Minimally Invasive Spine Surgery: Advanced Surgical Techniques Alexander R Vaccaro, Kern Singh
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1Minimally Invasive Spine Surgery: Advanced Surgical Techniques2
3Minimally Invasive Spine Surgery: Advanced Surgical Techniques
Editors Kern Singh MD Associate Professor, Co-Director, Minimally Invasive Spine Institute at Rush, Department of Orthopedic Surgery, Rush University Medical Center Chicago, Illinois, USA Alexander R Vaccaro MD PhD Richard H Rothman Professor and Chairman, Department of Orthopedic Surgery, Professor of Neurosurgery, Co-Director, Delaware Valley Spinal Cord Injury Center, Co-Chief of Spine Surgery, Sidney Kimmel Medical Center at Thomas Jefferson University, President, Rothman Institute Philadelphia, Pennsylvania, India Foreword Frank M PhillipsMD
4
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Minimally Invasive Spine Surgery: Advanced Surgical Techniques
First Edition: 2016
9789351524939
Printed at
5Dedicated to
My wife. Thank you for supporting me without question, being my closest friend when
I need you most, and for helping me to raise our two children. I also dedicate this book
to my two children, Suraj and Siya, you give me unbelievable joy every day of my life.
Kern Singh
The new addition to my family: Christian John Vaccaro, born January 22nd, 2015.
His life is a continuous source of joy for the entire family.
Alexander R Vaccaro6
7Contributors 9Foreword
The goals of any patient undergoing spinal surgery are to realize an excellent clinical outcome with a low risk of complications, minimal peri-operative pain or discomfort and rapid resumption of normal activities. In the past with open spine surgery, certain of these goals were often achieved at the expense of another. As enabling technologies have evolved over the last decades, all of these surgical goals can now be achieved with less invasive surgical techniques. Minimally invasive spine (MIS) surgery has become far more predictable and reproducible and the data supporting these approaches has expanded. As MIS surgical approaches are developed, the challenge of appropriately educating surgeons to achieve proficiency in these techniques is substantial. Open surgical skills do not necessarily translate into MIS skills and a difficult learning curve putting our patients at risk is unacceptable.
Drs Singh and Vaccaro have compiled an outstanding text, guiding the reader and viewer through surgical indications, pertinent anatomy, set-up and techniques in an easy to follow sequence. Although brief, each chapter does an outstanding job of succinctly capturing the essence of the procedure and associated pitfalls. The consistency between chapters makes the book easy to follow. This text should serve as a useful resource for both trainees and the experienced spine surgeon. In addition, its value as an overview and reference before performing a procedure cannot be underestimated.
Frank M Phillips MD
Professor, Orthopedic Surgery
Spine Fellowship Co-Director
Rush University Medical Center
Chicago, Illinois, USA10
11Preface
Minimally invasive spine surgery has gained significant interest due to the reported expedited postoperative recovery, decreased blood loss, shorter length of hospital stay, and lower postoperative pain as compared to the traditional open techniques. Through carefully curated figures, radiographs, and commentary, this book describes the innovative techniques, evidence, and controversies surrounding minimally invasive spine surgery. We believe that orthopedic surgeons, neurosurgeons, and surgical trainees, such as students, residents, and fellows, will benefit from the step-by-step descriptions of the techniques in the text.
Kern Singh
Alexander R Vaccaro12
13Acknowledgments
I would like to personally thank Steve Fineberg, Alejandro Marquez-Lara, Sreeharsha Nandyala, and Junyoung Ahn for all their tireless hard work on this book. Every individual on this list has made me proud of what they have accomplished and what they will accomplish as they begin their careers in orthopedic surgery.
I would also like to thank the Senior Management team and Production staff of Jaypee Brothers Medical Publishers (P) in Philadelphia and in New Delhi, India.
Kern Singh14