Motion Preservation Surgery of the Spine: Advanced Techniques and Controversies: Expert Consult: Online and Print, 1e

New motion-preserving devices are revolutionizing spine surgery…but the learning curve for these operations is steep, and great attention must be given to patient and device selection and the perfect execution of each procedure. Only one reference spells out exactly how to perform these new techniques…and its peerless author team, comprised of key investigators involved in the devices' actual clinical trials, is uniquely qualified to help you get the best results! These global leaders in this area discuss the advantages and disadvantages of the full range of non-fusion technologies…and present the step-by-step, richly illustrated operative guidance you need to achieve optimal outcomes! 3 hours of surgical video on DVD demonstrate how to perform key procedures, and access to the complete contents of the book online enables you to reference it conveniently from any computer. • Select the best device and approach for each patient! * cervical total disc arthroplasty * lumbar total disc arthroplasty * lumbar partial disc replacement: nucleus replacement * lumbar posterior dynamic stabilization: pedicle screw based * lumbar posterior dynamic stabilization: interspinous based * lumbar facet replacement • Produce optimal outcomes with detailed advice on… * advantages and disadvantages of each option * indications and contraindications * patient selection * interpretation of imaging studies * surgical anatomy and biomechanics * surgical techniques * tips and pearls • See how to perform each technique, thanks to… * step-by-step, full-color illustrations * more than 3 hours of surgical videos on DVD, narrated by the experts! • Access to the complete contents of the book online lets you perform rapid searches, follow links to Medline and PubMed abstracts, and more. Cover......Page 1 ISBN: 9781416039945......Page 2 Copyright ......Page 3 Dedication ......Page 4 Preface ......Page 8 Contributors ......Page 10 Introduction......Page 23 The Vertebral Body......Page 24 The Intervertebral Disc......Page 25 Pathologic Changes in the Vertebral Body: Disc Complex......Page 26 Lessons from the Past: The Logic of the Times (1950s and 1970s)......Page 27 What About the Intervertebral Metal Ball Arthroplasty?......Page 28 Quo Vadis?......Page 29 References......Page 30 Introduction......Page 31 Ball Bearing......Page 32 Articulating Plates......Page 33 Hard Plates/Hard Core......Page 34 Hard Plates/Soft Core......Page 35 Spring and Piston......Page 36 Fluid-Filled Bag......Page 37 Biologic......Page 38 References......Page 39 Anatomy and Biomechanics......Page 41 Overview Of Motion Preservation Devices......Page 42 Total Disc Replacement......Page 43 Nucleus Replacement......Page 47 Posterior Dynamic Stabilization-Screws and Connectors......Page 50 Posterior Dynamic Stabilization-Facet Arthroplasty......Page 52 Posterior Dynamic Stabilization-Interspinous Implants......Page 53 References......Page 54 Anatomy of the Functional Spinal Unit......Page 56 Surrounding Anatomy......Page 59 Cervical Vertebral Anatomy......Page 60 Surrounding Anatomy......Page 61 Lumbar Vertebral Anatomy......Page 63 References......Page 64 Introduction to Biomechanics......Page 65 Standardized Materials and Construct Testing......Page 66 Spine Test Configurations......Page 68 Conclusions for Instrumented Spinal Stability......Page 70 References......Page 71 Material Properties and Wear Analysis......Page 72 Preclinical Evaluation of Dynamic Spinal Stabilization: Animal Models and Basic Scientific Methods......Page 83 Indications and Contraindications for Lumbar Nonfusion Surgery: Patient Selection......Page 95 Indications and Contraindications for Cervical Nonfusion Surgery: Patient Selection......Page 100 Quantitative Motion Analysis (QMA) of Motion-Preserving and Fusion Technologies for the Spine......Page 105 Invasive Diagnostic Tools......Page 117 Cervical Myelopathy......Page 0 Technique (Cervical Spine)......Page 123 Results......Page 125 Technique......Page 126 Adjacent Segment Degeneration and Adjacent Segment Disease: Cervical and Lumbar......Page 138 Introduction......Page 146 Results......Page 147 Discussion......Page 148 References......Page 150 Introduction......Page 152 How Can Cost Effectiveness be Improved?......Page 154 What Might the Financial Future of Motion Preservation Technology be?......Page 155 Discussion......Page 156 References......Page 157 Technique of Anterior Exposure of the Lumbar Spine......Page 161 Management of Complications of the Anterior Exposure of the Lumbar Spine......Page 168 Positioning......Page 175 Minimally Invasive Posterior Approaches to the Lumbar Spine......Page 179 Lumbar Endoscopic Posterolateral (Transforaminal) Approach......Page 187 Cervical Approaches: Anterior and Posterior......Page 198 Primary Indications and Disc Space Preparation for Cervical Disc Arthroplasty......Page 205 The Bryan Artificial Disc......Page 213 The Prestige Cervical Disc......Page 219 Porous Coated Motion (PCM) Cervical Arthroplasty......Page 222 ProDisc-C Total Cervical Disc Replacement......Page 234 Introduction......Page 241 Embroidered Jacket......Page 242 Bench Top Mechanical Evaluation of the NeoDisc Device......Page 243 Shear Compression......Page 244 Implantation Data in an Ovine Model......Page 245 Epidural Application of Particulate Wear Debris-An In Vivo Rabbit Model Study......Page 246 Operative Technique......Page 247 References......Page 250 Mobi-C......Page 251 The CerviCore Cervical Intervertebral Disc Replacement......Page 258 SECURE-C Cervical Artificial Disc......Page 267 Cerpass Cervical Total Disc Replacement......Page 274 Kineflex|C Cervical Artificial Disc......Page 278 DISCOVER Artificial Cervical Disc......Page 287 The M6 Artificial Cervical Disc......Page 292 Complications of Anterior Cervical Approaches: Cervical Revision: Approach-Related Considerations......Page 297 Cervical Disc Replacement Revisions: Clinical and Biomechanical Considerations......Page 307 Persistent Pain After Cervical Arthroplasty......Page 317 Disc Space Preparation Techniques for Lumbar Disc Arthroplasty......Page 325 CHARITEacute Artificial Disc......Page 329 ProDisc-L Total Disc Replacement......Page 338 Mobidisc Disc Prosthesis......Page 346 The FlexiCorereg Intervertebral Disc......Page 350 Kineflex......Page 358 Activ-L Artificial Disc......Page 366 Maverick Total Disc Replacement......Page 373 Theken eDisc: A Second-Generation Lumbar Artificial Disc......Page 383 Lateral Lumbar Total Disc Replacement......Page 388 Lumbar Anterior Revision: Preoperative Preparation and Approach Considerations......Page 393 Overall Revision Strategies: Lumbar......Page 397 Revision Strategies Following Lumbar Total Disc Replacement Complications......Page 403 Persistent Pain After Lumbar Total Disc Replacement......Page 409 DASCOR......Page 417 PDN-SOLO and HydraFlex Nucleus Replacement System......Page 427 NeuDisc Artificial Lumbar Nucleus Replacement......Page 431 NuCore Injectable Nucleus: An In Situ Curing Nucleus Replacement......Page 437 Aquarelle Hydrogel Disc Nucleus......Page 443 BioDisc Nucleus Pulposus Replacement......Page 451 TranS1 Percutaneous Nucleus Replacement......Page 455 NUBAC Disc Arthroplasty......Page 462 Satellite: Spherical Partial Disc Replacement......Page 472 Dynesys Dynamic Stabilization System......Page 485 Dynamic Stabilization System......Page 492 The Stabilimax NZ Posterior Lumbar Dynamic Stabilization System......Page 496 Introduction......Page 503 Background of Scientific Testing/Clinical Outcomes......Page 504 Clinical Outcomes......Page 506 Operative Technique......Page 507 Conclusions/Discussion......Page 508 Cosmic: Dynamic Stabilization of the Degenerated Lumbar Spine......Page 510 Innovative Spinal Technologies Dynamic Stabilization Device......Page 520 NFlex......Page 525 The PercuDyn System......Page 531 DIAM Spinal Stabilization System......Page 539 Wallis Dynamic Stabilization......Page 543 coflex Interspinous Implant for Stabilization of the Lumbar Spine......Page 554 Indications......Page 555 Finite Element Analysis and Mechanical Evaluation of Physiologic Loading on coflex......Page 556 In Vivo Loading Environment of the coflex......Page 557 Clinical Presentation and Evaluation......Page 558 Preparation......Page 559 X-STOP Interspinous Process Decompression for Lumbar Spinal Stenosis......Page 561 TOPS: Total Posterior Facet Replacement and Dynamic Motion Segment Stabilization System......Page 571 Total Facet Arthroplasty System (TFAS)......Page 585 Anatomic Facet Replacement System (AFRS)......Page 597 The Zyre Facet Replacement Device......Page 601 FENIX Facet Resurfacing Implant......Page 605 Scientific Testing Results......Page 606 Development of Laminoplasty-Historical Background of Operative Treatment in Cervical Spondylotic Myelopathy......Page 615 Techniques of Laminoplasty......Page 616 French Door Laminoplasty (Double-Door Laminoplasty, Midline Opening Laminoplasty)......Page 617 Biomechanical Studies of Laminoplasty......Page 618 Long-Term Results......Page 619 Range of Motion in Laminoplasty......Page 620 Case Report......Page 621 Hybrid Nonfusion Techniques......Page 624 Dynamic Pedicle-Screw Stabilization with Nucleus Replacement......Page 632 Simultaneous Lumbar Fusion and Total Disc Replacement......Page 637 Repair and Reconstruction of the Annulus Fibrosus with the Inclose Surgical Mesh System......Page 643 The Intrinsic Therapeutics Barricaid Device......Page 649 Animal Models for Human Disc Degeneration......Page 659 Growth Factors for Intervertebral Disc Regeneration......Page 669 Cell Therapy for Intervertebral Disc Degeneration......Page 682 Gene Therapy for Intervertebral Disc Repair and Regeneration......Page 693 Autologous Disc Chondrocyte Transplant: Early Clinical Results......Page 700 The Development of a Personalized Hybrid EMG-Assisted/Finite Element Biomechanical Model to Assess Surgical Options......Page 707 Spinal Deformity and Motion-Sparing Technology......Page 715 Can Lumbar Disc Replacement Be Used Adjacent to a Scoliotic Deformity?......Page 725 Description of the Device......Page 731 Static Torsion Bending (Cross Connector and Rod)......Page 732 Static Corpectomy Lateral Bending......Page 733 Rabbit Particulate Study......Page 734 Screw Insertion......Page 735 Risks Associated with the Orthobiom Spinal System......Page 736 Considerations for Spinal Arthroplasty in Elderly and Osteoporotic Patients......Page 740 Multilevel Lumbar Disc Arthroplasty......Page 745 Posterior Lumbar Arthroplasty......Page 755 Presentation......Page 762 Cervical Arthroplasty Adjacent to Fusion, Multiple-Level Cases, and Hybrid Applications......Page 771 The Future of Motion Preservation......Page 780 Index ......Page 791 New motion-preserving devices are revolutionizing spine surgery.but the learning curve for these operations is steep, and great attention must be given to patient and device selection and the perfect execution of each procedure. Only one reference spells out exactly how to perform these new techniques.and its peerless author team, comprised of key investigators involved in the devices' actual clinical trials, is uniquely qualified to help you get the best results! These global leaders in this area discuss the advantages and disadvantages of the full range of non-fusion technologies.and present the step-by-step, richly illustrated operative guidance you need to achieve optimal outcomes! 3 hours of surgical video on DVD demonstrate how to perform key procedures, and access to the complete contents of the book online enables you to reference it conveniently from any computer. Select the best device and approach for each patient! * cervical total disc arthroplasty * lumbar total disc arthroplasty * lumbar partial disc replacement: nucleus replacement * lumbar posterior dynamic stabilization: pedicle screw based * lumbar posterior dynamic stabilization: interspinous based * lumbar facet replacement Produce optimal outcomes with detailed advice on. * advantages and disadvantages of each option * indications and contraindications * patient selection * interpretation of imaging studies * surgical anatomy and biomechanics * surgical techniques * tips and pearls See how to perform each technique, thanks to. * step-by-step, full-color illustrations * more than 3 hours of surgical videos on DVD, narrated by the experts! Access to the complete contents of the book online lets you perform rapid searches, follow links to Medline and PubMed abstracts, and more. New motion-preserving devices are revolutionizing spine surgery but the learning curve for these operations is steep, and great attention must be given to patient and device selection and the perfect execution of each procedure. Only one reference spells out exactly how to perform these new techniques - and its peerless author team, comprised of key investigators involved in the devices' actual clinical trials, is uniquely qualified to help you get the best results! These global leaders in this area discuss the advantages and disadvantages of the full range of non-fusion technologies - and present the step-by-step, richly illustrated operative guidance you need to achieve optimal outcomes! New motion-preserving devices are revolutionizing spine surgery, but the learning curve for these operations is steep, and great attention must be given to patient and device selection and the perfect execution of each procedure. In this text, global leaders in this area discuss the advantages and disadvantages of the full range of non-fusion technologies and present the step-by-step, richly illustrated operative guidance needed to achieve optimal outcomes. Three hours of surgical video on DVD demonstrate how to perform key procedures Motion-preserving devices are revolutionizing spine surgery. This reference spells out exactly how to perform these techniques. It discusses the advantages and disadvantages of the full range of non-fusion technologies and presents the step-by-step, illustrated operative guidance you may need to achieve optimal outcomes.