Neuroendoscopy and Interventional Pain Medicine is a clinically focused medical monograph series. With contributions from a team of internationally recognized neurosurgeons and spinal surgery specialists, the series aims to illuminate the latest advancements in minimally invasive neurosurgical techniques and pain management. Each volume offers invaluable insights into the future of minimally invasive treatments in this medical subspecialty.
Interventional Pain Surgery is the third of the monograph series. This book comprehensively covers endoscopic techniques for spinal surgery. Topics include interlaminar lumbar endoscopy, transforaminal lumbar discectomy, endoscopic approaches for lumbar spinal canal stenosis, and management of chronic low back pain through rhizotomy and rhiziolysis. The endoscopic treatment of basivertebral neuropathy, cervical foraminotomy, and decompression techniques is explained in dedicated chapters. Finally, the book also addresses endoscopic posterior lumbar interbody fusion and procedures for adjacent segment disease after lumbar fusion.
Key Features
- Covers a wide range of topics in neuroendoscopy and interventional pain medicine
- Emphasizes evidence-based approaches to treatment
- Offers clinical perspectives from expert surgeons
- Includes scientific references for researchers and advanced learners
It is an essential resource for readers who need to enhance their understanding of the latest technological advancements in neuroendoscopy and interventional pain medicine and apply these innovative techniques to improve patient outcomes.
Readership
This book is designed for a broad audience, including interventionalists, surgeons, medical students, healthcare professionals, and policy-makers involved in the care of patients with degenerative conditions of the neuroaxis.
Table of Contents
CONTENTS
PREFACE
LIST OF CONTRIBUTORS
CHAPTER 1 INTERLAMINAR LUMBAR ENDOSCOPY
- José Antonio Name Guerra, Daniel Andrés Castro Prasca, William Omar Contreras López and Kai-Uwe Lewandrowski
INTRODUCTION
- Advantages
- Indications
- Contraindications
- Preoperative Planning and Imaging
- Surgical Instruments
- Surgical Steps
- Complications and Management
- Postoperative Rehabilitation
- Limitations
- Clinical Series
DISCUSSION
CONCLUSION
REFERENCES
CHAPTER 2 COMPREHENSIVE INTRODUCTION TO ENDOSCOPIC TRANSFORAMINAL LUMBAR DISCECTOMY WITH TREPHINES
- Radovan Sančević Žanko
INTRODUCTION
- Indications and Contraindications
- Advantages and limitations
- Transforaminal Outside-in Technique
- Transforaminal Inside-out Technique
- Step-by-step Transforaminal Outside-in Technique
- Clinical Series
DISCUSSION
CONCLUSION
REFERENCES
CHAPTER 3 CLASSIFICATION OF LATERAL REGION OF LUMBAR SPINAL CANAL AND THE CHOICE OF ENDOSCOPIC APPROACH
- Kong Qingquan and Wang Yu
INTRODUCTION
- Lateral Canal Classification
- Retrodiscal Space (Zone 1)
- Upper Bony Lateral Recess (Zone 2)
- Lower Bony Lateral Recess (Zone 3)
- Inner Part of Intervertebral Foramen (Zone 4)
- Intervertebral Foramen (Zone 5)
- Authors Preferred Surgical Techniques
- Clinical Series
DISCUSSION
CONCLUSION
REFERENCES
CHAPTER 4 PERCUTANEOUS ENDOSCOPIC DECOMPRESSION THROUGH BILATERAL TRANSFORAMINAL APPROACH FOR LUMBAR CENTRAL CANAL STENOSIS
- Kong Qingquan, Zhang Bin and Pin Feng
INTRODUCTION
- Clinical Presentation
- Inclusion/exclusion Criteria
- Surgical Tools
- Surgical Procedures
- Assessment of Outcome
- Clinical Series
DISCUSSION
CONCLUSION
REFERENCES
CHAPTER 5 ENDOSCOPICALLY VISUALIZED RHIZOTOMY FOR THE MANAGEMENT OF CHRONIC FACETOGENIC LOW BACK PAIN
- José Antonio Name Guerra, Daniel Andres Castro Prasca, William Omar Contreras López and Kai-Uwe Lewandrowski
INTRODUCTION
- Relevant Anatomy
- Preoperative Workup
- Patient Selection Criteria
- Surgical Technique
- The Surgery Explained Step-by-step
- Clinical Series
DISCUSSION
CONCLUSION
REFERENCES
CHAPTER 6 PERCUTANEOUS LUMBAR FACET RHIZOLYSIS WITH RADIOFREQUENCY
- Radovan Sančević Žanko, Alvaro Silva and Kai-Uwe Lewandrowski
INTRODUCTION
- Tissue Ablation Technology
- HF Applications in Surgery
- Frequency Modulation and Pulsed RF
- The Elliquence™ Technology
- Step-by-step Facet Rhizolysis with Dart™ RF Probe
- Indications and Contraindications
- Advantages and Limitations
- Clinical Series
DISCUSSION
CONCLUSION
REFERENCES
CHAPTER 7 ENDOSCOPIC MANAGEMENT OF BASIVERTEBRAL AND SINUVERTEBRAL NEUROPATHY FOR CHRONIC BACK PAIN
- Hyeun Sung Kim, Pang Hung Wu and Il-Tae Jang
INTRODUCTION
- Anatomy of the Degenerative Disc
- Modic Changes & Discogenic Back Pain
- Neuronal Sensitization
- Anatomy of the Sinuvertebral and Basivertebral Nerve
- Sympathetic Dysfunction
- Treatment
- Endoscopic Radiofrequency Ablation
- Interlaminar Endoscopic Ablation
- Transforaminal Endoscopic Ablation
- Basivertebral Nerve and Sinuvertebral Nerve Ablation
- Clinical Series
- Intraoperative Observations and Clinical Outcomes
- Statistical Assessment of Clinical Outcomes
DISCUSSION
CONCLUSION
REFERENCES
CHAPTER 8 THE ANATOMICAL BOUNDARIES AND ENDOSCOPIC TECHNIQUE OF POSTERIOR CERVICAL KEY-HOLE FORAMINOTOMY
- Li Lijun, Ma Ji1 and Shi Bo
INTRODUCTION
- Relationship of Cervical Nerve Roots and Intervertebral Discs
- Endoscopic Posterior Cervical Foraminotomy Step-by-step
- Case Example
DISCUSSION
CONCLUSION
REFERENCES
CHAPTER 9 APPLIED SURGICAL ANATOMY IN FULL-ENDOSCOPIC POSTERIOR CERVICAL FORAMINOTOMY
- Zhen-Zhou Li and Shu-Xun Hou
INTRODUCTION
- Advantages
- Disadvantages
SURGICAL INDICATIONS
- Absolute Indications
- Relative Indications
- Absolute Contraindications
- Relative Contraindications
SURFACE LANDMARKS & APPLIED ANATOMY POSTERIOR ANATOMY OF THE CERVICAL FORAMEN
- Facet Joints
- Ligamentum Flavum
ANATOMY OF THE CERVICAL INTERVERTEBRAL DISC
ANATOMY OF THE CERVICAL SPINAL CANAL
ANATOMY OF THE CERVICAL INTERVERTEBRAL FORAMEN
ANATOMY OF THE CERVICAL NERVES
RELATIONSHIP BETWEEN CERVICAL NERVE ROOTS AND INTERVERTEBRAL DISCS
SYMPTOMS & PREOPERATIVE PLANNING PHYSICAL EXAMINATION IMAGING STUDIES
- X-ray Plain Film
- CT
- RI
NEUROPHYSIOLOGICAL EXAMINATIONS
PRE- AND PERIOPERATIVE CARE MEASURES
ANESTHESIA AND POSITIONING
SURGICAL SEGMENT LOCALIZATION
INCISION AND PLACEMENT OF THE WORKING SLEEVE
FULL-ENDOSCOPIC DECOMPRESSION OF THE INTERVERTEBRAL FORAMEN
FULL-ENDOSCOPIC POSTERIOR CERVICAL DISCECTOMY
CLOSING THE INCISION
POSTOPERATIVE CARE
COMPLICATIONS
- Spinal Cord Injury
- Nerve Root Injury
- Vertebral Artery Injury
- Facet Joint Syndrome
- Cervical Instability
- Recurrence
REPRESENTATIVE CASE PRESENTATION
DISCUSSION
CONCLUSION
REFERENCES
CHAPTER 10 IDENTIFYING THE V-POINT DURING CERVICAL ENDOSCOPIC UNILATERAL LAMINOTOMY WITH BILATERAL DECOMPRESSION
- Vincent Hagel
INTRODUCTION
ENDOSCOPIC INSTRUMENTS
PATIENT POSITIONING
APPROACH PLANNING
SKIN INCISION
IRRIGATION
LANDMARKS
DECOMPRESSION
POSTOPERATIVE CARE
COMPLICATIONS
CLINICAL SERIES
DISCUSSION
CONCLUSION
REFERENCES
CHAPTER 11 FULL-ENDOSCOPIC CERVICAL MEDIAL BRANCH NEUROTOMY
- Zhen-Zhou Li and Shu-Xun Hou
INTRODUCTION
SYMPTOMS AND SIGNS OF FACETOGENIC NECK PAIN
FULL-ENDOSCOPIC CERVICAL MEDIAL BRANCH NEUROTOMY
- Advantages
- Disadvantages
- SURGICAL INDICATIONS
- Surgical Indications
- Contraindications
SURFACE LANDMARKS AND APPLIED ANATOMY
POSTERIOR SURFACE ANATOMY OF THE UPPER CERVICAL SPINE
Author
- Kai-Uwe Lewandrowski
- William Omar Contreras López
- Jorge Felipe Ramírez León
- Álvaro Dowling
