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This book presents an updated perspective on spinal implants currently used in thoraco-lumbar spine surgery, leading to a rigid or dynamic spine fusion. The development of new surgical devices and techniques is mostly focused on a spinal fusion for lumbar instability due to trauma, tumours or degenerative or infectious diseases. Pedicle-screw fixation and fusion are currently considered to be the gold standard for most of the above-mentioned pathologies, and modern implants are designed to improve the accuracy of pedicle-screw placement and to allow the use of new surgical techniques and minimally invasive approaches. The content is relevant for surgeons, orthopaedic specialists, neurosurgeons, physiotherapists and osteopaths.
List of contents
1. The Role of Neuronavigation In Lumbar Spine Surgery.- 2. Imaging In Lumbar Spine Surgery: The Role Of Intraoperative CT-scan.- 3. The Robotic Arm Guidance Systems: Principles and Indications.- 4. The Robotic Arm Guidance System: Applications And Limits.- 5. 3D Printed Tubular Guides for Pedicle Screw Fixation.- 6. New Techniques and MIS - The XLIF Technique.- 7. New Implants and Techniques in Minimally Invasive Spine Surgery: Percutaneous Spine Fusion with the Posterolateral Endoscopic Approach.- 8. New Techniques and MIS: The Minimally Invasive TLIF.- 9. New Techniques and MIS: The Awake TLIF.- 10. New Techniques and MIS --- The Cortical Bone Trajectory Screws: Indications And Limits.- 11. New Techniques And MIS: The Interspinous Fixation Devices.- 12. New Techniques And MIS - The Interfacet Fixation With Facet Wedge Device.- 13. Expandable Cages and Minimal Invasive Approaches to the Thoracolumbar Spine for Anterior Column Reconstruction.- 14. New Techniques and MIS: The Thoracoscopic Approach.
About the author
Prof. Roberto Delfini is a specialist in Neurosurgery at the Policlinico Umbreto I and chair of the University La Sapeinza of Rome as well as head of the School of Specialization in Neurosurgery. He is a Member of the Italian Society of Neurosurgery, where he held the position of Director, Treasurer, Secretary and President (currently past president). And he is also member of other national and international Societies of Neurosurgery and related disciplines as well as member of the World Academy of Neurosurgeons. In 2014 he was awarded the Prize Boniface VIII. He is author of over 300 scientific articles and book chapters on national laws and international neurosurgery. Prof. Delfini performed as first operator over 6,000 surgeries covering most of neurological diseases. His main fields of interest and activities are: the surgery of intracranial tumors in general and in particular tumors of the skull base; surgery of the brain and spinal vascular malformations; surgery of vertebrobasilar medullary cancer and degenerative and traumatic.
