BookMichael Wang, Yi Lu, Praveen Mummaneni, D. Greg Anderson, editors.
Summary: Contemporary spinal surgeons, whether orthopedic or neurosurgeons, are increasingly recognizing minimally invasive spine surgery (MISS) as a valuable option for managing advanced degenerative diseases. MISS techniques minimize blood loss and surgical site pain, while speeding recovery. Thus, the combination of MISS with adult spinal deformity was a natural choice. Currently, the techniques, technologies, and education of surgeons have finally reached a point where MISS deformity surgeries are becoming commonplace. Nevertheless, the field is young enough (and still evolving) that no comprehensive texts have addressed the unique challenges it poses for surgeons. This book fills that gap.
Contents:
Deformity Surgery Principles: The epidemiology of adult spinal deformityand the aging population
Classification scheme for scoliosis
Indications for surgery
Sagittal balance
Lumbopelvic parameters
Importance of the fractional curve
Importance of the fractional curve
Radiation safety
Impact of MIS surgery on costs
Percutaneous Segmental Fixation: Fluoroscopic techniques
Image guidance
Nuances of thoracolumbar screw placement
Rod contouring, passage, and connection
Percutaneous pelvic screw fixation.-Managing osteoporotic bone.-Use of cement in MIS deformity surgery
Posterior Approaches:Interbody cage options
Multi-level TLIF for spinal deformity
Expandable cages for thoracic spinal deformity
Expandable cages for lumbar spinal deformity
Lumbar endoscopic fusion
Osteotomy techniques
Lateral Approaches: Thoracoscopic approaches
Role of neuromonitoring
Single incision approach to the lumbar spine
Dual incision approach to the lumbar spine
Which side to approach from?- Stand-alone lateral surgery for deformity
Thoracic interbody surgery.-Complications of the lateral approach
Dealing with the Lumbo-Pelvic Junction: Mini-open ALIF for fusing the lumbosacral junction
Trans-sacral interbody fusion as an adjunct to anchoring constructs at the lumbosacral junction
Minimally invasive sacroiliac joint fusion
Achieving Intersegmental Arthodesis: Bone graft extenders.-Minimally invasive Wiltse approach posterolateral fusion
Facet joint fusion
Future Directions.