Spine surgery is evolving much like hip surgery did 30 years ago. It is progressing away from fusion towards mobility retention. The LINK SB Charité Artificial Disc is the only motion-retaining disc replacement for which there is long-term clinical experience with thousands of the devices having been implanted. In this book, the topic of artificial disc replacement is thoroughly discussed by the inventors and top spine specialists. Key features, such as the history of the SB Charité Disc, spinal anatomy, technical background, and clinical results are presented. This provides much valuable information to spinal surgeons interested in the state of the art of this exciting treatment. The SB Charité disc replacement, used in dedicated European centers for more than 10 years, is presently creating much interest in the Americas, too. This book is a must for anyone in the field of medicine interested in the operative treatment of low back pain.
Spine surgery is evolving much like hip surgery did 30 years ago. It is progressing away from fusion towards mobility retention. The LINK SB Charité Artificial Disc is the only motion-retaining disc replacement for which there is long-term clinical experience with thousands of the devices having been implanted. In this book, the topic of artificial disc replacement is thoroughly discussed by the inventors and top spine specialists. Key features, such as the history of the SB Charité Disc, spinal anatomy, technical background, and clinical results are presented. This provides much valuable information to spinal surgeons interested in the state of the art of this exciting treatment. The SB Charité disc replacement, used in dedicated European centers for more than 10 years, is presently creating much interest in the Americas, too. This book is a must for anyone in the field of medicine interested in the operative treatment of low back pain.
Neurosurgery by Example: Key Cases and Fundamental Principles provides case-based, high yield content for the spine surgeon and neurosurgeons preparing for the American Board of Neurological Surgeons oral examination. It covers a wide array of spinal pathologies with their presentation, diagnosis, and treatment plans. Postoperative and complication management strategies are offered as well in order to prepare surgeons who can then provide comprehensive patient care for complex spine conditions.--Provided by publisher.
The challenge of treating complex spinal deformity often demands innovative solutions and greater skill than the initial surgical intervention; strategic planning is the critical element in successful surgical execution and outcome. Spinal Deformity: A Guide to Surgical Planning and Management, edited and written by the leading experts, is a landmark publication that provides critical information needed to safely plan, stage, and execute operations for the full range of complex spinal deformities. A Virtual Gold Mine of Information This book is an invaluable and practical tool for managing spinal deformities in your practice. Organized into four parts, it begins with a focus on recent advances in spine technology, starting with biomechanics, deformity classification, conservative management, and surgical indications. Subsequent chapters discuss technologic innovations, including spinal biologics, image guidance, and minimally invasive approaches for anterior and posterior spinal fusion. This introductory section is essential reading for the surgeon learning basic technique as well as for the experienced surgeon seeking to refine and enhance skills. The remaining parts focus on state-of-the-art surgical techniques for treating spinal deformity in the cervical spine, the thoracic spine, and the lumbosacral spine. Specific chapters have also been included on managing deformities at the cervicothoracic, thoracolumbar, and lumbosacropelvic junctions. In addition, both open and minimally invasive techniques are described. Organized with a consistent format, each technique chapter includes information on indications, planning and assessment, clinical problem solving, surgical technique, and postoperative care. A Who's Who of Spine Surgery The editors, Drs. Mummaneni, Lenke, and Haid; the part editors, Drs. Benzel, Kuklo, Resnick, and Shaffrey; and the contributors are world-renowned both neurosurgeons and orthopedic surgeons who have extensive experience in treating spinal deformity. Algorithms, Surgical Plans, and Tips and Tricks Aid in the Decision-Making Process Beautifully illustrated with step-by-step surgical technique, this book provides the practical advice, clinical nuances, and learning aids to assist you in the diagnosis and treatment of complex surgical deformities. Numerous imaging modalities are used to demonstrate the preoperative presentation as well as postoperative results. In addition, clinical problem-solving sections with treatment algorithms guide you in selecting the best surgical approach for each patient. Hundreds of case examples demonstrate the excellent results that can be achieved. To enhance the learning experience, an accompanying DVD with operative video is included.
This proceedings book of the Biolox Symposium in Seoul is composed of 10 sessions and plenary lectures of the most current knowledge available in the use of Bioceramics and alternative bearings. More than 50 speakers with world-famous reputations from 12 countries cover 52 topics on recent developments in Bioceramic and alternative bearings in arthroplasty.
The intervertebral disc is a complex structure that separates opposing vertebrae, permits a wide range of motion, and accommodates high biomechanical forces. Disc degeneration leads to a loss of function and is often associated with excruciating pain. Written by leading scientists and clinicians, the first part of the book provides a review of the basic biology of the disc in health and disease. The second part considers strategies to mitigate the effects of disc degeneration and discusses the possibility of engineering replacement tissues. The final section is devoted to approaches to model normal development and elucidate the pathogenesis of degenerative disc disease using animal, organ and cell culture techniques. The book bridges the gap between the basic and clinical sciences; the target audience includes basic scientists, orthopaedists and neurologists, while at the same time appealing to the needs of graduate students, medical students, interns and fellows.
Joint replacement is a logical step in the treatment of severe joint pathologies with irreversible lesions resisting conservative therapy. At the spinal level, arthrodesis became, very early, the gold standard of treatment for severe intervertebral disc pathologies. The next logical step was to envision functional replacement, and this step was taken as early as 1956, when the first intervertebral implant was described. However, it took many more years and a great variety of proposed implant designs before clinical applications could be attempted.
In this book, leading international specialists in the field join forces to discuss topics, issues and approaches that are of key importance in the optimal treatment of lumbar degenerative disk disease. The coverage is wide ranging, from current understanding of physiopathology and genetics and modern imaging techniques through to the diverse minimally invasive, non-fusion, and fusion surgical techniques. Detailed attention is drawn to the most important aspects to be considered when approaching the patient and making treatment decisions. The role of conservative management is appraised, and surgical techniques and their indications are carefully described. In the concluding section, some of the top specialists from across the world reflect on the lessons that they have learned during lifetimes in spinal surgery. Advanced Concepts in Lumbar Degenerative Disk Disease will be an instructive and fascinating source of information for all spine surgeons and other spine care providers.
The objective of this project is to develop a simplified, two-dimensional mathematical model of the lumbar spine for the purpose of studying the behavior the lumbar spine when affected by degenerative disc disease. Several hypothetical treatment options, including fusion and different types of artificial disc replacements (ADR) were examined. The cases presented consisted of three one-degree of freedom artificial discs, three two-degrees of freedom artificial discs, one ideal three-degrees of freedom artificial disc, a degenerated disc, a fused disc and a healthy spine. The equations of motion were generated for a healthy lumbar spine using Lagrange's equations and numerically integrated using Matlab®. Results were obtained for all cases at two different levels, L4-L5 and L5-S1 in response to an impulsive force of 100N applied at L3 in the posterior anterior direction. In the 1-DOF ADR cases at the L4-L5 level, the shear ADR performed better than the other two ADR, while at the L5-S1 level, the rotational ADR performed better than the other two ADR, and significantly better than the fused vertebrae case since it matched the behavior of the healthy spine much more closely. All the other 1-DOF ADR provided little or no improvement when compared to the fused case. In the 2-DOF ADR cases, the shear rotational ADR behaved very similarly to the healthy spine when implanted at both levels, L4-L5 and L5-S1, showing a behavior that varied by less than 1% in the posterior anterior direction and flexion extension rotation and less than 10% in the axial displacement when compared to the behavior of a healthy spine. Overall, the results of this thesis indicate that implanting an artificial disc to replace a damaged disc offers more benefits for the spine than fusion since this allows the spine to behave closer to the natural healthy spine, and hence most likely cause less damage to adjacent discs.
