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Table of Contents    
Year : 2019  |  Volume : 67  |  Issue : 3  |  Page : 959-960

Minimal invasive spine surgery – A ready reckoner

Department of Neurosurgery, Aster CMI Hospital, Bengaluru, Karnataka, India

Date of Web Publication23-Jul-2019

Correspondence Address:
Dr. Umesh Srikantha
Department of Neurosurgery, Aster CMI Hospital, Bengaluru, Karnataka
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0028-3886.263219

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How to cite this article:
Srikantha U, Hari A. Minimal invasive spine surgery – A ready reckoner. Neurol India 2019;67:959-60

How to cite this URL:
Srikantha U, Hari A. Minimal invasive spine surgery – A ready reckoner. Neurol India [serial online] 2019 [cited 2020 Jul 13];67:959-60. Available from:

Editors :Jayesh Sardhara, Anant Mehrotra, Kuntal Kanti Das, Kamlesh Singh Bhaisora, Sanjay Behari

Section :4

Chapters :23

Pages :222

Year of publication :2019

Publisher :Salubris Medical Publishers

This book titled “Minimal invasive spine surgery – A ready reckoner” comprises a total of 23 chapters detailing the minimally invasive surgical aspects of various spinal diseases. The chapters have been divided into 4 sections with contributions from renowned national and international experts on spine surgery.

In its opening section, the book introduces the reader to the basic concepts of minimally invasive spine surgery (MISS) techniques and the devices used, along with a sound explanation of the three-dimensional anatomical landmarks and biomechanical functions of the spine. A comprehensive coverage of a range of spinal diseases is then seen in the next two chapters from the craniovertebral (CV) junction and the cervical spine (Section 2) to the dorsolumbar spine (Section 3). An elaborate description of both anterior and posterior MISS approaches, including the use of tubular, endoscopic and mini-open techniques to address the spectrum of common spinal conditions, have been dealt with in a simple and easy-to-understand manner. Endoscopic techniques ranging from extended endonasal transcervical retropharyngeal approaches for the CV junction, full-endoscopic anterior cervical discetomy and fusion, as well as the “Destandau technique”, stitchless transforaminal” and interlaminar techniques have been finely described by experts in the respective fields. Tubular and mini-open approaches for discectomy, posterior foraminotomy as well as various fusion techniques such as transforaminal lumbar interbody fusion (TLIF), lateral lumbar interbody fusion (LLIF) and oblique lateral interbody fusion (OLIF) have also been detailed in a concise and easily readable format. The final “Miscellaneous Section” addresses MISS interventions for conditions such as osteoporosis, trauma, tumors, deformity, and pain, along with the advanced imaging techniques such as “O-arm” and neuronavigation.

All the chapters are well written with good pictographic representation wherever possible, making orientation with the text even better. The authors, with their vast experience in dealing with spine, have tried to include technical pearls and pitfalls with complication avoidance and relevant literature review in most cases, which might greatly benefit both young readers (who are in the early stages of their careers), or more advanced surgeons who are busy in their practice and looking for a quick tip.

The overall design of the book can be best described as that of a handbook which aims to deliver useful and pertinent information about a given topic that the reader can grasp quickly in a short time frame. The sheer number of illustrative sketches, intraoperative photographs and subsections within each chapter make the book quite effective and user-friendly. It is worth commending the efforts put by the editorial team from the Department of Neurosurgery at SGPGI, Lucknow in bringing out a book which aims to serve as a starting point for most readers interested in MISS – especially students and young spinal surgeons who plan to embark upon this surgical field but may hesitate, seeing the steep learning curve of MISS.

However, this book serves to be just what the title suggests – “A Ready Reckoner”. It remains yet another additional learning material in the ocean of available compilations on MISS that aims to provide a quick read. While it may be a useful fundamental surgical guide, especially from an Indian standpoint, it is by no means an extensive coverage of the gamut of MISS. The pocket-book style concise nature of the content may impress a younger audience but may fail to attract or leave an impact on the more advanced reader.

Nevertheless, that limitation is what makes this book ultimately a good reference guide. Its strengths remain in the informative pictures as well as the organized step-by-step description of surgical procedures along with the well-conceived tips and pearls. As mentioned in the foreword, it is this same information that might help to make “the difference between a successful surgery and one that goes horribly wrong”.

It is worth looking forward to subsequent editions of this book in the future, with hopes of an even greater coverage of advancements in MISS. This book may thus be recommended as a must-read guide for all young spine surgeons who intend to foray into the world of MISS, as well as the experienced ones interested in a quick recapitulation.


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