Controversies in Spine Surgery, MIS versus OPEN

Controversies in Spine Surgery, MIS versus OPEN

Author: Alexander R. Vaccaro

Publisher: Thieme

Published: 2018-04-06

Total Pages: 574

ISBN-13: 1604068825

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Master spine surgeons Alexander R. Vaccaro, Richard G. Fessler, and a cadre of esteemed co-editors have compiled the most comprehensive textbook to date detailing minimally invasive spine (MIS) versus open spine surgery techniques. Controversies in Spine Surgery, MIS versus OPEN: Best Evidence Recommendations features debates by renowned experts on one of the most provocative topics in spine surgery. Twenty-four chapters systematically organized into four sections — degenerative, trauma, tumor, and other issues, cover procedures and underlying pathologies, backed by a large, diverse body of literature. MIS and open approaches are thoroughly compared and contrasted in each chapter. Evidence is presented and analyzed in an objective manner with 'opposing sides' presenting differing opinions and techniques, resulting in a synchronous collection of pros and cons. Every chapter is masterfully summed up by the book's editors — each of whom have varying stances on the topics at hand. This unique 'duel' and 'duet' discussion enables readers to assimilate information, benefit from the balanced harmony between divergent opinions, and reach their own conclusions. Key Highlights Comparative risks, benefits, complications, and outcomes for a full spectrum of lumbar, thoracic and cervical procedures MIS versus open approaches for lumbar stenosis, synovial cysts, lumbar adjacent segment degeneration, degenerative scoliosis, flatback syndrome, thoracic disc herniation, and dural tears Tumor resection and stabilization, quality of life issues, and potential advantages and risks of MIS techniques Key differences in MIS versus open operations such as radiation exposure and costs Analysis of 3-D navigational imaging to improve outcomes and reduce radiation exposure and operating time This book is a tremendous, evidence-based tool to guide spine surgeons as they make important decisions on selecting the most optimal spine surgery techniques. It is a must-have resource for all resident and veteran orthopaedic surgeons and neurosurgeons who specialize in treating patients with spine conditions. Alexander R. Vaccaro, MD, PhD, FACS, MBA, is Richard H. Rothman Professor and Chairman, Department of Orthopaedic Surgery, and Professor of Neurosurgery, Thomas Jefferson University and Hospitals; and President, The Rothman Institute, Philadelphia, Pennsylvania, USA. Richard G. Fessler, MD, PhD, is Professor, Department of Neurosurgery, Rush University Medical Center, Chicago, Illinois, USA. Faheem A. Sandhu, MD, PhD, is Professor of Neurosurgery, Director of Spine Surgery, and Co-Director, Center for Minimally Invasive Spine Surgery, Department of Neurosurgery, MedStar Georgetown University Hospital, Washington, DC, USA. Jean-Marc Voyadzis, MD, is Co-Director, Center for Minimally Invasive Spine Surgery and Associate Professor of Neurosurgery, MedStar Georgetown University Hospital, Washington, DC, USA. Jason C. Eck, DO, MS, is an Orthopaedic Spine Surgeon, Center for Sports Medicine and Orthopedics, Chattanooga, Tennessee, USA. Christopher K. Kepler, MD, MBA, is an Associate Professor and Orthopaedic Spine Surgeon, Department of Orthopaedic Surgery, Thomas Jefferson University and Hospitals, and The Rothman Institute, Philadelphia, Pennsylvania, USA. An award-winning international medical and scientific publisher, Thieme has demonstrated its commitment to the highest standard of quality in the state-of-the-art content and presentation of all its products. Founded in 1886, the Thieme name has become synonymous with high quality and excellence in online and print publishing.


Controversies in Spine Surgery, MIS versus OPEN

Controversies in Spine Surgery, MIS versus OPEN

Author: Alexander R. Vaccaro

Publisher: Thieme

Published: 2018-04-06

Total Pages: 574

ISBN-13: 1638533296

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Master spine surgeons Alexander R. Vaccaro, Richard G. Fessler, and a cadre of esteemed co-editors have compiled the most comprehensive textbook to date detailing minimally invasive spine (MIS) versus open spine surgery techniques. Controversies in Spine Surgery, MIS versus OPEN: Best Evidence Recommendations features debates by renowned experts on one of the most provocative topics in spine surgery. Twenty-four chapters systematically organized into four sections — degenerative, trauma, tumor, and other issues, cover procedures and underlying pathologies, backed by a large, diverse body of literature. MIS and open approaches are thoroughly compared and contrasted in each chapter. Evidence is presented and analyzed in an objective manner with 'opposing sides' presenting differing opinions and techniques, resulting in a synchronous collection of pros and cons. Every chapter is masterfully summed up by the book's editors — each of whom have varying stances on the topics at hand. This unique 'duel' and 'duet' discussion enables readers to assimilate information, benefit from the balanced harmony between divergent opinions, and reach their own conclusions. Key Highlights Comparative risks, benefits, complications, and outcomes for a full spectrum of lumbar, thoracic and cervical procedures MIS versus open approaches for lumbar stenosis, synovial cysts, lumbar adjacent segment degeneration, degenerative scoliosis, flatback syndrome, thoracic disc herniation, and dural tears Tumor resection and stabilization, quality of life issues, and potential advantages and risks of MIS techniques Key differences in MIS versus open operations such as radiation exposure and costs Analysis of 3-D navigational imaging to improve outcomes and reduce radiation exposure and operating time This book is a tremendous, evidence-based tool to guide spine surgeons as they make important decisions on selecting the most optimal spine surgery techniques. It is a must-have resource for all resident and veteran orthopaedic surgeons and neurosurgeons who specialize in treating patients with spine conditions.


Minimally Invasive Spine Surgery

Minimally Invasive Spine Surgery

Author: Roger Haertl

Publisher: Thieme

Published: 2012-12-12

Total Pages: 928

ISBN-13: 3131724412

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Minimally invasive spine surgery, in some form or other, has historical roots dating back more than 100 years, and recent advances in technology now make it increasingly effective in treating suitable spine patients. While minimally invasive approaches have shown to reduce muscle damage, blood loss, and post-operative pain, to perform this t ype of surgery correctly, even highly skilled modern-day surgeons must prepare themselves for a demanding learning curve. For this reason, AOSpine proudly presents Minimally Invasive Spine Surgery: Techniques,Evidence, and Controversies, the most comprehensive book of its kind, which includes more than 500 pages of surgical techniques, illustrations, case images, tips and tricks, and research, providing an invaluable tool for spine surgeons around the world. Each technique is fully examined: The pros and cons of each is objectively reviewed Its spectrum of indications and contraindications is summarized Historical and modern day controversies relating to each technique are discussed Uniquely, chapters in the text are further supported by an evidence-based section summarizing research studies, analysis, and conclusions into each technique, from peer-reviewed journals The text covers more than just a range of interesting medical techniques. By including brief historical introductions on each technique and the surgeons that explored and founded its methods, their early (sometimes self-made) instrumentation, right through to todays current best-practice, this book provides an interesting, informative, and topical instruction on minimally invasive surgery and its increasingly encouraging results for spine-patient care.


Controversies in Spine Surgery

Controversies in Spine Surgery

Author: Alexander R. Vaccaro

Publisher: Thieme

Published: 2011-01-01

Total Pages: 598

ISBN-13: 1638532974

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A best evidence approach to key topics in spine surgery Drawing on the expertise of world-renowned orthopedic and neurological spine surgeons,Controversies in Spine Surgery: Best Evidence Recommendations compiles, summarizes, and synthesizes the most relevant scientific literature available in the field today. Each succinct, problem-oriented chapter addresses a different controversial issue where there is a lack of consensus about the best possible course of action. The authors provide guidance and objective recommendations for each scenario based on the most relevant data found in the literature to give surgeons the background they need to make fully informed treatment decisions. Features: Concise outline format enables rapid reading for the busy spine surgeon Invaluable synopses of highly practical evidence-based literature Detailed coverage of commonly disputed issues, such as how to manage vertebral compression fractures, surgery for axial back pain, minimally invasive lumbar fusion, the use of prophylactic antibiotics in spine surgery, and much more Grading of Best Evidence feature in which the authors rate the viability of the data presented Numerous summary tables throughout the text emphasize the main conclusions of published studies Pearls highlight important points in each chapter This cutting-edge clinical reference will help every resident, fellow, and spine surgeon in orthopaedic surgery and neurosurgery streamline their medical decision making process and improve their patient care.


Controversies in Spine Surgery

Controversies in Spine Surgery

Author: Alexander R. Vaccaro

Publisher: Thieme Medical Publishers

Published: 2010

Total Pages: 0

ISBN-13: 9781604062397

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This is exactly the book one should have ready access to.-- American Journal of Neuroradiology All providers who care for patients with spinal problems should consider using this book to help with decision making for their patients on an everyday basis.-- Journal of Neurosurgery Drawing on the expertise of world-renowned orthopedic and neurological spine surgeons,Controversies in Spine Surgery: Best Evidence Recommendations compiles, summarizes, and synthesizes the most relevant scientific literature available in the field today. Each succinct, problem-oriented chapter addresses a different controversial issue where there is a lack of consensus about the best possible course of action. The authors provide guidance and objective recommendations for each scenario based on the most relevant data found in the literature to give surgeons the background they need to make fully informed treatment decisions. Features: Concise outline format enables rapid reading for the busy spine surgeon Invaluable synopses of highly practical evidence-based literature Detailed coverage of commonly disputed issues, such as how to manage vertebral compression fractures, surgery for axial back pain, minimally invasive lumbar fusion, the use of prophylactic antibiotics in spine surgery, and much more Grading of Best Evidence feature in which the authors rate the viability of the data presented Numerous summary tables throughout the text emphasize the main conclusions of published studies Pearls highlight important points in each chapter This cutting-edge clinical reference will help every resident, fellow, and spine surgeon in orthopaedic surgery and neurosurgery streamline their medical decision making process and improve their patient care.


Controversies in Spine Surgery, Volume 2

Controversies in Spine Surgery, Volume 2

Author: Thomas Zdeblick

Publisher: CRC Press

Published: 2002-07-01

Total Pages: 0

ISBN-13: 9781576261439

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This is the second volume in a clinical series designed to examine the myriad approaches used in spine surgery today. Each volume of Controversies in Spine Surgery concentrates on a new set of 8-10 clinical problems, ranging from the most common to the most complex, and offers treatment strategies of choice from the world's leading spine surgeons. The editors do not actively advocate one approach over another, but rather strive to put spinal problems into perspective and present the full spectrum of treatment options available for all featured conditions. In nearly every instance, at least three different and often conflicting therapies are presented for each problem, allowing the reader to judge, on a case-by-case basis, which approaches are likely to yield high-quality outcomes for the patients under their care. Existing differences of opinion are candidly acknowledged, and contributions are sought from experts in both orthopedic and neurologic spine surgery. Tightly focused and clinically oriented, this affordably priced volume is appropriate for spine surgeons at all levels of expertise. Features: Provides ongoing, broadly-based coverage of the entire field Enables clinicians to quickly and conveniently weigh the relative merits of competing therapies Free of bias - editorial board and contributors include orthopedic and neurosurgeons See What's New in Volume: Presents controversial approaches to thoracic disc herniation, lumbar disc herniation, and L4-5 degenerative disc diseases Examines various minimally invasive approaches Covers cervical decompression and fusion, intraoperative monitoring, pain management, and more


Controversies in Spine Surgery, Volume 1

Controversies in Spine Surgery, Volume 1

Author: Thomas Zdeblick

Publisher: Thieme Medical Publishers

Published: 1999-07-22

Total Pages: 0

ISBN-13: 9781626235991

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This clinical series examines some of the controversies surrounding the myriad approaches used in spine surgery. Developments in implant technology, biologic grafting materials, and minimal access techniques have resulted in an exciting-but sometimes overwhelming-array of options for the management of spinal disorders. Each volume in this new series will focus on 8 to 10 clinical problems, ranging from the most common to the most complex, and will present the treatment strategies of choice of the world's leading orthopaedic and neurologic spine surgeons. While no one method is deemed "best," Controversies in Spine Surgery helps put the problems and their treatment in perspective, and offers you multiple options for selecting the approach that works best for you and your patient.


Minimally Invasive Spine Surgery

Minimally Invasive Spine Surgery

Author: Chadi Tannoury

Publisher: Lippincott Williams & Wilkins

Published: 2017-04-24

Total Pages: 709

ISBN-13: 1496389247

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The field of spine surgery is in a state of flux, with minimally invasive and open surgical procedures vying for dominance. A new volume in the Minimally Invasive Orthopaedic Surgery series, Minimally Invasive Spine Surgery weighs the pros and cons of today’s open versus minimally invasive techniques, allowing you to choose the approaches that will best meet your patients’ needs. In each chapter, accomplished experts describe the advantages, indications, setup, technical aspects, and problem areas associated with a given minimally invasive procedure, including critiques from surgeons who favor a standard open approach – to give you a balanced, objective foundation for surgical decision making.


Essential Step-by-Step Techniques for Minimally Invasive Spinal Surgery

Essential Step-by-Step Techniques for Minimally Invasive Spinal Surgery

Author: Roger Hartl

Publisher: Thieme

Published: 2022-05-27

Total Pages: 1068

ISBN-13: 1638536236

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The ultimate resource for learning and mastering minimally invasive spine surgery techniques An estimated 1.5 million instrumented spinal procedures are performed every year in the US. The majority of decompressions and about 50% of fusion procedures can be performed completely or partially using minimally invasive spine surgery (MISS) techniques. The full potential of MISS techniques has yet to be realized. Essential Step-by-Step Techniques for Minimally Invasive Spinal Surgery by internationally renowned MISS neurosurgeon Roger Härtl, spine-neurosurgeon Rodrigo Navarro-Ramirez, and an impressive group of global multidisciplinary contributors is the most comprehensive and detailed textbook written to date on this topic. The foundation of the book is built on six interacting principles critical to surgical success, and MISS in particular: Target, Technology, Technique, Teaching and Training, Testing, and Talent. The text starts with an opening chapter on the definition of MISS and introduction of these principles. Fifty-six subsequent chapters provide a comprehensive discussion on how to utilize an MISS approach for a full spectrum of spinal pathologies using nuanced variations specific to the operating surgeon. To ensure readers are well versed in all aspects of MISS, these chapters include painstaking details on indications, contraindications, pathoanatomy, operating room set-up, step-by-step techniques, and postoperative management. Key Highlights Contributions from master spine surgeons across the world provide a balanced global perspective on mastering and incorporating diverse techniques into practice Invaluable clinical pearls including tips/tricks and complication avoidance High-quality images, figures, anatomic drawings, and imaging studies illustrate relevant anatomic approaches and corridors and delineate why anatomic mastery is critical to MISS Twenty-five videos enhance the ability to learn and implement MISS approaches This is a must-have resource for practicing spine surgeons interested in MISS who wish to learn the latest techniques from master surgeons and achieve optimal patient outcomes. The text and videos also provide a robust training tool for senior-level orthopaedic and neurosurgery residents and spine fellows.


Instrumentation for Minimally Invasive Spine Surgery

Instrumentation for Minimally Invasive Spine Surgery

Author: Kern Singh

Publisher: Thieme

Published: 2020-12-09

Total Pages: 267

ISBN-13: 1626232032

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The quintessential guide to state-of-the-art instrumentation in minimally invasive spine surgery In recent decades, technological innovations in minimally invasive surgery (MIS) have revolutionized spine surgery. The integration of devices tailored to MIS spine techniques has allowed spine surgeons to tackle more complex spinal pathologies and generate new ways to improve clinical outcomes. Instrumentation for Minimally Invasive Spine Surgery by renowned orthopaedic surgeon Kern Singh and esteemed collaborators, provides practical, evidence-based insights into important surgical decisions spine surgeons face every day. The primary goal of this book is to help spine surgeons navigate a daunting number of available devices and leverage the optimal ones to achieve improved patient outcomes. Organized in 3 parts and 16 chapters, the text starts with the past, present, and future of MIS spinal instrumentation. The first two parts detail cutting-edge posterior and lateral approaches with discussion of required devices. The final part covers percutaneous cement augmentation, biologics, and navigation systems. The text combines a thorough review of empirical literature with expert experience and manufacturer specifications to elucidate the advantages and capabilities of currently available instrumentation. Key Highlights Discussion of commonly used MIS spinal instrumentation including retractors; percutaneous pedicle, cortical, and facet screw systems; interbody cages; and fixation systems Concise, yet in-depth technical descriptions include an introduction and potential complications, followed by design features, modular aspects, applicable procedures, and compatible devices for each type High-quality detailed images provide greater understanding of techniques This unique book is an essential surgical companion for orthopaedic and neurosurgical residents and fellows, as well as spine surgeons who wish to incorporate MIS techniques into clinical practice.