Written by an international, multidisciplinary group of experts, this volume is a definitive reference on all nonoperative aspects of the pediatric spine. Coverage begins with developmental anatomy, biomechanics, an in-depth review of imaging, and a detailed guide to patient evaluation. Subsequent sections cover all disorders affecting the pediatric spine--congenital and developmental abnormalities, traumatic injuries, inflammatory and infectious conditions, neoplasms and malformations, metabolic disease, and neuromuscular diseases. The contributors offer authoritative advice on the medical and/or surgical treatment options for each condition. Each chapter includes a comprehensive bibliography. Also included is a detailed appendix of radiographic measurements, classifications, and definitions. A Brandon-Hill recommended title.
A single-volume reference for managing pediatric spine disorders and disease Ideal for neurosurgeons, pediatric neurosurgeons, and orthopedic surgeons, Surgery of the Pediatric Spine is a comprehensive multidisciplinary reference for the surgical management of the most frequently encountered spine problems in the pediatric patient. An overview of developmental and clinical aspects provides essential information on biomechanics, neuroimaging, preoperative evaluation, anesthesia, and neurophysiological monitoring. The book goes on to present the surgical anatomy and various approaches to the spine and spinal cord. Chapters are grouped into easy-to-reference sections that are organized by type of problem, including congenital anomalies and developmental disorders; neoplasms; vascular malformations; inflammatory and infectious diseases; neuromuscular disease; trauma; and deformities. The book also presents special techniques for the treatment of spinal deformity, such as osteotomy, vertebrectomy, VEPTR expansion thoracoplasty, and fusionless techniques. A chapter devoted to the rehabilitation of children with spinal cord injury covers the principles and key concepts in treatment, as well as the possible secondary complications and challenges that are unique to pediatric patients. Highlights: Clinical insights from well-known experts in the fields of neurosurgery, pediatric neurosurgery, and orthopedics Detailed information for each stage of management guides the reader through clinical presentation, diagnostic studies, indications, operative techniques, nonsurgical treatments, possible complications, and outcomes More than 1,000 illustrations and images demonstrate key concepts Numerous cases in selected chapters illustrate management principles and treatment outcomes An invaluable resource for multidisciplinary approaches to patient care, this comprehensive text provides readers with a solid foundation in the specific issues associated with treating the pediatric patient with spine disease and disorders.
A comprehensive guide to modern treatment in a complex and evolving specialty FIVE STARS from Doody's Star Ratings™ Covering the spectrum of spinal deformity that occurs between birth and 10 years, early onset scoliosis (EOS) is an evolving specialty that faces unique challenges, especially in controlling the progression of the condition while allowing the growth of the developing spine, lungs and thorax. This important book was inspired by the inaugural early onset scoliosis meeting of spine surgeons and other medical professionals in Christ Church, Oxford, UK, in September 2011. It provides a complete picture of the field today, with topics ranging from spinal development and genetics to advances in medical management to breakthrough surgical techniques that offer promising new options for young patients. Special Features Provides practical, evidence-based solutions to managing the full range of congenital, idiopathic, neuromuscular and syndromic conditions that present in early onset scoliosis Describes pioneering surgical procedures, such as non-invasive, magnetically controlled growing rod systems that reduce the number of repetitive surgeries and hospitalizations Explores such complex topics as surgical strategies for sitting comfort and features of optimal heelchair seating Details treatments and outcome measures in diverse, multi-system disorders, such as early onset neuromuscular scoliosis Highlights perioperative care and the vital role of physiotherapy in children with EOS Introduces an EOS questionnaire that establishes validated, patient-reported data for outcome assessment Recognizing the importance of the multidisciplinary team approach in effective management, Early Onset Scoliosis offers the valuable international perspective of many leaders in the field. It is essential for orthopedic and pediatric surgeons, residents and trainees, who will use the book to develop a clear understanding of what EOS is, how it is best treated, and the principles that underlie effective clinical decision-making in these complex cases.
Spinal disorders in very young children may be caused by a variety of conditions. The treatment of such conditions is often challenging due to the age of the patient and the progressive nature of the deformity. There also may be associated problems such as congenital anomalies, respiratory insufficiency, and neurological problems. Depending on the etiology of the deformity, these children are often cared for by multiple specialists including pediatricians, pediatric orthopaedists or orthopaedic spine surgeons, neurologists, pediatric surgeons, pediatric neurosurgeons, oncologists, and/or pulmonologists. Health professionals in all of the mentioned disciplines are involved in the management of these patients, which is why compiling a comprehensive textbook that is not limited to orthopedic specialists is essential. This textbook will effectively help to standardize the care of these patients. Furthermore, other professionals such as nurses, physical therapists and healthcare professionals in training are usually not familiar with these conditions and are in need of a reference book to consult when caring for children with spinal deformities.
With contributions from more than 100 renowned authorities in the field, this reference compiles treatment recommendations and tips for a myriad of complications associated with nonoperative and operative management of various spinal pathologies in children and adults-providing expert guidance on complication identification, recognition, management, and prevention, as well as the legal and ethical aspects of contemporary spinal care.
A comprehensive guide to anesthesia specifically for spine surgery, explaining procedures from the point of view of both anesthesiologists and surgeons.
An indispensable resource for spine surgery professionals at all levels of experience, Safety in Spine Surgery: Transforming Patient Care and Optimizing Outcomes addresses today’s key issues in this complex field. Editor, Michael Vitale, MD, Chief Quality Officer in the Department of Orthopaedic Surgery at Columbia University Medical Center, leads an outstanding team of spine surgeons and other healthcare professionals who provide clear guidance in improving the care and safety of adult and pediatric patients undergoing surgery for disorders of the spine. Timely coverage includes using systems to improve safety and outcomes (such as adherence to process, open communication, team skills-building and training, creating urgency, and building consensus), with a focus on reducing infection, hemorrhage, and nerve injury.
Back pain is a common musculoskeletal condition that presents to physicians in the primary care office, the urgent care facility, and the emergency room. However, few primary care physicians have received education and training about the appropriate workup and referral for a child who presents with back pain. This book is designed to fill the gaps in primary care physician knowledge and ultimately improve patient care. This book is divided into three major sections. The first section contains seven introductory chapters on epidemiology, anatomy of the spine, imaging studies, clinical considerations, general history questions, and physical examination pearls of the child with back pain. This section gives an overview of common back pain problems and provides instructions on how to best perform a history and examination of the pediatric patient with back pain. Classic historical and examination findings are highlighted that can lead to a focused differential diagnosis, successful treatment and appropriate referral. Recognition of the red flags in the history and physical keep the clinician ‘out of trouble‘. This section concludes with a chapter that guides physicians in "putting it all together". The second section is the largest section of the book and contains 25 case based chapters organized by major presenting clinical features. Each chapter has a similar structure and includes red flags of the history and the physical, case examples, clinical pearls, and editor comments. Cases vary from common presentations of back pain such as back pain related to back packs to rare presentations of back pain such as back pain stemming from tuberculosis. The third and final section of the book contains additional resources for the primary care physician, including web sites, parent handouts, and a bibliography of key articles. This section provides further information and alternative resources for the practicing clinician. Written by experts in the field, Back Pain in the Young Child and Adolescent is a ‘must have’ resource for pediatricians, primary care physicians, and any other clinicians caring for younger patients who are experiencing back pain.