Surgical Approaches To The Spine

The desire to expose the spine for surgery by anterior approaches at any level between the head and the sacrum is not new. Spinal pathology is often located anterior to the spinal cord and nerve roots in the cervical and thoracic spine, and anterior to the peripheral nerves that emerge from the lumbosacral spine below the first lumbar ver tebra. To treat such pathology one prefers to expose the front of the spine directly and widely enough to eradicate the pathology and to have full control of bleeding throughout the procedure. The posterior elements of the spine are important for mechanical stability of the spine, and therefore for the protection of the neural and vascular structures in the spine that would be threatened by instability. Extensive eradication of pathology posterior to the spinal canal and the intervertebral foraminae, including the transverse processes, may leave no adequate bony bed for the surgical creation of a stabilizing osseous fusion. In such a situation, an anterior fusion procedure is the only viable alternative to a posterior or posterolateral fusion. In situations where it is critically important to obtain a stable fusion, as in tuberculosis of the spine, both an anterior and a posterior fusion operation at the same motion segments is, in almost every instance, a guarantee of a stable osseous fusion. One should know both approaches.

This new edition contains chapters on very complicated, large procedures such as the approaches to the sacrum and the pelvis, and also includes minimally invasive procedures like laparoscopic fusion. Minimally invasive surgery is the future of spinal surgery; this book is unrivaled in its coverage of these procedures. This edition also continues the tradition of presenting clearly enumerated and illustrated step-by-step surgical procedures for the spine. New to this edition are chapters on the anterior approach to clivus C1 & C2, transclavicular cervico-thoracic approach, transsternal approach to the cervico thoracic & upper thoracic spine, approaches to the sacrum & pelvis, and laparoscopic approaches. Other new features include: new material on large major resection of spinal cancer; the most modern endoscopic techniques ; and expanded laproscopic/MIS approaches. Contributors are top authorities in the field. Procedures are beautifully illustrated in full color.

Now is its revised and expanded third edition, including nine new chapters, this step-by-step, state-of-the-art procedural manual covers over 50 unique surgical approaches for injuries and conditions of the spine. Generously illustrated, various surgical approaches to the cervical, thoracic and lumbar spine are clearly enumerated and described, including anterior, lateral, and posterior approaches and the worldwide movement toward the use of tubular retractors for a multitude of approaches. Written and edited by leaders in the field of spine surgery, this updated edition will be an invaluable resource for orthopedic surgeons, neurosurgeons and sports medicine practitioners alike.

Outstanding spine surgeons discuss in careful detail the full range of exposures needed for the optimal performance of contemporary procedures. The clinically valuable discussions are enhanced by an extensive array of original color drawings and helpful diagrams. The book achieves its goal of providing comprehensive understanding of the anatomy for each approach to the cervical, thoracic, and lumbrosacral spine.

This video atlas covers a broad range of spinal surgical procedures. The volume includes a collection of high quality 3-to-8 minute videos of some of the most critical spine operations performed by internationally renowned expert surgeons. Key features of the book contents include: o Downloadable high quality video content with subtitles suitable for viewing on any display (A brief preview of the book content can be viewed at https://www.youtube.com/watch?v=SxMi4UFj7HA ) o Detailed descriptions of surgical indications, preoperative planning, patient positioning, surgical technique, complications, postoperative care and outcomes for each procedure o Full color images and illustrations highlighting different key stages of each surgical technique The video format allows skill development of its intended audience by conveying temporal and spatial details which often go unnoticed in photograph format. This volume will be of immense interest to both the novice and the experienced spinal surgeon as they can benefit from the visual guides presented in the book. It also serves as an ideal teaching tool for spine surgery units in medical schools.

In this comprehensive and original monograph, Professor Rene Louis presents in minute detail in one volume the gross anatomy, nerve supply, biomechanics, and microcirculation of the spine. He also presents the surgical approaches to the vertebral bodies and their contents. Professor Louis is a great anatomist and this book has been prepared from his personal observations, both anatomical and surgical. His studies have been meticulously conducted and contain much original research, for instance his work on the motion of the neural elements within the lumbar vertebral canal. The illustrations are neady all original and very often a photograph of the neural or vascular elements is presented alongside a drawing of a given important anatomical area. For all these reasons, this inspiring treatise makes a valuable contri bution to our knowledge of the spine and forms a basis for an under standing of the intricacies of surgical anatomy and approaches. It will be especially valuable to the spinal surgeon, but the medical student, the orthopedic resident (or registrar), and the anatomist will also find it extremely useful. Leon L. Wiltse, M.D.

Surgical anatomy of the lateral transpsoas approach to the lumbar spine E-Book

This comprehensive, up-to-date textbook of modern cervical spine surgery describes the standard and advanced techniques recommended by the Cervical Spine Research Society – European Section (CSRS-E) with a view to enabling both young and experienced surgeons to further develop their skills and improve their surgical outcomes. Success in cervical spine surgery depends on the surgeon’s awareness of the main challenges posed by distinct cervical spine diseases, theoretical understanding of treatment concepts, and knowledge of technical options and the related potential for complications. It is the surgeon who has to merge theory and practice to achieve the desired outcome, in each case appraising the details of surgical anatomy and weighing the challenges and complications associated with a surgical technique against the skills that he or she possesses. This excellently illustrated book, written by key opinion makers from the CSRS-E with affiliated surgeons as co-authors, presents the full range of approaches and techniques and clearly identifies indications, precautions, and pitfalls. It will be a superb technical reference for all cervical spine surgeons, whether orthopaedic surgeons or neurosurgeons.