Unilateral biportal endoscopy of the spine : an atlas of surgical techniques / / edited by Javier Quillo-Olvera [and three others]

• Pubblicazione: Cham, Switzerland : , : Springer, , [2023]; ©2023
• Descrizione fisica: 1 online resource (643 pages)
• Disciplina: 617.56
• Soggetto topico: Spine - Instability
• Persona (resp. second.): Quillo-OlveraJavier
• Nota di bibliografia: Includes bibliographical references and index.
• Nota di contenuto: Intro -- Foreword -- Foreword -- Preface -- Preface -- Acknowledgments -- Contents -- Part I: Generalities -- Chapter 1: The Unilateral Biportal Endoscopic Spine Surgery Concept: An Overview -- Introduction -- An Overview of the UBE Technique -- Generalities of UBE -- Conclusion -- References -- Chapter 2: Brief History Review of Unilateral Biportal Spinal Endoscopy -- Introduction -- Important Milestones for the Development of UBE -- Discussion -- Conclusion -- References -- Chapter 3: Unilateral Biportal Endoscopic Spinal Surgery Evidence-Based Outcome -- Introduction -- Laminectomy for Spinal Stenosis and Disc Herniation -- Clinical Outcomes -- Learning Curve -- Operative Time, Opioid Use, and Hospital Stay -- Dural Expansion, Facet Preservation, and Secondary Instability -- Muscle Damage -- Safety -- Complications -- Lumbar Spinal Interbody Fusion -- Clinical Outcomes -- Compared with Minimally Invasive TLIF or PLIF -- Fusion Rate -- Complications -- Learning Curve -- Lumbar Foraminal Stenosis -- Extraforaminal Decompression at Lumbosacral Lesion -- Cervical Foraminotomy -- Cervical Spinal Stenosis -- Conclusion -- References -- Chapter 4: Current Technology Available for Unilateral Biportal Endoscopic Spinal Surgery -- Introduction -- Brief Summary of UBE in the Market -- Technology for UBE -- Arthroscopic Lenses -- Arthroscopy Sheath -- Light Sources -- Cameras -- Advanced Imaging Platforms Available for UBE -- Radiofrequency -- High-Speed Drill, Shaver, and Burrs -- Water Pumps -- Intraoperative Navigation-Assisted UBE -- Other Technologies -- Conclusion -- References -- Part II: Basic Principles -- Chapter 5: Basic Principles of Unilateral Biportal Endoscopic Spinal Surgery: Operative Room Setup, Anesthesia, and Patient Positioning -- Introduction -- Operative Room Setup -- Operating Table -- Lighting Equipment -- Anesthesiology Machine. ; Intraoperative Fluoroscopy -- Endoscopy Tower -- Anesthesia -- Patient Positioning -- Surgical Area Preparation -- Surgical Instruments -- Discussion -- Conclusion -- References -- Chapter 6: Basic Principles of Unilateral Biportal Endoscopic Spinal Surgery: Technical Considerations Before Starting -- Introduction -- Organization of the Working Space in the Surgery Room -- Patient Positioning -- Fluid Irrigation -- Radiological Landmarks for Access -- Discussion -- Conclusion -- References -- Chapter 7: Basic Principles of Unilateral Biportal Endoscopic Spinal Surgery: Anatomical Considerations of Elementary Approaches -- Introduction -- Unilateral Biportal Endoscopic Cervical Approaches -- Deep Cervical Muscles -- Bony Elements -- Ligamentum Flavum -- The Epidural Space Through Biportal Endoscopy -- Peridural Membrane -- Meningovertebral Ligaments -- Vascular Supply and Drainage of Epidural Space -- UBE-Paramedian Lumbar Approach -- Overview -- Tips for a Left-Sided Paramedian Approach -- Tips for a Right-Sided Paramedian Approach -- UBE-Paraspinal Lumbar Approach -- Overview -- Conclusion -- References -- Chapter 8: Basic Principles of Unilateral Biportal Endoscopic Surgery: Intraoperative Radiation Exposure During UBE Procedures -- Introduction -- Strategies for Intraoperative Radiation Protection During UBE Procedures -- Use Wearable Radiation Protective Equipment -- Use Non-wearable Shields -- Maximize the Distance -- Use the "Hands-Off" Technique -- Setup with the X-Ray Tube on the Bottom -- Stand on the Side of the Transmitted Beam -- Reduce Fluoroscopic Dose -- Wear Dosimeters -- Tricks to Avoid Unintended Radiation Exposure -- Make a Reasonable Preoperative Planning -- Obtain "Standard" AP and Lateral of Radiographic Views of the Target Segment -- Make a Careful Body Surface Marking -- Make a Good Exposure of the Interlaminar Window. ; Future Directions for Intraoperative Radiation Reduction in UBE Procedures -- Add Skin Markers to Preoperative Imaging Studies -- 3D Computed Tomography Navigation or Robotic Guidance -- Surgical Instruments -- Ultrasound Guidance -- Conclusion -- References -- Part III: The Learning Process -- Chapter 9: The Learning Process of the Unilateral Biportal Endoscopic Spine Surgery: What Does the Surgeon Need to Perform the Technique? -- Introduction -- Anatomical Knowledge of the Spine -- Radiological Spinal Anatomy Understanding -- Palpation of the Surgical Target -- Endoscopic Visualization of the Target Emphasizes the Paramedian Approach -- Discussion -- Conclusion -- References -- Chapter 10: How to Go Further with My Clinical Practice on Unilateral Biportal Endoscopy -- Introduction -- Do We Need to Upgrade to Endoscopic Spine? -- What Is the EBM That Supported UBE and Its Clinical Applications? -- How to Overcome the Obstacles? -- Our 12 Steps to Start UBE -- Conclusion -- References -- Chapter 11: From Conventional to Biportal Endoscopic Surgery: The Transition Observed by an Expert Surgeon -- Introduction -- Considerations of Endoscopic Technique -- Technical Characteristic of Open Techniques -- Technical Characteristic of Endoscopic Techniques -- Broadening of the Indications of Endoscopic Techniques -- Lumbar Spinal Stenosis -- Lumbar Interbody Fusion -- Discussion -- Future Perspective -- Conclusion -- References -- Chapter 12: Put It into Practice: The Unilateral Biportal Endoscopic Surgery -- Introduction -- Innovation of Lumbar Endoscopic Access -- Transition to Biportal Endoscopic Access -- Preoperative Preparation -- Surgical Indications and Endpoints -- Surgical Preoperative Planning -- Operating Room Setup -- Surgical Instruments -- Surgical Technique -- Fluoroscopic Landmarks -- Creating the Working Space. ; Gaining Access to the Spinal Canal -- Discectomy/Sequestrectomy -- Postoperative Management -- Evaluating Symptom Resolution -- Discussion -- Why Do UBE Lumbar Surgery Instead of Open Lumbar Surgery? -- Comparison of UBE and Full Endoscopy of the Spine -- Conclusion -- References -- Part IV: Lumbar -- Chapter 13: Unilateral Biportal Endoscopy for Non-migrated Lumbar Disc Herniation -- Introduction -- Indications -- Limitations -- Equipment -- Surgical Procedure -- Paramedian Approach -- Illustrated Cases -- Paraspinal Approach -- Illustrated Case -- Advantages -- Complications and Avoidance -- Conclusion -- References -- Chapter 14: Unilateral Biportal Endoscopy for Complex Lumbar Disc Herniations -- Introduction -- Preoperative Planning -- Sagittal Migration -- Axial Location -- Size and Consistency -- Level -- Surgical Technique -- Anesthesia and Position -- Surgical Steps -- Skin Marking -- Making Working Space and Triangulation -- Discectomy -- Close and End the Procedure -- Illustrated Cases -- Discussion -- How to Avoid Complications -- Dural Tear -- Bleeding and Epidural Hematoma -- Residual Fragment -- Conclusions -- References -- Chapter 15: Unilateral Biportal Endoscopy for Rostrally and Caudally Migrated Lumbar Disc Herniations -- Introduction -- Generalities -- Unilateral Biportal Endoscopic Approaches for Migrated Lumbar Disc Herniations -- Indications -- Illustrated Cases -- Discussion -- Conclusion -- References -- Chapter 16: Unilateral Laminotomy for Bilateral Decompression (ULBD) Through Biportal Endoscopy for Lumbar Spinal Stenosis -- Introduction -- Rationale -- Surgical Procedure -- Incision Planning and Portal Building -- Ipsilateral Decompression -- Contralateral Decompression -- Surgical Anatomy of Ligamentum Flavum Applied to Biportal Endoscopy -- Illustrated Cases -- Discussion -- Conclusions -- References. ; Chapter 17: The Unilateral Biportal Endoscopic Paraspinal Approach for Lumbar Foraminal Pathology -- Introduction -- Relevant Anatomy -- Indications and Contraindications -- Surgical Procedure -- Step 1: Patient Positioning and Anesthesia -- Step 2: Entry Point Planning -- Step 3: Triangular Paraspinal Approach -- Step 4: Identifying the Bone Landmarks -- Step 5: Bone Decompression -- Step 6: Release of the Exiting Nerve -- Illustrated Cases -- Discussion -- Conclusion -- References -- Chapter 18: Challenging Cases Treated with UBE: The Far-Out Syndrome -- Introduction -- Diagnosis -- Biportal Endoscopic Decompression of Far-Out Syndrome -- Rationale -- Indications and Contraindications -- Relevant Surgical Anatomy -- Surgical Technique -- Step 1: Anesthesia and Patient Position -- Step 2: Skin Incision Planning -- Step 3: Biportal (Triangular) Approach -- Step 4: Completing the Working Space to Identify the Bone Landmarks -- Step 5: Bone Removal and Nerve Root Decompression -- Step 6: Other Maneuvers -- Step 7: Final Suggestions and Wound Closure -- Illustrated Cases -- Discussion -- Conclusions -- References -- Untitled -- Chapter 19: The Biportal Endoscopic Contralateral Approach for Juxtafacet Cystic Lesions of the Lumbar Spine -- Introduction -- Indications and Contraindications of the Biportal Endoscopic Contralateral Approach -- Surgical Technique -- Step 1: Patient Position and Anesthesia -- Step 2: Organization of Surgical Staff -- Step 3: Location of Entry Points -- Step 4: Contralateral Biportal Approach-Triangulation -- Step 5: Contralateral Biportal Endoscopic Approach Through a Sublaminar Route -- Step 6: Creating the Working Space -- Step 7: Bone Removal -- Step 8: Cyst Removal and Flavectomy -- Step 9: Direct Decompression of the Traversing Nerve Root -- Step 10: Hemostasis and Closure -- Illustrated Cases -- Discussion -- Conclusion. ; References.
• Titolo autorizzato: Unilateral biportal endoscopy of the spine
• ISBN: 3-031-14736-7
• Formato: Materiale a stampa
• Livello bibliografico: Monografia
• Lingua di pubblicazione: Inglese
• Record Nr.: 9910633913303321
• Lo trovi qui: Univ. Federico II