Since the ?rst edition of this book was published in 2002, there have been many advances in our knowledge of percutaneous vertoplasty (PV), particularly about how to perform the procedure more safely and how to approach more complex case situations. Additionally, mate- als that were initially used “off label” or that simply were not FDA approved have completed their governmental review and have received FDA approval. This has increased the legitimacy of the p- cedure from the legal and reimbursement perspective. Controversy over height restoration and device selection has become a progressively bigger issue over time. Kyphoplasty (balloon assisted vertebroplasty) has received tremendous emphasis. This book c- pares and contrasts data and claims that differentiate kyphoplasty from percutaneous vertebroplasty. We also look at other methods that pot- tially can be used for height restoration. New procedures that deal with bone augmentation in other anatomic regions have evolved (i.e., sacroplasty) and are discussed. As this re- lution in image-guided percutaneous bone augmentation has dev- oped, multiple medical specialties have embraced these procedures in their training programs for both residents and practicing physicians.

This is the first book to cover minimal-invasive treatment of osteoporotic, tumorous and traumatic vertebral fractures in the English language. In addition to detailed descriptions of the techniques, including tips and tricks from experts, the book contains a chapter about the medical treatment of osteoporosis, which is indispensable in the interdisciplinary approach to osteoporosis. This acclaimed innovative concept unites several treatment aspects. More conservative treatment methods are also presented in this work. All chapters reflect new developments and clinical findings in the field of orthopaedics, surgery, traumatology and neurosurgery.

A concise and up-to-date reference that details the essentials for setting up a modern clinical lab, selecting patients, safely performing the procedure and avoiding pitfalls that are commonly encountered. Over 95 photographs, specially created for this book, provide the reader with detailed examples of how each aspect of the procedure is performed in an understandable step by step format. The authors are world-renowned pioneers in the field who have developed the basic science and clinical information relating to percutaneous vertebroplasty. This rapidly proliferating procedure is used to treat the pain associated with compression fractures of the spine resulting from osteoporotic vertebral collapse or tumor destruction.

Endovascular intervention - using medication and devices introduced through catheters or microcatheters placed into the blood vessels through a percutaneous approach - has emerged as a relatively new minimally invasive approach to treat cerebrovascular disease and possibly intracranial neoplasms. This textbook provides a comprehensive review of principles pertinent to endovascular treatment of cerebrovascular diseases and intracranial tumors, with a detailed description of techniques for these procedures and periprocedural management strategies. Particular emphasis is placed on expert interpretation of the quality of evidence provided and implications for practice related to endovascular procedures. This will be essential reading for clinicians working in interventional neurology and cardiology, endovascular neurosurgery, vascular surgery and neuroradiology.

Here is the first book to cover everything that is currently known about vertebroplasty and kyphoplasty, including patient selection, operative techniques, complication avoidance, management, outcomes, and more!

Due to advances in spinal endoscopy, practitioners are now able to offer efficacious alternatives to open surgery to patients with low back pain, radiculopathy, and related disorders affecting the epidural space. Epiduroscopy enables surgeons to access, diagnose, and treat discogenic pain and spinal pathologies using minimally invasive techniques via direct visualization and focused intervention. Typically performed as a one-day outpatient procedure under local anesthesia, epiduroscopy provides a viable option to many patients suffering from low back pain. Starting with the history of this procedure, the authors guide the reader systematically through relevant clinical indications, radiological anatomy, the pathophysiology of spinal pain, diagnostic modalities, and the use of specialized tools. Subsequent chapters detail specific conditions and approaches, histopathologic/microbiological findings, and patient assessment and outcomes. Key Features Clinical pearls gleaned from years of hands-on experience, including preventing and managing complications. Online access to 46 step-by-step surgical videos and animations provides in-depth understanding of techniques. Nearly 600 high quality images, including procedural photos and medical illustrations delineate approaches. The use of epiduroscopy-assisted mechanical adhesiolysis, laser procedures, radiofrequency, analgesic and pharmacological therapy, ozone therapy, spinal cord stimulation, and more. This is an essential resource for trainee and practicing physicians in the fields of neurosurgery, orthopaedic surgery, pain medicine, and interventional medicine.