Search

The expert knowledge on numerous established and innovative minimally invasive interventions on the spine is systematically and in detail summarized in this book. All chapters are consistently structured with special education, implementation of the intervention, complications, literature, reimbursement and a final conclusion with assessment of clinical relevance. The focus is on the practice: step-by-step the procedure is presented under the heading'carrying out the intervention'. The book is ideal for practitioners who want to benefit from the know-how of experienced colleagues or who are interested in new innovative procedures and for referring physicians who want to get an overview.This book is a translation of the original German 1st edition Minimalinvasive Wirbelsäulenintervention by Jerosch Jörg published by Springer-Verlag GmbH Germany, part of Springer Nature in 2019. The translation was done with the help of artificial intelligence (machine translation by the service DeepL.com). A subsequent human revision was done primarily in terms of content, so that the book will read stylistically differently from a conventional translation. Springer Nature works continuously to further the development of tools for the production of books and on the related technologies to support the authors.

This book provides detailed advancement of endoscopic procedures of the spine. It covers basic knowledge of endoscopic procedures and dedicated introduction of surgical techniques for treatment of diseases in spine with better surgical outcome and less surgical morbidity. Endoscopic procedures with their advantage in surgical exposure and post-operative rehabilitation have been extensively performed in orthopedic diseases. Cases presentation with well-illustrated endoscopic photos for common clinical conditions was provided. The format is a step-by-step procedure for easy reference, particularly for surgeons in their training.

Contemporary Endoscopic Spine Surgery brings the reader the most up-to-date information on the endoscopy of the spine. Key opinion leaders from around the world have come together to present the clinical evidence behind their competitive endoscopic spinal surgery protocols. Chapters in the series cover a range of aspects of spine surgery including spinal pain generators, preoperative workup with modern independent predictors of favorable clinical outcomes with endoscopy, anesthesia in an outpatient setting, management of complications, and a fresh look at technology advances in a historical context. The reader will have a first-row seat during the illustrative discussions of expanded surgical indications from herniated disc to more complex clinical problems, including stenosis, instability, and deformity in patients with advanced degenerative disease of the human spine. Contemporary Endoscopic Spine Surgery is divided into three volumes: Cervical Spine, Lumbar Spine, and Advanced Technologies to capture an accurate snapshot in time of this fast-moving field. It is intended as a comprehensive go-to reference text for surgeons in graduate residency and postgraduate fellowship training programs and for practicing spine surgeons interested in looking for the scientific foundation for expanding their clinical practice towards endoscopic surgery.This volume (Advanced Technologies) covers the following endoscopic spine surgery topics in 19 detailed chapters: endoscopic intradiscal therapy and foraminoplasty, evidence based medicine in spine surgery, artificial intelligence for spine surgery, postoperative management, transforaminal lumbar endoscopy and associated complications, laser applications in full endoscopy of the spine, high frequency surgery for the treatment of herniated discs, lumbar MRI, cost and maintenance management of endoscopic spine systems, regenerative medicine, interbody fusion, endoscopic intravertebral canal decompression after spinal fracture, treatment of lumbar tuberculosis, treatment of degenerative scoliosis, treatment of thoracic meningioma with spinal canal decompression, and cervical endoscopic unilateral laminotomy for bilateral decompression (CE-ULBD).

The ultimate resource for learning and mastering minimally invasive spine surgery techniquesAn 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 HighlightsContributions from master spine surgeons across the world provide a balanced global perspective on mastering and incorporating diverse techniques into practiceInvaluable clinical pearls including tips/tricks and complication avoidanceHigh-quality images, figures, anatomic drawings, and imaging studies illustrate relevant anatomic approaches and corridors and delineate why anatomic mastery is critical to MISSTwenty-five videos enhance the ability to learn and implement MISS approachesThis 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.

A high-yield and comprehensive text-and-video resource for managing commonly encountered spinal conditionsSpine surgery has experienced several paradigm shifts during the past few decades, with highly complex techniques introduced at an astoundingly rapid pace. In order for new generations of spine surgeons to stay current and thrive in this innovative era of spine surgery, access to diverse multimedia learning tools is imperative. Video Atlas of Spine Surgery by renowned spine surgeon and educator Howard An and Rush University Medical Center colleagues Philip Louie, Bryce Basques, and Gregory Lopez, is a cutting-edge resource for non-operative and operative management of a diverse spectrum of cervical, thoracic, and lumbar spine conditions.Consisting of 19 chapters, the text is streamlined to facilitate learning the most important steps for each procedure. The book begins with discussion of physical exam maneuvers used to accurately diagnose specific spinal pathologies. Subsequent chapters detail extensive spine surgery techniques for managing degenerative cervical and lumbar conditions. The remaining chapters cover spinal cord, cervical, and thoracolumbar injuries; idiopathic, degenerative, and early-onset scoliosis; kyphosis; spondylolisthesis; spinal infections and inflammatory disorders; and thoracic disc disorders.Key FeaturesConcise, bulleted text and consistent chapter outlines feature epidemiology and prevalence, pathogenesis, clinical presentation, image findings, classification, conservative and surgical management, techniques, postoperative care, and moreA myriad of meticulous diagrams and illustrations, spinal imaging and photographs, and 50 high-quality spine surgery videos maximize learningTechnical pearls, case examples, and board-style orthopaedic surgery questions at the end of each section optimize comprehension and retention of informationThis remarkable resource is a must-have for orthopaedic and neurosurgery residents and fellows, as well as practicing spine surgeons.

Endoscopic spine surgery essentials from expert spine surgeonsAtlas of Full-Endoscopic Spine Surgery by internationally renowned spine surgeons Christoph Hofstetter, Sebastian Ruetten, Yue Zhou, and Michael Wang provides concise, step-by-step guidance on the latest full endoscopic spine procedures. The book is targeted at practicing spine surgeons, fellows, and residents currently not trained in endoscopic spine surgery who have the desire to learn and incorporate these techniques into clinical practice. It is also an excellent curriculum resource for cadaveric training courses taught at the national and international level.The book lays a solid foundation with opening chapters on anesthesia, OR setup and endoscopic tools, applied anatomy, basic endoscopic surgical tasks, and preoperative diagnostics. Additional sections include step-by-step descriptions of the full spectrum of cervical, thoracic, and lumbar endoscopic approaches. The last section provides invaluable pearls on overcoming challenges, avoiding pitfalls, and optimizing postoperative care.Key FeaturesTransforaminal endoscopic lumbar and thoracic discectomy approachesTrans-SAP endoscopic approach for foraminal and lateral recess decompressionInterlaminar endoscopic lumbar discectomyCervical/thoracic and lumbar unilateral laminotomy for bilateral decompressionSpecial topics including endoscopic management of challenging cases, endoscopic revision surgery, and management of complications.Neurosurgery residents, fellows, young practicing neurosurgeons, and all healthcare practitioners involved in the care of endoscopic spine surgery patients will gain invaluable insights from this book.

Learn state-of-the-art MIS techniques from master spine surgeons!Significant advances have been made in minimally invasive spine (MIS) surgery approaches, techniques, and innovative technologies. By preserving normal anatomic integrity during spine surgery, MIS approaches enable spine surgeons to achieve improved patient outcomes, including faster return to normal active lifestyles and reduced revision rates. Exposing only the small portion of the spine responsible for symptoms via small ports or channels, requires a deep understanding of spinal anatomy and spinal pathophysiology. Building on the widely acclaimed first edition, An Anatomic Approach to Minimally Invasive Spine Surgery, Second Edition, provides an expanded foundation of knowledge to master minimally invasive spine surgery.World-renowned spine neurosurgeons Mick Perez-Cruet, Richard Fessler, Michael Wang, and a cadre of highly regarded spine surgery experts provide masterful tutorials on an impressive array of cutting-edge technologies. Organized by seven sections and 51 chapters, the book presents a diverse spectrum of current safe and efficacious MIS procedures and future innovations. Nonsurgical approaches include injection-based spine procedures and stereotactic radiosurgery. Surgical technique chapters discuss MIS anterior, posterior, and lateral approaches to the cervical, thoracic, and lumbar spine, with procedures such as endoscopic microdiscectomy, vertebroplasty and kyphoplasty, percutaneous instrumentation, and robotic spine surgery.Key FeaturesStep-by-step illustrations, including more than 400 depictions by master surgical and anatomic illustrator Anthony Pazos portray the surgeon's-eye-view of anatomy, intraoperative images, and surgical instruments, thereby aiding in the understanding of anatomy and procedures20 online videos feature real-time operative fluoroscopy, pertinent anatomy, operative set-up, and common cervical, thoracic, and lumbar approachesDiscussion of novel MIS techniques reflected in 16 new or expanded chapters, including Robotic Assisted Thoracic Spine Surgery and Stem-Cell Based Intervertebral Disc RestorationThere is truly no better clinical reward for spine surgeons than giving patients suffering from debilitating spinal disorders their life back. This quintessential MIS surgery resource will help surgeons and clinicians accomplish that goal.

The field of spine surgery is in a state of flux, with minimally invasive and open surgical procedures vying for dominance. A new volume in the Minimally Invasive Orthopaedic Surgery series, Minimally Invasive Spine Surgery weighs the pros and cons of today's open versus minimally invasive techniques, allowing you to choose the approaches that will best meet your patients'needs. In each chapter, accomplished experts describe the advantages, indications, setup, technical aspects, and problem areas associated with a given minimally invasive procedure, including critiques from surgeons who favor a standard open approach – to give you a balanced, objective foundation for surgical decision making.

Due to advances in spinal endoscopy, practitioners are now able to offer efficacious alternatives to open surgery to patients with low back pain, radiculopathy, and related disorders affecting the epidural space. Epiduroscopy enables surgeons to access, diagnose, and treat discogenic pain and spinal pathologies using minimally invasive techniques via direct visualization and focused intervention. Typically performed as a one-day outpatient procedure under local anesthesia, epiduroscopy provides a viable option to many patients suffering from low back pain.Starting with the history of this procedure, the authors guide the reader systematically through relevant clinical indications, radiological anatomy, the pathophysiology of spinal pain, diagnostic modalities, and the use of specialized tools. Subsequent chapters detail specific conditions and approaches, histopathologic/microbiological findings, and patient assessment and outcomes.Key FeaturesClinical pearls gleaned from years of hands-on experience, including preventing and managing complications.Online access to 46 step-by-step surgical videos and animations provides in-depth understanding of techniques.Nearly 600 high quality images, including procedural photos and medical illustrations delineate approaches.The use of epiduroscopy-assisted mechanical adhesiolysis, laser procedures, radiofrequency, analgesic and pharmacological therapy, ozone therapy, spinal cord stimulation, and more.This is an essential resource for trainee and practicing physicians in the fields of neurosurgery, orthopaedic surgery, pain medicine, and interventional medicine.

The essential decision making primer for minimally invasive spine proceduresDecision Making for Minimally Invasive Spine Surgery provides the critical tools needed to determine exactly when, for whom, and why minimally invasive spine surgery (MISS) is a viable option.Ten tightly focused chapters each begin with a decision making algorithm that explains how to ascertain if MISS will benefit the patient more than traditional open surgery. Following each algorithm, concise yet detailed information on the preoperative evaluation, surgical techniques, and possible outcomes helps the reader to formulate a clear surgical strategy. The book closes with an incisive analysis of radiosurgery, instrumentation systems, image guidance, and promising advances in MISS that will stimulate further discussion of this emerging area.Features:A realistic assessment of both the advantages and drawbacks of MISS by pioneers in the field Evaluative algorithms allow readers to form rapid, fully informed treatment decisions Intuitive organization by spinal region facilitates quick referenceSpine surgeons, residents, or fellows in orthopedic surgery or neurosurgery will refer to this easily accessible manual every time they consider performing a minimally invasive spine procedure.

Don't miss it! The second, completely revised and expanded edition of the successful surgical manual on minimally invasive spine surgery includes 51 chapters (including more than 20 new chapters) covering all current minimally invasive techniques in spine surgery. A complete survey of all microsurgical and endoscopic techniques with a special focus on semi-invasive injection techniques for diagnostic and therapeutic purposes in low back pain is given. The clear chapter structure with terminology, history, surgical principles, advantages/disadvantages, indications, access principles, complications, and results facilitates navigation through the manual. Topics include the principles of microsurgical and endoscopic treatment, spinal navigation and computer-assisted surgery, minimally invasive reconstruction, fusion, dynamic stabilization in fractures, degenerative disc disease, spinal stenosis, low back pain and deformities. The didactic presentation of surgical steps makes the reader familiar with all types of new minimally invasive techniques in clinical use or still in ongoing clinical trials such as minimally invasive spine arthroplasty.

Minimally invasive surgery has made tremendous strides in recent years, with exciting advances in instrumentation and techniques rapidly changing the scope of these procedures. Here is the first text to comprehensively review the newest developments shaping the field today and in the future. You will find in-depth guidelines and approaches for performing cervical, thoracic and lumbar spine surgery; percutaneous procedures; and state-of-the-art image-guided and robotic surgery. Enhanced by nearly 650 high-quality images, this text is an essential resource for all specialists who want to fully understand these operative methods and integrate them into their practice.Key features:Technique-oriented text that also provides the fundamentals for a complete understanding of the minimally invasive approachOrganized into seven clear, well-defined sections for quick referenceKey discussions of minimally invasive interbody fusion; thoracic discectomy, trauma stabilization, lumbar decompression, tumor resection, and much more!For all neurosurgeons, orthopedic surgeons, and spinal surgeons, this is an invaluable and practical tool as well as an educational resource. You will not find a more thorough and current review of minimally invasive spinal techniques written by the leading surgeons in the country. Upgrade and expand your practice with this key information!

The term “minimally invasive spinal surgery” was coined in early 1990 following pub- cation of the first edition of this text entitled Arthroscopic Microdiscectomy: Minimal Intervention in Spinal Surgery, and subsequent establishment of the International Society for Minimal Intervention in Spinal Surgery (ISMISS) under the auspices of the International Society of Orthopaedic Surgery and Traumatology (SICOT) in April l990. The orthopedic and neurological surgeons who participated in lectures and hands-on wo- shops both in Philadelphia and abroad have witnessed the evolution of minimally invasive spinal surgery from blind nucleotomy to endoscopic fragmentectomy, decompression of l- eral recess stenosis, foraminoplasty, and spinal stabilization. In Arthroscopic and Endoscopic Spinal Surgery: Text and Atlas, Second Edition, experts describe and illustrate various techniques and approaches that are currently used in this field. In addition, the ongoing research for the betterment of spine care via minimally invasive approaches is briefly reviewed. I would like to express my sincere appreciation to so many of my colleagues who s- ported my efforts in the field of minimally invasive spinal surgery throughout the years. Many of them participated in our teaching symposiums and have provided valuable cont- butions to this text.