Instrumentation for Minimally Invasive Spine Surgery

✍ Scribed by Kern Singh

• Publisher: Thieme
• Year: 2020
• Tongue: English
• Leaves: 244
• Category: Library

✦ Synopsis

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.

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

✦ Table of Contents

Instrumentation for Minimally Invasive Spine Surgery
Title Page
Copyright
Dedication
Contents
Preface
Acknowledgments
Contributors
List of Abbreviations
1. Minimally Invasive Spinal Instrumentation: Past, Present, and Future
Part I Posterior Approach
2. Introduction to MIS Posterior Approach
2.1 Introduction
2.2 Surgical Anatomy
2.3 Surgical Technique
2.3.1 Positioning
2.3.2 Approach (Exposure) for MIS Transforaminal Lumbar Interbody Fusion
2.3.3 Disk Space Preparation
2.3.4 Interbody Cage Placement
2.3.5 Supplemental Fixation
2.3.6 Closure and Postoperative Care
2.3.7 Complications
2.3.8 Outcomes
3. Posterior Retractor Systems
3.1 Introduction
3.1.1 Retractor Components
3.1.2 Types of Retraction Systems
3.1.3 Complications
3.2 Static Retractor Systems
3.3 Expandable Retractor Systems
3.3.1 Flat Blade
3.4 Pedicle-Screw–Based Retractor Systems
4. Posterior Interbody Cages
4.1 Introduction
4.1.1 Interbody Cage Overview
4.1.2 Interbody Cage Classification
4.1.3 Minimally Invasive Transforaminal Lumbar Interbody Fusion
4.2 Static Carbon Fiber Interbody Cages
4.3 Static Metal Interbody Cages
4.4 Static Mixed Composition Interbody Cages
4.5 Static Allograft Interbody Cages
4.6 Expandable Interbody Cages
5. Percutaneous Pedicle Screw Systems
5.1 Introduction
5.1.1 Pedicle Screw Components
5.1.2 Pedicle Screw Constructs
5.1.3 Complications
5.2 Percutaneous Pedicle Screw Systems
6. Cortical Screw Systems
6.1 Introduction
6.1.1 Components
6.1.2 Efficacy and Complications
6.2 Cortical Screw Systems
7. Facet Screw Systems
7.1 Introduction
7.1.1 Facet Screw Components
7.1.2 Outcomes
7.2 Facet Screw Systems
8. Spinous Process Fixation Systems
8.1 Introduction
8.1.1 Interspinous Fixation Device Components
8.1.2 Outcomes
8.2 Spinous Process Fixation Systems
Part II Lateral Approach
9. Introduction to MIS Lateral Approach
9.1 Introduction
9.2 Surgical Anatomy
9.3 Surgical Technique
9.3.1 Positioning
9.3.2 Approach
9.3.3 Disk Space Preparation
9.3.4 Interbody Cage Placement
9.3.5 Supplemental Fixation
9.3.6 Closure
9.4 Complications
9.5 Outcomes
10. Lateral Retractor Systems
10.1 Introduction
10.2 Lateral Retractor Systems
11. Lateral Interbody Cages
11.1 Introduction
11.2 Static PEEK Lateral Interbody Cages
11.3 Static Metal Interbody Cages
11.4 Static Mixed Composition Interbody Cages
11.5 Expandable Interbody Cages
12. Lateral Fixation Systems
12.1 Introduction
12.2 Outcomes
12.3 Lateral Fixation Device Systems
13. Vertebral Body Replacement Devices
13.1 Introduction
13.1.1 Vertebral Body Replacement Device Classification
13.1.2 Efficacy and Outcomes
13.2 Static PEEK VBR Devices
13.3 Static Metal VBR Devices
13.4 Expandable Carbon Fiber VBR Devices
13.5 Expandable Metal VBR Devices
Part III Other
14. Percutaneous Cement Augmentation Systems
14.1 Introduction
14.1.1 Components
14.1.2 Outcomes
14.1.3 Complications
14.2 Percutaneous Cement Augmentation Systems
15. Biologics
15.1 Introduction
15.1.1 Biologics Classification
15.1.2 Outcomes
15.1.3 Complications
15.2 Bone Ceramics
15.3 Demineralized Bone Matrix
15.4 Structural Allograft
16. Surgical Navigation Systems
16.1 Introduction
16.2 Components
16.2.1 Imaging Modalities
16.2.2 Workstation
16.2.3 Dynamic Reference Frames
16.2.4 Surgical Navigation Instruments
16.3 Outcomes
16.4 Surgical Navigation Systems
Index