Master spine surgeons Alexander R. Vaccaro, Richard G. Fessler, and a cadre of esteemed co-editors have compiled the
most comprehensive textbook to date detailing minimally invasive spine (MIS) versus open spine surgery techniques.
Controversies in Spine Surgery, MIS versus OPEN: Best Evidence Recommendations features debates by renowned experts on
one of the most provocative topics in spine surgery. Twenty-four chapters systematically organized into four sections —
degenerative, trauma, tumor, and other issues, cover procedures and underlying pathologies, backed by a large, diverse
body of literature.
MIS and open approaches are thoroughly compared and contrasted in each chapter. Evidence is presented and analyzed in
an objective manner with 'opposing sides' presenting differing opinions and techniques, resulting in a synchronous
collection of pros and cons. Every chapter is masterfully summed up by the book's editors — each of whom have varying
stances on the topics at hand. This unique 'duel' and 'duet' discussion enables readers to assimilate information,
benefit from the balanced harmony between divergent opinions, and reach their own conclusions.
◦ Comparative risks, benefits, complications, and outcomes for a full spectrum of lumbar, thoracic and cervical
◦ MIS versus open approaches for lumbar stenosis, synovial cysts, lumbar adjacent segment degeneration,
degenerative scoliosis, flatback syndrome, thoracic disc herniation, and dural tears
◦ Tumor resection and stabilization, quality of life issues, and potential advantages and risks of MIS techniques
◦ Key differences in MIS versus open operations such as radiation exposure and costs
◦ Analysis of 3-D navigational imaging to improve outcomes and reduce radiation exposure and operating time
This book is a tremendous, evidence-based tool to guide spine surgeons as they make important decisions on
selecting the most optimal spine surgery techniques. It is a must-have resource for all resident and veteran
orthopaedic surgeons and neurosurgeons who specialize in treating patients with spine conditions.
Alexander R. Vaccaro, MD, PhD, FACS, MBA, is Richard H. Rothman Professor and Chairman, Department of
Orthopaedic Surgery, and Professor of Neurosurgery, Thomas Jefferson University and Hospitals; and
President, The Rothman Institute, Philadelphia, Pennsylvania, USA.
Richard G. Fessler, MD, PhD, is Professor, Department of Neurosurgery, Rush University Medical Center,
Chicago, Illinois, USA.
Faheem A. Sandhu, MD, PhD, is Professor of Neurosurgery, Director of Spine Surgery, and Co-Director,
Center for Minimally Invasive Spine Surgery, Department of Neurosurgery, MedStar Georgetown University
Hospital, Washington, DC, USA.
Jean-Marc Voyadzis, MD, is Co-Director, Center for Minimally Invasive Spine Surgery and Associate Professor
of Neurosurgery, MedStar Georgetown University Hospital, Washington, DC, USA.
Jason C. Eck, DO, MS, is an Orthopaedic Spine Surgeon, Center for Sports Medicine and Orthopedics,
Chattanooga, Tennessee, USA.
Christopher K. Kepler, MD, MBA, is an Associate Professor and Orthopaedic Spine Surgeon, Department of
Orthopaedic Surgery, Thomas Jefferson University and Hospitals, and The Rothman Institute, Philadelphia,
An award-winning international medical and scientific publisher, Thieme has demonstrated its commitment
to the highest standard of quality in the state-of-the-art content and presentation of all its products.
Founded in 1886, the Thieme name has become synonymous with high quality and excellence in online and
Part Ⅰ : Degenerative
1. Lumbar Discectomy: Is Tubular or Endoscopic Discectomy Better Than Traditional Microdiscectomies
2. Is Lumbar Stenosis Best Treated with an Open Laminectomy
3. Facet Cysts: Is There and Advantage to Treating Synovial Cysts with Minimally Invasive Techniques
4. Transforaminal Lumbar Interbody Fusion: Minimally Invasive versus Open
5. The Lateral Transpsoas Approach versus ALIF: Do the Risks of Lateral Interbody Fusion Outweigh the Benefits
Compared to Anterior Lumbar Interbody Fusion
6. Is AxiaLIF Comparable to Open Fusion with ALIF and Posterolateral 360º Fusion at L5-S1
7. Multiple-Level Interbody Fusion: How Do Two-Level Fusion Techniques Compare between Open and Minimally Invasive
8. Is Lumbar Adjacent Segment Degeneration Best Treated Using Minimally Invasive Surgery over Open Fusion Techniques
9. Degenerative Scoliosis: Is There an Advantage to Using Minimally Invasive Techniques to Treat Degenerative
10. Flaback Syndrome: Can Lumbar Flatback Syndrome Be Treated Adequately with Minimally Invasive Techniques
11. Can Thoracic Disc Herniation Be Effectively Treated Using Minimally Invasive Techniques
12. Postrior Cervical Foraminotomy
13. Complications of Instrumentation: Is There a Higher Complication Rate in Placing Instrumentation via a
Minimally Invasive Technique Compared with an Open Technique
14. Dural Tears: Should a Minimally Invasive Complication Such as a Dural Tear Routinely Be Opened for Adequate
Repair or Are There Safe and Reliable Minimally Invasive Techniques for Dural Closure
15. Do Minimally Invasive Techniques Broaden the Scope for Geriatric Spine Surgery
Part Ⅱ : Trauma
16. Thoracolumbar Burst Fractures: Can Thoracolumbar Burst Fractures Be Effecively Managed Using Minimally Invasive
17. Open and Minimally Invasive Treatment of Cervical Spine Fractures
Part Ⅲ : Tumor
18. Thoracolumbar Metastatic Tumors: Comparison of Minimally Invasive Surgery versus Open Techniques for
Addressing Thoracolumbar Metastatic Tumor Resectiong and Stabilization
19. Intradural Spine Tumors: Is There an Advantage to Removing Intradural Spine Tumors Using an MIS Approach
20. Quality of Life in Advanced Tumors: Can Minimally Invasive Surgery Techniques Improve the Quality of Life of
Patients with Advanced Oncologic Disease to Allow for Decreased Pain or Should Traditional Techniques of
Palliation Be Used
Part Ⅳ : Other Issues
21. Radiation Exposure: How Does Radiation Exposure Differ between Open and Minimally Invasive Techniques
22. Infection Rates: How Do Infection Rates Compare between MIS and Open Spine Techniques
23. Cost: Which Costs More, Open or Minimally Invasive Surgery
24. Success Rates and Time: Can Three-Dimensional Navigational Imaging Improve the Success and Time Required
for Minimally Invasive Surgery and Minimize Radiation Exposure to Those in the OR Suite