Bewegungserhaltende Wirbelsäulenchirurgie

Cover......Page 1
ISBN: 9781416039945......Page 2
Copyright\r......Page 3
Dedication\r......Page 4
Preface\r......Page 8
Contributors\r......Page 10
Introduction......Page 23
The Vertebral Body......Page 24
The Intervertebral Disc......Page 25
Pathologic Changes in the Vertebral Body: Disc Complex......Page 26
Lessons from the Past: The Logic of the Times (1950s and 1970s)......Page 27
What About the Intervertebral Metal Ball Arthroplasty?......Page 28
Quo Vadis?......Page 29
References......Page 30
Introduction......Page 31
Ball Bearing......Page 32
Articulating Plates......Page 33
Hard Plates/Hard Core......Page 34
Hard Plates/Soft Core......Page 35
Spring and Piston......Page 36
Fluid-Filled Bag......Page 37
Biologic......Page 38
References......Page 39
Anatomy and Biomechanics......Page 41
Overview Of Motion Preservation Devices......Page 42
Total Disc Replacement......Page 43
Nucleus Replacement......Page 47
Posterior Dynamic Stabilization-Screws and Connectors......Page 50
Posterior Dynamic Stabilization-Facet Arthroplasty......Page 52
Posterior Dynamic Stabilization-Interspinous Implants......Page 53
References......Page 54
Anatomy of the Functional Spinal Unit......Page 56
Surrounding Anatomy......Page 59
Cervical Vertebral Anatomy......Page 60
Surrounding Anatomy......Page 61
Lumbar Vertebral Anatomy......Page 63
References......Page 64
Introduction to Biomechanics......Page 65
Standardized Materials and Construct Testing......Page 66
Spine Test Configurations......Page 68
Conclusions for Instrumented Spinal Stability......Page 70
References......Page 71
Material Properties and Wear Analysis......Page 72
Preclinical Evaluation of Dynamic Spinal Stabilization: Animal Models and Basic Scientific Methods......Page 83
Indications and Contraindications for Lumbar Nonfusion Surgery: Patient Selection......Page 95
Indications and Contraindications for Cervical Nonfusion Surgery: Patient Selection......Page 100
Quantitative Motion Analysis (QMA) of Motion-Preserving and Fusion Technologies for the Spine......Page 105
Invasive Diagnostic Tools......Page 117
Cervical Myelopathy......Page 0
Technique (Cervical Spine)......Page 123
Results......Page 125
Technique......Page 126
Adjacent Segment Degeneration and Adjacent Segment Disease: Cervical and Lumbar......Page 138
Introduction......Page 146
Results......Page 147
Discussion......Page 148
References......Page 150
Introduction......Page 152
How Can Cost Effectiveness be Improved?......Page 154
What Might the Financial Future of Motion Preservation Technology be?......Page 155
Discussion......Page 156
References......Page 157
Technique of Anterior Exposure of the Lumbar Spine......Page 161
Management of Complications of the Anterior Exposure of the Lumbar Spine......Page 168
Positioning......Page 175
Minimally Invasive Posterior Approaches to the Lumbar Spine......Page 179
Lumbar Endoscopic Posterolateral (Transforaminal) Approach......Page 187
Cervical Approaches: Anterior and Posterior......Page 198
Primary Indications and Disc Space Preparation for Cervical Disc Arthroplasty......Page 205
The Bryan Artificial Disc......Page 213
The Prestige Cervical Disc......Page 219
Porous Coated Motion (PCM) Cervical Arthroplasty......Page 222
ProDisc-C Total Cervical Disc Replacement......Page 234
Introduction......Page 241
Embroidered Jacket......Page 242
Bench Top Mechanical Evaluation of the NeoDisc Device......Page 243
Shear Compression......Page 244
Implantation Data in an Ovine Model......Page 245
Epidural Application of Particulate Wear Debris-An In Vivo Rabbit Model Study......Page 246
Operative Technique......Page 247
References......Page 250
Mobi-C......Page 251
The CerviCore Cervical Intervertebral Disc Replacement......Page 258
SECURE-C Cervical Artificial Disc......Page 267
Cerpass Cervical Total Disc Replacement......Page 274
Kineflex|C Cervical Artificial Disc......Page 278
DISCOVER Artificial Cervical Disc......Page 287
The M6 Artificial Cervical Disc......Page 292
Complications of Anterior Cervical Approaches: Cervical Revision: Approach-Related Considerations......Page 297
Cervical Disc Replacement Revisions: Clinical and Biomechanical Considerations......Page 307
Persistent Pain After Cervical Arthroplasty......Page 317
Disc Space Preparation Techniques for Lumbar Disc Arthroplasty......Page 325
CHARITEacute Artificial Disc......Page 329
ProDisc-L Total Disc Replacement......Page 338
Mobidisc Disc Prosthesis......Page 346
The FlexiCorereg Intervertebral Disc......Page 350
Kineflex......Page 358
Activ-L Artificial Disc......Page 366
Maverick Total Disc Replacement......Page 373
Theken eDisc: A Second-Generation Lumbar Artificial Disc......Page 383
Lateral Lumbar Total Disc Replacement......Page 388
Lumbar Anterior Revision: Preoperative Preparation and Approach Considerations......Page 393
Overall Revision Strategies: Lumbar......Page 397
Revision Strategies Following Lumbar Total Disc Replacement Complications......Page 403
Persistent Pain After Lumbar Total Disc Replacement......Page 409
DASCOR......Page 417
PDN-SOLO and HydraFlex Nucleus Replacement System......Page 427
NeuDisc Artificial Lumbar Nucleus Replacement......Page 431
NuCore Injectable Nucleus: An In Situ Curing Nucleus Replacement......Page 437
Aquarelle Hydrogel Disc Nucleus......Page 443
BioDisc Nucleus Pulposus Replacement......Page 451
TranS1 Percutaneous Nucleus Replacement......Page 455
NUBAC Disc Arthroplasty......Page 462
Satellite: Spherical Partial Disc Replacement......Page 472
Dynesys Dynamic Stabilization System......Page 485
Dynamic Stabilization System......Page 492
The Stabilimax NZ Posterior Lumbar Dynamic Stabilization System......Page 496
Introduction......Page 503
Background of Scientific Testing/Clinical Outcomes......Page 504
Clinical Outcomes......Page 506
Operative Technique......Page 507
Conclusions/Discussion......Page 508
Cosmic: Dynamic Stabilization of the Degenerated Lumbar Spine......Page 510
Innovative Spinal Technologies Dynamic Stabilization Device......Page 520
NFlex......Page 525
The PercuDyn System......Page 531
DIAM Spinal Stabilization System......Page 539
Wallis Dynamic Stabilization......Page 543
coflex Interspinous Implant for Stabilization of the Lumbar Spine......Page 554
Indications......Page 555
Finite Element Analysis and Mechanical Evaluation of Physiologic Loading on coflex......Page 556
In Vivo Loading Environment of the coflex......Page 557
Clinical Presentation and Evaluation......Page 558
Preparation......Page 559
X-STOP Interspinous Process Decompression for Lumbar Spinal Stenosis......Page 561
TOPS: Total Posterior Facet Replacement and Dynamic Motion Segment Stabilization System......Page 571
Total Facet Arthroplasty System (TFAS)......Page 585
Anatomic Facet Replacement System (AFRS)......Page 597
The Zyre Facet Replacement Device......Page 601
FENIX Facet Resurfacing Implant......Page 605
Scientific Testing Results......Page 606
Development of Laminoplasty-Historical Background of Operative Treatment in Cervical Spondylotic Myelopathy......Page 615
Techniques of Laminoplasty......Page 616
French Door Laminoplasty (Double-Door Laminoplasty, Midline Opening Laminoplasty)......Page 617
Biomechanical Studies of Laminoplasty......Page 618
Long-Term Results......Page 619
Range of Motion in Laminoplasty......Page 620
Case Report......Page 621
Hybrid Nonfusion Techniques......Page 624
Dynamic Pedicle-Screw Stabilization with Nucleus Replacement......Page 632
Simultaneous Lumbar Fusion and Total Disc Replacement......Page 637
Repair and Reconstruction of the Annulus Fibrosus with the Inclose Surgical Mesh System......Page 643
The Intrinsic Therapeutics Barricaid Device......Page 649
Animal Models for Human Disc Degeneration......Page 659
Growth Factors for Intervertebral Disc Regeneration......Page 669
Cell Therapy for Intervertebral Disc Degeneration......Page 682
Gene Therapy for Intervertebral Disc Repair and Regeneration......Page 693
Autologous Disc Chondrocyte Transplant: Early Clinical Results......Page 700
The Development of a Personalized Hybrid EMG-Assisted/Finite Element Biomechanical Model to Assess Surgical Options......Page 707
Spinal Deformity and Motion-Sparing Technology......Page 715
Can Lumbar Disc Replacement Be Used Adjacent to a Scoliotic Deformity?......Page 725
Description of the Device......Page 731
Static Torsion Bending (Cross Connector and Rod)......Page 732
Static Corpectomy Lateral Bending......Page 733
Rabbit Particulate Study......Page 734
Screw Insertion......Page 735
Risks Associated with the Orthobiom Spinal System......Page 736
Considerations for Spinal Arthroplasty in Elderly and Osteoporotic Patients......Page 740
Multilevel Lumbar Disc Arthroplasty......Page 745
Posterior Lumbar Arthroplasty......Page 755
Presentation......Page 762
Cervical Arthroplasty Adjacent to Fusion, Multiple-Level Cases, and Hybrid Applications......Page 771
The Future of Motion Preservation......Page 780
Index\r......Page 791