Lumbar Spine Access Surgery : A Comprehensive Guide to Anterior and Lateral Approaches / edited by Joseph R. O'Brien, Jeffrey B. Weinreb, Joseph C. Babrowicz.

Format:

Book

Author/Creator:

O'Brien, Joseph R., author.

Weinreb, Jeffrey B., author.

Babrowicz, Joseph C., author.

Language:

English

Subjects (All):

Orthopedics.

Nervous system--Surgery.

Nervous system.

Orthopaedics.

Neurosurgery.

Local Subjects:

Orthopaedics.

Neurosurgery.

Physical Description:

1 online resource (360 pages)

Edition:

1st ed. 2023.

Place of Publication:

Cham : Springer International Publishing : Imprint: Springer, 2023.

Summary:

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.

Contents:

Part I. History and Rationale of Lumbar Spine Access Surgery

Overview of Anterior Lumbar Spine Access Surgery

History and Evolution of Anterior Lumbar Spine Access Surgery

Rationale for Anterior Lumbar Spine Surgery

Part II. Preoperative Care for Lumbar Spine Access Surgery

Patient Selection

Imaging Review

Patient Consent

Part III. Intraoperative Care for Lumbar Spine Access Surgery

Patient Positioning and Marking

Adjunctive Measures: Foley, Neuromonitoring, Perfusion Monitoring

Incision Choices

Retractor Systems

Part IV. Operative Technique for Lumbar Spine Access Surgery

Mini-open Anterior Retroperitoneal Approach

Transperitoneal and Laparoscopic Approaches

Pre-psoas Approaches: OLIF, Lateral ALIF, ATP

Direct Lateral Approach

Adjunctive Analgesia Methods

Part V. Intraoperative Complications for Lumbar Spine Access Surgery

Arterial Complications

Venous Complications

Peritoneal and Visceral Complications

Ureter Complications

Part VI. Postoperative Care for Lumbar Spine Access Surgery

Pain Management

Venous Thromboembolic Issues

Wound Complications

Fluid Collections

Bowel Regimen and Ileus

Part VII. Additional Considerations for Lumbar Spine Access Surgery

Anterior Lumbar Spine Access Surgery in the Obese Patient

Anterior Lumbar Spine Access Surgery in ASC and Outpatient Situations

Preoperative Considerations for Revision Surgery

Intraoperative Strategies for Revision Surgery

Understanding Spine Biologics for the Access Surgeon

Lumbar Access Surgery Done by a Spine Surgeon.

ISBN:

9783031480348

3031480341