Minimally invasive spine surgery:
Gespeichert in:
| Format: | Buch |
|---|---|
| Sprache: | English |
| Veröffentlicht: |
Philadelphia [u.a.]
Saunders
2006
|
| Schriftenreihe: | Neurosurgery clinics of North America
17,4 |
| Schlagworte: | |
| Online-Zugang: | Inhaltsverzeichnis |
| Beschreibung: | X S., S. 401 - 522 Ill. |
| ISBN: | 1416039309 9781416039303 |
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| adam_text | MINIMALLY INVASIVE SPINE SURGERY
CONTENTS
Preface
ix
John E. O Toole, Kurt M.
Eichholz,
and Richard
G. Fessier
The Development of Minimally Invasive Spine Surgery
401
Richard
G. Fessier,
John E. O Toole, Kurt M.
Eichholz,
and Mick J. Perez-Cruet
The modern era of minimally invasive spine surgery has its roots in percutaneous tech¬
niques developed in the mid-twentieth century. The widespread application
oř
mini¬
mally invasive techniques seen today is predicated on technologic developments of
only the past
10
years, however. This article reviews the development of minimally in¬
vasive spinal surgery as it has evolved for the cervical, thoracic, and lumbar spine. Each
new development has sought to equal or improve on the effectiveness demonstrated by
comparable open surgical techniques while reducing iatrogenic tissue trauma and resul¬
tant postoperative pain and disability to produce overall better outcomes for patients.
Endoscopie
Posterior Cervical Foraminotomy and Discectomy
411
John E. O Toole, Hormoz Sheikh, Kurt M.
Eichholz,
Richard
G. Fessier,
and
Mick J. Perez-Cruet
Posterior cervical microendoscopic foraminotomy and discectomy is an effective mini¬
mally invasive approach to cervical radiculopathy caused by foraminal osteophytes or
lateral disc herniations. This article reviews the technique in detail as well as the advan¬
tages over open approaches. Nuances of the technique, including complications and
their management, are also explored.
Minimally Invasive Cervical Stenosis Decompression
423
John K. Song and Sean D. Christie
Cervical stenosis and cervical spondylotic myelopathy are common disorders seen by
many spine surgeons. Presentation can range from asymptomatic to myelopathy or mye-
loradiculopathy to lower extremity and gait problems attributed to lumbar disease. Var¬
ious surgical procedures are practiced in the surgical management of this disease.
Posterior cervical laminectomy is a familiar procedure and is the treatment of choice
for multilevel disease. With the development of newer instruments and access devices,
it has become possible to treat this problem through a minimally invasive approach.
Minimally Invasive Posterior Cervical Arthrodesis and Fixation
429
Nouzhan Sehati and Larry T. Khoo
This article describes the use of minimally invasive posterior arthrodesis and internal
fixation for the subaxial cervical spine. Such systems vary by the angulation of their
VOLUME
17 ·
NUMBER
4 ·
OCTOBER
2006
v
screws and in the degree of the constraint placed at the screw-rod interface. The polyax-
ial tulip or islet connectors of the screws are able to angle medially, laterally, and straight,
with varying degrees of rotational freedom in each direction, thus making
segmental
fixation more easily achievable from a top-loading approach and allowing for the possi¬
bility of minimally invasive posterior cervical fixation.
Thoracic Microendoscopic Discectomy
441
Kurt M.
Eichholz,
John E. O Toole, and Richard
G. Fessier
Thoracic microendoscopic discectomy is a safe effective treatment for surgical removal of
herniated thoracic
intervertebral
discs. This approach allows access through a minimally
invasive muscle-splitting posterolateral approach that does not place the contents of the
thoracic cavity at risk. In the lumbar spine, this approach has been proven effective, with
a shorter length of hospital stay, less postoperative pain, decreased blood loss, and
shorter recovery time. These same advantages can be expected in the thoracic spine with
appropriate patient selection and proper surgical technique.
Thoracoscopy for Correction of Adult Thoracic Scoliosis
447
George D. Picetti and Dachling Pang
The
endoscopie
technique of instrumentation, correction, and fusion for scoliosis has un¬
dergone radical modifications since the first surgery. Some key factors conducive to suc¬
cessful fusion, such as thorough discectomy and end plate removal, are common to
endoscopie
and nonendoscopic procedures. There are indeed special technical features
in our
endoscopie
approach that clearly affect outcome, however, and their enumeration
rightly chronicles the evolution of our experimental undertaking.
Minimally Invasive Lumbar Discectomy and Foraminotomy
459
Sean D. Christie and John K. Song
This article provides an overview of a minimally invasive approach for lumbar discect¬
omy and foraminotomy. The surgical technique is described in detail, and the current
literature is reviewed to assess the clinical efficacy of the procedure.
Minimally Invasive Lumbar Decompression
467
Trent L. Tredway
With the increasing elderly population, the number of patients presenting with symp¬
toms secondary to lumbar stenosis can be expected to increase accordingly. Therefore,
treatment of this disease process should become more prevalent, and the minimally in¬
vasive techniques offer another treatment option. As surgeons become more experienced
in minimally invasive techniques, the reported advantages of the minimal access sur¬
gery, including reduction in soft tissue injury, less blood loss, shorter hospitalization,
and faster recovery, should make this an attractive alternative to traditional open sur¬
gery. Continuing efforts in the minimally invasive field can be expected to yield new
and potentially less invasive as well as possibly more efficacious treatment options in
the future.
Minimally Invasive Fusion and Fixation Techniques
477
Ciaran
J.
Powers and Robert E. Isaacs
Instrumented fusion plays an important role in treating a variety of degenerative and
traumatic diseases of the spine. Traditional open techniques have been associated with
CONTENTS
a high degree of approach-related morbidity because of muscle retraction and blood loss.
A variety of minimally invasive techniques have been developed for instrumentation of
the entire spine. Advances in our understanding of the cellular and molecular mechan¬
isms for stable bony fusion should promote the use of even less invasive techniques in
the future.
Minimally Invasive Approaches to Vertebral Column and Spinal Cord
Tumors
491
John E. O Toole, Kurt M.
Eichholz,
and Richard
G. Fessier
Minimally invasive approaches to spinal tumors have evolved rapidly over the past
15
to
20
years as clinicians seek to avoid the morbidity and long-term dysfunction asso¬
ciated with
traditional
open surgical procedures. We review the noninvasive, percuta¬
neous, and minimally invasive surgical techniques currently available for the
treatment of spinal column and intradural spinal tumors, including minimal access thor¬
acic corpectomy and minimal access intradural tumor surgery. The various advantages
and limitations of these approaches as well as their appropriate indications and uses are
also presented here. A measured understanding of surgical objectives and iatrogenic ef¬
fects on patients quality of life allows the surgeon to implement such minimally inva¬
sive approaches in the design of individualized treatment plans that range from pure
palliation to definitive cure.
Vertebroplasty and Kyphoplasty
507
Kurt M.
Eichholz,
John E. O Toole, Sean D. Christie, and Richard
G. Fessier
Percutaneous vertebroplasty and kyphoplasty provide minimally invasive options for
the management of osteoporotic and osteolytic vertebral compression fractures. These
techniques provide substantial pain relief and support without requiring long periods
of recumbancy, and have an acceptable complication rate. Vertebral augmentation tech¬
niques such as vertebroplasty and kyphoplasty provide pain relief and improvement in
quality of life in the highly selected patient. Complications can be avoided with careful
surgical technique, and good outcomes can be achieved with proper patient selection.
Index
519
CONTENTS
|
| adam_txt |
MINIMALLY INVASIVE SPINE SURGERY
CONTENTS
Preface
ix
John E. O'Toole, Kurt M.
Eichholz,
and Richard
G. Fessier
The Development of Minimally Invasive Spine Surgery
401
Richard
G. Fessier,
John E. O'Toole, Kurt M.
Eichholz,
and Mick J. Perez-Cruet
The modern era of minimally invasive spine surgery has its roots in percutaneous tech¬
niques developed in the mid-twentieth century. The widespread application
oř
mini¬
mally invasive techniques seen today is predicated on technologic developments of
only the past
10
years, however. This article reviews the development of minimally in¬
vasive spinal surgery as it has evolved for the cervical, thoracic, and lumbar spine. Each
new development has sought to equal or improve on the effectiveness demonstrated by
comparable open surgical techniques while reducing iatrogenic tissue trauma and resul¬
tant postoperative pain and disability to produce overall better outcomes for patients.
Endoscopie
Posterior Cervical Foraminotomy and Discectomy
411
John E. O'Toole, Hormoz Sheikh, Kurt M.
Eichholz,
Richard
G. Fessier,
and
Mick J. Perez-Cruet
Posterior cervical microendoscopic foraminotomy and discectomy is an effective mini¬
mally invasive approach to cervical radiculopathy caused by foraminal osteophytes or
lateral disc herniations. This article reviews the technique in detail as well as the advan¬
tages over open approaches. Nuances of the technique, including complications and
their management, are also explored.
Minimally Invasive Cervical Stenosis Decompression
423
John K. Song and Sean D. Christie
Cervical stenosis and cervical spondylotic myelopathy are common disorders seen by
many spine surgeons. Presentation can range from asymptomatic to myelopathy or mye-
loradiculopathy to lower extremity and gait problems attributed to lumbar disease. Var¬
ious surgical procedures are practiced in the surgical management of this disease.
Posterior cervical laminectomy is a familiar procedure and is the treatment of choice
for multilevel disease. With the development of newer instruments and access devices,
it has become possible to treat this problem through a minimally invasive approach.
Minimally Invasive Posterior Cervical Arthrodesis and Fixation
429
Nouzhan Sehati and Larry T. Khoo
This article describes the use of minimally invasive posterior arthrodesis and internal
fixation for the subaxial cervical spine. Such systems vary by the angulation of their
VOLUME
17 ·
NUMBER
4 ·
OCTOBER
2006
v
screws and in the degree of the constraint placed at the screw-rod interface. The polyax-
ial tulip or islet connectors of the screws are able to angle medially, laterally, and straight,
with varying degrees of rotational freedom in each direction, thus making
segmental
fixation more easily achievable from a top-loading approach and allowing for the possi¬
bility of minimally invasive posterior cervical fixation.
Thoracic Microendoscopic Discectomy
441
Kurt M.
Eichholz,
John E. O'Toole, and Richard
G. Fessier
Thoracic microendoscopic discectomy is a safe effective treatment for surgical removal of
herniated thoracic
intervertebral
discs. This approach allows access through a minimally
invasive muscle-splitting posterolateral approach that does not place the contents of the
thoracic cavity at risk. In the lumbar spine, this approach has been proven effective, with
a shorter length of hospital stay, less postoperative pain, decreased blood loss, and
shorter recovery time. These same advantages can be expected in the thoracic spine with
appropriate patient selection and proper surgical technique.
Thoracoscopy for Correction of Adult Thoracic Scoliosis
447
George D. Picetti and Dachling Pang
The
endoscopie
technique of instrumentation, correction, and fusion for scoliosis has un¬
dergone radical modifications since the first surgery. Some key factors conducive to suc¬
cessful fusion, such as thorough discectomy and end plate removal, are common to
endoscopie
and nonendoscopic procedures. There are indeed special technical features
in our
endoscopie
approach that clearly affect outcome, however, and their enumeration
rightly chronicles the evolution of our experimental undertaking.
Minimally Invasive Lumbar Discectomy and Foraminotomy
459
Sean D. Christie and John K. Song
This article provides an overview of a minimally invasive approach for lumbar discect¬
omy and foraminotomy. The surgical technique is described in detail, and the current
literature is reviewed to assess the clinical efficacy of the procedure.
Minimally Invasive Lumbar Decompression
467
Trent L. Tredway
With the increasing elderly population, the number of patients presenting with symp¬
toms secondary to lumbar stenosis can be expected to increase accordingly. Therefore,
treatment of this disease process should become more prevalent, and the minimally in¬
vasive techniques offer another treatment option. As surgeons become more experienced
in minimally invasive techniques, the reported advantages of the minimal access sur¬
gery, including reduction in soft tissue injury, less blood loss, shorter hospitalization,
and faster recovery, should make this an attractive alternative to traditional open sur¬
gery. Continuing efforts in the minimally invasive field can be expected to yield new
and potentially less invasive as well as possibly more efficacious treatment options in
the future.
Minimally Invasive Fusion and Fixation Techniques
477
Ciaran
J.
Powers and Robert E. Isaacs
Instrumented fusion plays an important role in treating a variety of degenerative and
traumatic diseases of the spine. Traditional open techniques have been associated with
CONTENTS
a high degree of approach-related morbidity because of muscle retraction and blood loss.
A variety of minimally invasive techniques have been developed for instrumentation of
the entire spine. Advances in our understanding of the cellular and molecular mechan¬
isms for stable bony fusion should promote the use of even less invasive techniques in
the future.
Minimally Invasive Approaches to Vertebral Column and Spinal Cord
Tumors
491
John E. O'Toole, Kurt M.
Eichholz,
and Richard
G. Fessier
Minimally invasive approaches to spinal tumors have evolved rapidly over the past
15
to
20
years as clinicians seek to avoid the morbidity and long-term dysfunction asso¬
ciated with
traditional
open surgical procedures. We review the noninvasive, percuta¬
neous, and minimally invasive surgical techniques currently available for the
treatment of spinal column and intradural spinal tumors, including minimal access thor¬
acic corpectomy and minimal access intradural tumor surgery. The various advantages
and limitations of these approaches as well as their appropriate indications and uses are
also presented here. A measured understanding of surgical objectives and iatrogenic ef¬
fects on patients' quality of life allows the surgeon to implement such minimally inva¬
sive approaches in the design of individualized treatment plans that range from pure
palliation to definitive cure.
Vertebroplasty and Kyphoplasty
507
Kurt M.
Eichholz,
John E. O'Toole, Sean D. Christie, and Richard
G. Fessier
Percutaneous vertebroplasty and kyphoplasty provide minimally invasive options for
the management of osteoporotic and osteolytic vertebral compression fractures. These
techniques provide substantial pain relief and support without requiring long periods
of recumbancy, and have an acceptable complication rate. Vertebral augmentation tech¬
niques such as vertebroplasty and kyphoplasty provide pain relief and improvement in
quality of life in the highly selected patient. Complications can be avoided with careful
surgical technique, and good outcomes can be achieved with proper patient selection.
Index
519
CONTENTS |
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| spelling | Minimally invasive spine surgery guest eds. John E. O'Toole ... Philadelphia [u.a.] Saunders 2006 X S., S. 401 - 522 Ill. txt rdacontent n rdamedia nc rdacarrier Neurosurgery clinics of North America 17,4 Spine Anatomy Spine Endoscopic surgery Spine anatomy & histology Spine surgery Surgical Procedures, Minimally Invasive methods Minimal-invasive Chirurgie (DE-588)4327907-7 gnd rswk-swf Wirbelsäule (DE-588)4066363-2 gnd rswk-swf Wirbelsäule (DE-588)4066363-2 s Minimal-invasive Chirurgie (DE-588)4327907-7 s b DE-604 O'Toole, John E. Sonstige oth Neurosurgery clinics of North America 17,4 (DE-604)BV002758938 17,4 Digitalisierung UB Regensburg application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=016171214&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis |
| spellingShingle | Minimally invasive spine surgery Neurosurgery clinics of North America Spine Anatomy Spine Endoscopic surgery Spine anatomy & histology Spine surgery Surgical Procedures, Minimally Invasive methods Minimal-invasive Chirurgie (DE-588)4327907-7 gnd Wirbelsäule (DE-588)4066363-2 gnd |
| subject_GND | (DE-588)4327907-7 (DE-588)4066363-2 |
| title | Minimally invasive spine surgery |
| title_auth | Minimally invasive spine surgery |
| title_exact_search | Minimally invasive spine surgery |
| title_exact_search_txtP | Minimally invasive spine surgery |
| title_full | Minimally invasive spine surgery guest eds. John E. O'Toole ... |
| title_fullStr | Minimally invasive spine surgery guest eds. John E. O'Toole ... |
| title_full_unstemmed | Minimally invasive spine surgery guest eds. John E. O'Toole ... |
| title_short | Minimally invasive spine surgery |
| title_sort | minimally invasive spine surgery |
| topic | Spine Anatomy Spine Endoscopic surgery Spine anatomy & histology Spine surgery Surgical Procedures, Minimally Invasive methods Minimal-invasive Chirurgie (DE-588)4327907-7 gnd Wirbelsäule (DE-588)4066363-2 gnd |
| topic_facet | Spine Anatomy Spine Endoscopic surgery Spine anatomy & histology Spine surgery Surgical Procedures, Minimally Invasive methods Minimal-invasive Chirurgie Wirbelsäule |
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