Pier Paolo Maria Menchetti Editor. Cervical Spine. Minimally Invasive and Open Surgery
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1 Cervical Spine
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3 Pier Paolo Maria Menchetti Editor Cervical Spine Minimally Invasive and Open Surgery
4 Editor Pier Paolo Maria Menchetti, MD, FRCS Spine Center Rome American Hospital Rome Italy ISBN DOI / ISBN (ebook) Library of Congress Control Number: Springer Cham Heidelberg New York Dordrecht London Springer International Publishing Switzerland 2016 This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. The publisher, the authors and the editors are safe to assume that the advice and information in this book are believed to be true and accurate at the date of publication. Neither the publisher nor the authors or the editors give a warranty, express or implied, with respect to the material contained herein or for any errors or omissions that may have been made. Printed on acid-free paper Springer International Publishing AG Switzerland is part of Springer Science+Business Media (
5 To my parents
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7 Preface Arthrosis of the discs in the cervical spine negatively affects daily activities in the adult population. In light of the growing incidence of this pathology, we believed that offering an overview of surgical approaches to cervical spine treatment might help the medical community to adopt the most appropriate solution to this pathology. A book on the state of the art of cervical spine surgery, both conventional and minimally invasive, may be of interest to surgeons (both expert and young) as well as clinicians with little or no experience of this field of surgery. Owing to contributions from various highly trained specialists from all over the world, this book aims to provide the reader with essential knowledge of the most advanced surgical cervical spine techniques and their applications. I believed that it was also important to present a chapter about new anesthesiology methods applied in the minimally invasive field, as general anesthesia is usually not required; in fact mild sedation allows one to safely operate on patients with chronic cardiopulmonary diseases or compromised general conditions. Most of the chapters concern the osteodiscoarthritis pathology, which is mainly responsible for chronic cervical and/or radicular pain in the forth to sixth decades of life, with step by step presentation of either the most advanced MISS (endoscopy) or the standard procedures such as ACDF (anterior cervical decompression and fusion) using cages or autologous bone, posterior approach to axis instability, minimally invasive stabilization systems, and cervical disc arthroplasty. Looking to the future, chapters about the role of materials in cervical spine fusion and the biomechanical engineering evaluation in cervical tribology are also presented. I would like to thank all the authors because of the high scientific value of their contributions. This handbook is forwarded by ISLASS (International Society Laser and Percutaneous Procedures in Spinal Surgery), a multidisciplinary society devoted to the standard and the most innovative procedures in spinal surgery. Rome, Italy Pier Paolo Maria Menchetti, MD, FRCS vii
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9 Contents 1 Anatomy of the Cervical Spine Michele D Arienzo, Giovanni Peri, Biagio Valentino, Antonella Conti, Antonio D Arienzo, and Daniele Peri 2 Functional Anatomy and Biomechanics of the Cervical Spine Alessandro Ramieri, Maurizio Domenicucci, Massimo Miscusi, and Giuseppe Costanzo 3 Diagnostic Imaging in the Degenerative Diseases of the Cervical Spine Alessandro Maria Costantini, Antonio Leone, Marco Pileggi, Ronel D Amico, and Cesare Colosimo 4 Pathophysiology of Cervical Pain: Evolution and Treatment Ronald H.M.A. Bartels 5 Anesthesia and Perioperative Care in Cervical Spine Surgery Chierichini Angelo, Santoprete Stefano, and Frassanito Luciano 6 Cervical PLDD (Percutaneous Laser Discectomy). Ten Years Experience Ralf Klein and Frank Sommer 7 Endoscopy in Cervical Spine Surgery Joachim M.K. Oertel and Benedikt W. Burkhardt 8 Anterior Cervical Approach: Decompression and Fusion with Cages Alessandro Landi and Roberto Delfini 9 Anterior Cervical Decompression and Fusion with Autologous Bone Graft Paolo Perrini and Nicola Di Lorenzo 10 Posterior Approach to Axis Instability Alberto Maleci, Pier Paolo Maria Menchetti, and Nicola Di Lorenzo ix
10 x Contents 11 Tissue Sparing Posterior Cervical Indirect Decompression and Fusion in Foraminal Stenosis Kris B. Siemionow, Bruce M. McCormack, and Pier Paolo Maria Menchetti 12 Lateral Mass Screw Fixation of the Subaxial Cervical Spine Francesco Cacciola and Nicola Di Lorenzo 13 Role of Materials in Cervical Spine Fusion Carlo Doria and Massimiliano Gallo 14 Biomechanical Engineering in Choice of Different Stiffness Material Stefan Freudiger 15 HA-TCP Augmented Cage-Role on Fusion in Cervical Spine Giles G. Dubois and A. Lerch 16 Cervical Disc Arthroplasty Luigi Aurelio Nasto and Carlo Logroscino 17 Odontoid Screw Fixation Francesco Cacciola and Nicola Di Lorenzo 18 Injuries of the Middle and Lower Cervical Spine Riccardo Ciarpaglini, Paolo Fornaciari, and Gianluca Maestretti 19 Neck Pain Rehabilitation Castelli Daniele, Dalila Scaturro, Antonio Sanfilippo, and Giulia Letizia Mauro Erratum E1 Index
11 Contributors Ronald H.M.A. Bartels Department of Neurosurgery, Radboud University Medical Center, Nijmegen, The Netherlands Benedikt W. Burkhardt Department of Neurosurgery, Faculty of Medicine, Saarland University Medical Center and Saarland University, Homburg-Saar, Germany Francesco Cacciola Department of Neurosurgery, University of Siena, Siena, Italy Angelo Chierichini Department of Anesthesiology, Institute of Anesthesiology, Critical Care and Pain Medicine, Catholic University of the Sacred Heart, Rome, Italy Riccardo Ciarpaglini Spinal Unit, Department of Orthopedics Surgery, Fribourg Cantonal Hospital, Fribourg, Switzerland Cesare Colosimo Department of Radiological Sciences, Radiology/Neuroradiology Institute, Catholic University of Sacred Heart, Polyclinic A. Gemelli, School of Medicine, Rome, Italy Antonella Conti Orthopaedics Department, University of Palermo, Palermo, Italy Alessandro Maria Costantini Department of Radiological Sciences, Radiology/Neuroradiology Institute, Catholic University of Sacred Heart, Polyclinic A. Gemelli, School of Medicine, Rome, Italy Giuseppe Costanzo Department of Orthopedics and Neurosurgery, Polo Pontino University Sapienza, Rome, Italy Ronel D Amico Department of Radiological Sciences, Radiology/ Neuroradiology Institute, Catholic University of Sacred Heart, Polyclinic A. Gemelli, School of Medicine, Rome, Italy Antonio D Arienzo Orthopaedics Department, University of Palermo, Palermo, Italy Michele D Arienzo Orthopaedics Department, University of Palermo, Palermo, Italy Castelli Daniele Dipartimento delle discipline chirurgiche, oncologiche e stomatologiche, University of Palermo, Palermo, Italy xi
12 xii Contributors Roberto Delfini Division of Neurosurgery, Department of Neurology and Psychiatry, University of Rome Sapienza, Rome, Italy Maurizio Domenicucci Department of Neurological and Psychiatric Sciences, Neurosurgery, University Sapienza, Rome, Italy Carlo Doria Orthopaedic Department, University of Sassari, Sassari, Italy Giles Dubois Service de Neurochirurgie, Clinique de l Union, St Jean, France Paolo Fornaciari Spinal Unit, Department of Orthopedics Surgery, Fribourg Cantonal Hospital, Fribourg, Switzerland Luciano Frassanito Department of Anesthesiology, Institute of Anesthesiology, Critical Care and Pain Medicine, Catholic University of the Sacred Heart, Rome, Italy Stefan Freudiger Department of Biomedical engineering, Ingenieurbüro Flugwesen und Biomechanik IFB AG, Bremgarten, Switzerland Massimiliano Gallo Orthopaedic Department, University of Sassari, Sassari, Italy Ralf Klein Department of RadiMed Laser, RadiMed GmbH, Bochum, Germany Alessandro Landi Division of Neurosurgery, Department of Neurology and Psychiatry, University of Rome Sapienza, Rome, Italy Antonio Leone Department of Radiological Sciences, Radiology/ Neuroradiology Institute, Catholic University of Sacred Heart, Polyclinic A. Gemelli, School of Medicine, Rome, Italy Alain Lerch Service de Neurochirurgie, Clinique de l Union, St Jean, France Carlo Logroscino Department of Orthopaedics and Traumatology, Catholic University of Rome, A. Gemelli University Hospital, Rome, Italy Nicola Di Lorenzo Departmentof Neurosurgery, University of Florence, Florence, Italy Gianluca Maestretti Spinal Unit, Department of Orthopedics Surgery, Fribourg Cantonal Hospital, Fribourg, Switzerland Alberto Maleci Neurosurgery Department, University of Cagliari, Cagliari, Italy Giulia Letizia Mauro Dipartimento delle discipline chirurgiche, oncologiche e stomatologiche, University of Palermo, Palermo, Italy Bruce M. McCormack Department of Neurosurgery, University of California, San Francisco, CA, USA Pier Paolo Maria Menchetti Minimally Invasive Spinal Surgery Department, Spine Center, Rome American Hospital, Rome, Italy
13 Contributors xiii Department of Orthopaedics, University of Palermo, Palermo, Italy Massimo Miscusi Department of Orthopedics and Neurosurgery, Polo Pontino University Sapienza, Rome, Italy Luigi Aurelio Nasto Department of Orthopaedics and Traumatology, Catholic University of Rome, A. Gemelli, University Hospital, Rome, Italy The Centre for Spinal Studies and Surgery, Queen s Medical Centre Nottingham University Hospitals NHS Trust, Nottingham, UK Joachim M.K. Oertel Department of Neurosurgery, Faculty of Medicine, Saarland University Medical Center and Saarland University, Homburg-Saar, Germany Daniele Peri Biomedical Engineering Department, University of Palermo, Palermo, Italy Giovanni Peri Anatomy Department, University of Palermo, Palermo, Italy Paolo Perrini Neurosurgical Department, Azienda Ospedaliero Universitaria Pisana (AOUP), Pisa, Italy Marco Pileggi Department of Radiological Sciences, Radiology/ Neuroradiology Institute, Catholic University of Sacred Heart, Polyclinic A. Gemelli, School of Medicine, Rome, Italy Alessandro Ramieri Department of Orthopaedics, Don Gnocchi Foundation ONLUS, Milan, Italy Antonio Sanfilippo Dipartimento delle discipline chirurgiche, oncologiche e stomatologiche, University of Palermo, Palermo, Italy Stefano Santoprete Department of Anesthesiology, Institute of Anesthesiology, Critical Care and Pain Medicine, Catholic University of the Sacred Heart, Rome, Italy Dalila Scaturro Dipartimento delle discipline chirurgiche, oncologiche e stomatologiche, University of Palermo, Palermo, Italy Kris B. Siemionow Department of Orthopaedic Surgery, University of Illinois, Chicago, IL, USA Frank Sommer Department of Spine Unit, Medical Center of Spinal Disorders, Munich/Taufkirchen, Germany Biagio Valentino Anatomy Department, University of Palermo, Palermo, Italy
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