By Burak M. Ozgur (auth.), Burak Ozgur, Edward Benzel, Steven Garfin (eds.)
Minimally Invasive backbone Surgery is a fantastically illustrated atlas describing the 18 most generally accredited minimally invasive approaches in backbone surgical procedure. Written via leaders in either neurologic and orthopedic backbone surgical procedure, this ebook bargains the main up to date fabric and the broadest point of view at the topic. tactics variety from basic to advanced and canopy the cervical, thoracic and lumbar areas of the spine.
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Extra resources for Minimally Invasive Spine Surgery: A Practical Guide to Anatomy and Techniques
The most medial 2-mm portion of the transverse process at the lower vertebra is removed, and the vertebral artery is exposed. (b) Then the lateral 3-mm portion of the superolateral part of the lower vertebra or the base of the uncinate process (dotted area) is drilled toward the posterior longitudinal ligament. This technique is utilized when a foraminotomy is performed at a high cervical disc such as C3-4. (c) The anteroposterior surgical trajectory from the skin incision to the surgical target pathology makes a cephalad incline as demonstrated in a drawing.
The amount of bone removal posteriorly must be tailored depending on the extent of the pathology. As drilling is advanced posteriorly, the surgical reference points include the endplate of the lower vertebra, followed by the intervertebral disc space, and the endplate of the upper vertebra at the area of target pathology. The PLL is first 26 Fig. 1 The schematic drawing demonstrates the lowervertebral transcorporeal approach from the left side. (a) The circled area is a focal area on which this anterior foraminotomy is performed.
Neurosurg Clin N Am. 1996;7(2):171–186. Glossop ND, Hu RW, Randle JA. Computer-aided pedicle screw placement using frameless sterotaxis. Spine. 1996;21:2026–2034. Assaker R, Reyns N, Vinchon M, Demondion X, Louis E. Transpedicular screw placement: image-guided versus lateral-view fluoroscopy: in vitro simulation. Spine. 2001;26(19):2160–2164. Kalfas IH. Image-guided spinal navigation: application to spinal metastasis. In: Maciunas RJ, editor. Advanced Techniques in Central Nervous System Metastasis.