Download Arthroscopic and Endoscopic Spinal Surgery - Text and Atlas 2nd ed - P. Kambin (Humana, 2005) WW PDF

TitleArthroscopic and Endoscopic Spinal Surgery - Text and Atlas 2nd ed - P. Kambin (Humana, 2005) WW
TagsMedical
LanguageEnglish
File Size14.0 MB
Total Pages386
Document Text Contents
Page 2

Arthroscopic and Endoscopic Spinal Surgery

Page 193

Percutaneous Transpedicular Approaches 185

Fig. 11. (Continued)

Page 194

186

Page 385

382 Index

injectate, 286
needle techniques, 286
overview, 284
patient positioning, 284

pain generation, 274, 284
steroid injection, 274, 275

Safe zone, see Triangular working zone
Sciatica, history of diagnosis and

management, 3–8
Segmental instability,

classification, 124
definition, 124
surgical stabilization,

arthroscopic anterior column
stabilization augmented with
percutaneously inserted
pedicular bolts and sc plates,

applications, 141
instruments, 126
outcomes, 142
screw fixation of first sacral

segment, 134–136, 138, 139,
141

technique, 128–133
arthroscopic interbody fusion

development, 125, 126
historical perspective, 124, 125
indications, 124
minimally invasive posterior fusion

and fixation,
Endius Atavi® system, see Atavi®
growth factor utilization, 229, 230
milestones, 227–229

thoracoscopic and laparoscopic
decompression and stabilization,
142

Selective endoscopic discectomy™,
chymopapain adjunctive therapy, 213
electrothermal therapy, 209, 210
evocative chromodiscography™,

207–209
exclusion criteria, 220
foraminal epidurography and therapeutic

injections, 216
historical perspective, 205, 206
imaging, 221
inclusion criteria, 217–219
indications, 217
lasers in foraminoplasty, 212, 213
neuromonitoring, 214–216
prospects, 221
technique, 221–223

Yeung Endoscopic Spine Surgery system,
205, 207, 222

Skin hypersensitivity,
lateral recess stenosis surgery

complication and management,
147–149

postoperative prevention, 114–116
Somatosensory evoked potential (SSEP),

neuromonitoring, 214
Spinal fusion, see Segmental instability
Spinal instability, see Segmental instability
Spinal stenosis, see also Lateral recess

stenosis,
anatomy, 315–317
clinical features, 315
history of study, 315
treatment,

overview, 317, 318
X-Stop interspinous process

distraction device,
advantages, 327, 330
anesthesia, 320, 323
operative technique, 320, 322, 323
outcomes, 318, 319, 323–327

Spine anatomy,
annulus fibrosus, 42, 43, 45
capsular ligamentum flavum complex, 45
dural sac, 39
epidural adipose tissue, 38
intracanalicular ligaments, 39
nerve roots and ganglia, 31–33, 35
nucleus pulposus, 41
paraspinal muscles, 29
posterior longitudinal ligamentum, 45
thoracolumbar fascia, 29
triangular working zone, 29, 31
vasculature, 35–38, 151–153, 157, 158

Spondylodiscitis, see Pyogenic
spondylodiscitis

SSEP, see Somatosensory evoked potential
Steroid therapy,

coccydynia, 275
epidural steroid injection, 272–274
perineural therapy, 122
sacroiliac joint steroid injection, 274, 275
skin hypersensitivity management, 149
transforaminal therapy, 122

Substance P, pain generation role, 121
Sympathectomy, laser, 264–267

T

Thermal intradiscal therapy, principles, 124

Page 386

Index 383

Thoracolumbar fascia, anatomy, 29
Transpedicular biopsy,

anatomy, 172, 173
complications, 174, 175
computed tomography guidance, 175
historical perspective, 167, 168
rationale, 167, 168, 174
technique, 168, 170, 171

Transpedicular discectomy, see
Percutaneous transpedicular
discectomy

Triangular working zone,
anatomy, 29, 31
arthroscopic and endoscopic examination,

83, 86, 87
identification for anchoring of

instruments, 15, 16
Triphens, posterolateral access, 49, 50

V

Vasoactive intestinal polypeptide (VIP), pain
generation role, 121

VCF, see Vertebral compression fracture
Venous hypertension,

animal experiment studies of venous
radiculomedullary circulation, 159,
160

neurogenic pain role, 153–155
slow vs rapid compression of nerve roots,

160
Vertebral compression fracture (VCF),

epidemiology, 239
kyphoplasty,

complications, 246
outcomes, 244–246
overview, 240, 242
technique, 242–244
vertebroplasty comparison, 247

nonoperative management, 239
percutaneous vertebroplasty,

complications, 241, 242
kyphoplasty comparison, 247
outcomes, 241
overview, 240, 241
polymethyl methacrylate injection,

240, 241
prospects for management, 247, 248

Vertebroplasty, see Percutaneous
vertebroplasty

VIP, see Vasoactive intestinal polypeptide

X

X-Stop interspinous process distraction
device,

advantages, 327, 330
anesthesia, 320, 323
operative technique, 320, 322, 323
outcomes in spinal stenosis, 318, 319,

323–327

Y

YESS system, see Yeung Endoscopic Spine
Surgery system

Yeung Endoscopic Spine Surgery (YESS)
system, selective endoscopic
discectomy™, 205, 207, 222

Similer Documents