Thats why we provide medical professionals with the innovative products they need to assist them in treating their patients. Further refinements of surgical technique with im provements in. Mis spine system adaptable mis solutions for an evolving practice. Along with an allinclusive list of the spinal instruments available today, the book offers direct comparisons of each system to help make an informed and confident. Featuring an expanded focus on indemand endoscopic and minimally invasive spine procedures, surgical anatomy and techniques to the spine, 2nd edition pairs new anatomic photographs and radiographic images with expertly rendered color illustrations and clear, stepbystep descriptions to help you effectively perform all of the latest and most effective spine surgery techniques. Minimally invasive procedures in spine surgery 1 history of minimally invasive spine surgery larry t. Key tips and pointers from true masters in the field. Appropriate implant alignment and articulation, as well as flexion and extension space balancing must be achieved to obtain optimal results. Dickman, md associate chief of spine surgery director of spinal research barrow neurological institute phoenix, arizona jeffrey s. Depuy synthes companies has a very rich history a history of innovation, of working with some of the greatest minds in the industry and of making a difference in the lives of tens of millions of patients around the world. The delta xtend design is an improvement of the original delta cta design. Pedicle preparation is performed utilizing a selection of awls, pedicle probes, ball tip feelers and bone taps. Keeping the drill at full power, sweep the milling bit to wards the trial implant until it reaches the inner limit of the milling guide, then away from the trial implant to the full outer limit.
This content was uploaded by our users and we assume good faith they have the permission to share this book. Surgical technique distal cut first surgical technique introduction the genesis ii total knee system has been designed to offer the orthopaedic surgeon solutions to address intraoperative situations. This surgical technique uses a standard posterior approach for illustration purposes. Like the plif posterior lumbar interbody fusion procedure, bone. Implant function is directly related to accurate surgical technique. Pedicle hooks are placed in the thoracic spine via the facet joint. The patient can be positioned in either a lateral or supine position depending on surgeon preference. Depuy spinerrr and the complete omission of groups of. A transforaminal lumbar interbody fusion tlif is performed to remove a portion of a disc that is the source of back or leg pain. Attach the squeezedown device to the top notch load the single innie from the caddy and thread into the. The instruments, technique and components of this arthroplasty system are designed to address these challenges. Moes textbook of scoliosis and other spinal deformities. Biomet vision pintobar fixation system surgical technique. Lumbar transforaminal lumbar interbody fusion tlif.
Surgical technique 3 intraoperative evaluation 5 initial preparation of the tibia 7 preparation of the metaphyseal bonetapered reamer 9 proximal tibial resectiontapered reamer 10 preparation of the metaphyseal bonebroach 11 final preparation of the tibia 12 assembling the prosthesis bone cement 15 trial reduction 16. The use of the minipolyaxial screws is limited to placement in the upper thoracic spine ti t3 in treating thoracic conditions only. To break off the reduction screw tabs, place the rod pushercounter torque for reduction screws 03. Dr wang is a consultant for depuysynthes spine, k2m, spineology. Gently rock the tab removal tool medial then lateral to break the tab wall free from the polyaxial head. The ci depuy asr technique is a headonly procedure. An updated edition of the most comprehensive guide to spine surgery. Merola on being chosen by new york magazine for its prestigious best doctors 2015 list this outstanding guide to spine surgery provides stepbystep instructions to nearly 60 different spinal procedures. Surgical anatomy and techniques to the spine, edition. All the principals of professor grammont, which are proven to be clinical effective by many medical centers with a follow. Research in orthopaedic spine surgery performing a retrospective analysis of the effects of surgical treatment of spine related thoracic pain syndrome with james zucherman, md and ken hsu, md.
The history of spine surgery goes back at least 5000 years. Full details on surgical exposure are provided in the standard depuy asr. Pediatric isola depuy spine instrumentation thieme connect. Its coverage of both principles and techniques makes it an excellent refresher before surgery or a. The field of endoscopic spine surgery is primed to push the boundaries of modern minimally invasive spine surgery miss. A french rod bender and insitu sagittal and coronal benders are available in the set for rod contouring.
Select the rod material of choice, cut, and contour the rod. Matrix spine system degenerative technique guide depuy synthes 11. Surgical technique initial preparation of the tibia 4 preparation of the metaphyseal bone tapered reamer 6 proximal tibial resection tapered reamer 7 preparation of the metaphyseal bone broach 9 final preparation of the tibia 10 preparation of the femoral diaphysis 11 reaming the medullary canal 12. The depuy synthes spine symphony oct system is compatible with occipital fusion components plates, rods and clamps from the synapse oct system. Knowledge of surgical techniques, proper reduc on, selec on and placement of implants, and pre and postopera ve p a ent management a re c onsidera ons e ssen al to a s uccessful surgical outcome. Surgical technique of lumbar artificial disc replacement. Sabiston and spencer surgery of the chest, 9th edition retail pdf. This is a largevolume text aimed at surgeons involved in the field of spinal implantation. Errico, in surgical management of spinal deformities, 2009. Oasys surgical technique system overview the oasys occipitocervicothoracic system was developed to provide the surgeon with versatility for the treatment of pathologies of the occipitocervical junction, and the posterior cervical and upper thoracic spine. The guidance it offers is for surgeon consideration, but, as with any technical.
An atlas of surgery of the spine, howard s an, lee h riley iii, may 1, 1998, medical, 452 pages. Depuy spine has a long tradition of collaborating with experienced and influential spine surgeons resulting in the development of some of the most innovative technologies available today for the treatment of complex spinal pathologies. Depuy believes in an approach to total shoulder replacement. Harrington instrumentation an overview sciencedirect topics. The book aims to be a comprehensive and it claims complete guide to. A definitive, richly illustrated text atlas with comprehensive coverage of.
Preparing for lumbar spinal fusion a surgical procedure performed to permanently join together one or more bony vertebrae of the spine. The first evidence of spinal surgery was found in egyptian mummies from 3000 bc and. Depuy synthes spine and brainlab extend collaboration to. The modular system consists of hooks, polyaxial screws and rods as well as plates and bone screws. Rather, this book focuses on the critical care management of spinal trauma along with its epidemiology, basic science, and outcomes. Better understanding of biomechanics, improvements in technology, and new knowledge of the disease process in the spine have led to rapid advances in spinal instrumentation. The book aims to be a comprehensive and it claims complete guide to modern spinal instrumentation. It does not attempt to describe or address different pathologies in the spine and their differing instrumentation. The purpose of this study was to compare the safety and effectiveness at the fiveyear followup time point of lumbar total disc replacement using the charite artificial disc depuy spine, raynham. The book was originally written because the spinal surgeon sometimes lacked the ability to approach the spine with the ideal procedure. This site is published by the depuy synthes companies, which are solely responsible for its content. Surgical technique guide there are four possible hook placement sites in the spine.
All surgical techniques are available as pdf files at. Depuy synthes companies launches portable spine imaging. Xspine systems spider cervical plating system x spine surgical technique this publication recommends procedures for using xspine products and instruments. Genesis ii instrumentation has been developed to be an. Handbook of spine surgery, second edition, is a completely updated and comprehensive reference that distills the basic principles of contemporary spine surgery. Depuy fellows conference, boston, ma, june 19, 2004. Extreme lateral interbody fusion xlif the lateral approach to interbody fusion, or xlif has been popularized by osgur et al.
Further improvements resulted from better distal sacral fixation techniques, such as the use of four sacral. We offer one of the worlds most comprehensive portfolios of orthopaedic products and services in the areas of joint reconstruction, trauma, spine, sports medicine, craniomaxillofacial, power tools and biomaterials. Depuy synthes cslp surgical tech, spine surgery, plates. Summit oct spinal system and mountaineer oct spinal system additional components revision of previous cervical spine surgery tumors the occipital bone screws are limited to occipital fixation only. Surgical candidates with a history of at least 12 weeks of symptoms and spinal stenosis without spondylolisthesis as confirmed on imaging were enrolled in either a randomized cohort or an observational cohort at u. When it comes to the ambulatory surgery center, our aim is your triple aim. Brown editorsspine trauma surgical techniques vikas v. Expedium offset fixed bolts pedicle preparation probes fixed bolt driver insertion. Degenerative disc disease info, degenerative disc disease or ddd is a spinal condition caused by the breakdown of your intervertebral discs. A comparison of open and percutaneous techniques in the operative fixation of spinal fractures associated with ankylosing spinal disorders. Expedium surgical technique by apolineo comunicacion. This course will teach minimally invasive surgical treatments for lumbar spine fusion surgeries using. Limbsparing techniques, using modular segmental endoprostheses, provide a reliable, functional reconstruction for these patients.
Each of its sixteen chapters begins with a brief summary followed by imaging indications, instrumentation, a stepbystep surgical technique and video guide, as well as the potential complications and adverse outcomes that may develop. A comparison of open and percutaneous techniques in the. This manual of spine surgery has become necessary as a consequence of the rapid expansion of instrumented spine surgery using different minimally invasive and nonfusion techniques. Cervical corpectomy is a ventral cervical spine procedure. Rod reduction using the squeezedown rod approximator. Summit oct spinal system and mountaineer oct spinal. System also contains class 1 manual surgical instruments and cases that are considered exempt from premarket notification. Pdf on may 1, 2007, paul thorpe and others published spinal instrumentation. Minimally invasive spine surgerycombines uptodate research on surgical techniques with highdefinition surgical video and concise algorithmic evidence. There are limited discussions of surgical approaches or techniques. It not only highlights the newest devices, but also the clinical guidelines needed to choose and apply the best implant for any surgical situation. A note within this surgical technique in red denotes a point that should be considered vital to a successful surgery.
Master surgical anatomy of the spine and the latest minimally invasive techniques. Classically with such fracture dislocation of the thoracic spine, the facets can be jumped, perched or impacted. It not only highlights the newest devices, but also gives you the clinical guidelines you need to choose and apply the best. Matrix mis miniopen and percutaneous pedicle screws. Spine depuy synthes pdf catalogs technical documentation. This book is your complete guide to all contemporary forms of spinal implant systems. In order to provide versatility and options, the skyline system was designed with multiple instruments. Titanium alloy ti and cobaltchromium alloy cocr rods have been included in the set. The challenges encountered by shoulder arthroplasty surgeons include surgical exposure, soft tissue balancing and component fixation. A step by step approach, 2010, 201 pages, ps ramani, 8184487827, 9788184487824, jaypee brothers publishers, 2010. The direction for the pedicle hooks is always cephalad.
Its expansion mechanism allows smooth, continuous expansion in situ. The biome visiont system is versatile enough to be used as both temporary and. One should not purchase this book hoping to obtain a howto manual of surgery for spine trauma. With this system, simple and effective external fixation can be applied. Fischgrund, md orthopaedic surgeon william beaumont hospital. At golden state orthopaedics we believe that movement is the very foundation of peoples health and well being. The relatively small working area available for unicompartmental surgery means that the cementing technique is.
The field of endoscopic spine surgery is primed to push the boundaries. Depuy synthes buys interventional spines expandable cage. By accessing the spinal pathology thro we use cookies to enhance your experience on our website. Pdf cervical corpectomy, fusion, and vertebral restoration. Provides a complete guide to all contemporary forms of spinal implant systems. Surgery books download thousands of surgery books pdf. D, lateral radiograph showing a synmesh cage synthes. Washington, university of pennsylvania and depuy orthopaedics, inc. By delivering a comprehensive range of instrumentation and implant options, the viper 2 system provides. Depuy synthes first quarter, steady and robot deal with. Pedicle screws can be placed either before or after the.
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