This richly illustrated and comprehensive book covers a broad range of normal and pathologic conditions of the vertebral column, from its embryology to its development, its pathology, its dynamism and its degeneration. The dynamic anatomy of the living subject is viewed using the latest technologies, opening new perspectives to elucidate the pathology of the spine and improve spinal surgery. The respective chapters review in depth all sections of the vertebral column and offer new insights, e.g. the 3D study of vertebral movements using the “EOS system,” which makes it possible to define an equilibrium of posture and its limits. New histological and chemical findings on the intervertebral disc, as well as detailed descriptions of the aponeuroses and fasciae, are also provided. Bringing together the experience of several experts from the well-known French school, this book offers a valuable companion for skilled experts and postgraduate students in various fields: orthopedic surgery, neurosurgery, physiotherapy, rheumatology, musculoskeletal therapy, rehabilitation, and kinesiology.
This one-of-a-kind text describes the specific anatomy and neuromusculoskeletal relationships of the human spine, with special emphasis on structures affected by manual spinal techniques. A comprehensive review of the literature explores current research of spinal anatomy and neuroanatomy, bringing practical applications to basic science. A full chapter on surface anatomy includes tables for identifying vertebral levels of deeper anatomic structures, designed to assist with physical diagnosis and treatment of pathologies of the spine, as well as evaluation of MRI and CT scans. High-quality, full-color illustrations show fine anatomic detail. Red lines in the margins draw attention to items of clinical relevance, clearly relating anatomy to clinical care. Spinal dissection photographs, as well as MRIs and CTs, reinforce important anatomy concepts in a clinical context. Revisions to all chapters reflect an extensive review of current literature. New chapter on the pediatric spine discusses the unique anatomic changes that take place in the spine from birth through adulthood, as well as important clinical ramifications. Over 170 additional illustrations and photos enhance and support the new information covered in this edition.
This book provides the solid foundation of knowledge therapists need to safely and accurately treat musculoskeletal disorders of the spine. It presents a comprehensive view of applied functional anatomy and biomechanics of the whole spine, examining normal and abnormal function of the spine, the response of tissues to injury, and the effects of age-related changes. Thoroughly referenced and extensively illustrated with over 200 original, high-quality diagrams, it serves as an excellent resource for clinical decision making. The 2nd edition explores several areas in greater depth - including the sacroiliac joint, thoracic biomechanics, muscles - and reviews recent papers and the scientific evidence of functional anatomy. Accessory and physiological spinal movements are thoroughly described. Palpation is covered in detail. Numerous guidelines for safe practice are provided. A valuable, comprehensive chapter covers posture, lifting, and the prevention of injury. Coverage of applied anatomy and biomechanics is written by therapists for therapists. New theories on thoracic biomechanics are presented, rarely covered by other anatomy books. All topics have been updated to reflect recent scientific evidence, enabling the reader to more effectively formulate and manage treatment plans. New illustrations to complement the text and improve readers' understanding of the material. A one-of-a-kind chapter covering the sacroiliac joint has been comprehensively revised. Expanded material is provided on the autonomic nervous system, thoracic spine biomechanics, and the biomechanics of the lower limb as it relates to the spine. New sections address adverse neural tension, cervical discs, proprioception and muscle imbalance, and mechanics of the jaw and upper cervical spine. An update on vertebral artery and blood supply presents the latest knowledge on the subject.
An Atlas for the 21st Century The most precise, cutting-edge images of normal spinal anatomy available today are the centerpiece of this spectacular atlas for clinicians, trainees, and students in the neurologically-based medical specialties. Truly an ìatlas for the 21st century,î this comprehensive visual reference presents a detailed overview of spinal anatomy acquired through the use of multiple imaging modalities and advanced techniques that allow visualization of structures not possible with conventional MRI or CT. A series of unique full-color structural images derived from 3D models based on actual images in the book further enhances understanding of spinal anatomy and spatial relationships. Written by two neuroradiologists who are also prominent educators, the atlas begins with a brief introduction to the development, organization, and function of the human spine. What follows is more than 650 meticulously presented and labelled images acquired with the full complement of standard and advanced modalities currently used to visualize the human spine and adjacent structuresóincluding x-ray, fluoroscopy, MRI, CT, CTA, MRA, digital subtraction angiography, and ultrasound of the neonatal spine. The vast array of data that these modes of imaging provide offer a wider window into the spine and allow the reader an unobstructed view of the anatomy presented to inform clinical decisions or enhance understanding of this complex region. Additionally, various anatomic structures can be viewed from modality to modality and from multiple planes. This state-of-the-art atlas elevates conventional anatomic spine topography to the cutting edge of technology. It will serve as an authoritative learning tool in the classroom, and as a crucial practical resource at the workstation or in the office or clinic. Key Features: Provides detailed views of anatomic structures within and around the human spine utilizing over 650 high quality images across a broad range of imaging modalities Contains several examples of the use of imaging anatomic landmarks in the performance of interventional spine procedures Contains extensively labeled images of all regions of the spine and adjacent areas that can be compared and contrasted across modalities Serves as an authoritative learning tool for students and trainees and practical reference for clinicians in multiple specialties
This book is a comprehensive illustrated surgical guide to operative exposures of the spinal nerves, also known as peripheral nerves. Each chapter is devoted to a particular nerve and describes the origin, anatomic relations, branches, surgical approaches, and clinical significance. The text is concise and easy to read and is complemented by informative color photos from cadaveric dissections and surgical procedures. A separate chapter on technical notes identifies surgical pearls relating to techniques such as nerve suturing and nerve transfers. Importantly, unlike other peripheral nerve atlases, this book is accompanied by videos of different approaches. The book will be especially valuable for residents and fellows in training and candidates for oral board and MOC examinations. It is also designed to provide a quick illustrated review for surgeons unfamiliar with a procedure. Most videos are less than 5 minutes long, and it should take less than 10 minutes to review each approach, including watching the video. Anatomy and Exposures of Spinal Nerves will effectively fill a gap caused by the absence of a peripheral nerve surgeon from many neurosurgery training programs.
This one-of-a-kind text describes the specific anatomy and neuromusculoskeletal relationships of the human spine, with special emphasis on structures affected by manual spinal techniques. A comprehensive review of the literature explores current research of spinal anatomy and neuroanatomy, bringing practical applications to basic science. - A full chapter on surface anatomy includes tables for identifying vertebral levels of deeper anatomic structures, designed to assist with physical diagnosis and treatment of pathologies of the spine, as well as evaluation of MRI and CT scans. - High-quality, full-color illustrations show fine anatomic detail. - Red lines in the margins draw attention to items of clinical relevance, clearly relating anatomy to clinical care. - Spinal dissection photographs, as well as MRIs and CTs, reinforce important anatomy concepts in a clinical context. - Updated, evidence-based content ensures you have the information needed to provide safe, effective patient care. - New section on fascia provides the latest information on this emerging topic. - New illustrations, including line drawings, MRIs CTs, and x-rays, visually clarify key concepts.
This book describes and illustrates an approach to surgery for spinal cord tumors that is based on a refined concept of anatomic compartmentalization. The aim of this approach is to enable maximum preservation of spinal cord function through confinement of the surgical work to the involved compartment or compartments. Importantly, this involvement differs according to tumor type, and the classification favored by the author takes this fully into account. After introductory chapters on epidemiology and pathology, the anatomy of the spinal cord relevant to surgery for spinal cord tumors is discussed in detail and the proposed classification is clearly explained. The surgical approach to each of the identified anatomic compartments is then described, with attention to the roles of intraoperative mapping techniques, diffusion tensor imaging, and electrophysiologic studies in ensuring that spinal cord functions are spared. Examples of the author’s experience when applying the proposed approach are presented. The book is meant for neurosurgeons at all levels of experience.
In this comprehensive and original monograph, Professor Rene Louis presents in minute detail in one volume the gross anatomy, nerve supply, biomechanics, and microcirculation of the spine. He also presents the surgical approaches to the vertebral bodies and their contents. Professor Louis is a great anatomist and this book has been prepared from his personal observations, both anatomical and surgical. His studies have been meticulously conducted and contain much original research, for instance his work on the motion of the neural elements within the lumbar vertebral canal. The illustrations are neady all original and very often a photograph of the neural or vascular elements is presented alongside a drawing of a given important anatomical area. For all these reasons, this inspiring treatise makes a valuable contri bution to our knowledge of the spine and forms a basis for an under standing of the intricacies of surgical anatomy and approaches. It will be especially valuable to the spinal surgeon, but the medical student, the orthopedic resident (or registrar), and the anatomist will also find it extremely useful. Leon L. Wiltse, M.D.
Spinal osteotomy techniques have been dramatically applied as a standard method for severe and rigid spinal deformity. Although clinical results indicate that patients who undergo osteotomy procedures typically experience well deformity correction and ameliorate the clinical appearance, aggressive peri-operative risks and follow-up complications are not rare. More meticulous and standard indication selection, osteotomy plan design and complication prevention strategy and outcome evaluation are critically needed for surgeon majored in spine deformity. The book Spinal Osteotomy is divided into sections that focus on principles of spinal osteotomy, technical and case illustration and outcomes and complications as well as computer navigation and other latest techniques. Each section is heavily illustrated and clearly written for ease of understanding. Orthopedic surgeons, neurosurgeon residents and fellows who want to focus on spinal deformity correction will find this instructive and invaluable.
