Lateral Access Minimally Invasive Spine Surgery Tapa blanda – 6 Diciembre 2016 de Michael Y. Wang (Editor), Andrew A. Sama (Editor), Juan S. Uribe (Editor)

Introduction: History and rationale for the minimally invasive lateral approach.- Biomechanics of lateral spinal reconstruction.- Physiologic benefits and the impact on the patient.- Costs and economic implications.- Workup and diagnostic injections.- Implants and lateral cages. Approach and localization: Patient selection.- Positioning and safety.- Intraoperative electrophysiologic monitoring.- Motor-based monitoring.- Fluoroscopic techniques.- Frameless navigation.- Techniques for avoiding psoas muscle and lumbosacral plexus injury. Soft tissue management: Single vs. dual incisions.- Retractor technology.- Transpsoas vs. Anterior To Psoas (ATP).- Thoracic MIS retro pleural access.- Psoas muscle management. Pathologies: Degenerative disc disease.- Spondylolisthesis.- Scoliosis.- Sagittal deformities.- Neoplasia.- Trauma.- Infection.- Adjacent level disease & Proximal junctional kyphosis.- Technical Nuances: Lateral fixation.- Posterior fixation options.- ALL sectioning.- Surgery at the L5-S1 level.- Osteobiologics. Managing and preventing complications: Vascular.- Hollow viscus.- Hernia.- Pseudarthrosis. Controversies: Selective apical fusions.- Short segment vs. Long segment fusions.- Approaching a deformity from the concavity vs. convexity.