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.
This important reference textbook covers the surgical management of all major orthopaedic and traumatological conditions. The book will act as the major source of education and guidance in surgical practice for surgeons and trainees, especially those preparing for higher surgical examinations and the Board of Orthopaedics and Traumatology examinations within and beyond Europe. The emphasis throughout is on the application of current knowledge and research to technical problems, how to avoid operative problems, and how to salvage complications if they occur. The didactic text is complemented by abundant illustrations that highlight the essentials of each clinical scenario. The authors are all recognized international authorities active at congresses and workshops as well as in universities and hospitals across the world.
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.
Spinal Osteotomy Orthopaedics is a monograph of introducing osteotomy for spinal deformity correction surgery. Its content is prominent and comprehensive. The unique arrangement with the combination of picture and text shows its concise, intuitive and vivid. It is a monograph for the needs of current clinical practice with quite reference value and teaching significance. The publication of Spinal Osteotomy Orthopaedics expands the scope of application of osteotomy and the combined treatment with osteotomy and internal fixation. It solved the difficult problems only by simple instruments in the past and made the spinal osteotomy further recognized by spinal surgeons in clinical application. Spinal Osteotomy Orthopaedics is composed of 13 chapters, including: History of the Development of Spinal Osteotomy, Application of Tian's Spinal Osteotomes, Transverse Laminectomy for Ankylosing Spondylitis Kyphosis, V-shape Laminectomy for Ankylosing Kyphosis, Pedicle Subtraction Osteotomy for Ankylosing Kyphosis Deformity, Vertebral Column Resection for Ankylosing Spondylitis Kyphosis, Non-apex Osteotomy for ASK, Apex Osteotomy for AS Kyphosis, Spinal Osteotomy for Congenital Angular Kyphosis, Hemivertebra Osteotomy, Osteotomy for Tuberculosis Angular Kyphosis, Posterior Vertebral Column Resection (PVCR) Correction for Severe Rigid Spinal Deformity, Osteotomy for Traumatic Spinal Deformity. They are various surgical methods of spinal osteotomy with Tian’s Osteotomes, and also described in detail by pictures and text. The feature of this book is to illustrate the method of surgical operation to achieve the purpose of enabling beginners to quickly grasp the surgical skills. A good book is a set of handy tools dedicated to the reader. We believed that readers will benefit from it and improve the ability and application level of spinal osteotomy and surgery.
Offering in-depth coverage of an often-neglected topic, Revision Lumbar Spine Surgery identifies clinical problems and discusses recent major advances in this challenging area. Dr. Robert F. Heary and a team of international experts share their knowledge and experience with even the most difficult lumbar cases, helping you provide optimal outcomes for your patients. You'll find authoritative guidance on indications, diagnosis, approaches, and follow-up, with a focus on the significant advances that have occurred over the past two decades in this fast-changing field. - Identifies the clinical problems related to unsuccessful back spine surgery as well as indications, diagnosis, and new treatment options and advances in this complex area. - Provides in-depth information on the multiple options that exist for most clinical situations: anterior, posterior, lateral, and combined anterior and posterior approaches. - Covers methods of fixation, the use of interbody grafting, and surgical planning related to scar tissues, bleeding, and spinal fluid leaks. - Discusses critical follow-up topics such as key clinical procedures, radiography, patient reported outcomes, and pain management. - Includes timely chapters on robotics, bone density issues, medical fitness concerns, instrumentation options, imaging considerations, and much more.
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.
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.
This best-selling resource explores the full spectrum of surgical techniques used in spine surgery, and describes how to avoid and manage complex problems. It emphasizes how to achieve successful outcomes and minimize risks. The 2nd Edition delivers more than 25 brand-new chapters, as well as extensive revisions and updates throughout, to reflect all of the latest advances in the field. It also features contributions from an increased number of orthopaedic surgeons to round out the strong coverage provided by the many neurosurgeon contributors. Features contributions from well-known neurosurgeons and orthopaedic surgeons, for well-rounded, authoritative coverage from beginning to end. Offers more than 825 outstanding illustrations that demonstrate how to perform every procedure step by step. Provides more than 25 brand-new chapters, as well as extensive revisions or total rewrites to the majority of existing chapters-to present all of the most up-to-date information available on every aspect of spine surgery. Includes chapters on hot topics such as Nonspinal Pathology Masquerading as Spinal Disease · Bone Void Fillers: Bone and Bone Substitutes · Data Management · Posterior Lumbar Interbody Fusion · Ankylosing Spondylitis and Related Disorders · Craniocervical Junction Deformities · Pediatric Spinal Deformities · Subsidence and Dynamic Spinal Stabilization · and The Nonoperative Management of Neck and Back Pain. With 267 additional contributing experts.
For more than 30 years, the highly regarded Secrets Series® has provided students and practitioners in all areas of health care with concise, focused, and engaging resources for quick reference and exam review. Spine Secrets Plus, 3rd Edition, by Dr. Vincent J. Devlin, features the Secrets' popular question-and-answer format that also includes lists, tables, pearls, memory aids, and an easy-to-read style – making inquiry, reference, and review quick, easy, and enjoyable. - The proven Secrets Series® format gives you the most return for your time – succinct, easy to read, engaging, and highly effective. - Fully revised and updated throughout, including protocols and guidelines that are continuously evolving and that increasingly dictate best practices. - Expanded PLUS format includes extended coverage, a larger format, colorful visual elements, and larger, detailed images and illustrations to provide an overall enhanced learning experience. - Remain at the forefront of the nuances of spine surgery and related specialties with updates on new techniques and technologies, as well as changing treatment options and drug information. - Top 100 Secrets and Key Points boxes provide a fast overview of the secrets you must know for success in practice and on exams. - Zero in on key information with bulleted lists, mnemonics, and practical tips from prominent specialists – all providing a concise overview of important, board-relevant content. - Portable size makes it easy to carry with you for quick reference or review anywhere, anytime.
This edited volume comprises chapters written by experts in Asia, where osteoporosis and the related fractures have created an enormous burden on the healthcare system due to increase in aging population. The topics covered include the epidemiology, diagnosis and both medical as well as surgical treatment of osteoporosis, particularly of the spine. This book provides practical diagnostic methods and useful treatments for this important medical issue. The multi-faceted and evidence-based approaches make it a very helpful reference for doctors to decide the best methods of treatment for patients with osteoporosis of the spine.
