Technical Advances in Minimally Invasive Spine Surgery

This book is a comprehensive guide to the application of recently introduced and emerging technologies in minimally invasive spine surgery (MISS). These technologies, including 2D and 3D navigation, endoscopy, virtual and augmented reality, robotics, and 3D printing, are helping to overcome previous limitations of MISS, such as the steep learning curve and the need for a great deal of experience in order to achieve optimal outcomes. Compared with traditional techniques, their use is designed to reduce local operative tissue damage, alleviate systemic surgical stress, and enable earlier return to function. The book provides detailed and extensively illustrated accounts of the role of the new technologies and techniques in a wide range of indications. In essence, all spine conditions, whether degenerative, traumatic, or oncologic, will in the near future be amenable to MISS using these approaches. The book will be a source of insight and practical assistance for all surgeons who perform MISS, regardless of their level of experience.

1. Navigation guided spinal Fusion.- 1) History of Navigation guided Spinal Surgery.- 2) Evidence of Navigation guided Spinal Surgery.- 3) Current Instruments and Platforms for Navigation Spinal Surgery.- 4) Five Pillars of Navigation guided MISS.- 5) MIS TLIF.- 6) LLIF.- 7) OLIF.- 8) MIS Lumbar fusion in ASD.- 9) MIS Lumbar Fusion in Complex Spine Disease and deformity.- 10) Single stage lateral surgery.- 11) Role of navigation in cervical fusion surgery.- 12) Navigation and preop planning.- 2. Navigation guided MIS Decompressive Spinal Surgery.- 1) MIS Tubular Decompression in Lumbar Spine.- 2) MIS Tubular Decompression in Cervical Spine.- 3) Transforaminal Endoscopic Lumbar Discectomy (TELD).- a) O-arm Navigation guided TELD.- b) EM based Navigation guided TELD.- c) Ultrasound guided TELD.- 4) Endoscopic Lumbar Laminotomy.- 5) Endoscopic Lumbar Foraminotomy.- a) O-arm Navigation guided Lumbar Foramintomy.- b) EM based Navigation guided Lumbar Foramiontomy.- 6) Full-Endoscopic Cervical Laminoforaminotomy.- a) O-arm Navigation guided Cervical Laminoforaminotomy.- b) EM based Navigation guided Cervical Laminoforaminotomy.- 7) Full-Endoscopic Transforaminal Lumbar Interbody Fusion.- a) Feasibility of Endoscopic TLIF using Cadaveric study.- b) O-arm Navigation guided Endoscopic TLIF.- c) EM based Navigation guided Endoscopic TLIF.- 8) Endoscopy assisted Lumbar Interbody Fusion.- a) O-arm Navigation guided Endoscopic OLIF.- b) O-arm Navigation guided Biportal Endoscopic PLIF/TLIF.- c) EM based Navigation guided Endoscopic PLIF/TLIF.- 9) Navigation in tumor surgery.- 10) Thoracic tumor / disc / decompression.- 3. Robot Assisted MISS.- 1) Current available robot systems in Spinal Surgery.- 2) Workflows for robotic surgery in the lumbar spine: MIS TLIF.- 3) Single stage lateral surgery.- 4) The Role of Robot Assisted MISS for Deformity surgery.- 5) Endoscopic Robot Spinal Surgery.- 6) Future perspective of Robot Assisted MISS.- 4. Augment Reality and others.- 1) Current status of Augment Reality in Spine.- 2) MIS TLIF w 3D navigation and augmented reality enhanced.- 3) Tumor surgery.- 4) Future perspective of Augment Reality in Minimally Invasive Spine Surgery.- 5. Virtual reality in spinal surgery.- 1) Introduction; history and application.- 2) Patient education.- 3) Surgical training.- 4) Future application.