An Anatomic Approach to Minimally Invasive Spine Surgery

582 Pages·2019·36.793 MB·English

by  Mick J. Perez-Cruet, Richard G. Fessler, Michael Y. Wang

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Learn state-of-the-art MIS techniques nt
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from master spine surgeons!
Second Edition
Significant advances have been made in minimally invasive spine (MIS) surgery approaches, techniques, and MA Mick J. Perez-Cruet
innovative technologies. By preserving normal anatomic integrity during spine surgery, MIS approaches enable in
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spine surgeons to achieve improved patient outcomes, including faster return to normal active lifestyles and A
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reduced revision rates. Exposing only the small portion of the spine responsible for symptoms via small ports or mn
channels requires a deep understanding of spinal anatomy and spinal pathophysiology. Building on the widely aa
acclaimed first edition, An Anatomic Approach to Minimally Invasive Spine Surgery, Second Edition, provides an llto Michael Y. Wang
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expanded foundation of knowledge to master minimally invasive spine surgery. m

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World-renowned spine neurosurgeons Mick Perez-Cruet, Richard Fessler, Michael Wang, and a cadre of highly nvic
regarded spine surgery experts provide masterful tutorials on an impressive array of cutting-edge technologies. a A
Organized by seven sections and 51 chapters, the book presents a diverse spectrum of current safe and efficacious sp
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MIS procedures and future innovations. Nonsurgical approaches include injection-based spine procedures and vp
stereotactic radiosurgery. Surgical technique chapters discuss MIS anterior, posterior, and lateral approaches to er
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the cervical, thoracic, and lumbar spine, with procedures such as endoscopic microdiscectomy, vertebroplasty and S
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kyphoplasty, percutaneous instrumentation, and robotic spine surgery. c
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Key Features e
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• Step-by-step illustrations, including more than 400 depictions by master surgical and anatomic illustrator So
Anthony Pazos, portray the surgeon’s-eye-view of anatomy, intraoperative images, and surgical instruments, u
thereby aiding in the understanding of anatomy and procedures r
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• 20 online videos feature real-time operative fluoroscopy, pertinent anatomy, operative set-up, and common e
cervical, thoracic, and lumbar approaches r
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• Discussion of novel MIS techniques reflected in 16 new or expanded chapters, including Robotic Assisted
Thoracic Spine Surgery and Stem-Cell Based Intervertebral Disc Restoration
There is truly no better clinical reward for spine surgeons than giving patients suffering from debilitating spinal
disorders their life back. This quintessential MIS surgery resource will help surgeons and clinicians accomplish that
goal.
Miguelangelo (Mick) J. Perez-Cruet, MD, MSc, is Vice Chairman and Professor, Department of Neurosurgery,
Oakland University William Beaumont School of Medicine, Royal Oak, Michigan; and Michigan Head and Spine
Institute, Southfield, Michigan, USA.
Richard G. Fessler, MD, PhD, is Professor, Department of Neurosurgery, Rush University Medical Center, Chicago,
Illinois, USA.
Michael Y. Wang, MD, FACS, is Professor of Neurological Surgery and Rehab Medicine, Miller School of Medicine,
University of Miami; and Chief of Neurosurgery and Director of the Neurosurgical Spine Fellowship, University of
Miami Hospital, Miami, Florida, USA. S
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Perez-Cruet et al, An Anatomic Approach to Minimally Invasive Spine Surgery, 2nd Ed. (ISBN 978-1-62623-643-1),
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An Anatomic Approach to Minimally Invasive
Spine Surgery
Second Edition
Mick J. Perez-Cruet, MD, MSc
Vice Chairman and Professor
Department of Neurosurgery
Oakland University William Beaumont School of Medicine
Royal Oak, Michigan
Michigan Head and Spine Institute
Southfield, Michigan
Richard G. Fessler, MD, PhD
Professor
Department of Neurosurgery
Rush University Medical Center
Chicago, Illinois
Michael Y. Wang, MD, FACS
Professor of Neurological Surgery and Rehab Medicine
Miller School of Medicine
University of Miami
Chief of Neurosurgery
Director, Neurosurgical Spine Fellowship
University of Miami Hospital
Miami, Florida
439 illustrations
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Perez-Cruet et al, An Anatomic Approach to Minimally Invasive Spine Surgery, 2nd Ed. (ISBN 978-1-62623-643-1),
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Names:Perez-Cruet,MickJ.,1961-editor.| atthetimeofproductionofthebook.
Wang,MichaelY.,1971-editor.|Fessler,RichardG.,editor. Nevertheless, this does not involve, imply, or express any
Title:Ananatomicapproachtominimallyinvasivespinesurgery/ guaranteeorresponsibilityonthepartofthepublishersinrespect
[editedby]MickJ.Perez-Cruet,MD, MSc,Vice-Chairmanand toanydosageinstructionsandformsofapplicationsstatedinthe
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Program,DepartmentofNeurosurgery,OaklandUniversity turers’leafletsaccompanyingeachdrugandtocheck,ifnecessary
William Beaumont School of Medicine, Michigan Head and inconsultationwithaphysicianorspecialist,whetherthedosage
SpineInstitute,RoyalOak,MichiganUSA,MichaelY.Wang,MD, schedulesmentionedthereinorthecontraindicationsstatedbythe
Professor&SpineDirector,DepartmentsofNeurologicalSurgery manufacturers differ from the statements made in the present
&RehabilitativeMedicine,ChiefofNeurosurgery,Universityof book.Suchexaminationisparticularlyimportantwithdrugsthat
MiamiHospital,Miami,FloridaUSA,RichardG.Fessler,MD,PhD, areeitherrarelyusedorhavebeennewlyreleasedonthemarket.
Professor,DepartmentofNeurosurgery,RushUniversity Everydosagescheduleoreveryformofapplicationusedisentirely
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Subjects:LCSH:Spine–Endoscopicsurgery.|Spine–Anatomy. Someoftheproductnames,patents,andregistereddesigns
Classification:LCCRD533(ebook)|LCCRD533.A532018(print)| referredtointhisbookareinfactregisteredtrademarksorpro-
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Perez-Cruet et al, An Anatomic Approach to Minimally Invasive Spine Surgery, 2nd Ed. (ISBN 978-1-62623-643-1),
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Wededicatethisbook...
InrecognitionofthegivingworkofDr.DanielRoyPieper,whoworkedtirelesslyuntilhisuntimelydeathatarelatively
youngage.
Danleftbehindalegacyofminimallyinvasiveskullbaseendoscopicsurgery.
Hismasteryandteachingofendoscopicpituitaryandskullbasesurgerysignificantlyadvancedneurosurgery.
HefoundedtheMichiganHeadandSpineInstitute,andwasco-founderoftheMinimallyInvasiveNeurosurgical
Society(MINS).
Hispatientsadoredhimforhiscompassion,empathy,andwillingnesstotacklethetoughestofcases.
Hishumor,mentoring,andleadershiphasbeentrulymissed.
Therewasnobetterfriendandcolleague.
Mostofall,hiswonderfulfamilylegacylivesonwithinhislovingwife,Donna,andchildren:Stephanie,Lindsey,Brett,
JohnPaul,andMichelle.Theyarealastingreflectionofhislove,honesty,integrity,andkindness,andcarryonhislegacyof
givingtoothers.
Wearegratefulforthosewho,likeDan,lookbeyondthemselvestohelpothersbesuccessfulandleadfulland
productivelives.
Perez-Cruet et al, An Anatomic Approach to Minimally Invasive Spine Surgery, 2nd Ed. (ISBN 978-1-62623-643-1),
copyright © 2019 Thieme Medical Publishers. All rights reserved. Usage subject to terms and conditions of license.
TPS23x31-2|01.10.18-16:45
TomywifeDonnaandchildrenKristin,Joshua,Rachel,andDavid.
Balancingpractice,academicsandfamilylifeisatremendouschallenge.Ithankthemfortheirunwaveringloveandsupport
throughthischallenginglifeprocess.
Tomyresidents,fellows,teachers,andmentorsfortheircontributiontomyknowledgeandinspirationtodothiswork.
M.J.P-C.
TomywifeAmyandmychildrenPatrick,Evan,andSarah:Thankyouforyourloveandsupportsothatprojectslikethis
wouldbemadepossible
M.Y.W.
Academicmedicinehasawayofconsumingnonclinical“free”time,whichotherwisewouldbespent
withfamilyandfriends.
First,andmostimportantly,IwouldliketothankmywifeCarolandmychildrenLaura,David,andLinda,fortheiryearsof
support,encouragement,andsacrifice,whichenabledmetopursuemyacademicpassions.
Iwouldalsoliketoapologizetomymanyfriends,forwhommycommitmentshavemademealess“present”
friendthantheydeserved.
R.G.F.
Perez-Cruet et al, An Anatomic Approach to Minimally Invasive Spine Surgery, 2nd Ed. (ISBN 978-1-62623-643-1),
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TPS23x31-2|13.10.18-10:08
Contents
VideoContents....................................................................................... xi
Preface............................................................................................... xii
Acknowledgments................................................................................. xiv
Contributors ........................................................................................ xv
PartIFundamentals
1. HistoryofMinimallyInvasiveSpineSurgery...................................................... 2
MichaelA.Leonard,DinoSamartzis,andMickJ.Perez-Cruet
2. AnatomyoftheSpine:AnOverview.............................................................. 12
JoshuaE.MedowandDanielK.Resnick
3. BiomechanicalRoleoftheOsseous,Ligamentous,andMuscularStructures
oftheSpine ......................................................................................... 27
E.EmilyBennett,JeffreyP.Mullin,RickPlacide,andEdwardC.Benzel
4. PathophysiologyandOperativeTreatmentofDiscogenicBackPain........................... 39
MickJ.Perez-Cruet,CharlesD.Ray,andMichaelY.Wang
5. PathophysiologyofBackPain ..................................................................... 49
JorgeMendoza-TorresandMickJ.Perez-Cruet
6. RationaleforMinimallyInvasiveSpineSurgery.................................................. 56
ManishK.Kasliwal,MickJ.Perez-Cruet,LeeA.Tan,RichardG.Fessler,LarryT.Khoo,andMoumitaS.R.Choudhury
7. OvercomingtheLearningCurve................................................................... 70
EfremM.Cox,DavidJ.Hart,andMickJ.Perez-Cruet
8. OperatingRoomSetup............................................................................. 80
LeeA.Tan,MickJ.Perez-Cruet,ManishK.Kasliwal,andRichardG.Fessler
PartIIPatientEducationandBusinessBasics
9. PatientEducation................................................................................... 90
HollyWeissman
10. EstablishinganAmbulatorySpineSurgeryCenter .............................................. 93
RichardN.W.Wohns,HiroshiW.Nakano,andLauraMillerDyrda
11. EstablishingAncillaryServicesandHealthCareRegulatoryImplications .................... 113
AnnT.HollenbeckandRichardA.Shapack
12. BringingNovelSpineDevicestotheMarketplace .............................................. 119
JohnA.Redmond,MickJ.Perez-Cruet,andJamesM.Moran
Perez-Cruet et al, An Anatomic Approach to Minimally Invasive Spine Surgery, 2nd Ed. (ISBN 978-1-62623-643-1),
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Contents
PartIIIImageGuidance,Monitoring,andNonoperativeTechniques
13. ComputerNavigationalGuidanceinSpineSurgery............................................ 128
FernandoG.DiazandMickJ.Perez-Cruet
14. IntraoperativeMonitoring....................................................................... 137
StephenW.Bartol
15. Injection-BasedSpineProceduresandDiagnosticProcedures................................ 152
HenryTongandMickJ.Perez-Cruet
16. StereotacticRadiosurgeryforTumorsof theSpine............................................ 170
MahaSaadaJawadandDanielK.Fahim
PartIVSurgicalTechniques
SectionICervicalSpine
17. TransoralandTransnasalApproachestotheCraniocervicalJunction........................ 181
MatthewL.Rontal,DanielRoyPieper,andMickJ.Perez-Cruet
18. PosteriorCervicalMicroforaminotomyandDiscectomy...................................... 191
CarterS.Gerard,LeeA.Tan,andRichardG.Fessler
19. PosteriorCervicalApproach..................................................................... 197
MichaelY.Wang,MickJ.Perez-Cruet,DinoSamartzis,andRichardG.Fessler
20. AnteriorCervicalDiscectomy,Fusion,andInstrumentation.................................. 207
MickJ.Perez-CruetandMoumitaS.R.Choudhury
21. CervicalArthroplasty............................................................................. 213
K.DanielRiewandKevinR.O’Neill
22. CervicalCaseStudies............................................................................. 223
MickJ.Perez-Cruet,RichardG.Fessler,andMichaelY.Wang
SectionIIThoracicSpine
23. PosteriorThoracicMicrodiscectomy............................................................ 231
RobertE.Isaacs,MickJ.Perez-Cruet,andStevenH.Cook
24. AnteriorThoracoscopicSympathectomy....................................................... 240
CurtisA.DickmanandHasanA.Zaidi
25. ThoracoscopicDiscectomyandThoracoscopy-AssistedTubularRetractorDiscectomy.... 249
Hyun-ChulShin,JonathanB.Lesser,RobertE.Isaacs,andNoelI.Perin
26. AnteriorThoracoscopicVertebralReconstructionandInstrumentation..................... 256
FranciscoVerdú-LópezandRudolfW.Beisse
27. MinimallyInvasiveDeformityCorrection....................................................... 266
NeelAnand,ZeeshanM.Sardar,AndreaSimmonds,andEliM.Baron
Perez-Cruet et al, An Anatomic Approach to Minimally Invasive Spine Surgery, 2nd Ed. (ISBN 978-1-62623-643-1),
viii
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