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Lumbar Interbody Fusions E Book

Lumbar Interbody Fusions E Book Book
Author : Sunil V Manjila,Thomas Mroz,Michael P Steinmetz
Publisher : Elsevier Health Sciences
Release : 2018-09-11
ISBN : 0323497411
Language : En, Es, Fr & De

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Book Description :

Authored by experienced surgeons and key innovators in the fast-moving field of LIF surgery, Lumbar Interbody Fusions provides an in-depth, focused approach to recent advances in surgical techniques and technology. Covering both minimally invasive and open procedures, this comprehensive reference provides step-by-step details for proven techniques, including extreme lateral, oblique lateral, and direct lateral approaches; intertransverse approaches; axial approaches; and endoscopic approaches. Focuses on the technical nuances, pearls and pitfalls of each procedure, as well as complication avoidance and management. Features high-quality radiographs and intraoperative images for superb visual guidance throughout. Covers topics that have as-yet unsettled surgical management, such as thoracolumbar and lumbosacral overlap diseases. Includes a concise review of evidence-based spine literature at the end of each procedural chapter. Features chapters on adjunct instrumentation such as pedicle screw and facet fixation, as well as graft selection and revision surgeries.

Lumbar Interbody Fusion Techniques

Lumbar Interbody Fusion Techniques Book
Author : Regis Haid,Mark R McLaughlin,Richard Fessler
Publisher : CRC Press
Release : 2003
ISBN : 0987650XXX
Language : En, Es, Fr & De

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Book Description :

This book presents various techniques in lumbar interbody fusion. Contributors include both expert neurosurgeons and orthopaedic surgeons. Both anterior and posterior approaches are presented with numerous illustrations detailing each technique. The breadth and depth of the information and thorough coverage of techniques allow the reader to compare the various approaches and decide on a course of action that will produce optimal results for patients. This is an excellent reference and one that should be included in every spine surgeon’s library!

Lateral Lumbar Interbody Fusion

Lateral Lumbar Interbody Fusion Book
Author : Anonim
Publisher : Unknown
Release : 2016
ISBN : 0987650XXX
Language : En, Es, Fr & De

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Book Description :

Download Lateral Lumbar Interbody Fusion book written by , available in PDF, EPUB, and Kindle, or read full book online anywhere and anytime. Compatible with any devices.

Techniques in Spinal Fusion and Stabilization

Techniques in Spinal Fusion and Stabilization Book
Author : Patrick W. Hitchon,Setti S. Rengachary,Vincent Charles Traynelis
Publisher : Thieme
Release : 1995
ISBN : 9780865775237
Language : En, Es, Fr & De

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Book Description :

This popular book provides clear, expert descriptions of the instrumentation currently in use for spine stabilization and fusion. Experienced surgeons discuss indications, guidelines for patient selection, operating room techniques, anticipated outcomes, potential complications, and documented results. Your understanding will be deepened by nearly 600 high-quality surgical photographs and illustrations. Excellent...covers the majority of spinal stabilization procedures...the authors are very knowledgeable... recommended for those new to spinal stabilization and [for] experienced spinal surgeons. - Journal of Orthopedic Trauma

Comparing Minimally Invasive Transforaminal Lumbar Interbody Fusion and Posterior Lumbar Interbody Fusion for Spondylolisthesis

Comparing Minimally Invasive Transforaminal Lumbar Interbody Fusion and Posterior Lumbar Interbody Fusion for Spondylolisthesis Book
Author : Anonim
Publisher : Unknown
Release : 2017
ISBN : 0987650XXX
Language : En, Es, Fr & De

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Book Description :

Abstract : Abstract: Although spondylolisthesis was traditionally treated with posterior lumbar interbody fusion (PLIF), minimally invasive transforaminal lumbar interbody fusion (MIS-TLIF) was recently proposed as an alternative treatment for spondylolisthesis. However, no studies have focused on the comparison of these 2 techniques' outcome on spondylolisthesis. The operative reports and perioperative data of patients who underwent single-level primary open PLIF (n = 29) and MIS-TLIF (n = 26) for I/II spondylolisthesis were retrospectively evaluated. Patients' demographics, operative blood loss, hospital length of stay, creatine kinase (CK) level, radiographic fusion, complications, and patient-reported outcomes were evaluated. Radiographic fusion was assessed using the Bridwell grading criteria. Preoperative and postoperative patient-reported outcomes included the visual analog scale (VAS) and Oswestry Disability Index (ODI). Average follow-up was 28 ± 3.6 months (range 24–32 months). Bed rest time, hospital stay, estimated blood loss, and operative time in the MIS-TLIF group were significantly lower than those in the PLIF group ( P .05). The 3-month postoperative ODI and VAS in the MIS-TLIF group were significantly better than the PLIF group ( P

Advances in Spinal Fusion

Advances in Spinal Fusion Book
Author : Kai-Uwe Lewandrowski
Publisher : CRC Press
Release : 2003-10-21
ISBN : 0824756894
Language : En, Es, Fr & De

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Book Description :

Advances in Spinal Fusion reveals a new generation of materials and devices for enhanced operations in spinal fusion. This reference showcases emerging research and technologies in areas such as biodegradable implants, drug delivery, stem cell isolation and transfection, cell encapsulation and immobilization, and the design of 2D and 3D scaffolds for cells. It captures a cascade of innovations crucial to increased healing and decreased morbidity in spinal fusion methods and mechanics and addresses current standards in analytical methodology and quality control, it describes the selection of biomaterials for improved biocompatibility, biostability, and structure/function relationships.

Standard Versus Minimally Invasive Transforaminal Lumbar Interbody Fusion A Prospective Randomized Study

Standard Versus Minimally Invasive Transforaminal Lumbar Interbody Fusion  A Prospective Randomized Study Book
Author : Anonim
Publisher : Unknown
Release : 2017
ISBN : 0987650XXX
Language : En, Es, Fr & De

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Book Description :

Abstract : Introduction: Symptomatic spondylolisthesis patients may benefit from surgical decompression and stabilization. The standard (S) technique is a transforaminal lumbar interbody fusion (TLIF). Newer, minimally invasive (MI) techniques seem to provide similar results with less morbidity. However, prospective studies comparing S versus MI TLIF are rare. Case description: Patients with at least 6 months of symptoms and image-confirmed low-grade spondylolisthesis (grade 1 or 2) were enrolled, at a single academic institution, between 2011 and 2015. The patients were randomized to either S or MI TLIF. Iliac crest graft, polyether ether ketone (PEEK) interbody cages, and pedicle screw-rod constructs were used in both groups. The primary outcome measure was the Oswestry Disability Index (ODI) improvement at 1 year. Secondary outcome measures included length of operation, estimated blood loss, length of hospitalization, and fusion rates at 1 year. Complications were also recorded. Results and Conclusions: Forty patients were enrolled in each group. There was no crossover between groups. The age was 50.12+/-11.09 years in the S TLIF group and 51.3+/-9.36 years in the MI TLIF group. There were 23 and 24 females in the S and MI TLIF group, respectively. The mean operative time and estimated blood loss in the S versus MI TLIF group were 297+/-101 versus 323 +/-85 minutes and 417+/-211 versus 351+/-198 ml, respectively. There were 4 transfusions in the S TLIF and 3 transfusions in the MI TLIF group. The patients were discharged after surgery at 4.12+/-0.88 days for the S TLIF group and 1.92+/-0.52 days for the MI TLIF group. The ODI improved from 37+/-6 to 11+/-6 in the S TLIF group (ODI difference: 26+/-7) and from 38+/-7 to 11+/-6 in the MI TLIF group (ODI difference: 26+/-8). The fusion was considered solid (Grade I) in 36 (90%) and partial (Grade II) in 4 (10%) patients at 1 year. There were no reoperations for pseudarthrosis or any other postoperative complication. There were 2 superficial wound infections in the standard TLIF group, which resolved with oral antibiotic treatment alone. Take home message: In this prospective randomized study, the standard and minimally invasive TLIF in patients with symptomatic spondylolisthesis provided similar clinical and radiological outcomes at 1 year. The patients undergoing MI TLIF had a shorter hospital stay. Both surgical techniques yielded good results at 1 year.

Efficacy of Continuous Cryotherapy in Post Lumbar Spinal Fusion Patients

Efficacy of Continuous Cryotherapy in Post Lumbar Spinal Fusion Patients Book
Author : Chrystal J. Monigold
Publisher : Unknown
Release : 2007
ISBN : 0987650XXX
Language : En, Es, Fr & De

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Book Description :

Purpose: The purpose of this research was to determine the effectiveness of continuous cryotherapy in postoperative spinal fusion patients related to pain control, reduction of cost, and reduced length of stay in the acute care setting. This investigation was a quantitative, comparative research design and was accomplished by retrospective chart audit followed by statistical analysis of the collected data. A total of 186 charts of patients who underwent Posterior Lumbar Interbody Fusion (PLIF) surgery by the same surgeon at Comanche County Memorial Hospital (CCMH) in Lawton, Oklahoma were reviewed in this study. The principles behind accomplishing research and conducting this study on continuous cold therapy were two-fold: to close the gap that exists in the literature on the efficacy of cold therapy in spinal fusion patients and provide advanced practice nurses as well as other health care providers with adequate evidence for practice. Results: When comparing intramuscular milligrams of morphine during three time intervals (0-8 hours, 8-16 hours, and 16-24 hours) post operatively following lumbar fusion surgery, ANOVA analysis revealed that significantly less (p=.037) analgesics were used in the non-cooling group than in the cooling group. The non-cooling group used less morphine than the cooling group over the first 24 hours post operatively. Pain ratings were also analyzed for the first 24 hours following spinal fusion surgery and the results revealed less pain was consistently reported in the non-cryotherapy versus the cryotherapy group and is indeed statistically significant (p=.000008). T tests were utilized to examine the length of stay between the cooling and the non-cooling groups. The cooling group passed the t test and stayed approximately 35 hours less than the non-cooling group despite having higher pain ratings and higher analgesic use for the first 24 hours post operatively. The results of this study are inconclusive and suggest, due to several limitations being present in the study, that the findings can not be generalized to all patients undergoing spinal fusions. Further research needs to be conducted to evaluate the efficacy of cryotherapy in post operatively lumbar fusion patients.

Modern Thoraco Lumbar Implants for Spinal Fusion

Modern Thoraco Lumbar Implants for Spinal Fusion Book
Author : Roberto Delfini,Alessandro Landi,Cristina Mancarella,Fabrizio Gregori
Publisher : Springer
Release : 2017-08-07
ISBN : 3319601431
Language : En, Es, Fr & De

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Book Description :

This book presents an updated perspective on spinal implants currently used in thoraco-lumbar spine surgery, leading to a rigid or dynamic spine fusion. The development of new surgical devices and techniques is mostly focused on a spinal fusion for lumbar instability due to trauma, tumours or degenerative or infectious diseases. Pedicle-screw fixation and fusion are currently considered to be the gold standard for most of the above-mentioned pathologies, and modern implants are designed to improve the accuracy of pedicle-screw placement and to allow the use of new surgical techniques and minimally invasive approaches. The content is relevant for surgeons, orthopaedic specialists, neurosurgeons, physiotherapists and osteopaths.

The Resident s Guide to Spine Surgery

The Resident s Guide to Spine Surgery Book
Author : Joseph R. O'Brien,S. Bobby Kalantar,Doniel Drazin,Faheem A. Sandhu
Publisher : Springer Nature
Release : 2019-11-23
ISBN : 3030208478
Language : En, Es, Fr & De

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Book Description :

With an emphasis on set-up and execution and lessons learned from expert practitioners, this concise, practical guide for residents and fellows presents the essentials for both common and complex spine surgery. Proceeding anatomically from the cervical to the sacroiliac, and including chapters on spinal tumors, infection and revision surgery, nearly 40 different procedures are highlighted, from corpectomy, arthroplasty and laminectomy to percutaneous screws, decompression and fusion. Chapters include all the information a resident will need to know: indications and contraindications, imaging and diagnosis, OR set-up and instrumentation selection, the specific operative technique, post-operative protocols, and clinical pearls and pitfalls. Radiographs and full-color intraoperative photographs accompany each procedure. Whether suturing dura or performing a lateral interbody fusion, spinal surgery is a technical pursuit, and having a firm grasp of the details can ultimately determine the procedure's success. Written and edited by veterans in orthopedic surgery and neurosurgery, The Resident's Guide to Spine Surgery is just the detailed, user-friendly resource for up-and-coming clinicians looking to develop and expand their surgical expertise.

Stability Imparted by a Posterior Lumbar Interbody Fusion Cage Following Surgery

Stability Imparted by a Posterior Lumbar Interbody Fusion Cage Following Surgery Book
Author : Vadapalli Sasidhar
Publisher : Unknown
Release : 2004
ISBN : 0987650XXX
Language : En, Es, Fr & De

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Book Description :

In order to promote solid fusion across a decompressed spinal segment, inter-body spacers/cages are used with and without posterior instrumentation to provide an initial "rigid" fixation of the segment. Inter-body spacers (cages) of various shapes (e.g., rectangular, cylindrical) and materials are currently available on the market. Important factors affecting the biomechanics of the fused segment are (i) cage shape and placement, (ii) cage material property (iii) surgical approach used-posterior vs. antero lateral (iv) cage with additional instrumentation. The objective of this study is to address change in the stability and stress patterns associated with the various factors described above. A cadaveric study using established protocols and a finite element (FE) study were conducted. For the cadaveric study, nine fresh ligamentous lumbar spine specimens (L1-S2) were radiographed out of which six specimens were prepared for testing by fixing a base to the sacrum and a loading frame to the top-most vertebra. Each specimen was subjected to pure moment (6 Nm in steps of 1.5 Nm) in six loading modes: flexion, extension, right and left lateral bending, and right and left axial rotation. The load-displacement data was collected in a sequential manner for the following cases: 1) intact spine, 2) insertion of rectangular cages (Vertebral spacer PR, Synthes, Inc.), 3) fixation with posterior instrumentation, 4) fatiguing the instrumented spine. The relative motion of L4 with respect to L5 was calculated for all these cases. A validated three-dimensional, nonlinear FE model of lumbar spine from L3-L5 was used. The model was modified to simulate the bilateral placement of cages alone. Contact surfaces were defined between the cages and the endplates to simulate the bone-implant interface. The cages were placed using posterior approach and left antero lateral approach to see the effect of the surgical approach on the stability of the segment. In the FE model with cage placed using posterior approach, posterior instrumentation was added. For this model the material property of the cage was changed form PEEK to titanium to study the change in load sharing and stresses on the endplates. For all the models a 6Nm moment was applied and all the six loading cases were simulated. The relative motion of L4 with respect to L5 was calculated, stresses in the implants and endplates were studied. Results from the in vitro study indicate that the stability of the spine decreased after the stand alone placement of bilateral cage when compared to the intact for all the loading cases except in flexion. However, no statistically significant difference was seen in the stability between intact and stand alone cage placement. After stabilization with posterior fixation using the pedicle screw rod system, the stability increased in all loading cases. There was no significant change in stability after fatiguing. The FE model predictions for the bilateral cage alone and with additional instrumentation placed at L4-L5 disc space were within 1 SD of the cadaveric data in all loading modes. There was no change in stability offered by stand alone cage placement using antero lateral approach and posterior approach. For the cage made of titanium peak Von mises stress in the endplates were twice of that for cage made of PEEK. Cages placed laterally from the mid-sagittal plane provide better stability in bending when compared to medially placed cages.

Biomechanical Evaluation of Lumbar Interbody Fusion Surgeries with Varying Interbody Device Shapes Material Properties and Supplemental Fixation

Biomechanical Evaluation of Lumbar Interbody Fusion Surgeries with Varying Interbody Device Shapes  Material Properties  and Supplemental Fixation Book
Author : Sushil P. Sudershan
Publisher : Unknown
Release : 2017
ISBN : 0987650XXX
Language : En, Es, Fr & De

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Book Description :

Low back pain (LBP) is one of the most commonly reported problems in the United States. The most common causes of LBP are injury or overuse, pressure on neural tissue from different pathologies (disc herniation, stenosis, degenerative disc disease, etc.). Interbody fusion is a well-established treatment option for patients with LBP. For each patient, the pathology and the surgeon's preference determine the surgical approach. The implants are usually manufactured from either PEEK or Titanium in a variety of shapes and sizes. Usually, the spacers are supplemented with supplemental fixation for motion restriction. However, the initial surgery studies showed success for standalone scenarios without any major complications. Ideally, a standalone surgery that provided stability while fusion occurred, could help decrease operation time and cost. To this date, a large scale study that compared various surgical approaches, implant footprints and materials, and addition of supplemental fixation has not been conducted. To conduct this parametric study, the experiment was separated into an in-vitro and in-silico study. The in-vitro study will allow us to record ROM data that can be used in conjunction with the in-silico model to determine parameters such as stress, strain, and load on the endplate. The in-vitro study showed that a standalone PLIF surgical approach may be a viable option but the TLIF standalone case does not successfully restrict the motion to less than intact or stabilize the motion segment with peek cages. However, for both surgical approaches the pedicle screw fixation successfully restricted motion or stabilized the motion segment. The in-silico study showed that the ALIF and LLIF surgical approaches may be viable options for standalone scenarios but require further investigation. Similar, to the in-vitro study, pedicle screw greatly restricted the motion segment for all surgical approaches regardless of implant size or material property. The study showed that an increase in implant footprint resulted in higher overall motion restriction for all surgical approaches. The various simulated supplemental fixation stabilized the motion for all loading conditions. For the anterior and lateral approaches, lumbar plates provide an additional means of stabilization instead of pedicle screw fixation. The study also observed that a larger implant footprint also shifted the endplate stresses to the periphery, which is composed of stronger bone. Overall, PEEK cages produced lower endplate stresses than titanium cages which may help reduce subsidence incidence. Supplemental fixation always reduced the endplate stresses compared to standalone scenarios except for some cases in the TLIF surgery. The TLIF surgery also showed higher endplate shear load when compared with other surgeries.

Spinal Instrumentation

Spinal Instrumentation Book
Author : Daniel H. Kim,Alexander R. Vaccaro,Richard Glenn Fessler
Publisher : Thieme
Release : 2011-01-01
ISBN : 1604065095
Language : En, Es, Fr & De

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Book Description :

Better understanding of biomechanics, improvements in technology, and new knowledge of the disease process in the spine have led to rapid advances in spinal instrumentation. This book is your complete guide to all contemporary forms of spinal implant systems. It not only highlights the newest devices, but also gives you the clinical guidelines you need to choose and apply the best implant for any surgical situation. Along with an all-inclusive list of the spinal instruments available today, the book offers direct comparisons of each system to help you make an informed and confident selection. You will also find valuable tips on insertion techniques and complication avoidance to maximize success in the operating room. And, thousands of exquisite graphics ensure a lucid understanding of all implants and their applications. Here is your single authoritative source for upgrading your knowledge and skill set in current implant systems. No spine surgeon, orthopedic surgeon, neurosurgeon, or resident should be without this encyclopedic volume.

Essentials of Spinal Stabilization

Essentials of Spinal Stabilization Book
Author : Langston T. Holly,Paul A. Anderson
Publisher : Springer
Release : 2017-10-11
ISBN : 3319597132
Language : En, Es, Fr & De

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Book Description :

This text includes stabilization techniques for the entire spinal column, ranging from the cranio-cervical junction to the pelvis. The information is presented in an easily digestible format that is suitable for those in school or training, yet includes pearls and insight that can be appreciated by even the most seasoned surgeon. The text is divided into major sections based on the anatomical regions of the spine – cervical, thoracic, and lumbosacral. An additional section is devoted to related surgical concepts and principles such as spinal biomechanics and bone grafting options. Each chapter has a uniform design including background, indications, patient selection, preoperative considerations, surgical technique, technical pearls, and strategies for complication avoidance. Preoperative and postoperative images and/or illustrations are utilized to highlight the presented information. Edited by a Neurosurgeon and an Orthopedist and written by leading national and international Neurosurgery and Orthopedic spine experts, Essentials of Spinal Stabilization provides a text which will broadly appeal to all spine care professionals.

Video Atlas of Spine Surgical Techniques

Video Atlas of Spine Surgical Techniques Book
Author : Federico A. Landriel, Eduardo Vecchi
Publisher : Bentham Science Publishers
Release : 2016-05-04
ISBN : 1681081229
Language : En, Es, Fr & De

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Book Description :

This video atlas covers a broad range of spinal surgical procedures. The volume includes a collection of high quality 3-to-8 minute videos of some of the most critical spine operations performed by internationally renowned expert surgeons. Key features of the book contents include: o Downloadable high quality video content with subtitles suitable for viewing on any display (A brief preview of the book content can be viewed at https://www.youtube.com/watch?v=SxMi4UFj7HA ) o Detailed descriptions of surgical indications, preoperative planning, patient positioning, surgical technique, complications, postoperative care and outcomes for each procedure o Full color images and illustrations highlighting different key stages of each surgical technique The video format allows skill development of its intended audience by conveying temporal and spatial details which often go unnoticed in photograph format. This volume will be of immense interest to both the novice and the experienced spinal surgeon as they can benefit from the visual guides presented in the book. It also serves as an ideal teaching tool for spine surgery units in medical schools.

Lumbar Interbody Fusion

Lumbar Interbody Fusion Book
Author : Paul M. Lin,Kevin Gill
Publisher : Raven Press
Release : 1989
ISBN : 0987650XXX
Language : En, Es, Fr & De

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Book Description :

Download Lumbar Interbody Fusion book written by Paul M. Lin,Kevin Gill, available in PDF, EPUB, and Kindle, or read full book online anywhere and anytime. Compatible with any devices.

Contralateral Radiculopathy After Transforaminal Lumbar Interbody Fusion in the Treatment of Lumbar Degenerative Diseases

Contralateral Radiculopathy After Transforaminal Lumbar Interbody Fusion in the Treatment of Lumbar Degenerative Diseases Book
Author : Anonim
Publisher : Unknown
Release : 2018
ISBN : 0987650XXX
Language : En, Es, Fr & De

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Book Description :

Abstract: Rationale: Transforaminal lumbar interbody fusion (TLIF) is an effective treatment for patients with degenerative lumbar disc disorder. Contralateral radiculopathy, as a complication of TLIF, has been recognized in this institution, but is rarely reported in the literature. Patient concerns: In this article, we report 2 cases of contralateral radiculopathy after TLIF in our institution and its associated complications. Diagnoses: In the 2 cases, the postoperative computed tomography (CT) and magnetic resonance image (MRI) showed obvious upward movement of the superior articular process, leading to contralateral foraminal stenosis. Interventions: Revision surgery was done at once to partially resect the opposite superior facet and to relieve nerve root compression. Outcomes: After revision surgery, the contralateral radiculopathy disappeared. Lessons: Contralateral radiculopathy is an avoidable potential complication. It is very important to create careful preoperative plans and to conscientiously plan the use of intraoperative techniques. In case of postoperative contralateral leg pain, the patients should be examined by CT and MRI. If CT and MRI show that the superior articular process significantly migrated upwards, which leads to contralateral foraminal stenosis, revision surgery should be done at once to partially resect the contralateral superior facet so as to relieve nerve root compression and avoid possible long-term impairment.

Revision Lumbar Spine Surgery E Book

Revision Lumbar Spine Surgery E Book Book
Author : Robert F. Heary
Publisher : Elsevier Health Sciences
Release : 2021-05-18
ISBN : 0323712029
Language : En, Es, Fr & De

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Book Description :

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.

Spine Surgery

Spine Surgery Book
Author : Edward C. Benzel
Publisher : Unknown
Release : 2005
ISBN : 9780443066160
Language : En, Es, Fr & De

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Book Description :

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.