Nonfusion Technologies in Spine Surgery

✍ Scribed by Marek Szpalski

• Year: 2006
• Tongue: English
• Leaves: 491
• Edition: 1
• Category: Library

✦ Synopsis

Written by an international group of expert spine surgeons, this volume thoroughly examines new nonfusion technologies for treating spinal degenerative conditions while preserving motion. Major sections describe various surgical techniques and devices for nucleus pulposus replacement and total lumbar and cervical disc arthroplasty, as well as other stabilization techniques. Coverage includes indications and contraindications, surgical approaches, and the latest clinical trial results. Several chapters discuss nonsurgical and minimally invasive treatments, including gene therapy, nucleus pulposus regeneration, and IDET. Other chapters address economic and ethical issues, including use of registries, medical device regulation, and outcome and cost of lumbar disc replacement versus lumbar fusion.

✦ Table of Contents

Cover......Page 1
Editors......Page 2
Preface......Page 13
Economy and Ethics......Page 0
1 - Adjacent Level Disc Biomechanics......Page 15
2 - Radiologic Assessment of All Unfused Lumbar Segments After Instrumented Posterior Spinal Fusion......Page 35
3 - Physiology of the Intervertebral Disc......Page 46
4 - Natural Evolution and Resolution of Chronic Low Back Pain......Page 64
5 - Dynamic MRI in the Seated Position Increases Insight into Diseases of the Lumbar Spine......Page 77
6 - Molecular Therapy of the Intervertebral Disc......Page 93
7 - Nucleus Pulposus Regeneration: Present Limitations and Future Opportunities......Page 119
8 - What is the Evidence Base for IDET?......Page 137
9 - Lumbar Spinal Stenosis with Low Back Pain: Is Fusion Necessary?......Page 163
10 - Indication and Contraindication for Lumbar Surgical Nonfusion Techniques......Page 170
11 - Lumbar Surgical Approaches for Nonfusion Techniques......Page 185
12 - Nucleus Pulposus Replacement: Basic Science and Indications for Clinical Use......Page 201
13 - Prosthetic Disc Nucleus: Treatment with the Anterior Approach......Page 222
14 - Functional Lumbar Artificial Nucleus Replacement—DASCOR......Page 236
15 - Total Lumbar Disc Arthroplasty: Overview of Clinical Results for Existing Implants......Page 258
16 - U.S. Update of CHARIT?: One Year after FDA Approval......Page 271
17 - Charit? III Artificial Disc Replacement: Indications, Preoperative Examinations, and Contraindications......Page 283
18 - Clinical Results of Lumbar Total Disc Replacement with the Maverick Prosthesis Prospective Study, 2 to 4 Years Follow-Up......Page 290
19 - Influence of Frontal and Sagittal Position of Total Disc Arthroplasty on Clinical Outcomes at 3 Years Follow-Up......Page 304
20 - Motion Preservation—Disc Replacement for Lumbar Degenerative Disorders with the ProDisc?-L Prosthesis......Page 318
21 - A New Approach to Lumbar Disc Prosthesis......Page 329
22 - Design and Surgical Technique of the FlexiCore Lumbar Artificial Disc......Page 336
23 - X STOP Interspinous Implant for Lumbar Spinal Decompression......Page 354
24 - MRI Changes in the Lumbar Spine Following Treatment with the X STOP Interspinous Distraction Device......Page 376
25 - Impliant TOPS: Total Posterior Arthroplasty System......Page 391
26 - Mechanical Supplementation by Dynamic Fixation in Degenerative Intervertebral Lumbar Segments: The Wallis System......Page 397
27 - Posterior Nonfusion Stabilization of the Degenerated Lumbar Spine with Cosmic......Page 410
28 - ProdiscC? Cervical Disc Prosthesisin the First 68 Patients: One-Year Evaluation of Results......Page 430
29 - A New Cervical Disc Prosthesis: Mobi-C. Preliminary Results of a Prospective Study......Page 443
30 - The Quest for the New......Page 459
31 - The SWISSspine Registry......Page 468
32 - An Introduction to the Medical Device Regulation in Europe......Page 479
33 - Outcome & Cost of Lumbar Disc Replacement Versus Lumbar Fusion......Page 483