D. Kim – Spinal Instrumentation. Surgical Techniques

Описание

Spine surgery has evolved dramatically over the last 20 years. Innovative techniques,
from the use of the operating microscope to image-guidance, have changed our approach
to problems within the operating room. In addition, improved instrumentation
(from odontoid screws and lateral mass screws to sacroiliac fixation) has improved the
surgical management of countless patients. Collectively, these changes have led to the
advancement of spinal surgery and subsequent improved outcomes.
One aspect of spine surgery that has evolved is spinal instrumentation, which has
gone through significant changes over the past decade. A greater understanding of
spinal biomechanics and in the disease processes of the spine has led to a rapid advancement
in the technology of spinal instrumentation. This has led to better patient care
and contributed to improved functional outcomes. An increasing number of spinal implants
are available in the market, which has made the decision-making process regarding
their use more difficult. This book allows for a comparison of various systems in order
to facilitate decision-making.
In this text, there is a case-by-case description of spinal instrumentation sets with these
systems. These are written by the inventors of these sets or by surgeons with expertise
with these particular instrumentation sets or the inventors of the systems. Clearly differentiating
the various systems will help the surgeon to determine which system should be
applied under which circumstances. By listing the currently available equipment, this text
provides a side-by-side comparison of the various instrumentation sets. While each system
is different in one way or another, with advantages and disadvantages, an in-depth
description and summary will guide the spine surgeon away from potential pitfalls and
to the best outcome for each set.
In addition to text and illustrations, each chapter has a section dedicated to providing
helpful hints to the reader in the use of each set. With so many sets currently on the
market, many surgeons become lost in the minute details. We hope to circumvent the
massive amounts of information available for each set and to address the main points
that differentiate one system from another.
Lastly, the surgical anatomy and approaches described in each chapter will assist the
medical student as well as the house staff officer. Anatomy and approaches may be hard
to conceptualize without a specific clinical application. With clear examples of surgical
approaches and instrumentation for particular spinal problems, this text facilitates the
association of classroom knowledge and clinical application. Because of this, in addition to the summaries provided in each chapter, this text will assist the medical student,
nurse, and house officer in preparing for the oral and written boards.
While this book was initially intended for neurosurgeons and orthopedic surgeons
who operate on the spine, it is also geared towards general neurosurgeons and orthopedic
surgeons, radiologists, spine fellows, residents, students and nurse practitioners who
are interested in pursuing knowledge and experience in spinal instrumentation. In addition,
this text acts as a reference for the operating room. With the immense amount of
available instrumentation, we attempted to sort the multitude of instrumentation systems
to assist the reader in determining which of the various systems to use in a particular case