Minimally Invasive Spine Surgery

This book describes and illustrates a variety of minimally invasive approaches to the thoracic spine, covering procedures applicable in not only degenerative diseases but also deformities and trauma. Surgery to the thoracic spine is demanding because of the surrounding ribs, lungs, heart, and large blood vessels and the challenges posed by the vulnerable spinal cord within a relatively small spinal canal. Consequently, postsurgical morbidity is often high. In this context, minimally invasive surgery offers significant benefits, but to date, comprehensive coverage in textbooks is lacking owing to the limited experience in the use of minimally invasive surgical techniques. This book will be ideal for all who are searching for clear guidance that is faithful to the established principles of spine surgery and evidence-based medicine. In addition to the comprehensive coverage of procedures appropriate in different pathologies, including thoracic disc herniation, ossification of the posterior longitudinal ligament, ossification of the ligamentum flavum, and stenosis, individual chapters address the transforaminal endoscopic approach, interventional treatment, intraoperative neuromonitoring, and navigation for thoracic spine surgery.

The ultimate resource for learning and mastering minimally invasive spine surgery techniques An estimated 1.5 million instrumented spinal procedures are performed every year in the US. The majority of decompressions and about 50% of fusion procedures can be performed completely or partially using minimally invasive spine surgery (MISS) techniques. The full potential of MISS techniques has yet to be realized. Essential Step-by-Step Techniques for Minimally Invasive Spinal Surgery by internationally renowned MISS neurosurgeon Roger Härtl, spine-neurosurgeon Rodrigo Navarro-Ramirez, and an impressive group of global multidisciplinary contributors is the most comprehensive and detailed textbook written to date on this topic. The foundation of the book is built on six interacting principles critical to surgical success, and MISS in particular: Target, Technology, Technique, Teaching and Training, Testing, and Talent. The text starts with an opening chapter on the definition of MISS and introduction of these principles. Fifty-six subsequent chapters provide a comprehensive discussion on how to utilize an MISS approach for a full spectrum of spinal pathologies using nuanced variations specific to the operating surgeon. To ensure readers are well versed in all aspects of MISS, these chapters include painstaking details on indications, contraindications, pathoanatomy, operating room set-up, step-by-step techniques, and postoperative management. Key Highlights Contributions from master spine surgeons across the world provide a balanced global perspective on mastering and incorporating diverse techniques into practice Invaluable clinical pearls including tips/tricks and complication avoidance High-quality images, figures, anatomic drawings, and imaging studies illustrate relevant anatomic approaches and corridors and delineate why anatomic mastery is critical to MISS Twenty-five videos enhance the ability to learn and implement MISS approaches This is a must-have resource for practicing spine surgeons interested in MISS who wish to learn the latest techniques from master surgeons and achieve optimal patient outcomes. The text and videos also provide a robust training tool for senior-level orthopaedic and neurosurgery residents and spine fellows.

Learn state-of-the-art MIS techniques from master spine surgeons! Significant advances have been made in minimally invasive spine (MIS) surgery approaches, techniques, and innovative technologies. By preserving normal anatomic integrity during spine surgery, MIS approaches enable spine surgeons to achieve improved patient outcomes, including faster return to normal active lifestyles and reduced revision rates. Exposing only the small portion of the spine responsible for symptoms via small ports or channels, requires a deep understanding of spinal anatomy and spinal pathophysiology. Building on the widely acclaimed first edition, An Anatomic Approach to Minimally Invasive Spine Surgery, Second Edition, provides an expanded foundation of knowledge to master minimally invasive spine surgery. World-renowned spine neurosurgeons Mick Perez-Cruet, Richard Fessler, Michael Wang, and a cadre of highly regarded spine surgery experts provide masterful tutorials on an impressive array of cutting-edge technologies. Organized by seven sections and 51 chapters, the book presents a diverse spectrum of current safe and efficacious MIS procedures and future innovations. Nonsurgical approaches include injection-based spine procedures and stereotactic radiosurgery. Surgical technique chapters discuss MIS anterior, posterior, and lateral approaches to the cervical, thoracic, and lumbar spine, with procedures such as endoscopic microdiscectomy, vertebroplasty and kyphoplasty, percutaneous instrumentation, and robotic spine surgery. Key Features Step-by-step illustrations, including more than 400 depictions by master surgical and anatomic illustrator Anthony Pazos portray the surgeon's-eye-view of anatomy, intraoperative images, and surgical instruments, thereby aiding in the understanding of anatomy and procedures 20 online videos feature real-time operative fluoroscopy, pertinent anatomy, operative set-up, and common cervical, thoracic, and lumbar approaches Discussion of novel MIS techniques reflected in 16 new or expanded chapters, including Robotic Assisted Thoracic Spine Surgery and Stem-Cell Based Intervertebral Disc Restoration There is truly no better clinical reward for spine surgeons than giving patients suffering from debilitating spinal disorders their life back. This quintessential MIS surgery resource will help surgeons and clinicians accomplish that goal.

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.

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.

In the past few years spine surgery has undergone revolutionary changes leading towards minimally invasive techniques. This book is a survey of microsurgical as well as endoscopic surgical techniques for the treatment of a variety of spinal disorders. The structure of the individual chapters includes terminology, history, surgical principles, advantages/disadvantages, indications, surgical technique, complications and hazards as well as results. However all chapters are focused on a very didactic presentation of surgical steps. Thus, the reader will get familiar with a variety of new techniques some of which are already integrated into clinical routine others still being part of ongoing clinical trials and development.

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.

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.