The desire to expose the spine for surgery by anterior approaches at any level between the head and the sacrum is not new. Spinal pathology is often located anterior to the spinal cord and nerve roots in the cervical and thoracic spine, and anterior to the peripheral nerves that emerge from the lumbosacral spine below the first lumbar ver tebra. To treat such pathology one prefers to expose the front of the spine directly and widely enough to eradicate the pathology and to have full control of bleeding throughout the procedure. The posterior elements of the spine are important for mechanical stability of the spine, and therefore for the protection of the neural and vascular structures in the spine that would be threatened by instability. Extensive eradication of pathology posterior to the spinal canal and the intervertebral foraminae, including the transverse processes, may leave no adequate bony bed for the surgical creation of a stabilizing osseous fusion. In such a situation, an anterior fusion procedure is the only viable alternative to a posterior or posterolateral fusion. In situations where it is critically important to obtain a stable fusion, as in tuberculosis of the spine, both an anterior and a posterior fusion operation at the same motion segments is, in almost every instance, a guarantee of a stable osseous fusion. One should know both approaches.

This new edition contains chapters on very complicated, large procedures such as the approaches to the sacrum and the pelvis, and also includes minimally invasive procedures like laparoscopic fusion. Minimally invasive surgery is the future of spinal surgery; this book is unrivaled in its coverage of these procedures. This edition also continues the tradition of presenting clearly enumerated and illustrated step-by-step surgical procedures for the spine. New to this edition are chapters on the anterior approach to clivus C1 & C2, transclavicular cervico-thoracic approach, transsternal approach to the cervico thoracic & upper thoracic spine, approaches to the sacrum & pelvis, and laparoscopic approaches. Other new features include: new material on large major resection of spinal cancer; the most modern endoscopic techniques ; and expanded laproscopic/MIS approaches. Contributors are top authorities in the field. Procedures are beautifully illustrated in full color.

Now is its revised and expanded third edition, including nine new chapters, this step-by-step, state-of-the-art procedural manual covers over 50 unique surgical approaches for injuries and conditions of the spine. Generously illustrated, various surgical approaches to the cervical, thoracic and lumbar spine are clearly enumerated and described, including anterior, lateral, and posterior approaches and the worldwide movement toward the use of tubular retractors for a multitude of approaches. Written and edited by leaders in the field of spine surgery, this updated edition will be an invaluable resource for orthopedic surgeons, neurosurgeons and sports medicine practitioners alike.

This video atlas covers a broad range of spinal surgical procedures. The volume includes a collection of high quality 3-to-8 minute videos of some of the most critical spine operations performed by internationally renowned expert surgeons. Key features of the book contents include: o Downloadable high quality video content with subtitles suitable for viewing on any display (A brief preview of the book content can be viewed at https://www.youtube.com/watch?v=SxMi4UFj7HA ) o Detailed descriptions of surgical indications, preoperative planning, patient positioning, surgical technique, complications, postoperative care and outcomes for each procedure o Full color images and illustrations highlighting different key stages of each surgical technique The video format allows skill development of its intended audience by conveying temporal and spatial details which often go unnoticed in photograph format. This volume will be of immense interest to both the novice and the experienced spinal surgeon as they can benefit from the visual guides presented in the book. It also serves as an ideal teaching tool for spine surgery units in medical schools.

The second edition of the highly successful Surgical Approaches to the Spine will continue the tradition of presenting clearly enumerated and illustrated, step-by-step surgical procedures for the spine. New to this edition are chapters on the anterior approach to clivus C1 & C2, transclavicular cervico-thoracic approach, transsternal approach to the cervico-thoracic & upper thoracic spine, approaches to the sacrum & pelvis, and laparoscopic approaches.

In this comprehensive and original monograph, Professor Rene Louis presents in minute detail in one volume the gross anatomy, nerve supply, biomechanics, and microcirculation of the spine. He also presents the surgical approaches to the vertebral bodies and their contents. Professor Louis is a great anatomist and this book has been prepared from his personal observations, both anatomical and surgical. His studies have been meticulously conducted and contain much original research, for instance his work on the motion of the neural elements within the lumbar vertebral canal. The illustrations are neady all original and very often a photograph of the neural or vascular elements is presented alongside a drawing of a given important anatomical area. For all these reasons, this inspiring treatise makes a valuable contri bution to our knowledge of the spine and forms a basis for an under standing of the intricacies of surgical anatomy and approaches. It will be especially valuable to the spinal surgeon, but the medical student, the orthopedic resident (or registrar), and the anatomist will also find it extremely useful. Leon L. Wiltse, M.D.

Outstanding spine surgeons discuss in careful detail the full range of exposures needed for the optimal performance of contemporary procedures. The clinically valuable discussions are enhanced by an extensive array of original color drawings and helpful diagrams. The book achieves its goal of providing comprehensive understanding of the anatomy for each approach to the cervical, thoracic, and lumbrosacral spine.

Completely revised to feature a new, more modern design, Orthopaedic Surgical Approaches presents all of the latest imaging modalities and techniques used in orthopaedics today. This medical reference book captures the changes in this rapidly evolving field, equipping you with an expert, illustrative guide to the full array of common and contemporary surgical approaches, as well as the relevant regional anatomy. No matter what your level of training, this volume promises to be your go-to manual for acquiring new skills in the OR. - Consult this title on your favorite e-reader, conduct rapid searches, and adjust font sizes for optimal readability. - Access an up-to-date anatomic review of surgical approaches, including new advances in arthroscopy, mini-open, robotic, and computer-assisted techniques. - Easily reference key information with an organization based on anatomical region (including a review of regional anatomy, cross-sectional anatomy, landmarks and hazards) followed by procedure. - Visualize the full range of contemporary surgical approaches used in orthopaedics with over 1,000 original, full-color drawings and color photographs. - Gain insight into optimal patient positioning, see clear previews of anatomic landmarks and incisions, realize potential dangers of superficial and deep dissection, and learn techniques of closure. - Take advantage of the newest techniques and procedures with arthroscopic and minimally invasive approaches incorporated into each body region. - Utilize illustrations and information on surgical interventions and radiological landmarks as an introduction to each body region's relevant approaches. - Understand the hazards, particularly with regard to avoiding nerve damage, associated with each surgical approach. - View the complete contents and video clips online at Expert Consult!

This book is a superbly illustrated guide to the latest endoscopic approaches employed in surgery to the lumbar spine. In the past, spinal endoscopic surgeries have been performed mainly in the treatment of lumbar disc herniation, but indications have now expanded owing to breakthroughs in surgical methods and instruments. Furthermore, in addition to the traditional percutaneous transforaminal approach, various other approaches are now feasible, including the posterior, paraspinal, transpedicular, and contralateral. This book describes and illustrates the full array of approaches in indications including lumbar central stenosis, lumbar foraminal stenosis, and lumbar disc herniation. Detailed guidance is also provided on endoscopic lumbar interbody fusion, covering the oblique, uniportal, and biportal approaches. Supplementary surgical videos further facilitate understanding and execution of the described procedures. Written by expert spinal endoscopy surgeons with extensive practical experience and a record of academic achievement, the book will be an ideal aid for spine surgeons at all levels of experience.

Spinal osteotomy techniques have been dramatically applied as a standard method for severe and rigid spinal deformity. Although clinical results indicate that patients who undergo osteotomy procedures typically experience well deformity correction and ameliorate the clinical appearance, aggressive peri-operative risks and follow-up complications are not rare. More meticulous and standard indication selection, osteotomy plan design and complication prevention strategy and outcome evaluation are critically needed for surgeon majored in spine deformity. The book Spinal Osteotomy is divided into sections that focus on principles of spinal osteotomy, technical and case illustration and outcomes and complications as well as computer navigation and other latest techniques. Each section is heavily illustrated and clearly written for ease of understanding. Orthopedic surgeons, neurosurgeon residents and fellows who want to focus on spinal deformity correction will find this instructive and invaluable.