Spinal Deformities in Adolescents, Adults and Older Adults is a unique book with a wide scope of coverage of the topic. Written by specialists worldwide, this book presents under-reported topics and treatments in spinal deformity, as well as a very interesting autobiographical case study from one of the authors detailing his self-management approach to his own spinal deformity. The chapters examine the evidence relating to spinal deformities together with assessment tools, treatment modalities, and the various types, benefits, and side effects of these diverse treatment approaches. This book is designed for clinicians working with patients, researchers, and patients and their families.
Covers the anatomy, etiology, and natural history of scoliosis - from patient evaluation and an algorithm for treatment to pulmonary function after surgical treatment and the use of instruments to evaluate surgical treatment. This new monograph focuses on the most common form of scoliosis occurring otherwise normal adolescents, affecting spinal alignment, growth, and function.
This book series is an official publication of the G.I.S. (Grupo Italiano Scoliosi - Italian Scoliosis Research Group), an association of highly specialized orthopaedic surgeons which was founded about ten years ago with the aim of enhancing knowledge and research in the basic science, diagnosis and therapy of vertebral diseases. Gathering the most remarkable papers presented at the annual meeting of the G.I.S., the series represents the best of current practice and research in the field of Spinal Pathology throughout the whole of Italy. From the foreword by R.B. Winter: "The Italian Group for the Study of Scoliosis is to be commended for its systematic "attack" on subjects related to vertebral deformity. In this volume, the subject is adult scoliosis. The papers herein presented cluster around three themes: (1) the natural history of scoliosis in adults, (2) the surgical treatment of scoliosis with particular reference to the quality of correction balanced against the complications of the surgery, and (3) the benefits of treatment, particularly in regards to pain and respira tory function."
The purpose of this book was to offer an overview of recent insights into the current state of arthroplasty. The tremendous long term success of Sir Charnley's total hip arthroplasty has encouraged many researchers to treat pain, improve function and create solutions for higher quality of life. Indeed and as described in a special chapter of this book, arthroplasty is an emerging field in the joints of upper extremity and spine. However, there are inborn complications in any foreign design brought to the human body. First, in the chapter on infections we endeavor to provide a comprehensive, up-to-date analysis and description of the management of this difficult problem. Second, the immune system is faced with a strange material coming in huge amounts of micro-particles from the tribology code. Therefore, great attention to the problem of aseptic loosening has been addressed in special chapters on loosening and on materials currently available for arthroplasty.
Evidence-Based Orthopedics is an up-to-date review of the best evidence for the diagnosis, management, and treatment of orthopedic conditions. Covering orthopedic surgery as well as pre- and post-operative complications, this comprehensive guide provides recommendations for implementing evidence-based practice in the clinical setting. Chapters written by leading clinicians and researchers in the field are supported by tables of evidence that summarize systematic reviews and randomized controlled trials. In areas where evidence is insufficient to recommend a practice, summaries of the available research are provided to assist in decision-making. This fully revised new edition reflects the most recent evidence using the approved evidence-based medicine (EBM) guidelines and methodology. The text now places greater emphasis on GRADE—a transparent framework for developing and presenting summaries of evidence—to allow readers to easily evaluate the quality of evidence and the strength of recommendations. The second edition offers a streamlined presentation and an improved standardized format emphasizing how evidence in each chapter directly affects clinical decisions. Incorporating a vast amount of new evidence, Evidence-Based Orthopedics: Features thoroughly revised and updated content, including a new chapter on pediatric orthopedics and new X-ray images Provides the evidence base for orthopedic surgery as well as pediatric orthopedics and orthopedic conditions requiring medical treatment Covers the different methods for most orthopedic surgical procedures, such as hip replacements, arthroscopy, and knee replacements Helps surgeons and orthopedic specialists achieve a uniform optimum standard through a condition-based approach Aligns with internationally accepted guidelines and best health economic principles Evidence-Based Orthopedics is an invaluable resource for orthopedic specialists, surgeons, trauma surgeons, trainees, and medical students.
From imaging modalities, to anesthesia considerations, to intraoperative monitoring techniques, this introductory text presents a thorough overview of all key concepts for the accurate diagnosis and successful treatment of spinal deformity. The authors cover the principles of sagittal and coronal balance and address the role of flexible versus fixed deformity in treatment planning. Straightforward explanations of the etiology, pathogenesis, radiologic and clinical findings, differential diagnosis, and both surgical and nonoperative treatment options for each disorder provide the reader with the information necessary for handling each clinical situation with confidence.Highlights: More than 400 drawings, radiographs, and photographs demonstrate pathology of spinal deformities and the techniques to address them Coverage of possible anatomical variations of the deformed spine prepares the clinician for managing complex cases Discussion of general medical issues including pain management through medication, the potential for postoperative pulmonary complications, and how to manage metabolic bone disorders A review of the latest technological advances using image guidance and robotics in deformity surgery Descriptions of bracing and casting techniques, with a brief literature review on outcomes Written by a multidisciplinary team of experts, this book is invaluable for all beginning and experienced neurosurgeons, orthopedic surgeons, residents and fellows in those specialties, and allied health professionals requiring a comprehensive reference and review.Cover Art Illustrator: Chadi Tannoury, M.D.
Innovations in Spinal Deformities and Postural Disorders presents a compendium of innovative work in the management of spinal deformities and postural disorders. The chapters were carefully selected with clinicians, researchers, patients and parents in mind. All of these stakeholders are important links in the management of spinal deformities and disorders. It is our hope that all will remain open to new ideas in the field and will be able to evaluate the material carefully and in ways that are objective and evidence based. We hope that the different chapters in the book will stimulate readers to be original and innovative in their own centers in order to help our patients in the best way possible. This book contains new information on the 3D measurement of, as well as new approaches to, the 3D conservative, including exercises and braces, and surgical treatments for patients with spinal deformities and postural disorders.
Unique resource from internationally renowned experts details the key role of sagittal spine balance Through evolution, human verticality became associated with a wide range of normal pelvic shapes and associated pelvic incidence angles (PIs). While all types of sagittal alignment generally provide adequate support to young adults, age, stress, and related degeneration can progressively lead to sagittal imbalance and contribute to various spinal pathologies. Sagittal Balance of the Spine by Pierre Roussouly, João Luiz Pinheiro-Franco, Hubert Labelle, Martin Gehrchen, and a cadre of esteemed international contributors focuses on the importance of sagittal alignment and spino-pelvic shape identification in clinical practice. Offering the most comprehensive text on sagittal balance to date, this state-of-the-art, richly illustrated book fills a void in the literature, offering clinical pearls throughout seven sections and 24 chapters. Key Highlights The biomechanics of sagittal balance including spine modeling, primary parameters, spinal curves segmentation, and lumbar lordosis classification The role of sagittal balance in low back pain and degeneration, with discussion of spinal orientation and the contact forces theory, spinal degeneration associated with spinopelvic morphotypes, and compensatory mechanisms Comprehensive analysis of the relationship between sagittal imbalance and isthmic lysis spondylolisthesis, degenerative spondylolisthesis, Scheuermann's kyphosis, adolescent idiopathic scoliosis, and adult scoliosis Posterior and anterior treatment approaches – from spinal fixation and spinal fusion – to spinal osteotomy techniques and management of surgical failure This text is essential reading for every neurosurgical and orthopaedic resident, as well as veteran surgeons who evaluate and treat patients with spine conditions. Clinicians will learn why incorporating sagittal balance evaluations into spinal exams is integral to devising more effective treatment strategies and achieving improved outcomes.
A who's who in this challenging field brings you state-of-the-art approaches to the full range of surgical management options-including reconstructive procedures-for the pediatric and adult patient with spinal deformity. Experts discuss the course of treatment for patients in different age groups and take into consideration the extent of the curve at the time of diagnosis and during follow-up, the patient's stage of bone growth, the amount of pain and deformity associated with the condition, and the patient's willingness and ability to withstand surgery. Plus, a section on general information such as practical surgical anatomy, imaging, applied biomechanics, and instrumentation helps you approach each patient more effectively. Emphasizes technical skills and surgical decision making, including pearls, pitfalls, and illustrative case studies, offering you expert advice on technically challenging surgeries. Provides the very latest information on minimally invasive endoscopic and mini-open approaches to broaden your surgical options and minimize post-operative complications. Discusses peri-operative considerations, including anesthesia, blood loss management, bone graft and fusion enhancement, neural monitoring, and complications, keeping you prepared for any event. Presents full-color line artwork of surgical procedures as well as diagnostic and clinical photographs for superb visual guidance. Offers a consistent format throughout and a full-color design for ease of reference.
