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Minimally Invasive Surgery of the Lumbar Spine

Tác giả: Menchetti, Pier Paolo Maria

Chủ đề:

Chủ đề: Medicine; Surgery; Lumbar Spine

Nhà xuất bản: Springer

Năm xuất bản: 2014

Loại tài liệu: Book

Mô tả vật lý: 356 p.

Định danh: 978-1-4471-5280-4

Ngôn ngữ: en

Đọc trực tuyến

Presented the following sections:Anesthesia and Perioperative Care in MISS; Diagnostic Imaging of Degenerative Spine Diseases: The Technical Approach; Radiofrequency Lumbar Facet Joint Denervation; Percutaneous Treatment in Lumbar Disc Herniation; Assessment and Selection of the Appropriate Individualized Technique for Endoscopic Lumbar Disc Surgery...

Contents
Contributors
Chapter 16: Microsurgical Approach for the Treatment of Juxtafacet Synovial Cysts of the Lumbar Spine
- Classification
- Clinical Presentation
- Conclusion
- Etiology
- Histological Pictures
  - Hemorrhagic Variant
- History and Nomenclature
- Introduction
- Outcomes
- Radiological Investigation
- Treatment Options
  - Microsurgical Approach
    - Operative Technique
    - Personal Experience
- References
Index
Preface
Cover
Title pages
Dedication
Chapter 1: Anesthesia and Perioperative Care in MISS
- General Considerations
- Preoperative Patient Assessment
- Postoperative Pain Control
- Prophylaxis of Infections
- Thromboprophylaxis
- PONV and PDNV Prevention and Treatment
- Intraoperative Management
- Conclusions
- References
Chapter 2: Diagnostic Imaging of Degenerative Spine Diseases: The Technical Approach
- Introduction
- Radiography
  - Cervical Spine
  - Thoracic Spine
  - Lumbar Spine
- Computed Tomography (CT)
- Magnetic Resonance Imaging (MRI)
- Invasive Diagnostic Tools
- Nuclear Medicine
- Conclusion
- References
Chapter 3: Radiofrequency Lumbar Facet Joint Denervation
- Lumbar Facet Joint Pain
- Lumbar Facet Joint Denervation
  - Anatomy
  - Position of Patient
  - Technique
    - The Medial Branch of the L5 Posterior Primary Ramus
  - Aftercare
  - Evidence
- The Physics of Radiofrequency and Pulsed Radiofrequency
  - Section 1
    - Monopolar Thermal RF
    - Bipolar Thermal RF
    - Monopolar Pulsed RF
  - Section 2
  - Section 3
- References
  - Lumbar Facet Denervation
  - Physics: Section 1
  - Physics: Section 2
  - Physics: Section 3
Chapter 4: Percutaneous Treatment in Lumbar Disc Herniation
- Introduction
- Background
- Percutaneous Procedures for Lumbar Disc Herniation Treatment
  - Chemonucleolysis
  - Automated Percutaneous Nucleotomy
  - Percutaneous Manual and Endoscopic Nucleotomy
  - IDET (Intra Discal Electro Thermal) Therapy
  - Nucleoplasty (Coblation)
  - Percutaneous Laser Discectomy
  - Hydrodiscectomy
- Conclusion
- References
Chapter 5: Assessment and Selection of the Appropriate Individualized Technique for Endoscopic Lumbar Disc Surgery
- Introduction
- Materials and Methods
  - Imaging Parameters
  - Patient Population
  - Surgical Procedures
  - Outcome Evaluation
  - Statistical Analyses
- Results
- Discussion
- Conclusion
- References
Chapter 6: Interspinous Devices: State of the Art
- Biomechanics
  - Introduction
  - Functional Spinal Unit
  - Notes on Biomechanics
  - Effects of Distraction on Biomechanical Properties of Vertebral Tissues
    - Implications for Structure, Kinematic and ROM
  - Mineral Density and Tensile Strength of the Vertebral Bone
  - Effect on Intradiscal Pressure and on the Facet Joints
  - Effects on the Spinal Ligament System
  - Design of Interspinous Devices
    - Materials Used
  - Testing and Simulation Instruments (Table 6.2)
  - Verification Methods
- Guidelines and Experience
  - Indications and Experience
  - Case Studies
  - Surgical Technique and Clinical Cases
  - Complications Related to and Failure of Interspinous Devices
- References
Chapter 7: Less Invasive Decompression and Posterolateral Fusion Using Interlaminar Lumbar Instrumented Fusion (ILIF) with or Without Supplemental Transforaminal Lumbar Interbody Fusion (TLIF)
- Introduction
- Background/Etiology
- Presentation/Investigation/Treatment Options
  - Presentation/Evaluation
  - Treatment Options
  - Simple Decompressions
  - Fusions
- Surgical Technique and Rehabilitation
- ILIF with Supplemental TLIF
- Outcomes Including Literature Review
- Complications of Treatment
- Conclusions/Personal View
- References
Chapter 8: Minimal Invasive Posterior Dynamic Stabilization: A New Treatment Option for Disc Degeneration (Yoda)
- Introduction
  - Background
- Etiology of Disc Degeneration
- Imaging of Early Lumbar Intervertebral Disc Degeneration
- Rational of Interspinous Implants
- Implant Description and Surgical Principle
- Advantages
  - Clinical Advantages
  - Technical Advantages
- Disadvantages
- Contraindications
- Indications
- Surgical Technique
  - Preoperative Planning
  - Anesthesia
  - Patient Positioning
  - Surgical Steps
    - Minimally Invasive Posterior Approach
  - Postoperative Care
- Results and Discussion
- Conclusions
- References
Chapter 9: Percutaneous Pedicle Screws in the Lumbar Spine
- Introduction
- Indications
- Considerations on Radiation Exposure
- Operative Technique
  - Operating Room Setup
  - Pedicle Screw Trajectory Determination
  - Tapping of the Pedicle Screw Trajectory
  - Insertion of the Rods and Final Tightening
- Case Examples
- Accuracy and Safety
- Conclusion
- References
Chapter 10: Dynamic Stabilization of the Lumbar Spine: Current Status of Minimally Invasive and Open Treatments
- Introduction
- Rationale for Dynamic Stabilization
- Different Strategies for Dynamic Stabilization of the Lumbar Spine
- Dynesys System
- Graf Ligament
- X-STOP Device
- AccuFlex
- Isobar TTL
- Truedyne PDS
- Cosmic Posterior Dynamic System
- Stabilimax NZ
- BioFlex Spring Rod Pedicle Screw System
- CD Horizon Agile
- NFlex
- Discussion
- Conclusion
- References
Chapter 11: Lumbar Nucleus Replacement
- Introduction
- Design Rationale
- Choice of Material
- Reducing Risk for Expulsion and Subsidence
- Multidirectional ROM and Load-to-Failure: An In Vitro Cadaveric Model
- Clinical Utility and Surgical Technique
- Clinical Results
- References
Chapter 12: Vertebral Body Augmentation in Osteoporotic Vertebral Compression Fractures
- Introduction
- Diagnosis of Osteoporotic Vertebral Fractures
- Biomechanics
- Definitions
- Indications
- Operative Techniques and Materials
  - Khyphoplasty
  - Vertebral Body Stenting
  - Vertebroplasty
- Complications
- Clinical Outcomes
  - New Vertebral Fractures Following Vertebral Body Augmentation
  - Personal Experience
- Conclusions
- References
Chapter 13: The Sacroiliac Joint: A Minimally Invasive Approach
- Introduction
- Background and Etiology
  - Biomechanics
  - Development of the Sacroiliac Joint
  - Etiology
- Presentation, Diagnosis, and Treatment Options
  - Diagnosis
  - Diagnostic Blocks
  - Physical Treatment
- Surgical Techniques
  - Minimally Invasive Techniques
  - Surgical Treatment
  - The iFuse đ Technique
  - Patient Positioning
  - Pin
  - Broach
  - Drill
  - Implant
- Complications
- Postoperative Care
- Conclusions and Personal View
- References
Chapter 14: Image and Robotic Guidance in Spine Surgery
- Introduction
- Systems and Registration Processes for Image-Guided Spine Surgery (IGSS)
  - CT-Based Image Guidance
    - Registration for Preoperative CT-Based Navigation
      - CT-to-Fluoroscopy Merging Systems
      - Electromagnetic Registration Systems
      - Point-Matching Technique
      - Surface-Matching Technique
  - Two-Dimensional (2D) Fluoroscopy-Based Image Guidance (Virtual Fluoroscopy)
  - Intraoperative Cone Beam CT-Based Systems
  - Intraoperative CT
- Robotic Guidance in Spine Surgery
  - A Robotic System in Clinical Use
  - Robotic Systems Under Development
  - A Clinically Available Tele-Surgical Robotic System
- Review of the Literature Regarding Image and Robotic Guidance in Spine Surgery
  - Image-Guided Spine Surgery
    - Learning Curve
    - Accuracy
    - Radiation Exposure
    - Procedure Duration
  - Robotic Guidance in Spine Surgery
    - Accuracy
    - Procedure Time
    - Radiation Exposure
    - Tele-Surgical Robotic Systems and Spine Surgery
- Practical Considerations When Using Image or Robotic Guidance
- Conclusions
- References
Chapter 15: Bone Substitution in Spine Fusion: The Past, the Present, and the Future
- Introduction
- Spine Fusion and Bone Substitutes
  - Biological Bone Grafts
  - Synthetic Bone Substitutes
  - Injectable Bone Substitutes
    - Calcium Phosphate Cements
  - Nanometric and Biomimetic Bone Substitutes
- Future Trends in Spine Fusion
  - Cell-Based Approaches for Spinal Fusion
  - Cell Engineering Strategies
- References