Lateral Access Minimally Invasive Spine Surgery

This well-illustrated textbook is the first comprehensive and authoritative source of information on minimally invasive lateral access spine surgery. It covers all aspects of the subject, including patient selection, approach and monitoring techniques, soft tissue management, application in a variety of pathologies, technical nuances, and the prevention and management of complications. In addition, current controversies in the field are discussed and the biomechanics of lateral spinal reconstruction, the physiologic benefits, and cost implications are explained. As use of the lateral approach in spinal surgery has become more popular, so its diversity and complexity have increased. Nevertheless, publications devoted entirely to the technique are lacking, and Lateral Access Minimally Invasive Spine Surgery is designed to fill this vacuum. Written by the world’s experts on the topic, it will be an excellent resource for both beginning and experienced surgeons.

In this new reference text: Update in Minimally Invasive Spine (MIS) Surgery: Clinical Examples of Anatomy, Indications, and Surgical Techniques, the editors attempt to give the reader a snapshot of this fast-moving field by discussing topics of applied clinical spinal anatomy, clinical indications and outcomes for MIS surgery, instrumentation and biomechanics, adjacent level disease, and fusion biology as well as management of clinical complications and strategies for revision surgeries.In the past spinal fusion meant long incisions, significant blood loss, prolonged hospitalization and recovery, along with persistent pain, less mobility, and limited return to function. Recently, however, less-traumatizing techniques have found their way into mainstream spinal surgery and are being increasingly accepted as alternatives to traditional open procedures. These new concepts of minimally invasive techniques have emerged and are withstanding the test of time. Consequently, there is increasing interest among spine surgeons to apply MIS approaches to common clinical problems.Examples of these new trends include: advanced endoscopic and percutaneous techniques to remove a herniated disc, treat spinal stenosis, debride spinal infections, and the emergence of percutaneous adjunctive procedures to spinal fusion. Other advances include percutaneous pedicle screw application instead of open screw placement and minimal invasive decompressions through small, percutaneously placed tubes instead of open, wide laminectomy procedures through large incisions. In addition, minimally invasive techniques are now aided by computerized navigation systems. Moreover, advances in osteobiologics have increasingly obviated the need for autologous bone graft harvest, which has greatly enhanced the benefits of minimally invasive spinal surgery.On the other hand, complications have been reported with the routine use of MIS techniques, such as transforaminal lumbar interbody fusion (TLIF) through small access portal or direct lumbar interbody fusion (DLIF) through a mini-direct, lateral access. In other words, the field of minimally invasive spinal surgery continues to emerge and is expected to change rapidly as new technologies surface. We have, therefore, taken a multidisciplinary approach by representing aspects ranging from anatomy, biomechanics and biologics, to surgical techniques and clinical outcome research with respect to state-of-the art technologies as well as biomaterials in reconstructive procedures of the spine. Chapters are focused on the description of the clinical indications, surgical techniques, and clinical outcome assessments by discussing standards in analytical methodology and quality control. Specific clinical examples are at the heart of this new reference text to illustrate the development of new devices and materials capable of improving minimally invasive spinal surgery.We hope you find this text to be a valuable update in the discussion of MIS techniques in spinal surgery.

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 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.

Unique resource provides spine surgeons with the right tools and mindset to perform minimally invasive surgery Minimally Invasive Spine Surgery: A Primer by Luis Manuel Tumialán is the ideal introduction to minimally invasive spine approaches, especially for neurosurgery and orthopedic residents, fellows, and spine surgeons who want to incorporate minimally invasive approaches into their practice. The Primer offers a treasure trove of 3D illustrations and animations that virtually brings the aspiring minimally invasive spine surgeon into the operating room alongside their professor. The text starts with a discussion of open spine surgery versus minimally invasive procedures and the optimal mindset required to convert from one to the other. The book is divided into lumbar, cervical, and thoracic spine sections, and a fourth section dedicated to the fundamentals of fluoroscopy and radiation exposure. The text begins with an overview, history, and evolution of each procedure, followed by a discussion of the anatomical basis for using a minimally invasive approach. Each anatomical section starts with the least complicated surgeries, thereby laying the foundation for more complex procedures discussed in subsequent chapters. The third section focuses on thoracic decompression, nerve sheath tumors in the lumbar and thoracic spine, and management of metastatic disease and intradural extramedullary lesions. Key Features Single-authored text provides uniform readability and philosophy—cover to cover Lumbar approaches include microdiscectomy, laminectomy, transforaminal interbody fusions, and the transpsoas approach Cervical procedures encompass posterior foraminotomy, laminectomy, and anterior discectomy Superb illustrations, high-fidelity anatomical animations based on computer modeling, and procedural videos enhance understanding of minimally invasive spine principles This unique, single-author Primer is a must-have resource for early-career spine surgeons who wish to learn minimally invasive principles, as well as veteran surgeons who have a desire to incorporate minimally invasive spine surgery into clinical practice.

Unique resource provides spine surgeons with the right tools and mindset to perform minimally invasive surgery Minimally Invasive Spine Surgery: A Primer by Luis Manuel Tumialán is the ideal introduction to minimally invasive spine approaches, especially for neurosurgery and orthopedic residents, fellows, and spine surgeons who want to incorporate minimally invasive approaches into their practice. The Primer offers a treasure trove of 3D illustrations and animations that virtually brings the aspiring minimally invasive spine surgeon into the operating room alongside their professor. The text starts with a discussion of open spine surgery versus minimally invasive procedures and the optimal mindset required to convert from one to the other. The book is divided into lumbar, cervical, and thoracic spine sections, and a fourth section dedicated to the fundamentals of fluoroscopy and radiation exposure. The text begins with an overview, history, and evolution of each procedure, followed by a discussion of the anatomical basis for using a minimally invasive approach. Each anatomical section starts with the least complicated surgeries, thereby laying the foundation for more complex procedures discussed in subsequent chapters. The third section focuses on thoracic decompression, nerve sheath tumors in the lumbar and thoracic spine, and management of metastatic disease and intradural extramedullary lesions. Key Features Single-authored text provides uniform readability and philosophy—cover to cover Lumbar approaches include microdiscectomy, laminectomy, transforaminal interbody fusions, and the transpsoas approach Cervical procedures encompass posterior foraminotomy, laminectomy, and anterior discectomy Superb illustrations, high-fidelity anatomical animations based on computer modeling, and procedural videos enhance understanding of minimally invasive spine principles This unique, single-author Primer is a must-have resource for early-career spine surgeons who wish to learn minimally invasive principles, as well as veteran surgeons who have a desire to incorporate minimally invasive spine surgery into clinical practice.

Over the past decade, minimally invasive techniques have developed rapidly and are widely applied in the management of spine disorders. With the development of enabling technologies, including specifically designed spinal retractor systems, intraoperative imaging and navigation technologies, and real-time neural monitoring, minimally invasive spine surgery (MISS) techniques are safe, effective and reproducible. Indeed, studies have confirmed the clinical and economic advantages of these procedures. Minimally Invasive Spine Surgery includes detailed discussions of enabling technologies, surgical techniques (including posterior decompression and fusion), approaches to specific diseases and conditions, as well as strategies to manage the unique risks and complications of MISS. Generously illustrated, this will be an essential reference for orthopedic surgeons, neurosurgeons and all health care professionals who treat the spine.

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