By Roger Haertl
Minimally invasive backbone surgical procedure, in a few shape or different, has historic roots courting again greater than a hundred years, and up to date advances in know-how now make it more and more potent in treating appropriate backbone sufferers. whereas minimally invasive methods have proven to minimize muscle harm, blood loss, and post-operative soreness, to accomplish this t ype of surgical procedure safely, even hugely expert modern day surgeons needs to arrange themselves for a not easy studying curve.
accordingly, AOSpine proudly offers Minimally Invasive backbone surgical procedure: Techniques,Evidence, and Controversies, the main complete booklet of its variety, along with greater than 500 pages of surgical innovations, illustrations, case photos, assistance and methods, and examine, supplying a useful device for backbone surgeons round the world.
Each procedure is totally examined:
- the professionals and cons of every is objectively reviewed
- Its spectrum of symptoms and contraindications is summarized
- old and modern-day controversies when it comes to each one method are discussed
- Uniquely, chapters within the textual content are additional supported through an evidence-based part summarizing learn reports, research, and conclusions into every one process, from peer-reviewed journals
The textual content covers greater than only a variety of attention-grabbing clinical thoughts. by way of together with short ancient introductions on every one procedure and the surgeons that explored and based its equipment, their early (sometimes self-made) instrumentation, all over to todays present best-practice, this publication offers an engaging, informative, and topical guideline on minimally invasive surgical procedure and its more and more encouraging effects for spine-patient care.
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Extra info for Minimally Invasive Spine Surgery: Techniques, Evidence, and Controversies
Last but not least, tubes or frame-type retractor systems are essential for keeping the surgical corridor open. 2 Stability Each type of surgical treatment of the spine aims at the restoration and preservation of segmental stability, and the achievement of a specific therapeutic outcome. For many years, as far as spine surgery was concerned, stability tended to be synonymous with the rigid “fixation” of spinal segments, ie, fusion. This has changed in the last decade with the introduction of procedures and implants which enable the surgeon to achieve dynamic, motion-preserving stability.
Dagenais S, Haldeman S, Polatin PB (2005) It is time for physicians to embrace cost-effectiveness and cost utility analysis research in the treatment of spinal pain. Spine J; 5(4):357–360. 37. Parker SL, Adogwa O, Davis BJ, et al (2011) Cost-utility analysis of minimally invasive versus open multilevel hemilaminectomy for lumbar stenosis. J Spinal Disord Tech; [Epub ahead of print]. Parker SL, Adogwa O, Witham TF, et al (2011) Post-operative infection after minimally invasive versus open transforaminal lumbar interbody fusion (TLIF): literature review and cost analysis.
Biology Function Protect the neural elements and enhance bone healing Protection of the spinal cord and spinal nerves following trauma is paramount. Maintenance of adequate oxygenation and perfusion of the cord is essential during initial resuscitation. In the presence of neurological deficit, early reduction of displacements and decompression of neural structures may improve neurological recovery. Bone healing is vital for maintenance of spinal alignment, stability, and function. Augmentation with bone grafts, bone growth factors, or vertebroplasty may be required.