Adult Spinal Deformities

From imaging modalities, to anesthesia considerations, to intraoperative monitoring techniques, this introductory text presents a thorough overview of all key concepts for the accurate diagnosis and successful treatment of spinal deformity. The authors cover the principles of sagittal and coronal balance and address the role of flexible versus fixed deformity in treatment planning. Straightforward explanations of the etiology, pathogenesis, radiologic and clinical findings, differential diagnosis, and both surgical and nonoperative treatment options for each disorder provide the reader with the information necessary for handling each clinical situation with confidence.Highlights: More than 400 drawings, radiographs, and photographs demonstrate pathology of spinal deformities and the techniques to address them Coverage of possible anatomical variations of the deformed spine prepares the clinician for managing complex cases Discussion of general medical issues including pain management through medication, the potential for postoperative pulmonary complications, and how to manage metabolic bone disorders A review of the latest technological advances using image guidance and robotics in deformity surgery Descriptions of bracing and casting techniques, with a brief literature review on outcomes Written by a multidisciplinary team of experts, this book is invaluable for all beginning and experienced neurosurgeons, orthopedic surgeons, residents and fellows in those specialties, and allied health professionals requiring a comprehensive reference and review.Cover Art Illustrator: Chadi Tannoury, M.D.

Spinal Deformities in Adolescents, Adults and Older Adults is a unique book with a wide scope of coverage of the topic. Written by specialists worldwide, this book presents under-reported topics and treatments in spinal deformity, as well as a very interesting autobiographical case study from one of the authors detailing his self-management approach to his own spinal deformity. The chapters examine the evidence relating to spinal deformities together with assessment tools, treatment modalities, and the various types, benefits, and side effects of these diverse treatment approaches. This book is designed for clinicians working with patients, researchers, and patients and their families.

An expert reference on the management of adult spinal deformities In this fourth volume of the AOSpine Masters Series experts from around the world share their strategies for managing the most common adult spinal deformities. This book gives clinicians the guidance they need to make the right treatment decisions and provide the best care for their patients. Chapter topics include osteotomies for rigid spinal deformities, postoperative coronal decompensation in adult deformity, and biomechanics and material science for deformity correction. Key Features: The issues of patient selection, outcomes, and complications along with all the essential preoperative and intraoperative factors are discussed in detail in every chapter Editors are internationally recognized authorities on the management of adult spinal deformities Each chapter includes expert tips and pearls The AOSpine Masters Series, a co-publication of Thieme and AOSpine, a Clinical Division of the AO Foundation, addresses current clinical issues whereby international masters of spine share their expertise and recommendations on a particular topic. The goal of the series is to contribute to an evolving, dynamic model of an evidence-based medicine approach to spine care. All spine surgeons, orthopaedic surgeons, and neurosurgeons, along with residents and fellows in these areas, will find this book to be an excellent reference that they will consult often.

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.

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.

A who's who in this challenging field brings you state-of-the-art approaches to the full range of surgical management options-including reconstructive procedures-for the pediatric and adult patient with spinal deformity. Experts discuss the course of treatment for patients in different age groups and take into consideration the extent of the curve at the time of diagnosis and during follow-up, the patient's stage of bone growth, the amount of pain and deformity associated with the condition, and the patient's willingness and ability to withstand surgery. Plus, a section on general information such as practical surgical anatomy, imaging, applied biomechanics, and instrumentation helps you approach each patient more effectively. Emphasizes technical skills and surgical decision making, including pearls, pitfalls, and illustrative case studies, offering you expert advice on technically challenging surgeries. Provides the very latest information on minimally invasive endoscopic and mini-open approaches to broaden your surgical options and minimize post-operative complications. Discusses peri-operative considerations, including anesthesia, blood loss management, bone graft and fusion enhancement, neural monitoring, and complications, keeping you prepared for any event. Presents full-color line artwork of surgical procedures as well as diagnostic and clinical photographs for superb visual guidance. Offers a consistent format throughout and a full-color design for ease of reference.

Although there are a number of excellent books dedicated to spinal deformities, this text employs a case-based format which offers the advantage of easy readability. This format will allow the reader to better synthesize the dense information encompassing spinal deformity complications and pearls to avoid them. Example cases highlight the importance of appropriate diagnosis, radiographic assessment, classification, surgical decision making, and complication avoidance. In addition, complication management is emphasized since complications will occur regardless of skill level, experience, or meticulous technique given the complex nature of spinal deformity. Written by key thought leaders, this book not only provides state of the art concepts and techniques but also provides pearls and tips to manage and avoid complications. This book will be useful to the spinal surgeon of any experience level who is interested in optimizing their care for patients with symptomatic spinal deformity. In addition, the concepts presented in this text will be valuable to residents and fellows training in spinal surgery.