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In the last decade, a significant paradigm shift has occurred in the way complex spinal disorders are treated. Historically, after patients failed conservative treatments-largely consisting of therapy, medications, and injections-they would be left with only highly invasive open surgical options. Now, with the development of minimally invasive surgical techniques, patients often have significantly more effective and safer treatment options available. Minimally Invasive Surgical Procedures for Pain looks at the minimally invasive approaches that can be done percutaneously and under image guidance, instead of the traditional open approaches under direct visualization. The book discusses the basic concepts of spinal surgical approaches combined with an in-depth approach to the various techniques, with the overall goals of enhancing physician knowledge and leading to improved patient outcomes and safety. Topics include decompressive procedures, spinal implants, vertebral autmentation procedures, sacroiliac joint therapies, neuromodulation procedures, and more. The topics covered in the book are important to interventionalists, as well as physicians from traditional surgical backgrounds like neurosurgery and orthopedics. A first of its kind, this text details a balanced look at the proper surgical techniques for pain, as well as best practices.
Dedications
Preface
List of Contributors
Minimally Invasive Spine Surgery for the Interventional Pain Physician
The Interventionalist’s Perspective
A Surgeon’s Perspective
Surgical Instruments
Perioperative Considerations
Spinal Diagnostics for Interventional Pain and Surgery
Decompressive Procedures
Minimally Invasive Lumbar Decompression
Endoscopic Discectomy
Uniportal, Percutaneous Microdiscectomy with Annulo-nucleoplasty
Spinal Implants
Indirect Lumbar Decompression
Minimally Invasive Posterior Lumbar Fusion—A New Approach to a Standard Procedure
Vertebral Augmentation Procedures
Vertebroplasty
Vertebral Augmentation
Vertebral Augmentation with Osteotome
Spinal Tumor Ablation
Basivertebral Nerve Ablation
Sacroiliac Joint Therapies
Sacroiliac Joint Fusion—Posterior Approach • Patrick Buchanan and Jack Diep
Sacroiliac Joint Fusion—Lateral Approach • Steven M. Falowski
Neuromodulation Procedures
Percutaneous Spinal Cord Stimulator Trial • Bethany Potere, Nasir Hussain, Timothy Deer, and Alaa Abd-Elsayed
Percutaneous Spinal Cord Stimulator Implantation (Cervical/Lumbar) • Vinicius Tieppo Francio, Alaa Abd- Elsayed, Timothy Deer, and Benjamin D. Westerhaus
Peripheral Nerve Stimulator Implantation • Steven Zhou, Nasir Hussain, Timothy Deer, and Alaa Abd-Elsayed
Dorsal Root Ganglion Stimulation • Alyson M. Engle, Jonathan M. Hagedorn, and Timothy Ray Deer
Intrathecal Drug Delivery • Jacqueline Weisbein and Priyanka Ghosh
Index