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AuthorWatkins, Robert G. author
TitleSurgical Approaches to the Spine [electronic resource] / by Robert G. Watkins
ImprintNew York, NY : Springer New York : Imprint: Springer, 2003
Edition Second Edition
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Descript XIII, 394 p. online resource


In the years sinẽ publication of the Hrst edition of SurgicaL Approaches to the Spine, a revolution has taken place in spinal surgery, Spinal technology has exploded, thereby inยญ creasing the need for multiple access sites to the spine. The book was originally written because the spinal surgeon sometimes lacked the ability to approach the spine with the ideal procedure. As a result, spinal problems were often handled with a posterior approach when the treatment theories and biomechanical considerations of the spine dictated an anterior approach. Then John O'Brien and other anterior surgeons began to emphasize the need to perfect the approach so that the ideal operation was provided for each imliยญ vidual patient. Through our work over the last 20 years, with surgeons such as Salvador Brau, a spinal access surgeon, surgeons are now dedicated to providing a safe, pain-free approach to the spine. This will ultimately be to the patient's great advantage. Advances in intradiscal dcvices, prostheses, and fusion techniqucs have mandated a safe and effecยญ tive anterior approach to the spine. An operation to relieve spinal pain cannot exist if the approach produces more pain than the original problem. This second edition contains chapters on very complicated operations, such as the apยญ proaches to the sacrum and pelvis, the total vertebrectomy, trans clavicular cervicothoraeic approach, and anterior approach to the clivus of CI-C2. It is these major operations that put the patient' s lif̃̃ in jeopardy and require expertise in the approach


Anterior Cervical Approaches to the Spine -- Transoral Approach to C1โ{128}{147}2 -- Ventral Approaches to the Clivus, C1, and C2 -- Anterior Medial Approach to C1, C2, and C3 -- Anterior Lateral Approach to the Upper Cervical Spine -- Anterior Medial Approach to the Midcervical Spine -- Lateral Approach to the Cervical Spine (Verbiest) -- Lateral Approach to the Cervical Spine (Hodgson) -- Supraclavicular Approach -- Lincoln Highway Approach to the Cervical Spine -- Cervicothoracic Junction -- Anterior Approach to the Cervicothoracic Spine -- Transsternal Approach to the Cervicothoracic Junction -- Transaxillary Approach to the Upper Dorsal Spine -- Third Rib Resection in the Transthoracic Approach -- Thoracotomy Approach -- The Thoracolumbar Junction -- Tenth Rib: Thoracoabdominal Approach -- Eleventh Rib Approach -- Trans-Eleventh Rib Extrapleural Approach -- Twelfth Rib Approach -- Anterior Retroperitoneal Flank Approavh to L2-L5 of the Lumbar Spine -- Anterior Retroperitoneal Muscle-Sparing Approach to L2-S1 of the Lumbar Spine -- Anterior Retroperitoneal Flank Approach to L5-51 -- Anterior Extraperitoneal Midline Incision of L2-S 1 -- Transperitoneal Midline Approach to L4-S1 -- Superior Hypogastric Sympathetic Plcxus -- En Bloc Sacrectomy -- Approach to the Posterior Aspect of Cl-C2 -- Posterior Approach to the Cl-C2 Joints -- Cervical Foraminotomy: Indications and Technique -- Microcervical Foraminotomy: An Alternative Posterior Technique for Intractable Radicular Pain -- Costotransversectomy -- Posterior and Posterolateral Approaches to the Thoracic Disc -- Posterior Approach to the Lower Lumbar Spine -- Lumbar Laminotomy, Foraminotomy, Root Decompression, and Discectomy in the Lateral Position -- Microscopic Lumbar Discectomy -- Total En Bloc Spondylectomy: A New Surgical Technique for Malignant Vertebral Tumors -- Bilateral Paraspinous Lumbosacral Approach -- Lateral Approach to the Disc -- Laparoscopic Approach to the L3-14 and 14-L5 Invertebral Discs -- Transperitoneal Laparoscopic Approach to L5-S1 -- Balloon-Assisted Endoscopic Retroperitoneal Gasless (BERG) Approach to the Lumbar Spine -- Video Endoscopic Approach to the Thoracic Spine -- Microendoscopic Discectomy for Lumbar Disc Herniations: Paramedian and Far Lateral Approaches

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