Category Archives: Spine

EANS Advanced Course in Spinal Surgery

EANS Advanced Course in Spinal Surgery

October 29 — October 31

Munich, Germany

Part I: Extended indications and advanced operative techniques

Registration will open in May 2017. Click HERE to register your interest via the course website.

Part II,  ‘complications and management’, is planned again for 2018.

PART I:

LECTURE TOPICS: Craniocervical junction / Cervicothoracic junction / Thoracic spine / Adolescent idiopathic scoliosis (AIS) / Lumbar degenerative scoliosis / High-grade lumbar spondylolisthesis / Sacrum / Intramural tumours

CADAVER LAB TEACHING: OC/C1/C2 Instrumentation / Thoracic en bloc vertebrectomies / Lumbar osteotomies / Endoscopic odontoid resection / transoral approaches / Cervicothoracic pedicle screws / Posterolateral corcectomies / Sacral resections and sacropelvic fixation techniques

INVITED FACULTY:

Emre Acaroglu (Turkey)
Massimo Balsano (Italy)
Stephanie Combs (Germany)
Maarten Coppes (NL)
Bart Depreitere (Belgium)
John Duff (Switzerland)
Joerg Franke (Germany)
Cumhur Kilincer (Turkey)
Heiko Koller (Germany)
Jesús Lafuente (Spain)
Jens Lehmberg (Germany)
Bernhard Meyer (Germany)
Wouter Moojen (NL)
Wilco Peul (NL)
Dominique A Rothenfluh (UK)
Yu-Mi Riyang (Germany)
Ehab Shiban (Germany)
Claudius Thomé (Austria)
Carmen Vleggeert-Lankamp (NL)

Essentials of Spinal Stabilization

Essentials of Spinal Stabilization

Essentials of Spinal Stabilization

List Price: $199.00

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This text includes stabilization techniques for the entire spinal column, ranging from the cranio-cervical junction to the pelvis. The information is presented in an easily digestible format that is suitable for those in school or training, yet includes pearls and insight that can be appreciated by even the most seasoned surgeon. The text is divided into major sections based on the anatomical regions of the spine – cervical, thoracic, and lumbosacral. An additional section is devoted to related surgical concepts and principles such as spinal biomechanics and bone grafting options. Each chapter has a uniform design including background, indications, patient selection, preoperative considerations, surgical technique, technical pearls, and strategies for complication avoidance. Preoperative and postoperative images and/or illustrations are utilized to highlight the presented information.

Edited by a Neurosurgeon and an Orthopedist and written by leading national and international Neurosurgery and Orthopedic spine experts, Essentials of Spinal Stabilization provides a text which will broadly appeal to all spine care professionals.

Product Details

  • Published on: 2017-10-01
  • Original language: English
  • Number of items: 1
  • Dimensions: 10.00″ h x .0″ w x 7.00″ l,
  • Binding: Hardcover
  • 566 pages

Minimally Invasive Spinal Surgery: Principles and Evidence-Based Practice

Minimally Invasive Spinal Surgery: Principles and Evidence-Based Practice
By Kai-Uwe Lewandrowski

Minimally Invasive Spinal Surgery: Principles and Evidence-Based Practice

List Price: $170.00

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This book provides a timely, comprehensive and evidence-based review of minimally invasive surgery of the cervical, thoracic and lumbar spine. Minimally invasive techniques are now aided by more advanced endoscopic instruments, video, and computerised navigation systems broadening the range of surgical procedures that can be carried out with similar efficacy as traditional open spinal surgeries, without the significant burden on the patient recovery and rehabilitation. This book thoroughly reviews the preclinical and clinical data on minimally invasive spinal surgery and describes and illustrates the current effective techniques. An authoritative, international team of contributors add their clinical experience and expertise to provide a clear, authoritative and practical guide. The book is organised in four sections covering cervical, thoracic and lumbar spine regions with a final section on the latest advances in technologies and the cost-effectiveness of current treatments.


Product Details

  • Published on: 2017-10-01
  • Original language: English
  • Dimensions: 10.90″ h x .0″ w x 8.70″ l,
  • Binding: Hardcover
  • 256 pages

Editorial Reviews

About the Author
Kai-Uwe Lewandrowski MD Orthopaedic Surgeon, Centre for Advanced Spinal Surgery of Southern Arizona, Tucson, Arizona, USA Michael Schubert MD Orthopaedic Surgeon, Apex Spine Centre, Munich, Germany Jorge F Ramirez MD Professor, Head Orthopaedics and Traumatology, Director of Spine Centre, Clinica Reina Sofia Colsanitas, Bogota, Columbia Richard G Fessler MD PhD Professor and Vice Chair of Neurosurgery, Feinberg School of Medicine, Northwestern University, Chicago, Illinois, USA

Theatre Practitioners Spine & Neurosurgery Update

Theatre Practitioners Spine & Neurosurgery Update

September 11 — September 12

Coventry, UK

Website: www.neurosurgeryupdate.com / Click HERE for the flyer.

Course Features

  • 2 day Course with Lectures & Hands on
  • Video sessions of operative procedures
  • Hands on & Products Demonstration
  • Gala Dinner with DJ music
  • Sponsors Exhibition

 

Key Topics

  • Anatomy revision for common condition for Spine & Brain
  • Wrong level/site surgery & reading Scans & X ray
  • Theatre set up for spine surgery & Brain surgery
  • Patient positioning for Brain & Spine Surgery
  • Anaesthesia and surgical emergencies
  • WHO checklist & Safe Surgery
  • Infection prevention & control
  • Dressing & Drains
  • DVT prophylaxis
  • Consent 

Hand On & Products Demonstration

  • Clamps, Mayfield & Retractors
  • Drills & Craniotomies
  • Diathermy & electrosurgery
  • Ultrasonic Preparation & Use
  • Microscope preparation & drapes
  • Cranial & Spinal Navigation
  • Cranial defects & implants
  • Haemostatic agents & preparation
  • Dural Sealants & preparation
  • Spinal instrumentation & implants 

Course is designed for: Theatre Practitioners practicing in the field of Neurosurgery & Spine Surgery.

Accreditation: 12 hours towards Revalidation Portfolio (CPD)

In conjunction with Theatre Managers, Sisters & Charge Nurses from University Hospitals Coventry & Warwickshire NHS Trust; BMI, The Meriden Hospital, Coventry; BMI Three Shires Hospital, Northampton; The Woodland Hospital, Ramsay Health, Kettering.

Fees:

Course fee: £200 / for EANS Individual Members: £150

Registration / Sponsorship Contact:

Mrs Anita Vicars, Senior Course Administrator, anita@neurosurgeryupdate.com

Vertebral Lesions (New Procedures in Spinal Interventional Neuroradiology)

Vertebral Lesions (New Procedures in Spinal Interventional Neuroradiology)

Vertebral Lesions (New Procedures in Spinal Interventional Neuroradiology)

List Price:  $109.00

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This easy-to-consult guide describes new minimally invasive procedures for the treatment of vertebral lesions that are accompanied by fewer complications and side-effects, reduce the risks of anesthesia, and lower costs. Clear accounts are provided of CT and X-ray guided techniques for vertebral augmentation in different regions of the spine and for the treatment of vertebral tumors by means of cryoablation, radiofrequency ablation, and embolization. Helpful information is also provided on imaging, biomechanics, biopsy, and biomaterials. Like other books in the Springer series New Procedures in Spinal Interventional Neuroradiology, this practice-oriented volume will fill a significant gap in the literature and meet the need expressed by a large number of specialists (interventional neuroradiologists and radiologists, neurosurgeons, and orthopedists) for a topical and handy guide that specifically illustrates the presently available materials and methods.


Product Details

  • Published on: 2017-09-07
  • Original language: English
  • Number of items: 1
  • Dimensions: 9.25″ h x .42″ w x 6.10″ l,
  • Binding: Paperback
  • 165 pages

Editorial Reviews

Luigi Manfrè gained his MD in 1989 and then completed his specialization in Diagnostic and Interventional Radiology in 1993. He worked as a researcher at Palermo University from 1993 to 2001, and then as an Interventional Neuroradiologist at Cannizzaro Hospital in Catania, Italy. He is currently Head of the Minimally Invasive Spine Therapy Unit at Cannizzaro Hospital. His main interests are percutaneous minimally invasive spine surgery using X-ray and CT-guided techniques with only local anesthesia. He has personally performed more than 3000 procedures in this field since 1999, including procedures using third-generation interspinous spacers, the full range of augmentation procedures for the spine (vertebro/kypho/vesselplasty and vertebral stent), posterior trans and intraarticular fusion, radio and cryoablation of tumors and facets, and percutaneous discectomy. Dr. Manfrè was one of the founding members of the European Vertebroplasty Research Team (EVEREST) in 2004 and has won 16 international and national prizes. He won the “best paper of the year” prize from the American Society of Spine Radiology in 2007, 2009, and 2012. He has published more than 200 papers and with Springer he has previously published Spinal Imaging (in 2007), Interventional Neuroradiology of the Spine (in 2013), and Imaging Spine After Treatment (also in 2013).

Update: Double level isthmic spondylolisthesis

Double level isthmic spondylolisthesis

Isthmic spondylolisthesis, which is demonstrated in 4%-6% of the general population, is one of the most common types of spondylolisthesis. However, double-level isthmic spondylolisthesis is extremely rare. Only a few reports have examined the outcomes of surgical treatment of double-level spondylolisthesis.

Reviews

Between 2004 and 2014, thirty-two patients with double-level isthmic spondylolisthesis who underwent posterior lumbar interbody fusion (PLIF) with autogenous bone chips were reviewed retrospectively. The clinical outcomes were measured by VAS (Visual analog scale) and JOA(Japanese Orthopaedic Association) score.

At an average follow-up of 2.8 years, the mean score on the VAS of back pain and sciatica decreased from 6.48 and 4.26 points preoperatively to 1.82 and 1.10 points at final follow-up, respectively. The average JOA score improved from 13.8±3.1 preoperative to 25.6±1.3 (range, 17-28) points postoperative. The average recovery rate was 77.6%. The good and excellent rate was 84.3% (27/32). The fusion rate was 87.5% (28/32). Changes in disc height, degree of listhesis, whole lumbar lordosis, and sacral inclination between the pre- and postoperative periods were significant.

The findings suggest that PLIF with autogenous bone chips for double-level isthmic spondylolisthesis could yield good functional short-term results. It seems to be a viable approach in the treatment of double-level isthmic spondylolisthesis 1).

Case series

Fifty-four patients who were managed surgically for treatment of double-level symptomatic isthmic spondylolisthesis were included in this study. Between May 2004 and September 2012, 29 consecutive patients underwent posterior lumbar interbody fusion (PLIF) with autogenous bone chips (group I) at Foshan Hospital of Traditional Chinese Medicine, Guangdong, China. Between March 2005 and December 2013, 25 consecutive patients underwent PLIF with cage (group II) at Zhujiang Hospital of Southern Medical University, Guangdong, China. The mean follow-up periods were 27.2 and 26.8 months, respectively.

The mean VAS scores of back and leg pain significantly decreased from 7.2 to 2.2 and 5.8 to 2.1 in the group I and from 7.0 to 1.9 and 6.1 to 1.8 in the group II, respectively. In the group I, mean ODI scores improved significantly from 54% to 14.2% and, in the group II, from 60% to 12.6%. In both groups, VAS and ODI scores significantly changed from pre- to postoperatively (p<0.001), but postoperative outcome between groups was statistically not significant. Solid union was observed in 27 of 29 patients (89.6%) in the group I and in 22 of 25 patients (88%) in the group II, without statistically significant differences (p>0.05). In both groups, changes in disc height, degree of listhesis, and whole lumbar lordosis between the pre- and postoperative periods were significant.

Clinical and functional outcomes demonstrate no significant differences between groups in treating back and leg pain of adult patients with double-level isthmic spondylolisthesis 2).

Case reports

2017

To the best of Kim et al. knowledge, there has been no report regarding rheumatoid arthritis associated with spinal neuroarthropathy and combined double-level isthmic spondylolisthesis.

They report a rare case of spinal neuroarthropathy with double-level isthmic spondylolisthesis in a rheumatoid arthritis (RA) patient. A 56-year-old female patient under medical treatment for RA during the last 13 years presented aggravating radiating pain to her right lower extremity and a limping gait developed 4 months ago. The disease activity of RA had remained low for a long time. Serial radiographs during last 8-year follow-up showed progressive dislocation at L4-L5 and L5-S1 with double-level isthmic spondylolisthesis and severe destructive status at the last follow-up. The patient underwent decompression and circumferential fusion with sacropelvic fixation and acceptable reduction was obtained.

A RA patient with double-level isthmic spondylolisthesis showed a progressive destructive lesion. In addition to clinical presentations, the imaging findings were very similar to ones of spinal neuroarthropathy. The authors conclude that this Grand Round case probably had SNA secondary to RA and that this, combined with two-level isthmic spondylolisthesis, resulted in her rapidly progressing destructive lumbar lesion 3).

2014

Song et al. present an unusual case of double-level isthmic spondylolisthesis of the lumbar spine. The patient had low-back pain for 20 years and did not respond to conservative treatment. Radiographs revealed bilateral pars defects at L-4 and L-5. Grade 2 isthmic spondylolisthesis was present, both at L4-5 and at L5-S1. The patient underwent decompression, reduction, and posterior lumbar interbody fusion with autogenous bone chips from posterior decompression. At follow-up after 12 months, the patient was free of pain, slippage was corrected, and fusion was achieved. Posterior lumbar interbody fusion with posterior instrumentation and reduction may yield good functional short-term results for double-level spondylolisthesis 4).

2012

An unusual case of a double-level isthmic spondylolisthesis of the lumbar spine in a 38-year-old female was described. The patient had been suffering from low back pain for 8 years and did not respond to conservative treatment. Her medical examination revealed that grade II isthmic spondylolisthesis was present both at L-4 to L-5 and at L-5 to S-1. The patient was managed by surgical treatment. After the reduction of lysthesis with posterior instrumentation, posterior lumbar interbody fusion (PLIF) technique was performed for double level. At a recent follow-up, 1 year after the surgery, the symptoms of the patient were completely resolved, reduction was preserved, and fusion was achieved. PLIF with posterior instrumentation and reduction seems to be a convenient treatment option in the treatment for double-level spondylolisthesis 5).

1)

Song D, Song D, Zhang K, Chen Z, Wang F, Xuan T. Double-level isthmic spondylolisthesis treated with posterior lumbar interbody fusion: A review of 32 cases. Clin Neurol Neurosurg. 2017 Aug 19;161:35-40. doi: 10.1016/j.clineuro.2017.08.007. [Epub ahead of print] PubMed PMID: 28843115.
2)

Song D, Chen Z, Song D, Li Z. Comparison of posterior lumbar interbody fusion (PLIF) with autogenous bone chips and PLIF with cage for treatment of double-level isthmic spondylolisthesis. Clin Neurol Neurosurg. 2015 Nov;138:111-6. doi: 10.1016/j.clineuro.2015.08.012. Epub 2015 Aug 20. PubMed PMID: 26318362.
3)

Kim SI, Kim YH, Lee JW, Kang WW, Ha KY. Rheumatoid arthritis-associated spinal neuroarthropathy with double-level isthmic spondylolisthesis. Eur Spine J. 2017 Jul 28. doi: 10.1007/s00586-017-5220-6. [Epub ahead of print] PubMed PMID: 28755075.
4)

Song D, Chen Z, Song D. Surgical treatment of double-level isthmic spondylolisthesis. J Neurosurg Spine. 2014 Apr;20(4):396-9. doi: 10.3171/2013.12.SPINE13521. Epub 2014 Jan 31. PubMed PMID: 24484307.
5)

Uysal M, Circi E, Ozalay M, Derincek A, Cinar M. The surgical treatment for a rare case of double-level isthmic spondylolisthesis in L4 and L5 lumbar spine: decompression, reduction and fusion. Eur J Orthop Surg Traumatol. 2012 Nov;22 Suppl 1:21-4. doi: 10.1007/s00590-012-0993-0. Epub 2012 Apr 19. PubMed PMID: 26662742.