Edited and authored by leading international authorities, this practical, portable handbook is the ideal on-the-spot reference for anesthesiology residents, anesthesiologists, and nurse anesthetists who manage neurosurgical cases as part of their practice. In a user-friendly, quick-reference outline format, the book provides detailed instructions on anesthetic management during all neurosurgical and neuroradiologic procedures. Coverage also includes guidelines on intensive care.
Contributing Authors
Foreword
Preface
Acknowledgments
Introduction: A Personal History of Spinal Microsurgery
Sect. I
The Microscope and Basic Principles of Microsurgery
1
The Microscope as a Surgical Aid
3
2
Instrumentation for Spinal Microsurgery, Including Ancillary Equipment
19
3
Wound Healing and Mobilization: The Foundation of Microsurgery
43
4
Bone Grafting in the Degenerative Spine
55
5
Control of Bleeding in Microsurgery
69
6
The Teaching of Spinal Microsurgery
89
Sect. II
Microsurgery for Cervical Disc Disease
7
Advantages and Disadvantages of Microsurgical Approaches to the Cervical Spine
99
8
Pathophysiology and Clinical Syndromes in Cervical Disc Degeneration
103
9
Surgical Anatomy of the Cervical Spine, Spinal Cord, and Surrounding Structures
121
10
Anterior Microdiscectomy for Soft Disc
151
11
Anterior Microsurgical Approach to Spondylosis
171
12
Cervical Disc Surgery: Overall Results
179
13
Posterior Microlaminotomy-Facetotomy for Foraminal Soft Discs and Spurs
187
14
Posterior Cervical Wide Decompressive Techniques
195
15
Perioperative Care for Cervical Spine Patients
203
16
Complications of Cervical Spine Microsurgery
209
Sect. III
Microsurgery for Lumbar Disc Disease
17
Pathophysiology and Clinical Syndromes in Lumbar Disc Herniation
219
18
Musculoskeletal and Neuroanatomy of the Lumbar Spine
249
19
Investigation of the Patient for Lumbar Microsurgery
293
20
Microsurgery for Lumbar Disc Herniation
329
21
Foraminal and Extraforaminal Lumbar Disc Herniation
383
22
Microsurgery for Lateral Zone Stenosis
429
23
Microsurgery for Lumbar Spinal Canal Stenosis
453
24
Postoperative Care of the Lumbar Microsurgical Patient
487
25
Microsurgery of the Lumbar Spine: A Ten Year Experience
493
26
Complications (Adverse Effects) in Lumbar Microsurgery
503
27
Posterolateral Uninstrumented Lumbar Fusion
531
Sect. IV
Microsurgery for Other Spinal Disorders
28
Microsurgery for Spinal Canal Tumors
555
29
Microsurgery for Intramedullary Cervical Spinal Cord Tumors
569
30
Microsurgery for Tumors of Osseous Structures
585
31
Microsurgery for Vascular Malformations
597
32
Microsurgical Treatment of Thoracic Disc Herniation
615
33
Microsurgery for Narrowing at the Cervicomedullary Junction and Foramen Magnum
623
34
Microsurgical Anterior Approaches for Anterior Interbody Fusion of the Lumbar Spine
633
Subject Index