuable cont- butions to this text.

Endoscopic spine surgery essentials from expert spine surgeons Atlas of Full-Endoscopic Spine Surgery by internationally renowned spine surgeons Christoph Hofstetter, Sebastian Ruetten, Yue Zhou, and Michael Wang provides concise, step-by-step guidance on the latest full endoscopic spine procedures. The book is targeted at practicing spine surgeons, fellows, and residents currently not trained in endoscopic spine surgery who have the desire to learn and incorporate these techniques into clinical practice. It is also an excellent curriculum resource for cadaveric training courses taught at the national and international level. The book lays a solid foundation with opening chapters on anesthesia, OR setup and endoscopic tools, applied anatomy, basic endoscopic surgical tasks, and preoperative diagnostics. Additional sections include step-by-step descriptions of the full spectrum of cervical, thoracic, and lumbar endoscopic approaches. The last section provides invaluable pearls on overcoming challenges, avoiding pitfalls, and optimizing postoperative care. Key Features Transforaminal endoscopic lumbar and thoracic discectomy approaches Trans-SAP endoscopic approach for foraminal and lateral recess decompression Interlaminar endoscopic lumbar discectomy Cervical/thoracic and lumbar unilateral laminotomy for bilateral decompression Special topics including endoscopic management of challenging cases, endoscopic revision surgery, and management of complications. Neurosurgery residents, fellows, young practicing neurosurgeons, and all healthcare practitioners involved in the care of endoscopic spine surgery patients will gain invaluable insights from this book.

Covers the latest developments in minimally invasive techniques now used in spinal surgery. Applied anatomy, indications, and outcomes are all addressed by an international team of experienced contributors.

A highly visual guide to minimally invasive endoscopic techniques for the spine Endoscopic Spine Procedures combines the vast experience of internationally recognized spine surgery experts and provides detailed coverage of operative techniques for the cervical, thoracic, and lumbar spine. This book begins with an overview of the principles of percutaneous endoscopic spine surgery followed by a detailed discussion of applied anatomy, surgical approaches and techniques, and potential complications for the different spine regions. Each chapter contains concise, step-by-step descriptions of the procedures enhanced by clearly labeled illustrations. Features: Bullet-point format enables rapid reference prior to surgery High-resolution videos -- one for every procedure described in the book -- appear on an accompanying DVD More than 600 high-quality illustrations prepare readers for surgery, including radiographs, full-color endoscopic views, detailed drawings, and 3-D surgical views Clinical cases demonstrate how to tell the differences between spine levels and between disease states This concise technical guide is an essential resource for neurosurgeons, orthopedic surgeons, interventional radiologists, or anyone involved in the care of patients with spine disorders.

Biportal endoscopic spine surgery has been rapidly developed recently, and Unilateral biportal endoscopic spine (UBE) surgery may be new stream in spine surgery. UBE surgery is a new concept of surgery that is different from the existing one portal endoscopic surgery, and has the advantage of being familiar with spinal surgeons as the surgical anatomy is similar to a general surgical method, and the learning curve period is short. The 4mm diameter endoscope provides a very clear image, and it can be safely operated under magnified and clear endoscopic view. It is also available to use general surgical instruments in addition to endoscopic surgical instruments during UBE approaches. Currently it is being performed not only in the lumbar spine, but also in the cervical and thoracic spine. In addition, simple laminectomy, disc removal, and spinal fusion are possible. With the advancement of UBE surgery, spinal surgeons from various countries have been performing UBE in recent years, and it is gradually spreading to the world. This will be the first book summarizing from basic to advanced techniques with abundant illustrations and video aid for easy understanding.

Minimally invasive surgery has made tremendous strides in recent years, with exciting advances in instrumentation and techniques rapidly changing the scope of these procedures. Here is the first text to comprehensively review the newest developments shaping the field today and in the future. You will find in-depth guidelines and approaches for performing cervical, thoracic and lumbar spine surgery; percutaneous procedures; and state-of-the-art image-guided and robotic surgery. Enhanced by nearly 650 high-quality images, this text is an essential resource for all specialists who want to fully understand these operative methods and integrate them into their practice. Key features: Technique-oriented text that also provides the fundamentals for a complete understanding of the minimally invasive approach Organized into seven clear, well-defined sections for quick reference Key discussions of minimally invasive interbody fusion; thoracic discectomy, trauma stabilization, lumbar decompression, tumor resection, and much more! For all neurosurgeons, orthopedic surgeons, and spinal surgeons, this is an invaluable and practical tool as well as an educational resource. You will not find a more thorough and current review of minimally invasive spinal techniques written by the leading surgeons in the country. Upgrade and expand your practice with this key information!