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Contemporary spinal surgeons, whether orthopedic or neurosurgeons, are increasingly recognizing minimally invasive spine surgery (MISS) as a valuable option for managing advanced degenerative diseases. MISS techniques minimize blood loss and surgical site pain, while speeding recovery. Thus, the combination of MISS with adult spinal deformity was a natural choice. Currently, the techniques, technologies, and education of surgeons have finally reached a point where MISS deformity surgeries are becoming commonplace. Nevertheless, the field is young enough (and still evolving) that no comprehensive texts have addressed the unique challenges it poses for surgeons. This book fills that gap.
In this issue of Neurosurgery Clinics, guest editors Drs. Sigurd Berven and Praveen V. Mummaneni bring their considerable expertise to the topic of Spinal Deformity Update. Top experts in the field discuss key topics surrounding abnormal curves in the spine, covering preoperative planning, open surgical approaches, minimally invasive surgical approaches, postoperative care; and more. Contains 19 relevant, practice-oriented topics including preoperative optimization: risk factors for perioperative complications and preoperative modification; when to do less with adult deformity surgery: fusion of the fractional curve vs. the entire deformity; robotic assisted surgery and navigation in deformity surgery; complications and avoidance in adult deformity surgery; and more. Provides in-depth clinical reviews on spinal deformities, offering actionable insights for clinical practice. Presents the latest information on this timely, focused topic under the leadership of experienced editors in the field. Authors synthesize and distill the latest research and practice guidelines to create clinically significant, topic-based reviews.
This issue of Neurosurgery Clinics, edited by Drs. Sigurd Berven and Praveen V. Mummaneni, will cover Degenerative Spinal Deformity: Creating Lordosis in the Lumbar Spine. Topics will include, but are not limited to, Spinopelvic Parameters; Location of lordosis (priority for L4-S1) and Age Adjustments; Approach Selection; Nuances of Pedicle Subtraction Osteotomy; Preventing Pseudarthrosis and PJK; The Challenge of Creating Lordosis in High Grade Dysplastic Spondylolisthesis; Sacropelvic Fixation; Evolution of the MISDEF Algorithm; Transpsoas Approach Nuances; Lateral Prepsoas Approach Nuances; Anterior Column Release; Navigation assisted MIS deformity correction; MIS TLIF; MIS PSO; and The challenge of L4-S1- fractional curves.
Handbook of Minimally Invasive and Percutaneous Spine Surgery, edited by Drs. Wang, Anderson, Ludwig, and Mummaneni, is destined to become a favorite with all students of spine surgery, whether residents in training or experienced practitioners. Small enough to fit in a lab coat pocket, this exceptional manual is just the resource you need. It will prove invaluable as a quick reference in daily practice or simply as a refresher when confronting a difficult clinical problem. This fully illustrated fundamental guide focuses on procedures and techniques that require minimal exposure. Presented in a concise and readable format, this text delivers the basics for those new to minimally invasive surgery as well as pointers and tips for more advanced surgeons. It is destined to become a favorite with all students of spine surgery. Composed of 11 chapters, this practical manual begins with the true foundation of minimally invasive surgery-imaging. Safe and effective surgery performed through minimal exposures demands a thorough mind's-eye understanding of anatomy without visualization. Moreover, it requires a keen ability to mentally translate two-dimensional imaging into three-dimensional anatomy. Next, the most common techniques of cannulation are covered in a logical step-by-step fashion, just as it is taught in the operating room. Minimally invasive options for pedicle screw placement are completed with a chapter describing the mini-open technique. The second half of this book focuses on fusion and pedicle screw insertion. Finally, this handbook does not ignore the endpoint of all these techniques-achieving successful fusion. Techniques to enhance the success of this outcome are discussed in Chapter 9, whereas potential complications and methods to avoid them are outlined in Chapter 8. Each chapter concludes with "Surgical Pearls and Pitfalls," which provide summaries of the salient points discussed in the chapter. Unique to this text are highlighted boxes outlining "Bailouts/Alternative Strategies" for completing the task when classic techniques fail. Furthermore, each chapter is well illustrated, with step-by-step images that clearly demonstrate the points being made. Written by world-recognized minimally invasive spine surgeons, this handbook provides essential coverage of key topics.
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