Main description:

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 Hartl, 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.

This print book includes complimentary access to a digital copy on https://medone.thieme.com.

Contents:

Part I Introduction to MISS

1. Definition of MISS: The "6 Ts": Target/Technology/Technique/Teaching and Training/Testing/Talent

2. Global MISS: Perspectives from Asia, Australia, Europe, Middle East, North America, and South America

Part II MISS Target

3. Target Philosophy in Degenerative Spinal Disorders: Correlation of Clinical Presentation, Physical Examination, and Response to Interventional Procedures

4. Deformity and MIS: Limitation or Opportunity?

5. Target: The Muscle as a Pain Generator and Key Element to Protect During MIS Surgery

Part III MISS Technology

6. Tubular and Specular Retractors in MISS

7. Navigation in MISS

8. Robotics: Background and Current Role

9. Microscope in MISS

10. Endoscope in MISS: How to Adopt and Change

Part IV MISS Techniques

11. Three Surgical Principles of MISS: Contralateral Decompression, Minimize Instability, and Indirect Decompression

12. Surgical Techniques and Instrumentation in MISS

13. Dural Repair in MISS and CSF Leak Management

14. How to Achieve a Successful Fusion with MIS Techniques

15. Surgical Tips, Tricks, and Techniques to Minimize Invasiveness; General Advice on How to Handle Fluoroscopy, Blood Loss, and Infection Rates

16. Perioperative Management; ERAS

17. Key Elements to Safely Transition from Inpatient to Outpatient Spine Surgery

18. Posterior Cervical Foraminotomy/Discectomy

19. Unilateral Tubular Over-the-Top Cervical Laminectomy for Cervical Stenosis

20. Posterior Cervical Facet Cages DTRAX

21. MIS Endoscopic Approaches For OC-C1-C2 Pathology

22. Posterior Muscle Sparing Approaches for Decompression, Laminoplasty, and Laminectomy

23. Minimally Invasive C1/C2 Fusion

24. Cervical Three-Dimensional Navigation to Facilitate Minimally Invasive Spine Surgery

25. Thoracic Vertebroplasty and Kyphoplasty

26. Thoracic Discectomy: Posterior Transpedicular Tubular Approach

27. Lateral Retropleural Thoracic Discectomy and Corpectomy

28. Mini-Open Pedicle Subtraction Osteotomy for Deformity Correction

29. Posterior Paramedian Endoscopic Thoracic Discectomy

30. Transpedicular Corpectomy and Fusion for Metastatic Tumor or Infection

31. Techniques to Decrease the Invasiveness of Thoracic Deformity Correction

32. Unilateral Lumbar Approach For Over-the-Top Bilateral Decompression

33. Far-Lateral Lumbar Discectomies

34. Percutaneous Full-Endoscopic Interlaminar Approach for Lumbar Pathologies: Disc Herniation and Lumbar Spinal Stenosis

35. Transforaminal Approach for Endoscopic Decompression

36. Endoscopic Interlaminar Lumbar Laminectomy

37. LLIF T12/L1-L2

38. LLIF L2/3/4/5

39. Translumbar Surgery Comparison: Four Surgeons and Regions

40. Minimally Invasive Oblique Anterior Lumbar Interbody Fusion

41. Maximum Access Surgery Posterior Lumbar Interbody Fusion

42. MIS-TLIF with Total Navigation and Expandable Interbody Cages

43. MIS-TLIF Comparison: Four Surgeons and Regions

44. Percutaneous Pedicle Screw Fixation and MISS SI Joint Fusion

45. Intradural Extramedullary Tumors

46. Three-Dimensional Navigation in Lumbar Spine to Facilitate Minimally Invasive Spine Surgery

47. Strategies to Minimize Invasiveness and Optimize Success: OC Fusion

48. Strategies to Minimize Invasiveness and Optimize Success: Cervical Front/Back Surgery for Deformity Correction

49. MIS Cervical Pedicle Screws-Percutaneous-Assisted Technique

50. Treatment of Degenerative Lumbar Scoliosis with Minimally Invasive Multilevel LLIF in Combination with Lateral ALIF

51. Strategies to Minimize Invasiveness and Optimize Success: T10-Pelvis

52. Lifestyle Medicine: Optimizing Recovery Following MIS of the Spine

53. Three-Dimensional Navigation in MISS

Part V Teaching and Training/Future

54. Surgical Training and Simulation in MISS

55. The Role of Biologics in Minimally Invasive Spine Surgery

56. Summary and Outlook-Future of Lumbar Minimally Invasive Surgery

57. Achieving MISS on a Global Level