| Description |
1 online resource |
| Contents |
Foreword; Preface; Contents; Part I: Introduction; 1: History and€Rationale for€the€Minimally Invasive Lateral Approach; 1.1 Introduction; 1.2 Historical Approaches to€the€Lumbar Spine; 1.3 Development of€Lateral Access Surgery; 1.4 Validation of€the€Technique; 1.5 Future Steps on€Lateral Approach; References; 2: Biomechanics of€Lateral Spinal Reconstruction; 2.1 Introduction; 2.2 Lumbar Anatomy; 2.2.1 Vertebra; 2.2.2 Intervertebral Discs; 2.2.3 Facets; 2.2.4 Muscles and€Ligaments; 2.3 Lumbar Geometry and€Stability; 2.3.1 The Neutral Zone; 2.3.2 Bending Moments and€Load Carrying |
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2.3.3 Lumbar Lordosis2.4 Biomechanics of€Lumbar Pathology; 2.4.1 Lumbar Surgery; 2.5 Lateral Lumbar Fixation; References; 3: Physiologic Benefits and€Impacts of€Minimally Invasive Spine Surgeries; 3.1 Goals of€Minimally Invasive Spine Surgery; 3.2 Physiological Benefits; 3.2.1 Blood Loss; 3.2.2 Decreased Infection Rates; 3.2.3 Reduced Soft Tissue Disruption; 3.2.4 Pain Control and€Recovery; References; 4: Costs and€Economic Implications; 4.1 Introduction; 4.2 The Costs of€Spine Surgery; 4.3 Comparative Effectiveness of€the€MIS Lateral Approach |
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4.4 Cost-Effectiveness of€the€MIS Lateral Approach4.5 Future Directions; References; 5: Workup and€Diagnostic Testing; 5.1 Introduction; 5.2 Patient History; 5.3 Physical Examination; 5.4 Adjunctive Tests; 5.5 Preoperative Evaluation of€the€Pain Generator; 5.6 Radiographic Studies; 5.7 Summary; References; 6: Literature Evidence of€the€MIS Lateral Approach; 6.1 Adult Spinal Deformity; 6.1.1 Studies; 6.1.2 Treatment Characteristics; 6.1.3 Clinical Outcomes; 6.1.4 Fusion; 6.1.5 Complications; 6.1.6 Neural Deficits; 6.1.7 Conclusion; 6.2 Degenerative; 6.2.1 Studies |
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6.2.2 Treatment Characteristics: Estimated Blood Loss6.2.3 Operative Time; 6.2.4 Length of€Stay; 6.2.5 Clinical Outcomes; 6.2.6 Fusion; 6.2.7 Complications; 6.2.8 Neural Deficits; References; Part II: Approach and Localization; 7: Selecting the€Proper Patient for€Lumbar Lateral Interbody Fusion and€Minimally Invasive Spinal Deformity Surgery; 7.1 Indications for€LLIF; 7.2 The MISDEF Algorithm; References; 8: Positioning and€Safety; 8.1 Introduction; 8.2 Positioning the€Patient; 8.3 Complications Associated with€Patient Positioning; 8.3.1 Pressure Ulcers |
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8.3.2 Peripheral Nerve Injury8.3.3 Rhabdomyolysis; 8.3.4 Postoperative Visual Loss; References; 9: Intraoperative Electrophysiologic Monitoring; 9.1 Introduction; 9.2 Anatomic Considerations; 9.3 Types of€Intraoperative Electrophysiologic Monitoring for€Lateral Access Surgery; 9.3.1 Motor Evoked Potentials (MEP); 9.3.2 Somatosensory Evoked Potentials (SSEP); 9.3.3 Spontaneous Electromyography (spEMG); 9.3.4 Triggered Electromyography (trEMG); 9.4 Patient Preparation and€Anesthesia Requirements; 9.5 Neural Mapping During€the€Approach; 9.6 Ongoing Monitoring; References |
| Summary |
This well-illustrated textbook is the first comprehensive and authoritative source of information on minimally invasive lateral access spine surgery. It covers all aspects of the subject, including patient selection, approach and monitoring techniques, soft tissue management, application in a variety of pathologies, technical nuances, and the prevention and management of complications. In addition, current controversies in the field are discussed and the biomechanics of lateral spinal reconstruction, the physiologic benefits, and cost implications are explained. Over the past decade, the emergence of minimally invasive lateral access spine surgery has created a revolution in spine treatment. This trend began with the introduction of extreme lateral interbody fusion, a totally new spinal procedure. In recent years, the conversion of more than 15% of lumbar spinal fusion procedures to a lateral approach has been due to the unique advantages of this approach over conventional anterior or posterior surgery. All major purveyors of spinal products and implants have entered this market enthusiastically, and all major spinal societies now conduct annual cadaveric and didactic courses to teach the technique. As use of the lateral approach in spinal surgery has become more popular, so its diversity and complexity have increased. Nevertheless, coverage in the literature is typically limited to single chapters, and the spinal surgeon seeking to achieve optimal results must rely on chance discussions with colleagues at meetings to learn the latest information. Lateral Access Minimally Invasive Spine Surgery is designed to fill this vacuum. Written by world experts on the topic, it will be an excellent resource for both beginning and experienced surgeons |
| Notes |
Includes index |
| Bibliography |
Includes bibliographical references at the end of each chapters and index |
| Subject |
Spine -- Endoscopic surgery
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Spine -- surgery
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Minimally Invasive Surgical Procedures -- methods
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MEDICAL -- Surgery -- General.
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Medicine
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Nervous system -- Surgery
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Orthopedics
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Surgery
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| Genre/Form |
Electronic books
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| Form |
Electronic book
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| Author |
Wang, Michael Y., editor
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Sama, Andrew A., editor
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Uribe, Juan S., editor
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| ISBN |
9783319283203 |
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3319283200 |
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