Minimally Invasive Thoracic Spine Surgery

✍ Scribed by Sang-Hyeop Jeon, Junseok Bae, Sang-Ho Lee

• Publisher: Springer
• Year: 2021
• Tongue: English
• Leaves: 294
• Category: Library

✦ Table of Contents

Foreword
Foreword
Foreword
Preface
Acknowledgments
Contents
Part I: Introduction
Anatomical Considerations of the Thoracic Spine
Introduction
Muscular Anatomy of the Thoracic Spine
Bony Anatomy of the Thoracic Spine
Thoracic Cage and Ribs
Neurovascular Structure
References
Anesthetic Consideration of the Thoracic Spine Surgery
Introduction
One Lung Ventilation
Intraoperative Neuromonitoring
Postoperative Continuous Intercostal Nerve Block
Awakened Sedation
References
Radiologic Evaluation of Thoracic Spinal Disease
Introduction
Imaging Techniques
Plain Radiography
Computed Tomography
Magnetic Resonance Imaging
Thoracic Disc Herniation
Spinal Stenosis
Compressive Myelopathy
Ossification of the Posterior Longitudinal Ligament
Ossification of Ligamentum Flavum
Thoracic Spine Trauma
Osteoporotic Compression Fracture
Thoracolumbar Spine Injury
Intradural Extramedullary Tumor
Thoracic Arachnoid Cyst
Summary
References
Clinical Presentation of the Thoracic Spinal Compression
Introduction
Epidemiology
Clinical Features
Summary
References
Setup of Operation Room and Patient Position
Introduction
Patient Position for Transforaminal Endoscopic Thoracic Discectomy (TETD)
Transthoracic Minimally Invasive Discectomy
Summary
References
Intraoperative Neuromonitoring During Thoracic Spine Surgery
Introduction
Main Text
Stagnara Wake-up Test
Somatosensory Evoked Potential Monitoring
Motor Evoked Potential Monitoring
Electromyographic Monitoring
Surgical Considerations
Workflow of IOM
Neuromonitoring During Endoscopic Thoracic Spine Surgery
Summary
References
Navigation for Thoracic Spine Surgery
Introduction
Background of Navigation
Navigation Set and Operation Room
Surgery with Navigation
Navigation for Endoscopy
Summary
References
Part II: Thoracic Disc Herniation
Transforaminal Endoscopic Thoracic Discectomy with Foraminoplasty
Introduction
Indication
Surgical Technique
Anesthesia and Position
Special Surgical Instrument
Surgical Step
Postoperative Consideration
Case Illustration
Summary
References
Transforaminal Endoscopic Thoracic Discectomy for Upper Thoracic Spine
Introduction
Indications
Surgical Technique
Postoperative Consideration
Case Illustration (Table 1)
Case 1 (Patient 3) (Figs. 7, 8, 9)
Case 2 (Patient 8) (Figs. 10, 11, 12)
Case 3 (Patient 11) Fig. 13
Summary
References
Transforaminal Endoscopic Thoracic Discectomy for Foraminal Herniation; Rotate to Retract Technique
Introduction
Indication
Surgical Technique
Postoperative Consideration
Case Illustration
Summary
References
Transforaminal Endoscopic Thoracic Discectomy for Migrated Herniation
Introduction
Indications
Surgical Technique
Position and Preoperative Preparation
Assessment of Proper Needle Insertion
Positioning of Endoscopic Working Cannula
Foraminoplasty
Types of Thoracic Foraminoplasty
Applications of Extensive Foraminoplasty
Discectomy with Variant Instruments and Holmium: YAG Laser
Postoperative Consideration
Case Illustration
Summary
References
Endoscopic System for Transforaminal Approach of Thoracic Spine
Introduction
Main Text
Special Features of Thoracic Endoscope
Special Features of Thoracic Endoscopic Surgical Instrument
The Thoracic Endoscope/Foraminoscope (Fig. 1)
Insertion of the Endoscope (Fig. 2)
Instruments Used for Foraminoplasty/Bone Cutting
Instruments for Discectomy
Endoscopy Cart (Fig. 8)
Summary
References
Mini-Thoracotomy and Microscopic Discectomy Without Fusion
Introduction
Indication
Surgical Technique
Postoperative Consideration
Case Illustration
Summary
References
Transforaminal Interbody Fusion
Introduction
Indications
Surgical Technique
Postoperative Care
Case Illustration
Case 1
Case 2
Case 3
Summary
References
Thoracoscopic Discectomy
Introduction
Indications
Surgical Technique
Postoperative Consideration
Case Illustration
Summary
References
Posterior Microscopic Discectomy with CO2 Laser
Introduction
Indications
Surgical Technique
Application of CO2 Laser for Discectomy
Case Illustration
Case 1
Case 2
Summary
References
Posterolateral Oblique Paraspinal Approach with Tubular Retractor
Introduction
Indications
Surgical Technique
Case Illustration
Discussion
Conclusion
References
Part III: Ossification of the Ligamentum Flavum
Microscopic Decompression
Introduction
Diagnosis
Surgical Indications
Surgical Techniques
Surgical Level Marking
Microscopic Thoracic Laminotomy
Unilateral Laminotomy for Bilateral Decompression
Lamina Fenestration
When to Fuse?
Prognosis
Complications
Case Illustration
Summary
References
Endoscopic Decompression of Thoracic OLF
Introduction
Indication
Surgical Technique
Case Illustration
Summary
References
Part IV: Ossification of the Posterior Longitudinal Ligament
Mini-Thoracotomy and OPLL Resection
Introduction
Indications
Patient Position
Surgical Technique
Postoperative Management
Case Presentation
Advantage of Mini-Thoracotomy Transthoracic Anterior Approach
Complications
Conclusion
References
Trans-axillary Approach for Upper Thoracic Spine
Introduction
Indications
Contraindication
Surgical Technique
Postoperative Consideration
Case Illustration
Case 1
Case 2
Summary
References
Modified Oblique Corpectomy for Upper Thoracic Spine
Introduction
Indications
Surgical Technique
Postoperative Consideration
Case Illustration
Case 1
Case 2
Case 3
Case 4
Summary
References
Simultaneous Ventral and Dorsal Decompression of OPLL and OLF
Introduction
Indications
Limitations
Surgical Technique
Position and Anesthesia
Thoracotomy
OPLL Removal
OLF Removal
Case Illustration
Case 1
Case 2
Summary
References
Posterolateral Oblique Paraspinal Approach with O-Arm Navigation
Introduction
Indications
Surgical Technique
Postoperative Consideration
Case Illustration
Case 1
Case 2
Case 3
Case 4
Summary
References
Management of Dural Leak After OPLL Resection
Introduction
Indications
Surgical Technique
Intraoperative Management
Primary Dura Suture
Sealing Technique
Post OP Manage
Volume-Controlled Management with Wound Drain
Bed Rest and Compression Dressing
Lumbar Drain and Shunt
Case Illustration
Case 1
Case 2
Summary
References
Management After Mini-Thoracotomy Without Chest-Tube
Introduction
Chest-Tube and Chest-Drain
Contraindication
Surgical Procedures and Postoperative Care
Summary
References
Part V: Trauma
Vertebroplasty and Kyphoplasty
Introduction
Patient Selection
Surgical Technique
Vertebroplasty
Kyphoplasty
Digital PVP with X-MR
Complication
Postoperative Consideration
Conclusions
References
Minimally Invasive Reconstruction of Vertebral Body in Kümmell’s Disease
Introduction
Indications
Surgical Technique
Case Illustration
Summary
References
Mini-Thoracotomy Corpectomy
Introduction
Indications
Surgical Technique
Mini-Thoracotomy
Corpectomy
Posterior Decompression and Fixation
Postoperative Consideration
Case Illustration
Summary
References
Thoracoscopic-Assisted Corpectomy and Fusion
Introduction
Indications
Surgical Technique
Anesthesia and Patient Position
Postoperative Consideration
Case Illustration
Summary
References
Part VI: Deformity
Minimally Invasive Thoracic Deformity Surgery
Introduction
Adolescent Idiopathic Scoliosis
Posttraumatic Kyphosis with Kümmell’s Disease
Summary
References
Part VII: Tumor and Arachnoid Cyst
Minimally Invasive Resection of Thoracic Arachnoid Cyst: Twist Technique
Introduction
Indication
Surgical Technique
Postoperative Consideration
Case Illustration
Summary
References
Minimally Invasive Resection of Thoracic Tumor
Introduction
Indications
Surgical Technique
Postoperative Consideration
Case Illustration
Case 1
Case 2
Summary
References
Part VIII: Interventional Procedures
CT and US Guided Intervention in Thoracic Spine
Introduction
US Guided Intervention
Facet Joints
Medial Branch Block
Thoracic Paravertebral Space Block
Intercostal Nerve Block
CT Guided Intervention
Thoracic Transforaminal Epidural Block
References
Thoracic Neuroplasty
Introduction
Indication
Procedure
Interlaminar Approach
Transforaminal Approach
Agents
Hypertonic Saline
Hyaluronidase
Local Anesthetic and Steroid
Complications
Summary
References