Minimally Invasive Spine Interventions

This book is an up-to-date guide to the techniques and devices that may be used when performing minimally invasive spine interventions. The indications for such procedures, which offer various advantages over open surgery, continue to expand, and the aim of the book is to equip spine interventionists with the knowledge required in order to achieve optimal clinical outcomes consistently. After discussion of all aspects of patient preparation, conventional minimally invasive procedures for disorders of the cervical, thoracic, lumbar, and sacral spine are thoroughly reviewed. Attention then turns to more advanced techniques and devices, including percutaneous epidural neurolysis, foraminoplasty, the L’DISQ device for disc decompression, transforaminal epiduroscopic laser annuloplasty (TELA), trans-sacral endoscopic laser decompression (SELD), percutaneous endoscopic lumbar discectomy (PELD), and minimally invasive lumbar decompression (MILD). In addition to full description and illustration of treatment methods, guidance is provided on indications, contraindications, potential complications, and postoperative care.

The expert knowledge on numerous established and innovative minimally invasive interventions on the spine is systematically and in detail summarized in this book. All chapters are consistently structured with special education, implementation of the intervention, complications, literature, reimbursement and a final conclusion with assessment of clinical relevance. The focus is on the practice: step-by-step the procedure is presented under the heading "carrying out the intervention". The book is ideal for practitioners who want to benefit from the know-how of experienced colleagues or who are interested in new innovative procedures and for referring physicians who want to get an overview. This book is a translation of the original German 1st edition Minimalinvasive Wirbelsäulenintervention by Jerosch Jörg published by Springer-Verlag GmbH Germany, part of Springer Nature in 2019. The translation was done with the help of artificial intelligence (machine translation by the service DeepL.com). A subsequent human revision was done primarily in terms of content, so that the book will read stylistically differently from a conventional translation. Springer Nature works continuously to further the development of tools for the production of books and on the related technologies to support the authors.

The field of interventional radiology is constantly undergoing change, and its procedures evolve over time. There is currently tremendous pressure on our specialty, as cardiology and vascular surgery app- priate existing vascular interventions. We need to be looking constantly for new procedures that will replace this loss. In the 1980s, the int- duction of vascular access provided new procedures that included the placement of temporary venous catheters, ports, tunneled catheters, and dialysis maintenance. As a result of vascular access the number of procedures performed in some interventional labs doubled. The same revolution is occurring again with the advent of image-guided spine intervention. Five percent of the American population at any one time has back pain. This huge patient population is seeking help for this disabling and persistent problem. Image-Guided Spine Interventions describes the varied and numerous procedures that are available to the image-guided interventionist, who may provide these therapies for the spine. This book embraces clinical evaluation, pharmacological requirements, procedural recommen- tions, and a spectrum of procedures that will be of interest to the image-guided spine interventionist. It covers a broad range of ma- rial that is presented by experts in each field, including discography, intradiscal electrothermal therapy (IDET), percutaneous discectomy, vertebroplasty and ballon kyphoplasty, epidural steroid injections, - lective nerve root blocks and autonomic nerve blockade, diagnostic epidurography and therapeutic epidurolysis, sacroiliac and facet joint injections, implanted drug delivery systems, and epidural blood and fibrin patches for CSF leaks.

This edition of Neuroimaging Clinics focuses on these minimally invasive, image-guided therapies. It includes guidelines for patient assessment and selection, choices of pharmaceuticals and materials commonly used, as well as, advice from noted experts about complication avoidance. Common procedures such as biopsy, epidural steroid injection and vertebroplasty (or balloon assisted vertebroplasty) are discussed. Newer procedures, such as sacroplasty, synovial cyst rupture, spinal cord stimulators, neurolysis, percutaneous discectomy, and minimally invasive treatment of spinal stenosis, are introduced.

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.

Minimally invasive spine surgery, in some form or other, has historical roots dating back more than 100 years, and recent advances in technology now make it increasingly effective in treating suitable spine patients. While minimally invasive approaches have shown to reduce muscle damage, blood loss, and post-operative pain, to perform this t ype of surgery correctly, even highly skilled modern-day surgeons must prepare themselves for a demanding learning curve. For this reason, AOSpine proudly presents Minimally Invasive Spine Surgery: Techniques, Evidence, and Controversies, the most comprehensive book of its kind, which includes more than 500 pages of surgical techniques, illustrations, case images, tips and tricks, and research, providing an invaluable tool for spine surgeons around the world. Each technique is fully examined: The pros and cons of each is objectively reviewed Its spectrum of indications and contraindications is summarized Historical and modern day controversies relating to each technique are discussed Uniquely, chapters in the text are further supported by an evidence-based section summarizing research studies, analysis, and conclusions into each technique, from peer-reviewed journals The text covers more than just a range of interesting medical techniques. By including brief historical introductions on each technique and the surgeons that explored and founded its methods, their early (sometimes self-made) instrumentation, right through to todays current best-practice, this book provides an interesting, informative, and topical instruction on minimally invasive surgery and its increasingly encouraging results for spine-patient care.

Minimally invasive procedures are increasingly utilized and are replacing open surgery to reduce scarring and pain, enhance patient recovery, and minimize cost. Minimally Invasive Spine Surgery provides step-by-step guidance, expert instruction, and detailed illustration of current minimally invasive orthopedic spine procedures. With a variety of c

This book is a comprehensive review of image guided interventions of the spine. Beginning with a chapter dedicated to the history of image guided spinal interventions, authors set the stage for the role these procedures have and will play in the field. Chapters cover the key procedures, techniques, and considerations to maximize effectiveness and patient care. Some major topics covered include: imaging osseo-ligamentous spine anatomy, percutaneous vertebroplasty, image guided tumor ablation, and vascular spine intervention. Additional features include high-quality illustrations with concise descriptions and clinical cases discussions. This is an ideal guide for interventional neuroradiologists, radiologists, pain management physicians, neurosurgeons, orthopedic spine surgeons, and related residents, fellows, and students wanting in depth information on image guided interventions of the spine.