Minimally Invasive Techniques For Neurosurgery

A summary of all facets of this new and rapidly developing field in neurosurgery. Besides neuroendoscopy, the books main topics are neuronavigation, functional neurosurgery, radiosurgery, neurotransplantation, and molecular neurosurgery. Provides a thorough overview of the state of the art and future perspectives in minimally invasive neurosurgery.

Recognized clinical leaders in neurosurgery and neuroradiology review the cutting-edge techniques and technologies now available and describe how minimally invasive techniques have influenced their subspecialties. On the radiology side, the authors explain the latest developments in magnetic resonance spectroscopy, functional imaging, and brain mapping, with emphasis on the application of image navigation directly in the operating room, using both preoperative and intraoperative systems. On the surgical side, some of the world's leading surgeons in pediatric neurosurgery, cerebrovascular surgery, neurosurgical oncology, spinal and peripheral nerve surgery, and trauma surgery detail how they use the powerful new minimally invasive techniques in the own practices. Among the novel approaches discussed are radiofrequency, radiosurgery, thermal therapy, and minimally invasive techniques that allow "molecular neurosurgery" via gene and viral vectors and local delivery systems.

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 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 Minimally Invasive Spine Surgery: An Algorithmic Approach is organized in a logical fashion with an introduction, clinical evaluation, intraoperative positioning, surgical techniques, potential pitfalls and pearls of treatment and discussion. This book has written extremely well-known surgeons who are experts in their respective fields of minimally invasive surgery. This textbook attempts to formally describe a simple to understand decision-making process that is the essence of minimally invasive surgery. The chapters of this book are organized in a very technique-focused text that provides intraoperative pearls, pitfalls and technical descriptions. The reader can quickly review the decision-making algorithm at the beginning of each chapter and read the text for a more detailed description of the decision-making surgical process. Readers will enjoy a high-level sophistication with the text. The remainder of the chapter is devoted to the surgical pearls that are rarely mentioned in other surgical textbooks. All aspects of minimally invasive spine surgery are covered especially special topics including Tumor, Trauma and Deformity. Routine procedures are covered in detail with particular emphasis given to surgical nuances and pearls learned from experienced MIS spine surgeons. All levels of experience will truly appreciate the detail, clarity and sophistication associated with this comprehensive MIS Spine Surgery algorithmic textbook. Make this book well-suited for medical students, residents, fellows, and surgeons who not only want to be introduced to a new method of surgical management but also to refresh an experienced surgeon on a particular surgical technique.

Radiologists, orthopedic and neurological surgeons present the different minimally invasive methods. Peripheral nerve problems and problems concerning differential diagnosis in special situations such as between radicular and peripheral nerve trunk lesions are discussed, pinpointing the significance of different diagnostic tools. Minimally invasive techniques, utilized nowadays to minimize bone demolition, scarring and risk of recurrence are analyzed. Microdiscectomy is compared with the results of intradiscal techniques, and new methods are discussed facing problems such as epidural fibrotisation, microinstability, osteoporotic or neoplastic or posttraumatic vertebral lesions.

Classically defined as the art of curing by the hand, hand intended as the organ of the possible, and positive certitude according to Paul Valery, surgery is shifting toward a scientific discipline with a very high technological valence. Neurosurgery in general, and skull base surgery in particular do not stave off this natural evolution. Obviously, technological advances have driven the tremendous progresses in both diagnosis (CT scan, MRI, angiography ) and therapeutic fields (ultrasonic aspiration, radiosurgery). This technological aspect should not hide the humanistic remnant of the modern neurosurgeon, who should propose the less invasive technique in his possession to treat most efficiently his patient, keeping in mind the quality of life above all. The compromise between the invasiveness of the surgical approach to the skull base and the main goal of the surgery has shed light on the recent concept of minimally invasive skull base surgery.This concept has been conspicuously initiated by Axel Perneczky in the late 1980s under the descriptive keyhole neurosurgery, especially through the renowned eyebrow supra-orbital mini-craniotomy and the implementation of endoscope-assisted microneurosurgery. A decade after, Jho and others introduced the endoscopic endonasal approaches to the skull base, with a perpetual development and an exponential rhythm of scientific publications. This recent paradigm shift toward a minimal approach-related iatrogeny coupled with a maximally efficient surgical target is not so clear cut, as pioneering neurosurgeons such as Cushing, Dandy or Dott among others already adopted this philosophy of work, limited by the technology available at that time that did not permit their minimally invasive expectations. This has been possible only with the progresses made in the fields of imaging, surgical instrumentation, illumination technologies (microscope and endoscope), radiosurgery, and neuroanesthesia.