Outpatient Spinal Surgery / Edition 1

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There's no end in sight to the increasing demand for minimally invasive spinal treatment. Surgeons love the advancing techniques and improved instrumentation with which they can address a widening range of indications. Informed patients actively seek the benefits of reduced scarring and a faster return to work. Health maintenance organizations favor ambulatory surgery for its cost-containment advantage.

Outpatient Spinal Surgery is an illustrated reference to the operative techniques of surgery, from the cervical to the lumbar spine, that can be performed on an ambulatory basis. It is also a detailed guide to the bottom-line business aspects of establishing, managing, and marketing a successful outpatient spinal center that consistently delivers quality outcomes.

Operative techniques, many described by the leading experts who perfected them, are presented with straightforward instructions to facilitate rapid learning. Each is accompanied by detailed illustrations and a step-by-step diagram. The authors note anomalies which may be encountered and how they are best managed, and comment on surgical equipment and instrumentation.

The logistics and economics of establishing an ambulatory clinic are examined as well. Design and staffing, record keeping and outcomes analysis, relationships with insurers, regulatory and licensing considerations, competitive pricing and advertising...the business side is covered extensively.

Outpatient Spinal Surgery is an essential single-volume reference that provides both the surgical skills and the business essentials required for a thriving ambulatory spine center.

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Editorial Reviews

From the Publisher
"I highly recommend this text for anyone interested in obtaining an up-to-date understanding of the newest and most advanced treatments for the problem most commonly confronting neurosurgeons—cervical and lumbar radiculopathy." —Journal of Neurosurgery

"…a comprehensive review of minimally invasive operative procedures for the cervical, thoracic, and lumbar spine, most on an ambulatory basis. The chapters are well written with excellent and very instructive illustrations. ...This text would be an excellent addition to the library of any surgeon providing contemporary spine surgical care."
Surgical Neurology

"…a very enjoyable book and rich reference source. It is well written, easily readable, and a welcome addition to every unit’s library or spinal surgeon’s bookshelf."
British Journal of Neurosurgery

From The Critics
This text comprises an illustrated reference on the operative techniques of minimally invasive surgery from the cervical to the lumbar spine that can be performed on an outpatient basis. The techniques are presented with straightforward instructions, and each is accompanied by detailed illustrations and a step-by-step diagram. The authors (from neurosurgery departments in various medical centers and universities) also discuss anomalies and their management, surgical equipment and instrumentation, and how to establish, manage, and market an outpatient spinal center. Edited by Perez-Cruet (neurosurgery, Rush-Presbyterian-St. Luke's Medical Center) and Fessler (Institute for Spine Care, Chicago Institute of Neurosurgery and Neuroresearch). Annotation c. Book News, Inc., Portland, OR (booknews.com)
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Product Details

  • ISBN-13: 9781576261378
  • Publisher: Taylor & Francis
  • Publication date: 1/28/2002
  • Edition description: 2002
  • Edition number: 1
  • Pages: 311

Meet the Author

Mick J. Perez-Cruet, MD, MSc
Clinical Instructor, Department of Neurosurgery, Rush-Presbyterian-St. Luke’s Medical Center, and Fellow, Institute for Spine Care, Chicago Institute for Neurosurgery and Neuroresearch, Chicago, Illinois, USA; formerly Vice Chairman, Department of Neurosurgery, and Director of Spinal Research, Wilford Hall Medical Center, Lackland Air Force Base; Clinical Assistant Professor, Department of Neurosurgery, University of Texas Health Science Center, San Antonio, Texas, USA

Richard G. Fessler, MD, PhD
Director of Institute for Spine Care, Chicago Institute of Neurosurgery and Neuroresearch; Professor, Department of Neurological Surgery, Rush-Presbyterian-St. Luke’s Medical Center, Chicago, Illinois, USA

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Table of Contents

Basic Considerations
History and Overview
Julie E. York, MD, Mark K. Thompson, MD, and Mick J. Perez-Cruet, MD, MSc
Setting Up an Ambulatory Spinal Surgery Clinic
Richard N. W. Wohns, MD, MBA
The Business of Outpatient Spinal Surgery
Richard N. W. Wohns, MD, MBA
Patient Education
Mick J. Perez-Cruet, MD, MSc, Laurie Rice-Wyllie, RN, MS, ANP-C, and Daniel R. Pieper, MD
Anesthesia and Pain Management
Harsimran S. Brara, MD

Operative Procedures
Posterior Cervical Microendoscopic Foraminotomy
Larry T. Khoo, MD, Mick J. Perez-Cruet, MD, MSc, Daniel T. Laich, DO, and Richard G. Fessler, M., PhD
Anterior Cervical Foraminotomy
J. Patrick Johnson, MD
Single-Level Anterior Cervical Microdiscectomy
Randall R. McCafferty, MD, Michael A. Leonard, MD, Richard G. Fessler, MD, PhD, and Mick J. Perez-Cruet, MD, MSc
Anterior Cervical Spine Spacer
Newton Paes, MD, Oswaldo Tella, MD, and Mick J. Perez-Cruet, MD, MSc
Lumbar Microdiscectomy
Christopher J. Koebbe, MD, and Mick J. Perez-Cruet, MD, MSc
Microdiscectomy with Minimally Invasive Tubular Retractor
Donald Long Hilton, Jr., MD
Endoscopic Lumbar Microdiscectomy
Mick J. Perez-Cruet, MD, MSc, Maurice M. Smith, MD, and Kevin T. Foley, MD
Endoscopic Far-Lateral Lumbar Microdiscectomy
Sanjay K. Gupta, MD, Maurice M. Smith, M., and Kevin T. Foley, MD
Endoscopic Lumbar Laminotomy for Stenosis
Larry T. Khoo, MD, Kristine M. Khoo, NP, Robert E. Isaacs, MD, and Richard G. Fessler, MD, PhD
Percutaneous Lumbar Techniques
Josef Ramsbacher, MD, and Mario Brock, MD, PhD
Lisa L. Guyot, MD, PhD, and Richard D. Fessler, MD
Minimally Invasive Lumbar Intervertebral Disc Stabilization
Madhavan Pisharodi, MD, and Amayur Chandran, PhD
Laparoscopic Anterior Interbody Fusion of the Lumbosacral Spine
Stephen E. Heim, MD, and Anthony Altimari, MD

Complications and Outcomes Analysis
Prevention and Management of Complications
Fadi Hanbali, MD, and Ziya L. Gokaslan, MD
Clinical Outcomes Analysis
Devanand A. Dominique, MB, BCh, and Michael G. Fehlings, MD, PhD, FRCS(C)

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