Beschreibung:
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.
This print book includes complimentary access to a digital copy on https://medone.thieme.com.
<p><strong>Part I Introduction to MISS</strong><br>1. Definition of MISS: The "6 Ts": Target/Technology/Technique/Teaching and Training/Testing/Talent<br>2. Global MISS: Perspectives from Asia, Australia, Europe, Middle East, North America, and South America<br><strong>Part II MISS Target</strong><br>3. Target Philosophy in Degenerative Spinal Disorders: Correlation of Clinical Presentation, Physical Examination, and Response to Interventional Procedures<br>4. Deformity and MIS: Limitation or Opportunity?<br>5. Target: The Muscle as a Pain Generator and Key Element to Protect During MIS Surgery<br><strong>Part III MISS Technology</strong><br>6. Tubular and Specular Retractors in MISS<br>7. Navigation in MISS<br>8. Robotics: Background and Current Role<br>9. Microscope in MISS<br>10. Endoscope in MISS: How to Adopt and Change<br><strong>Part IV MISS Techniques</strong><br>11. Three Surgical Principles of MISS: Contralateral Decompression, Minimize Instability, and Indirect Decompression<br>12. Surgical Techniques and Instrumentation in MISS<br>13. Dural Repair in MISS and CSF Leak Management<br>14. How to Achieve a Successful Fusion with MIS Techniques<br>15. Surgical Tips, Tricks, and Techniques to Minimize Invasiveness; General Advice on How to Handle Fluoroscopy, Blood Loss, and Infection Rates<br>16. Perioperative Management; ERAS<br>17. Key Elements to Safely Transition from Inpatient to Outpatient Spine Surgery<br>18. Posterior Cervical Foraminotomy/Discectomy<br>19. Unilateral Tubular Over-the-Top Cervical Laminectomy for Cervical Stenosis<br>20. Posterior Cervical Facet Cages DTRAX<br>21. MIS Endoscopic Approaches For OC–C1–C2 Pathology<br>22. Posterior Muscle Sparing Approaches for Decompression, Laminoplasty, and Laminectomy<br>23. Minimally Invasive C1/C2 Fusion<br>24. Cervical Three-Dimensional Navigation to Facilitate Minimally Invasive Spine Surgery<br>25. Thoracic Vertebroplasty and Kyphoplasty<br>26. Thoracic Discectomy: Posterior Transpedicular Tubular Approach<br>27. Lateral Retropleural Thoracic Discectomy and Corpectomy<br>28. Mini-Open Pedicle Subtraction Osteotomy for Deformity Correction<br>29. Posterior Paramedian Endoscopic Thoracic Discectomy<br>30. Transpedicular Corpectomy and Fusion for Metastatic Tumor or Infection<br>31. Techniques to Decrease the Invasiveness of Thoracic Deformity Correction<br>32. Unilateral Lumbar Approach For Over-the-Top Bilateral Decompression<br>33. Far-Lateral Lumbar Discectomies<br>34. Percutaneous Full-Endoscopic Interlaminar Approach for Lumbar Pathologies: Disc Herniation and Lumbar Spinal Stenosis<br>35. Transforaminal Approach for Endoscopic Decompression<br>36. Endoscopic Interlaminar Lumbar Laminectomy<br>37. LLIF T12/L1-L2<br>38. LLIF L2/3/4/5<br>39. Translumbar Surgery Comparison: Four Surgeons and Regions<br>40. Minimally Invasive Oblique Anterior Lumbar Interbody Fusion<br>41. Maximum Access Surgery Posterior Lumbar Interbody Fusion<br>42. MIS-TLIF with Total Navigation and Expandable Interbody Cages<br>43. MIS-TLIF Comparison: Four Surgeons and Regions<br>44. Percutaneous Pedicle Screw Fixation and MISS SI Joint Fusion<br>45. Intradural Extramedullary Tumors<br>46. Three-Dimensional Navigation in Lumbar Spine to Facilitate Minimally Invasive Spine Surgery<br>47. Strategies to Minimize Invasiveness and Optimize Success: OC Fusion<br>48. Strategies to Minimize Invasiveness and Optimize Success: Cervical Front/Back Surgery for Deformity Correction<br>49. MIS Cervical Pedicle Screws—Percutaneous-Assisted Technique<br>50. Treatment of Degenerative Lumbar Scoliosis with Minimally Invasive Multilevel LLIF in Combination with Lateral ALIF<br>51. Strategies to Minimize Invasiveness and Optimize Success: T10-Pelvis<br>52. Lifestyle Medicine: Optimizing Recovery Following MIS of the Spine<br>53. Three-Dimensional Navigation in MISS<br><strong>Part V Teaching and Training/Future</strong><br>54. Surgical Training and Simulation in MISS<br>55. The Role of Biologics in Minimally Invasive Spine Surgery<br>56. Summary and Outlook—Future of Lumbar Minimally Invasive Surgery<br>57. Achieving MISS on a Global Level</p>
