- Provides detailed, authoritative information on all aspects of minimally invasive lateral access spine surgery
- Covers use of the approach in a range of pathologies
- Meets the needs of both beginning and experienced surgeons
- Written by world experts on the topic
This well-illustrated textbook is the first comprehensive and authoritative source of information on minimally invasive lateral access spine surgery. It covers all aspects of the subject, including patient selection, approach and monitoring techniques, soft tissue management, application in a variety of pathologies, technical nuances, and the prevention and management of complications. In addition, current controversies in the field are discussed and the biomechanics of lateral spinal reconstruction, the physiologic benefits, and cost implications are explained.
As use of the lateral approach in spinal surgery has become more popular, so its diversity and complexity have increased. Nevertheless, publications devoted entirely to the technique are lacking, and
Lateral Access Minimally Invasive Spine Surgery is designed to fill this vacuum. Written by the world’s experts on the topic, it will be an excellent resource for both beginning and experienced surgeons.
Table of ContentsIntroduction:
- History and rationale for the minimally invasive lateral approach
- Biomechanics of lateral spinal reconstruction
- Physiologic benefits and the impact on the patient
- Costs and economic implications
- Workup and diagnostic injections
- Implants and lateral cages
Approach and localization :
- Patient selection
- Positioning and safety
- Intraoperative electrophysiologic monitoring
- Motor based monitoring
- Flouroscopic techniques
- Frameless navigation
- Techniques for avoiding psoas muscle and lumbosacral plexus injury
Soft tissue management :
- Single vs. dual incisions
- Retractor technology
- Transpsoas vs. Anterior To Psoas (ATP)
- Thoracic MIS retro pleural access
- Psoas muscle management
Pathologies :
- Degenerative disc disease
- Spondylolisthesis
- Scoliosis
- Sagittal deformities
- Neoplasia
- Trauma
- Infection
- Adjacent level disease & Proximal junctional kyphosis
Technical Nuances :
- Lateral fixation
- Posterior fixation options
- ALL sectioning
- Surgery at the L5-S1 level
- Osteobiologics
Managing and preventing complications :
- Vascular
- Hollow viscus
- Hernia
- Pseudarthrosis
Controversies :
- Selective apical fusions
- Short segment vs. Long segment fusions
- Approaching a deformity from the concavity vs. convexity
