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Minimally Invasive Spine Surgery, An Issue of Neurosurgery Clinics of North America, E-Book

Minimally Invasive Spine Surgery, An Issue of Neurosurgery Clinics of North America, E-Book

Richard G Fessler

(2014)

Additional Information

Abstract

This issue of Neurosurgery Clinics of North America is devoted to "Minimally Invasive Spine Surgery"  and is edited by Zachary A. Smith, MD and Richard G. Fessler, MD, PhD. Articles in this issue include: Complications and complication avoidance of minimally invasive spine surgery; Radiation exposure risk and avoidance; Current techniques in the management of cervical myelopathy and radiculopathy; Thoracic disc/pathology management through minimally invasive routes; Transforaminal Lumbar Interbody fusion: Long term outcomes and complications; Computer-assisted navigation technique for minimally invasive transforaminal lumbar interbody fusion and lateral interbody fusion; Safety and the Anatomy of the retroperitoneal lateral corridor; Minimally invasive extracavitary transpedicular corpectomy for the management of spinal tumors; Minimally invasive anterolateral corpectomy for spinal tumors; Minimally invasive approaches for the management of intramedullary spinal tumors; Percutaneous fixation of thoracolumbar fractures; Advances and feasibility of advanced minimally invasive techniques in deformity correction; Direct lateral approach: Outcomes and Deformity Correction; and Evidence basis and outcomes.

Table of Contents

Section Title Page Action Price
Front Cover Cover
Minimally Invasive Spine\rSurgery i
copyright\r ii
Contributors iii
Contents vii
Neurosurgery Clinics Of North America\r xi
Preface xiii
Safety and the Anatomy of the Retroperitoneal Lateral Corridor with Respect to the Minimally Invasive Lateral Lumbar Intervertebral Fusion\rApproach\r 211
Key points 211
Introduction 211
Patient positioning 212
Abdominal wall dissection 212
Subcostal Nerve 212
Iliohypogastric Nerve 212
Ilioinguinal Nerve 213
Lateral Femoral Cutaneous Nerve 213
Retroperitoneal space dissection and anterior displacement of the peritoneum and abdominal organs 214
Transposas dissection and deployment of the surgical retractors 214
Diskectomy and penetration of the contralateral annulus 216
Summary 216
References 216
Minimally Invasive Lateral Transpsoas Approach to the Lumbar Spine Pitfalls and Complication Avoidance\r 219
Key points 219
Introduction: nature of the problem 219
Therapeutic options and surgical technique 220
Clinical outcomes 221
Complications and concerns 222
Approach-Related Complications 222
Hardware-Related Complications 226
Prevention of Approach-Related Complications 226
Prevention of Hardware-Related Complications 229
Summary 229
References 230
Complications Associated with Posterior Approaches in Minimally Invasive Spine Decompression 233
Key points 233
Introduction 233
Intraoperative complications 234
Incidence 234
Subgroup Analysis 235
Prevention 236
Reoperation 237
Incidence 237
Minimizing Radiation Exposure in Minimally Invasive Spine Surgery 247
Key points 247
Introduction 247
Regulatory processes in radiation protection 248
Key concepts in radiation physics 248
Biological effects of radiation 248
Sources of radiation 248
General recommendations for minimizing radiation exposure 249
Controlling Radiation Doses 249
Limiting Time of Exposure 249
Maintaining Distance from Source of Radiation 249
Shielding 249
Collimation 250
Engineering Controls 250
Radiation exposure to the operator 250
Radiation exposure to the patient 250
Current practices in radiation protection 251
Lead Aprons 251
Thyroid Collars 251
Protective Eyewear 252
Lead Gloves 252
Mobile Lead Shields 252
Nuances in spine surgery radiation exposure 253
Minimally Invasive Spinal Surgery and Radiation Exposure 253
Imaging Modality 256
Lessons Learned from Interventional Neurosurgery 258
Summary 258
References 258
Current Techniques in the Management of Cervical Myelopathy and Radiculopathy 261
Key points 261
Introduction 261
Preoperative planning 262
Equipment 262
Patient positioning 262
Surgical approach 263
Surgical procedure 263
MICD/F Technique 264
Summary of MICD/F 265
MICDS Technique 265
Summary of MICDS 266
Management of complications 267
Postoperative care 267
Clinical results in the literature 267
Summary 268
References 268
Minimally Invasive Treatment of Thoracic Disc Herniations 271
Key points 271
Introduction 271
Preoperative evaluation 271
Surgical planning 272
Surgical technique 272
Thoracoscopic Disc Removal 272
Endoscopic Disc Removal 273
Microendoscopic and Microscopic Discectomy 273
Mini-Open Lateral Approach 275
Summary 275
References 276
Minimally Invasive Transforaminal Lumbar Interbody Fusion (MI-TLIF) 279
Key points 279
Introduction 279
Surgical technique 280
Positioning 280
Incision and Localization 280
Ipsilateral Percutaneous Placement of Pedicle Screws and Rods 280
Bony Decompression 282
Exposure of the Thecal Sac and Disc Space 282
Discectomy, Correction, and Interbody Fusion 284
Results: outcomes of MI-TLIF versus open TLIF 289
Demographics 289
Perioperative Data 289
Radiographic and Fusion Outcomes 289
Clinical Standardized Outcomes 289
Complications 296
Literature review 297
Summary 301
Acknowledgments 301
References 301
Minimally Invasive Extracavitary Transpedicular Corpectomy for the Management of Spinal Tumors 305
Key points 305
Introduction: nature of the problem 305
Preoperative planning 306
Oncologic Consultation 306
Imaging 307
Angiography/Embolization 307
Neuromonitoring 307
Use of Approach Surgeon 307
Anesthetic Concerns 307
Intraoperative Imaging 307
Surgical approach 308
Preparation and Patient Positioning 308
Surgical Procedure 308
Immediate postoperative care 311
Rehabilitation and recovery 311
Clinical results in the literature 311
Summary 313
Supplementary data 314
References 314
Minimally Invasive Anterolateral Corpectomy for Spinal Tumors 317
Key points 317
Introduction 317
Anterior-based approaches 318
Posterior-based approaches 318
Lateral-based approaches 319
Surgical Technique and Anatomic Considerations 319
Preoperative planning 319
Preparation and patient positioning 320
Surgical approach 320
Surgical procedure 320
Postoperative care 321
Outcomes Using a Minimally Invasive Anterolateral Approach 321
Advantages of the Minimally Invasive Lateral Approach 323
Limitations of the Minimally Invasive Lateral Approach 323
Summary 323
References 323
Minimally Invasive Approaches for the Treatment of Intramedullary Spinal Tumors 327
Key points 327
Introduction 327
Intramedullary spinal cord tumors 327
Ependymoma 328
Astrocytoma 328
Hemangioblastoma 329
Ganglioglioma 329
Lymphoma 330
Germinoma 330
Melanoma 330
Others 331
Surgical treatment of intramedullary tumors 331
Minimally invasive rationale and technique 331
Surgical technique 331
Preoperative Planning 331
Preparation and Patient Positioning 331
Surgical Approach 332
Immediate Postoperative Care 333
Rehabilitation and Recovery 334
Clinical results in the literature 334
Summary 334
References 334
Percutaneous Pedicle Screw Fixation for Thoracolumbar Fractures 337
Key points 337
Introduction 337
Classification of thoracolumbar spine fractures 338
Fractures treatable by percutaneous pedicle screw fixation 338
Technique for percutaneous pedicle screw placement 338
Applications and preliminary results 341
Flexion-Distraction Injuries 341
Burst Fractures 341
Compression Fractures 343
Extension-Distraction Injuries 345
References 345
Miniopen Pedicle Subtraction Osteotomy 347
Key points 347
Introduction: nature of the problem 347
Surgical technique 348
Clinical and radiographic outcomes 349
Complications and concerns 350
Summary 350
References 351
Lateral Transpsoas Lumbar Interbody Fusion 353
Key points 353
Introduction 353
Materials and methods 354
Results 354
Discussion 358
Complications 359
Summary 359
References 359
Evidence Basis/Outcomes in Minimally Invasive Spinal Scoliosis Surgery 361
Key points 361
Introduction: nature of the problem 361
Therapeutic options or surgical technique(s) 361
MISS Scoliosis Correction 363
Clinical outcomes 364
Complications and concerns 365
Summary 372
References 372
Intraoperative Navigation in Minimally Invasive Transforaminal Lumbar Interbody Fusion and Lateral Interbody Fusion 377
Key points 377
Introduction 377
Surgical technique for the use of navigation for minimally invasive or mini-open pedicle screw placement 378
Preparation and Patient Positioning 378
Surgical Procedure 378
Step 1 378
Step 2 378
Step 3 378
Step 4 378
Step 5 379
Step 6 379
Step 7 379
Step 8 379
Step 9 379
Step 10 379
Limitations 381
Summary 381
References 382
Index 383