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Minimally invasive spine interventions : a state of the art guide to techniques and devices / / edited by Sang-Heon Lee
| Minimally invasive spine interventions : a state of the art guide to techniques and devices / / edited by Sang-Heon Lee |
| Pubbl/distr/stampa | Gateway East, Singapore : , : Springer, , [2022] |
| Descrizione fisica | 1 online resource (155 pages) |
| Disciplina | 611 |
| Soggetto topico | Spine - Instability |
| ISBN |
9789811695476
9789811695469 |
| Formato | Materiale a stampa  |
| Livello bibliografico | Monografia |
| Lingua di pubblicazione | eng |
| Nota di contenuto |
Intro -- Preface -- Acknowledgments -- Contents -- Contributors -- Abbreviations -- Part I: General -- 1: Introduction -- 2: Preparation for Minimally Invasive Spine Intervention -- 2.1 Procedure Room Considerations -- 2.2 Intervention Documentation -- 2.3 Sedation and Intravenous Lines -- 2.3.1 Sedation and Analgesia -- 2.3.2 Drugs Used for Sedation -- 2.3.3 Intravenous Access -- 2.4 Precautions in Patients with Comorbidities -- 2.4.1 Scope -- 2.4.2 Epidural Steroid Injection in Patients with Diabetes Mellitus -- 2.4.3 Spinal Pain Management Intervention in Patients with Cardiovascular Disorders -- 2.5 Anticoagulants -- 2.5.1 Introduction -- 2.5.2 Aspirin and Non-steroidal Anti-inflammatory Drugs -- 2.5.3 Adenosine Diphosphate Receptor Inhibitors -- 2.5.4 Oral Warfarin -- 2.5.5 Intravenous Heparin -- 2.5.6 Subcutaneous Heparin -- 2.5.7 Low-Molecular-Weight Heparin -- 2.5.8 New Anticoagulants: Dabigatran, Rivaroxaban, Apixaban, and Edoxaban -- 2.6 Injectates -- 2.6.1 Local Anesthetics -- 2.6.1.1 Mechanism of Action -- 2.6.1.2 Commonly Used Local Anesthetics -- Lidocaine -- Bupivacaine -- Ropivacaine -- 2.6.1.3 Toxicity -- 2.6.2 Steroids -- 2.6.2.1 Mechanism of Action -- 2.6.2.2 Adverse Reactions -- 2.6.2.3 Spinal Steroid Injections -- References -- 3: Epidural Approaches: Transforaminal, Interlaminar, and Caudal -- 3.1 Introduction -- 3.2 Cervical Spine -- 3.2.1 Anatomical Considerations -- 3.2.2 Techniques -- 3.2.2.1 Interlaminar Approach -- 3.2.2.2 Transforaminal Approach -- 3.2.3 Complications -- 3.3 Thoracic Spine -- 3.3.1 Anatomical Considerations -- 3.3.2 Techniques -- 3.3.2.1 Interlaminar Approach -- 3.3.2.2 Transforaminal Approach -- 3.3.3 Complications -- 3.4 Lumbosacral Spine -- 3.4.1 Anatomical Considerations -- 3.4.2 Techniques -- 3.4.2.1 Interlaminar Approach.
3.4.2.2 Transforaminal Approaches -- Supraneural Approach -- Infraneural Approach -- 3.4.2.3 Caudal Approach -- 3.4.3 Complications -- 3.5 Previous Reviews -- 3.5.1 Clinical Effectiveness of Cervical Epidural Injection -- 3.5.2 Comparison of Cervical Transforaminal and Interlaminar Epidural Injection Approaches -- 3.5.3 Clinical Effectiveness of Thoracic Epidural Injection -- 3.5.4 Clinical Effectiveness of Lumbar Epidural Injection -- 3.5.5 Comparison of Three Approaches to Lumbar Epidural Injection -- 3.5.6 Midline Versus Paramedian Approach to Lumbar Interlaminar Epidural Injection -- 3.5.7 Particulate Versus Non-particulate Steroid -- References -- 4: Medial Branch Block -- 4.1 Introduction -- 4.2 Cervical Spine -- 4.2.1 Anatomical Considerations -- 4.2.2 Techniques -- 4.2.2.1 C3-C6 Medial Branch Block (Fig. 4.2) -- 4.2.2.2 C7 Medial Branch Block -- 4.2.3 Complications -- 4.3 Thoracic Spine -- 4.3.1 Anatomical Considerations -- 4.3.2 Thoracic Medial Branch Block -- 4.3.3 Complications -- 4.4 Lumbar Spine -- 4.4.1 Anatomical Considerations -- 4.4.2 Lumbar Medial Branch Block (Fig. 4.7) -- 4.4.3 Complications -- 4.5 Discussion -- 4.5.1 Cervical Medial Branch Block -- 4.5.2 Thoracic Medial Branch Block -- 4.5.3 Lumbar Medial Branch Block -- References -- 5: Intra-articular Injection: Z-Joint, Intradiscal, and Sacroiliac Joint -- 5.1 Introduction -- 5.2 Cervical Spine -- 5.2.1 Anatomical Considerations -- 5.2.2 Techniques -- 5.2.2.1 Atlanto-Occipital Joint Injections -- 5.2.2.2 Lateral Atlanto-Axial Joint Injections -- 5.2.2.3 C2-C3-C6-C7 Facet Joint Injection -- 5.2.2.4 Intradiscal Injection -- 5.2.3 Complications -- 5.3 Thoracic Spine -- 5.3.1 Anatomical Considerations -- 5.3.2 Techniques -- 5.3.2.1 Facet Injection [12] -- 5.3.2.2 Intradiscal Injection [13] -- 5.3.3 Complications. 5.4 Lumbosacral Spine -- 5.4.1 Anatomical Considerations -- 5.4.2 Techniques -- 5.4.2.1 Facet Injection -- 5.4.2.2 Intradiscal Injection -- 5.4.2.3 Sacroiliac Joint Injection: Upper One-Third Approach -- 5.4.2.4 Sacroiliac Joint Injection: Lower One-Third Approach -- 5.4.3 Complications -- 5.5 Discussion -- 5.5.1 Cervical Spine -- 5.5.2 Thoracic Spine -- 5.5.3 Lumbosacral Spine -- References -- Part II: Particulars -- 6: Percutaneous Epidural Neuroplasty -- 6.1 Introduction -- 6.2 History of Percutaneous Epidural Neuroplasty -- 6.3 Indications -- 6.4 Surgical Technique -- 6.5 Complications -- 6.6 Outcomes -- 6.7 Keys to Successful Intervention -- 6.8 Current Limitations -- 6.9 Future Perspectives -- References -- 7: Balloon Neuroplasty Using an Inflatable Balloon (ZiNeu) Catheter: A Technical Note -- 7.1 Introduction -- 7.2 Indications and Contraindications -- 7.3 Methods -- 7.3.1 ZiNeu Catheter: Caudal Approach -- 7.3.2 Zineu-F Catheter: Transforaminal Approach -- 7.4 Procedure-Related Precautions -- 7.4.1 Methods for Preventing Balloon Rupture -- 7.4.2 Methods for Preventing Catheter Damage -- 7.4.3 Perioperative Complications and Management -- 7.5 Conclusions -- References -- 8: Percutaneous Discoplasty: Nucleoplasty and Annuloplasty -- 8.1 Introduction -- 8.2 Indications -- 8.3 Central Nuclear Decompression in Contained Disc -- 8.4 Targeted Decompression Contained and Noncontained HNP -- 8.5 Efficacy -- 8.6 Complications -- 8.7 Procedural Protocol -- 8.8 Conclusions -- References -- 9: Transforaminal Discoplasty with Endoscopy -- 9.1 Introduction -- 9.2 Background -- 9.3 Percutaneous Endoscopic Lumbar Annuloplasty and Nucleoplasty -- 9.4 Transforaminal Epiduroscopic Laser Annuloplasty -- 9.4.1 Indications and Contraindications -- 9.4.2 Equipment and Instruments (Fig. 9.7). 9.4.2.1 NeedleView CH Endoscope Kit -- 9.4.2.2 NeedleCam HD Camera-Monitor System -- 9.4.2.3 Accuplasti Laser -- 9.4.2.4 Instruments for Introducing the Endoscope (Fig. 9.11) -- 9.4.3 Preoperative Preparation and Operating Room Setup -- 9.4.4 Patient Positioning and Anesthesia -- 9.4.5 Recommended Steps of a Standard Procedure -- 9.4.6 Discoplasty Variations -- 9.4.7 Complications: Avoidance and Management -- 9.5 Conclusions -- References -- 10: Trans-sacral Discoplasty with Epiduroscopy -- 10.1 Introduction -- 10.2 Indications -- 10.3 Contraindications -- 10.4 Technical Aspects of Epiduroscopy -- 10.4.1 Instruments -- 10.4.1.1 Epidural Dual Channel Catheter -- 10.4.1.2 Flexible Fiber Optic Epiduroscope -- 10.4.1.3 Laser System -- 10.4.2 Surgical Approach and Technical Notes -- 10.5 Epiduroscopic Images of the Epidural Space -- 10.5.1 Epiduroscopic View of the Epidural Space (Fig. 10.9a-e). -- 10.5.2 Laser Internal Decompression of a Massive Nucleus Pulposus Herniation (C) (Fig. 10.10a-c) -- 10.5.3 Epiduroscopic Laser Ablation Treatment (Fig. 10.11a-g) -- 10.5.4 Supplementary Evidences -- 10.5.4.1 Magnetic Resonance Images Showing an Herniated Nucleus Pulposus Before and After Epiduroscopic Laser Ablation (Fig. 10.12a-b, left and right, respectively). -- 10.5.4.2 Epiduroscopic View During an Epiduroscopic Laser Ablation (Fig. 10.13a-f), Magnetic Resonance Images Showing a Decompressed Nucleus Pulposus Before and After Epiduroscopic Laser Ablation (Fig. 10.14a-b). -- 10.5.4.3 Epiduroscopic Pituitary Grasping Forceps (Fig. 10.15) -- 10.6 Complications -- 10.7 Conclusion -- References -- 11: Manual Percutaneous Foraminoplasty -- 11.1 Introduction -- 11.2 Background -- 11.3 Effectiveness of Percutaneous Foraminoplasty with Ligament Resection -- 11.3.1 Introduction -- 11.3.2 Methods -- 11.3.3 Patients. 11.3.4 Clinical Evaluation -- 11.3.5 Statistical Analysis -- 11.3.6 Results -- 11.3.7 Discussion -- 11.4 Complications -- 11.5 Conclusions -- References -- 12: Motorized Percutaneous Foraminoplasty -- 12.1 Introduction -- 12.2 Background -- 12.3 Motorized Percutaneous Foraminoplasty -- 12.4 Indications for Percutaneous Foraminoplasty -- 12.5 Contraindications -- 12.5.1 Absolute -- 12.5.2 Relative -- 12.6 Complications -- 12.7 Preoperative Preparation -- 12.8 Operating Room Supplies -- 12.8.1 Instruments (Fig. 12.1) -- 12.8.2 Solutions -- 12.9 Procedure -- 12.10 Postprocedural Management -- 12.11 Conclusions -- References -- 13: Conclusion -- References. |
| Record Nr. | UNINA-9910616393103321 |
| Gateway East, Singapore : , : Springer, , [2022] | ||
| Materiale a stampa | ||
| Lo trovi qui: Univ. Federico II | ||
| ||
Unilateral biportal endoscopy of the spine : an atlas of surgical techniques / / edited by Javier Quillo-Olvera [and three others]
| Unilateral biportal endoscopy of the spine : an atlas of surgical techniques / / edited by Javier Quillo-Olvera [and three others] |
| Pubbl/distr/stampa | Cham, Switzerland : , : Springer, , [2023] |
| Descrizione fisica | 1 online resource (643 pages) |
| Disciplina | 617.56 |
| Soggetto topico | Spine - Instability |
| ISBN | 3-031-14736-7 |
| Formato | Materiale a stampa |
| Livello bibliografico | Monografia |
| Lingua di pubblicazione | eng |
| 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. |
| Record Nr. | UNINA-9910633913303321 |
| Cham, Switzerland : , : Springer, , [2023] | ||
| Materiale a stampa | ||
| Lo trovi qui: Univ. Federico II | ||
| ||
