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Quality surgeons must have all the tips, tricks, and tools to provide their patients with the best care possible. Anterior and lateral approaches have revolutionized spine surgery, but even so, many surgeons have not learned the procedures and treatment involved, and the ones who have demonstrate a very difficult learning curve. This can be partially attributed to a lack of instructional literature, and this book aims to fill this gap so that incoming as well as veteran surgeons can add the anterior and lateral approaches to their arsenal.
This text guides the surgeon through the full arc of treatment: from deciding which approach to use to treating the patient post-operatively. Specifically, the reader will gain comprehensive knowledge on how to perform each access procedure, how to care for and treat the patient at every stage, and the best ways to handle an array of complications they may face. Seven sections present everything the surgeon needs to know: history and rationale; preoperative and intraoperative care, surgical techniques, intraoperative complications, postoperative care, and a final section covering additional considerations for revision surgery, biological treatments, and approaches for both outpatient and obese patients.
Written by experts in the field, Lumbar Spine Access Surgery will be a valuable reference for spine, orthopedic and vascular surgeons looking to expand their skill set.
Pages i-ix
Front Matter
Pages 1-1
Overview of Anterior Lumbar Spine Access Surgery
Pages 3-15
History and Evolution of Anterior Lumbar Spine Access Surgery
Pages 17-27
Rationale for Anterior Lumbar Spine Surgery
Pages 29-32
Front Matter
Pages 33-33
Patient Selection for Anterior Lumbar Access Surgery
Pages 35-42
Imaging Review for Anterior Lumbar Access Surgery
Pages 43-47
Informed Consent for Anterior Lumbar Access Surgery
Pages 49-58
Front Matter
Pages 59-59
Patient Positioning and Marking for Anterior Lumbar Access Surgery
Pages 61-68
Adjunctive Measures: Neuromonitoring, Perfusion Monitoring, Foley
Pages 69-82
Incision Choice for Anterior Lumbar Access Surgery
Pages 83-90
ALIF Retractor Options for Anterior Lumbar Access Surgery
Pages 91-94
Front Matter
Pages 95-95
Mini-Open Anterior Retroperitoneal Approach
Pages 97-115
Anterior Transperitoneal Approach to the Lumbar Spine
Pages 117-130
Biomechanics of Anterior, Oblique, and Lateral Approaches to the Lumbosacral Spine
Pages 131-144
Direct Lateral Transpsoas Approach
Pages 145-151
Pages 153-159
Front Matter
Pages 161-161
Pages 163-168
Pages 169-184
Pages 185-190
Front Matter
Pages 191-191
Pages 193-208
Pages 209-215
Pages 217-227
Pages 229-236
Ileus Prevention and Management
Pages 237-245
Front Matter
Pages 247-247
Revision Anterior and Lateral Spinal Access Surgery
Pages 249-257
Anterior Lumbar Spine Access Surgery in Ambulatory Surgery Centers and Outpatient Settings
Pages 259-269
Preoperative Considerations for Anterior Lumbar Interbody Fusion Revision
Pages 271-276
Anterior and Lateral Interbody Techniques for Revision Lumbar Fusion
Pages 277-289
Understanding Spine Biologics for the Access Surgeon
Pages 291-300
Lumbar Access Surgery Performed by a Spine Surgeon
Pages 301-305
Prone Lateral Interbody Fusion
Pages 307-319
Minimally Invasive Thoracolumbar Approaches with Diaphragm Preservation
Pages 321-328
Minimally Invasive Trauma Corpectomy of the Lumbar Spine
Pages 329-339
Pages 341-357
Anterior Approaches to the Cervical Spine
Pages 359-369
Pages 371-376
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