Spinal Vascular Malformations is a comprehensive text detailing the historical perspective and evolution of current understanding of the various vascular malformations involving the spinal cord. Contributing authors are recognized experts in the fields of anatomy, pathophysiology, hemodynamics, imaging and the surgical and endovascular treatment of vascular malformations of the spinal cord. (Distributed by Thieme for the American Association of Neurological Surgeons)
This book was written in an attempt to fill a serious gap in medieal literature. A coneise anatomieal text, incorporating an atlas of the vaseular anatomy of the vertebral column and spinal cord, it has been designed to suit the needs of ort ho pedie surgeons, neurosurgeons, and neurologists. We also fee! that this work will he!p give direetion to further studies on the morphology and physiology of spinal eirculation. The book begins with a diseussion of the origins of the arteries whieh supply the vertebral eolumn. It eontinues with adescription of the various regions of the spine, the eervieal, thoraeie, and lumbar, and of the arteries which supply the meninges and spinal cord, the veins of the verte bral column, and venous and arterial distribution within the spinal cord. Anatomie studies of the eireulation both in bones and in the spinal cord require the use of teehniques whieh are erude and time consuming. Essential to sueeess is aecess to fresh postmortem human bodies, so that injeetions into the vaseular systems may be attempted before any disseetion has been made in the course of the routine pathologie examination. Permission to pursue these partieular anatomie studies eannot be obtained as a matter of routine. Beeause of the restrieted availability of speeimens therefore, only random sam pIes can be obtained.
Our common interest in surgery of the vertebral artery was born in 1976, when as residents in the same hospital, we attended an attempt by two senior surgeons to treat an aneurysm of the vertebral artery at the C 3 level. Long discussions had preceded this unsuccessful trial, to decide if surgery was indicated and to choose the surgical route. Finally a direct lateral approach was performed, but access was difficult and correct treatment was impossible, resulting in only partial reduction of the aneurysmal pouch. Following this experience, we decided to seek a regular and well defined approach for exposition of the vertebral artery. Review of the literature indicated some surgical attempts, but the descriptions did not give the impression of safety and reproducibility. No landmark on the described surgical route appeared sufficiently reliable. Henry's anatomical work (1917) gave the only accurate description on vertebral artery anatomy, and it became the basis for our work. When the same patient was referred again one year later, after a new stroke in the vertebro-basilar system, we had behind us repetitive experience on cadavers of an original approach to the distal vertebral artery.
This book follows the concept of perceiving the entire aorta as one functional organ assuming that all individual pathologies and local interventional procedures affect the up- and downstream segments with consequences for complications and disease progression. Thus any preventive or surgical strategy must recognize the aortic disease in its entirety. The book intends to cover the full spectrum of aortic pathologies, mechanisms and functional interplay. The latest available diagnostic tools and options for surgical treatment are presented by the foremost experts in their field in state-of-the-art reviews. The reader is provided with the most current and comprehensive insight into all fundamental and clinical aspects of aortic disease. All chapters are carefully complemented with figures and illustrations.
Vascular Neurology, Vascular Neurosurgery and Interventional Neuroradiology are independent fields with dedicated Training Programs. Neuroimaging, and in particular what we call "Neurovascular Imaging" is a unifying factor which can be considered the intersection of these three medical specialties. With this book we aim to cover thoroughly the imaging techniques, potentialities, and present and future applications as applied to all the vascular diseases of the central nervous system from the imaging point of view. This book will comprise eight main sections: (1) The Basics, (2) Arteries of the Head and Neck (3) The basics of Intracranial Arteries (4) Diseases of the vessels (5) Stroke Imaging (6) Veins Imaging (7) Spine Imaging (8) Pediatrics.
This is the first book to cover minimal-invasive treatment of osteoporotic, tumorous and traumatic vertebral fractures in the English language. In addition to detailed descriptions of the techniques, including tips and tricks from experts, the book contains a chapter about the medical treatment of osteoporosis, which is indispensable in the interdisciplinary approach to osteoporosis. This acclaimed innovative concept unites several treatment aspects. More conservative treatment methods are also presented in this work. All chapters reflect new developments and clinical findings in the field of orthopaedics, surgery, traumatology and neurosurgery.
