By Faheem A. Sandhu, Jean-Marc Voyadzis, Richard Glenn Fessler

Decision Making for Minimally Invasive backbone Surgery presents the severe instruments had to make certain precisely whilst, for whom, and why minimally invasive backbone surgical procedure (MISS) is a doable option.

Ten tightly targeted chapters each one start with a call making set of rules that explains how you can make certain if leave out will gain the sufferer greater than conventional open surgical procedure. Following each one set of rules, concise but specific details at the preoperative overview, surgical innovations, and attainable results is helping the reader to formulate a transparent surgical technique. The publication closes with an incisive research of radiosurgery, instrumentation platforms, photo counsel, and promising advances in pass over that would stimulate additional dialogue of this rising area.

Features:

  • A life like overview of either the benefits and
    drawbacks of pass over through pioneers within the box
  • Evaluative algorithms enable readers to shape swift, totally
    informed remedy judgements
  • Intuitive association via spinal area allows
    quick reference

Spine surgeons, citizens, or fellows in orthopedic surgical procedure or
neurosurgery will check with this simply obtainable handbook each time they
consider appearing a minimally invasive backbone procedure.

"This is a wonderful
book without comparisons, worthy for neurosurgeons, backbone surgeons, and radiologists."--Doody's

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Extra info for Decision Making for Minimally Invasive Spine Surgery

Example text

Roh SW, Kim DH, Cardoso AC, Fessler RG. Endoscopic foraminotomy using MED system in cadaveric specimens. Perez-Cruet MJ, Fessler RG, Perin NI. Review: complications of minimally invasive spinal surgery. Fessler RG. Minimally invasive percutaneous posterior lumbar interbody fusion. Guiot BH, Khoo LT, Fessler RG. A minimally invasive technique for decompression of the lumbar spine. Isaacs RE, Podichetty VK, Santiago P, et al. Minimally invasive microendoscopy-assisted transforaminal lumbar interbody fusion with instrumentation.

Therefore, one technique for handling small defects is simply to cover the durotomy with muscle, fat, Gelfoam (Pfizer, New York, NY), or dural substitute followed by fibrin glue or synthetic sealants. Using this approach, overnight bed rest is usually sufficient to seal the defect. For larger dural tears that cannot be primarily closed, 2 to 3 days of lumbar CSF drainage may prevent a leak. Fortunately, the small opening and relative lack of dead space after minimally invasive procedures have made the incidence of postoperative pseudomeningoceles and CSF-cutaneous fistulae negligible.

The angle of the tubular retractor at this point is usually directed ~20 degrees toward the midline. Once the bone anatomy is identified, a high-speed pneumatic drill is used to remove the ipsilateral lamina and tumor down to the ligamentum flavum. The laminectomy should be carried laterally to the level of the medial pedicle, taking care to preserve the pars interarticularis. After completion of the ipsilateral laminectomy, contralateral posterior spinal canal decompression and tumor resection are begun by undermining the spinous process with the high-speed drill.

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