Spinal Fusion Techniques (The Atlas of Interventional Pain Management) 1st Edition

Spinal Fusion Techniques, the first volume in the Atlas of Interventional Pain Management series, is a concise, practical guide that provides clinicians with detailed, step-by-step guidance on how to perform the latest interventional techniques for treating patients with chronic pain as a result of spinal stenosis. This comprehensive, easy-to-follow guide offers expert coverage of how to deliver safe, accurate, and cost-effective pain relief to patients using all clinically useful imaging modalities, including ultrasound-guided techniques and fluoroscopy. With high-quality images and clear, authoritative guidance throughout, it shows exactly how to evaluate the causes of pain, identify the most promising stimulation technique, locate the site with precision, and deliver effective relief. Offers a comprehensive overview of the latest techniques used in spinal fusion. Features clinically relevant anatomic drawings and radiologic images that provide step-by-step instruction on techniques. Provides clear guidance on the risks and benefits, as well as indications and contraindications, for each procedure. Covers key topics such as Minimally Invasive Posterior Lumbar Fusion: A Novel Approach to Facet Fusion; Posterior Spinal Fusion; and Interspinous Fusion with Lateral Percutaneous Technique. Includes easy-to-follow, templated content on patient selection, preoperative prep, and post-operative care. Contains full-color line drawings, photographs, and ultrasound images that provide you with a firm grasp of the anatomy and equipment involved with each procedure. Highlights potential pitfalls for each technique and offers clinical pearls on how to avoid them. An eBook version is included with purchase. The eBook allows you to access all of the text, figures and references, with the ability to search, customize your content, make notes and highlights, and have content read aloud. Spinal Fusion Techniques Cover Front matter Spinal Fusion Techniques Copyright Contributors Preface Contents 1 1 Anatomy of vertebrae Introduction Curvatures Intervertebral disc Zygapophyseal joint Nervous system Cervical spine Bones The atypical vertebrae Ligaments Muscles Zygapophyseal joint Nervous system Vasculature Thoracic spine Bones Muscles Nervous system Vasculature Lumbar spine Bones Soft tissue Nervous system Vasculature References 2 2 Surgical instruments Common instruments used during surgical procedures of the spine Instruments used for making an incision Scalpels Blade sizes Instruments used for dissection Electrosurgery Types of electrosurgery Advantage of bipolar electrosurgery Modes of electrosurgery Complications Tissue dissection Scissors Metzenbaum scissors Mayo scissors Suction Instruments used for retraction Weitlaner retractor D’errico retractor/cerebellar retractor Meyerding retractor Richardson retractor Phrenic retractor Army-navy retractor Elevators Key elevator Instruments used for clamping or grasping Forceps/hemostats Locking forceps Sponge-stick forceps Mayo forceps Kelly forceps Mosquito forceps Allis clamp Kocher clamp Instruments and materials for wound closure Suture Natural versus synthetic Absorption profile Monofilament versus multifilament Suture size Adhesives Biologically derived adhesives Synthetic adhesives Closure instruments Needle driver Adson forceps (toothed) Toothed tissue forceps References 3 3 Patient selection for minimally invasive spine surgery Introduction Indications Contraindications Patient history Physical examination Special tests Cervical spine Lumbar spine Previously failed treatments Conclusion References 4 4 Perioperative management and best practices Introduction Preoperative care Assessment of clinical indication Psychiatric screening visit Imaging studies Anticoagulation Other preoperative recommendations Intraoperative care Infection prevention Postoperative care Infection prevention Postoperative resumption of anticoagulation Incisional pain control Activity restrictions Follow-up visits References 5 5 Minimally invasive posterior lumbar fusiona novel approach to facet fusion Introduction History Facet-mediated low back pain Anatomy and biomechanics of the facet joints Modern facet procedures Indications Contraindications Patient selection Preoperative workup Procedural technique Surgical steps Cortical allograft implant placement with facetcore fusion system Postoperative management Potential complications Conclusion References 6 6 Posterior spinal fusion References 7 7 Interspinous fusion with lateral percutaneous technique Introduction Indications Patient selection Step by step description of the procedure Contraindications Complications References 8 8 Measuring outcomes Introduction Pain intensity Self-report scales Behavioral scale Pain quality Mcgill pain questionnaire Psychosocial impact West haven-yale multidimensional pain inventory Minnesota multiphasic personality inventory Patient reported outcomes measurement information system Mood and emotional functioning Beck depression inventory Patient-health questionnaire-9 form Generalized anxiety disorder-7 form Pain anxiety symptoms scale Short-form health survey-36 Physical conditioning and functional outcomes Oswestry disability index Roland-morris disability questionnaire Satisfaction Patient global impression of change Brief pain inventory Conclusion References Index Spinal Fusion Techniques, a volume in the Atlas of Interventional Pain Management series, is a concise, practical guide that provides clinicians with detailed, step-by-step guidance on how to perform the latest interventional techniques for treating patients with chronic pain as a result of spinal stenosis. This comprehensive, easy-to-follow guide offers expert coverage of how to deliver safe, accurate, and cost-effective pain relief to patients using all clinically useful imaging modalities, including ultrasound-guided techniques and fluoroscopy. With high-quality images and clear, authoritative guidance throughout, it shows exactly how to evaluate the causes of pain, identify the most promising stimulation technique, locate the site with precision, and deliver effective relief. Offers a comprehensive overview of the latest techniques used in spinal fusion. Features clinically relevant anatomic drawings and radiologic images that provide step-by-step instruction on techniques. Provides clear guidance on the risks and benefits, as well as indications and contraindications, for each procedure. Covers key topics such as Minimally Invasive Posterior Lumbar Fusion: A Novel Approach to Facet Fusion; Posterior Spinal Fusion; and Interspinous Fusion with Lateral Percutaneous Technique. Includes easy-to-follow, templated content on patient selection, preoperative prep, and post-operative care. Contains full-color line drawings, photographs, and ultrasound images that provide you with a firm grasp of the anatomy and equipment involved with each procedure. Highlights potential pitfalls for each technique and offers clinical pearls on how to avoid them.