By Luigi Manfrè (eds.)
ISBN-10: 3319262688
ISBN-13: 9783319262680
ISBN-10: 331926270X
ISBN-13: 9783319262703
This easy-to-consult advisor describes new minimally invasive strategies for the remedy of spinal canal stenosis which are followed via fewer issues and side-effects, lessen the dangers of anesthesia, and reduce bills. transparent bills are supplied of varied CT and X-ray guided options for lumbar spinal canal and foraminal stenosis, together with using spacers and minimally invasive lumbar decompression (MILD). invaluable introductory info is additionally supplied on biomechanics and indicators. Like different books within the Springer sequence New methods in Spinal Interventional Neuroradiology, this practice-oriented quantity will fill an important hole within the literature and meet the necessity expressed through a good number of experts (interventional neuroradiologists and radiologists, neurosurgeons, and orthopedists) for a topical and convenient advisor that particularly illustrates the almost immediately on hand fabrics and methods.
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Extra info for Spinal Canal Stenosis
Example text
2 The MILD Procedure: Overview MILD can be used to treat symptomatic LSS when ligamentum flavum hypertrophy is the dominant, or at least significant, underlying cause. Patients with LSS caused primarily by severe listhesis or facet hypertrophy are generally not amenable to treatment with MILD. The objective of MILD is to debulk the ligamentum flavum with minimal soft tissue dissection and bone resection through the use of microinstruments, fluoroscopic guidance, and identification of the anterior safe boundary of ligamentum flavum dissection by establishment of an epidurogram.
Neurosurg Focus. 2010;28(6), E8. Epstein NE. A review of interspinous fusion devices: high complication, reoperation rates, and costs with poor outcomes. Surg Neurol Int. 2012;3:7. Verhoof OJ, Bron JL, Wapstra FH, van Royen BJ. High failure rate of the interspinous distraction device (X-Stop) for the treatment of lumbar spinal stenosis caused by degenerative spondylolisthesis. Eur Spine J. 2008;17(2):188–92. Anderson PA, Tribus CB, Kitchel SH. Treatment of neurogenic claudication by interspinous decompression: application of the X-Stop device in patients with lumbar degenerative spondylolisthesis.
2008;17:1049–56. 27. Siddiqui M, Karadimas E, Nicol M, et al. Effects of X-Stop device on sagittal lumbar spine kinematics in spinal stenosis. J Spinal Disord Tech. 2006;19:328–33. 28. Fuchs PD, Lindsey DP, Hsu KY, et al. The use of an interspinous implant in conjunction with a graded facetectomy procedure. Spine. 2005;30:1266–72; discussion 73–4. 29. Sénégas J, Etchevers JP, Baulny D, Grenier F. Widening of the lumbar vertebral canal as an alternative to laminectomy, in the treatment of lumbar stenosis.