Lateral Access Minimally Invasive Spine Surgery (Hardcover, 2017)

Introduction: History and rationale for the minimally invasive lateral approach.- Biomechanics of lateral spinal reconstruction.- Physiologic benefits and the impact on the patient.- Costs and economic implications.- Workup and diagnostic injections.- Implants and lateral cages. Approach and localization : Patient selection.- Positioning and safety.- Intraoperative electrophysiologic monitoring.- Motor based monitoring.- Flouroscopic techniques.- Frameless navigation.- Techniques for avoiding psoas muscle and lumbosacral plexus injury. Soft tissue management : Single vs. dual incisions.- Retractor technology.- Transpsoas vs. Anterior To Psoas (ATP).- Thoracic MIS retro pleural access.- Psoas muscle management. Pathologies : Degenerative disc disease.- Spondylolisthesis.- Scoliosis.- Sagittal deformities.- Neoplasia.- Trauma.- Infection.- Adjacent level disease & Proximal junctional kyphosis.- Technical Nuances : Lateral fixation.- Posterior fixation options.- ALL sectioning.- Surgery at the L5-S1 level.- Osteobiologics. Managing and preventing complications : Vascular.- Hollow viscus.- Hernia.- Pseudarthrosis. Controversies : Selective apical fusions.- Short segment vs. Long segment fusions.- Approaching a deformity from the concavity vs. convexity.