Editor Arvind Bhave
MS (Ortho) IPTM FICOE FMISS
Professor of Orthopaedics Bharati Vidyapeeth Medical College, Pune Spine Surgeon and Spine Endoscopist Deenanath Mangeshkar Hospital
Pune, India
Jitendar P Vij
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Emerging Techniques in Spine Surgery
© 2009, Jaypee Brothers Medical Publishers
All rights reserved. No part of this publication should be reproduced, stored in a retrieval system, or transmitted in any form or by any means: electronic, mechanical, photocopying, recording, or otherwise, without the prior written permission of the editor and the publisher.
First Edition: 2009
9788184486964
Typeset at JPBMP typesetting unit
To
All my Guru and Teachers without whom this journey in “Emerging Techniques” would not have been possible
6Foreword
The landmark book on spinal diseases and treatment offers a comprehensive text on standard of care treatments as well as innovative and cutting edge technology from Percutaneous Endoscopic Thoracic Discectomy (PELD) to complex internal kyphectomy for deformity. It does justice to the highly scientific and molecular basics of stem cell research and clinical applications. The book is written by the pioneers or highly experienced practitioners in spine surgery with an international scope of authors in a well written and readable style to capture the eager reader.
The intended target audience is very broad ranging from the orthopedic/neurosurgical resident or fellow to the surgeon in practice.
It will also serve as a quick reference text for anyone seeking additional information and literature on spinal disorders and current treatment concepts.
A great effort has been made to replete the chapters with concise and easy-to-comprehend figures and tables to complement text material.
Equally impressive is the surgical technique sections which put the icing on the cake for this textbook considering the explosion of enduring materials in the market. It is a pleasure to have a text that covers the mundane to the basics of spine pathophysiology, biomechanics, and molecular biology and the new frontiers in ever-growing technology yet to become standard practice among spine surgeons all over the world.
This book has an audience in every part of the world where a spine patient resides and does serve to provide a text which can be used as a study guide, workbook, reference book, or operating manual as one sees fit.
It should find a place in every spine surgeon or scientist library.
Bhave as editor and the stellar team of authors should be congratulated for doing a yeoman's work with this superbly organized text for the spine community.
Dr Oheneba Boachie-Adjei
Professor of Orthopaedic Surgery
Adult and Pediatric Spine and Scoliosis Surgery
Hospital for Special Surgery
535 East 70th Street
New York, NY 10021
(212) 606- 1948
7Contributors
- Kuniyoshi Abumi
- Professor and Spine Surgeon
- Department of Orthopaedic Surgery
- Hokkaido University Hospital
- Sapporo, Japan
- Darwono A Bambang
- Division of Orthopaedic and Spine
- Gading-Pluit Hospital in Jakarta
- Indonesia
- Arvind Bhave
- Professor of Orthopaedics
- Bharati Vidyapeeth Medical College
- Pune and Spine Surgeon
- Deenanath Mangeshkar Hospital
- Pune, India
- Gun Choi
- Wooridul Spine Hospital
- Seoul, Korea
- Ashish Diwan
- Chief of Spine Service and Director of Education at the Department of Orthopaedic Surgery
- St. George Hospital, University of New South Wales, Sydney, Australia
- Rosa Margarita Gómez Bello
- Director
- Neuroscience Research Group US
- Medicine School, Universidad de La Sabana
- Km. 21 Autopista Norte Vía a Chía
- Bogota-Colombia, South-América
- Sri Kantha
- Medical Director of the New Jersey
- Institute for Minimally Invasive Spine
- Care. 8 Olde Greenhouse Lane
- Madison, NJ 07940, USA
- Sang-Ho Lee
- Chairman of Wooridul Spine Hospital
- Seoul, Korea
- Honorary President of WCMISST
- President of AAMISS
- President-Elect of ISMISS
- Ho-Yeon Lee
- Department of Neurosurgery
- Wooridul Spine Hospital
- 47-4, Chungdam-dong
- Gangnam-gu, Seoul, 135-100, Korea
- Jin-Fu Lin
- Department of Spinal Surgery
- Taipei Hospital, Department of Health
- Taipei, Taiwan
- Christian Mazel
- Professor and Head of the Department of Orthopaedic Surgery and Trauma at the Institut Mutualiste Montsouris Paris, France
- Member of the Directoire du Collège de Chirurgie Orthopédique, the Société Française de Chirurgie Orthopédique (SOFCOT). Editor-In-Chief Deputy of the European Journal of Orthopaedic Surgery and Traumatology (Ed. Springer Verlag), Editorial Board of the Journal of Spinal Disorders and Techniques, Rachis, Member of the Advisory Board of the European Spine Journal
- Founding Member and the President of Argospine Association
- Yigal Mirovsky md msc
- Head of Orthopedic Department and Spine Unit
- Assaf Harofeh Medical Center
- Tel Aviv University
- Sackler School of Medicine
- Zerifin, Israel
- Chun-Kun Park
- Professor and Chairman
- Department of Neurosurgery
- Kang Nam St. Mary's Hospital
- The Catholic University of Korea
- Seoul, Korea
- Charles Dean Ray
- ab ms md facs frsh (Lond.)
- American Board Certified Neurosurgery
- Clinical Engineering, Spine Surgery
- Past President: North American Spine
- Society, Spine Arthroplasty
- Society, American College of Spine
- Surgery
- Former Staff: Mayo Clinic
- Johns Hopkins University
- University of Minnesota, University of Basel Switzerland, Ain Shams
- University, Cairo, Egypt. Former VP
- Medronic, Inc, RayMedica Inc,
- F. Hoffman-La Roche Cie Switzerland
- S Rajasekaran
- Chairman of the Department of Orthopaedics, Trauma & Spine
- Surgery at Ganga Hospital, Coimbatore. President of the Association of Spine Surgeons of India, Past President- World Orthopaedic
- Concern, UK; National Chief Delegate of the Asia Pacific Orthopaedic
- Association; Editorial Board Member:
- Journal of Orthopaedic Science, Japan; Orthopaedics, Hong Kong;
- Journal of Bone & Joint Surgery, UK & European Spine Journal. Scientific
- Reviewer for Spine, USA
- Rick C Sasso
- Associate Professor
- Chief of Spine Surgery
- Clinical Orthopaedic Surgery
- Indiana University School of Medicine
- Indiana Spine Group, 8402 Harcourt
- Rd. Suite 400
- Indianapolis, IN 46260, USA
- Tateru Shiraishi
- Professor of Department of Orthopaedic Surgery and Chief Director of Spine and Spinal
- Disorders Unit, Tokyo Dental College
- Ichikawa General Hospital
- Visiting Lecturer, Department of Orthopedic Surgery, Keio University
- Faculty of Medicine
- Marek Szpalski
- Chairman
- Department of Orthopedic and Trauma
- Surgery
- Iris South Teaching Hospitals, Brussels, Belgium
- Alexander R Vaccaro
- Professor of Orthopaedics and Neurosurgery at Thomas Jefferson
- University Hospital in Philadelphia,
- Pennsylvania. Co-Director of the Regional Spinal Cord Injury Center of the Delaware Valley
- Hee-Kit Wong
- Professor of Orthopaedic Surgery
- Chair, University Orthopaedics and HRM Cluster. Head, University Spine Centre
- National University Health System (NUHS), Singapore
- Head, Department of Orthopaedic Surgery, Yong Loo Lin School of Medicine
- National University of Singapore (NUS)
- Anthony T Yeung
- Desert Institute for Spine Care
- Phoenix, Arizona, USA
The book on Emerging Techniques in Spine Surgery is a unique collection of articles on new techniques in spine surgery presented by the pioneers or highly experienced practitioners. Each article includes detailed description of the technique, along with discussion pertaining to the procedure and the related case studies. It also gives tips and practical advice to overcome common pitfalls.
This book will serve as a light house for spine surgeons who want to accent their knowledge and exposures to the emerging techniques in spine surgery.
The book is divided in 5 broad sections: Endoscopic Spinal Surgery, Minimally Invasive Spine Surgery, Non-Fusion Technology, Spinal Fixation and Spine Molecular Advances.
I hope this book will serve as a valuable resource to trainees and spine surgeons all over the world.
Arvind Bhave
12Acknowledgements
I sincerely thank from the bottom of my heart:
All the contributors of this book, without whom this book would not be completed.
Prof. Oheneba Boachie-Adjei for the Foreword of this book.
Shri Jitendar P Vij and all staff members of Jaypee Brothers Medical Publishers to bring out this book in the shortest possible time.