Lumbar Interbody Fusion

This book presents various techniques in lumbar interbody fusion. Contributors include both expert neurosurgeons and orthopaedic surgeons. Both anterior and posterior approaches are presented with numerous illustrations detailing each technique. The breadth and depth of the information and thorough coverage of techniques allow the reader to compare the various approaches and decide on a course of action that will produce optimal results for patients. This is an excellent reference and one that should be included in every spine surgeon’s library!

Lumbar spine disease constitutes the most common condition affecting the spine. Degeneration among all other pathologies frequently impairs the normal functioning of the lumbar spine. Lumbar interbody fusion (LIF) surgery is, thus, the most common surgery performed by spine surgeons, neuro, and orthopaedic surgeons. LIF techniques have evolved and been modified over decades for the best clinical outcomes. The advent of newer technologies and instrumentation have further minimized tissue damages. Spine surgeons, who need to be versatile, need to have sufficient knowledge about pros and cons of each approach to get the best clinical outcomes. This book is a reference resource to fulfill that purpose. Key Features: The discussion elaborates on different LIF procedures. Provides an overview algorithm to use different available procedures in various clinical scenarios based on the advantages of each procedure. Eminent international and national experts have shared their expertise and experiences in their chapters.

Authored by experienced surgeons and key innovators in the fast-moving field of LIF surgery, Lumbar Interbody Fusions provides an in-depth, focused approach to recent advances in surgical techniques and technology. Covering both minimally invasive and open procedures, this comprehensive reference provides step-by-step details for proven techniques, including extreme lateral, oblique lateral, and direct lateral approaches; intertransverse approaches; axial approaches; and endoscopic approaches. Focuses on the technical nuances, pearls and pitfalls of each procedure, as well as complication avoidance and management. Features high-quality radiographs and intraoperative images for superb visual guidance throughout. Covers topics that have as-yet unsettled surgical management, such as thoracolumbar and lumbosacral overlap diseases. Includes a concise review of evidence-based spine literature at the end of each procedural chapter. Features chapters on adjunct instrumentation such as pedicle screw and facet fixation, as well as graft selection and revision surgeries.

Spinal Fusion: Science and Technique puts the experience of top professionals into your own hands. Drs. Jerome M. Cotler and Howard B. Cotler and their impressive group of contributors, including researchers, educators, and clinicians, have joined together to bring you this concise, comprehensive reference. Sections relating to history, basic science, surgical indications and techniques, complications, postoperative management, as well as a philosophical chapter on the future of spine surgery are presented. With the help of over 250 superb illustrations, Spinal Fusion: Science and Technique contains the most current and authoritative compilation of knowledge relating to surgical management of disorders of the spine. It is destined to become an essential tool in your working library.

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.

Lumbar spine or back pain is one of the most important problems in orthopedics and neurosurgery today. Two key ways of treating this malady, lumbar fusion and stabilization, are critically discussed in the forty-three papers in this volume. They represent the best of the contributions to the 5th ICLFS, carefully selected and edited to give a good overview of recent knowledge and the state of the art.