Atlas of Full-Endoscopic Spine Surgery

 

Description:

Endoscopic spine surgery essentials from expert spine surgeons

Atlas of Full-Endoscopic Spine Surgery by internationally renowned spine surgeons Christoph Hofstetter, Sebastian Ruetten, Yue Zhou, and Michael Wang provides concise, step-by-step guidance on the latest full endoscopic spine procedures. The book is targeted at practicing spine surgeons, fellows, and residents currently not trained in endoscopic spine surgery who have the desire to learn and incorporate these techniques into clinical practice. It is also an excellent curriculum resource for cadaveric training courses taught at the national and international level.

The book lays a solid foundation with opening chapters on anesthesia, OR setup and endoscopic tools, applied anatomy, basic endoscopic surgical tasks, and preoperative diagnostics. Additional sections include step-by-step descriptions of the full spectrum of cervical, thoracic, and lumbar endoscopic approaches. The last section provides invaluable pearls on overcoming challenges, avoiding pitfalls, and optimizing postoperative care.

Key Features:

Transforaminal endoscopic lumbar and thoracic discectomy approaches

Trans-SAP endoscopic approach for foraminal and lateral recess decompression

Interlaminar endoscopic lumbar discectomy

Cervical/thoracic and lumbar unilateral laminotomy for bilateral decompression

Special topics including endoscopic management of challenging cases, endoscopic revision surgery, and management of complications.

Neurosurgery residents, fellows, young practicing neurosurgeons, and all healthcare practitioners involved in the care of endoscopic spine surgery patients will gain invaluable insights from this book.

 

Table of Contents:

 

Part 1: Introduction

1 Anesthesia and Rapid Recovery

1.1 Introduction

1.2 General Principles of Rapid Recovery

1.3 Key Components

1.4 Anesthesia Protocol

1.5 Summary

2 Radiation Safety in Full-Endoscopic Spine Surgery

2.1 Introduction

2.2 Occupational Radiation Guidelines

2.3 Radiation Safety

2.4 ALARA (As Low As Reasonably Achievable) Principle

2.4.1 Restrict the Area and Duration of Exposure

2.4.2 Get as Much Distance to the Radiation Source as Achievable

2.4.3 Protect Yourself against Radiation Exposure

2.5 Emerging Technologies

2.6 Conclusion

3 Essential Imaging in Full-Endoscopic Spine Surgery

3.1 Introduction

3.2 Features of Intraoperative Fluoroscopy

3.2.1 Magnification

3.2.2 Distortion

3.2.3 Parallax

3.3 Fundamental Fluoroscopic Images for Full-Endoscopic Spine Surgery

3.3.1 Lumbar Spine

3.3.2 Interlaminar Technique

3.3.3 Transforaminal Technique

3.4 Thoracic Spine

3.5 Cervical Spine

3.6 Conclusion

4 Intraoperative Navigation for Full-Endoscopic Spine Surgery

4.1 Case Example

4.2 Background

4.3 Indications for Intraoperative Navigation

4.4 Preoperative Planning and Positioning

4.5 Surgical Technique

4.6 Conclusion

4.7 Pearls and Pitfalls

5 Endoscopic Instruments

5.1 Introduction

5.2 Working-Channel Endoscope

5.2.1 Optical System

5.2.2 Illumination

5.2.3 Irrigation Channels

5.2.4 Working Channel

5.3 Illumination

5.4 Video Equipment

5.5 Fluid Pump

5.6 Surgical Instruments

5.6.1 Instruments for Targeting and Creating an Approach Corridor

5.6.2 Instruments to Maintain the Artificial Working Space

5.6.3 Instruments for Dissection and Removing Tissue

5.6.4 Radiofrequency Instruments

5.6.5 Lasers

5.6.6 Motorized Instruments

5.6.7 Basic Surgical Instruments

6 Operating Room Setup: The Basics

6.1 Introduction

6.2 Operating Room Layout

6.3 Positioning

6.4 Equipment Setup

6.5 Operative Field

6.6 Staff

7 Applied Anatomy for Full-Endoscopic Spine Surgery

7.1 Cervical Spine Applied Anatomy

7.1.1 Posterior Fascia

7.1.2 Lamina and Ligamentum Flavum

7.1.3 Facet Joints and Intervertebral Foramen

7.2 Thoracic Spine Applied Anatomy

7.2.1 Lamina and Ligamentum Flavum

7.2.2 Facet Joints and Intervertebral Foramen

7.3 Lumbar Spine Applied Anatomy

7.3.1 Lamina and Ligamentum Flavum

7.3.2 Lateral Recess

7.3.3 Kambin’s Triangle

7.3.4 Intervertebral Foramen

7.3.5 Pedicle Morphology

8 Principles of Full-Endoscopic Surgical Technique

8.1 Progression of Full-Endoscopic Spine Surgery

8.1.1 Radiographic Identification of Target Area

8.1.2 Transition from Imaging to Palpation

8.1.3 Transition from Palpation to Direct Visualization

8.2 Holding the Working-Channel Endoscope

8.3 Utilizing the Tubular Retractor

8.4 Continuous Irrigation

8.5 Working with Tools via the Working Channel

8.6 Hemostasis

8.6.1 Areas of Frequent Bleeding

9 Essential Tasks of Full-Endoscopic Spine Surgery

9.1 Create a Working Space

9.2 Defining a Bony Edge

9.3 Optimizing Off-Axis Reach

9.4 Resection of Soft Tissue in Line with Endoscope

9.5 Off-Axis Resection of Soft Tissue

9.6 Retraction of Neural Elements

9.7 Using the Drill

10 Preoperative Diagnostic Workup

10.1 Introduction

10.2 History and Physical Examination

10.3 Imaging

10.4 Diagnostic Injections

Part 2: Lumbar

11 Interlaminar Endoscopic Lateral Recess Decompression

11.1 Case Example

11.2 Indications

11.3 Approach

11.4 Visualization of the Target Area

11.5 Hemilaminotomy

11.6 Enter Epidural Space

11.7 Identification of the Lateral Margin of Neural Elements

11.8 Lateral Recess Decompression

11.9 Retraction of Neural Elements

11.10 Ventral Decompression of Neural Elements

11.11 Pearls and Pitfalls

12 Interlaminar Endoscopic Lumbar Diskectomy

12.1 Case Example

12.2 Indications

12.3 Approach

12.3.1 Tissue Dilation and Placement of Working Tube

12.3.2 Visualization of the Target Area

12.3.3 Hemilaminotomy

12.4 Enter Epidural Space

12.4.1 Identify Lateral Margin of Neural Elements

12.4.2 Resection of Disk Sequester

12.4.3 Retraction of Neural Elements

12.4.4 Resection of Residual Disk Fragments and Exploration of the Annular Defect

12.5 Pearls and Pitfalls

13 Interlaminar Contralateral Endoscopic Lumbar Foraminotomy

13.1 Case Example

13.2 Indications

13.3 Approach

13.4 Identify Bony Landmarks

13.5 Laminotomy

13.6 Enter Epidural Space

13.7 Contralateral Recess Decompression

13.8 Contralateral Foraminotomy

13.9 Pearls and Pitfalls

14 Lumbar Endoscopic Unilateral Laminotomy for Bilateral Decompression

14.1 Case Example

14.2 Indications

14.3 Approach

14.4 Identification of Bony Landmarks

14.5 Laminotomy

14.6 Flavectomy

14.6.1 Lateral Recess Decompression

14.6.2 Mobilization of Neural Elements

14.7 Pearls and Pitfalls

15 Endoscopic Extraforaminal Lumbar Diskectomy

15.1 Case Example

15.2 Indications

15.3 Preoperative Planning

15.4 Approach

15.5 Identify Bony Landmarks

15.5.1 Foraminal Decompression

15.5.2 Extraforaminal Decompression

15.6 Pearls and Pitfalls

16 Transforaminal Endoscopic Lumbar Diskectomy

16.1 Case Example

16.2 Indications

16.3 Preoperative Planning

16.4 Approach

16.5 Identify Bony Landmarks

16.6 Identify the Traversing Nerve Root

16.7 Resect the Disk Fragment

16.8 Inspect the Annular Defect

16.9 Pearls and Pitfalls

17 Trans-Superior Articular Process Endoscopic Lumbar Approach

17.1 Case Example

17.2 Indications

17.3 Preoperative Planning

17.4 Approach

17.5 Identify Bony Landmarks

17.5.1 Decompression of the Intervertebral Foramen

17.5.2 Decompression of the Lateral Recess

17.6 Pearls and Pitfalls

18 Transforaminal Endoscopic Lumbar Interbody Fusion

18.1 Indications

18.2 Approach and Access

18.3 Diskectomy and Endplate Preparation

18.3.1 Interbody Cage Placement and Osteobiologics

18.3.2 Percutaneous Screw Fixation and Spondylolisthesis Correction

18.3.3 Postoperative Care

18.4 Pearls and Pitfalls

Part 3: Thoracic

19 Transforaminal Endoscopic Thoracic Diskectomy

19.1 Case Example

19.2 Indications

19.2.1 Operating Room Setup and Patient Position

19.2.2 Approach

19.3 Identify Bony Landmarks and Foraminoplasty

19.3.1 Delineate Dura–Disk Interface

19.3.2 Resect Disk Herniation

19.4 Pearls and Pitfalls

Part 4: Cervical

20 Anterior Endoscopic Cervical Diskectomy

20.1 Case Example

20.2 Indications

20.3 Approach

20.4 Tissue Dilation and Placement of Working Tube

20.5 Diskectomy

20.6 Foraminotomy

20.7 Pearls and Pitfalls

21 Posterior Endoscopic Cervical Foraminotomy

21.1 Case Example

21.2 Indications

21.3 Approach

21.4 Identification of Bony Landmarks

21.5 Hemilaminotomy

21.6 Identify the Index-Level Nerve Root

21.7 Foraminal Decompression

21.8 Optional Partial Caudal Pedicle Resection

21.9 Optional Resection of Disk-Osteophyte Complex

21.10 Pearls and Pitfalls

22 Cervical Endoscopic Unilateral Laminotomy for Bilateral Decompression

22.1 Case Example

22.2 Indications

22.3 Approach

22.4 Visualizing Target Area

22.5 Hemilaminotomy

22.6 Undercutting the Spinous Process

22.7 Contralateral Decompression

22.8 Pearls and Pitfalls

Part 5: Additional Topics

23 Adapting Full-Endoscopic Technique for Challenging Cases

23.1 Morbidly Obese Patients

23.1.1 Case Example

23.1.2 Pearls and Pitfalls

23.2 Adapting the Transforaminal Approach for Caudally Migrated Disk Herniations

23.2.1 Case Example

23.2.2 Pearls and Pitfalls

23.3 Adapting the Transforaminal Approach for Rostrally Migrated Disk Herniations

23.3.1 Case Example

23.3.2 Pearls and Pitfalls

23.4 Resection of Synovial Cysts

23.4.1 Case Example

23.4.2 Pearls and Pitfalls

23.5 Transforaminal Access to L5/S1 in Patients with a High Iliac Crest

23.5.1 Case Example

23.5.2 Pearls and Pitfalls

24 Endoscopic Revision Surgery

24.1 Principles

24.2 Indications

24.3 Illustrative Cases

24.3.1 Interlaminar Endoscopic Lumbar Diskectomy Revision

24.3.2 Transforaminal Endoscopic Lumbar Diskectomy Revision

24.3.3 Interlaminar Endoscopic Lateral Recess Decompression Revision

24.3.4 Transforaminal Endoscopic Lateral Recess Decompression Revision

24.3.5 Interlaminar Endoscopic Approach for Resection of Retropulsed Interbody Cage

24.3.6 Transforaminal Endoscopic Thoracic Diskectomy Revision

24.3.7 Interlaminar Endoscopic Approach for Resection of Sacroiliac Bolt

25 Complications Associated with Full-Endoscopic Spine Surgery

25.1 Types of Complications

25.2 Dural Lacerations

25.2.1 Dural Lacerations Encountered during the Transforaminal Approach

25.2.2 Case Examples

25.2.3 Dural Lacerations Encountered during the Interlaminar Approach

25.2.4 Case Examples

25.3 Dural Lacerations in Full-Endoscopic Spine Surgery

25.3.1 Clinical Symptoms

25.3.2 Management Algorithm

25.3.3 Surgical Technique

25.3.4 Pearls and Pitfalls

25.4 Hematomas

25.4.1 Case Examples

25.4.2 Pearls and Pitfalls

25.5 Paresthesias

25.5.1 Case Example

25.6 Incomplete Transforaminal Endoscopic Lumbar Diskectomy

25.6.1 Case Example

25.6.2 Pearls and Pitfalls

26 Perioperative Care in Full-Endoscopic Spine Surgery

26.1 Introduction

26.2 Infection Control

26.3 Pain Management

26.4 Wound Healing

26.5 Mobilization

26.6 Conclusion

Appendix: AOSpine Nomenclature System

Index

 

 

 

 

 

An aparitie	13 Dec. 2019
Autor	Christoph Hofstetter, Sebastian Ruetten, Yue Zhou
Dimensiuni	27.94 x 21.59 cm
Editura	Thieme
Format	Paperback
ISBN	9781684200238
Limba	Engleza
Nr pag	320