Surgical Care Of The Painful Degenerative Lumbar Spine

The learning curve in the management of painful degenerative lumbar spine patients is steep because every case has singular characteristics. Surgical Care of the Painful Degenerative Lumbar Spine: Evaluation, Decision-Making, Techniques by Edgar Weaver reflects more than 35 years of neurosurgical practice devoted to refining degenerative spine disease evaluation and techniques. The book emphasizes and instructs a symptom-focused approach in the surgical decision-making process, with determinant radiographic features used mainly supportively. The text begins with a thorough overview of anatomy, spino-pelvic and sagittal balance metrics, stabilization, and clinical evaluations. Throughout 11 chapters, step-by-step guidance is provided on therapeutic decision-making to achieve optimal individualized outcomes. From the fundamentals of open and minimally invasive techniques to the impact of socioeconomic factors on the treatment of PDLS patients, the authors offer invaluable firsthand insights. Key Features Discussion of techniques including en bloc laminectomy, the U-turn approach to root decompression, hemilaminectomy – a safe and versatile decompressive technique, and the lateral intra-muscular planar (LIMP) procedure The use of a descriptive clinical sub-classification system for low back pain and grading scale based on a simple testing maneuver Extensive post-operative care chapter emphasizes pain and infection control Challenges including chronic axial lumbar pain, post-operative junctional stress, sagittal imbalance, spondylolisthesis, and coronal deformity Uniquely insightful, this concise guide covers the fundamental clinical and technical skills necessary to care for patients with degenerative lumbar spine pain. It is essential reading for neurosurgical and orthopedic residents, spine fellows, spine surgeons and all clinicians involved in administrating surgical and nonsurgical spine care.

The learning curve in the management of painful degenerative lumbar spine patients is steep because every case has singular characteristics. Surgical Care of the Painful Degenerative Lumbar Spine: Evaluation, Decision-Making, Techniques by Edgar Weaver reflects more than 35 years of neurosurgical practice devoted to refining degenerative spine disease evaluation and techniques. The book emphasizes and instructs a symptom-focused approach in the surgical decision-making process, with determinant radiographic features used mainly supportively. The text begins with a thorough overview of anatomy, spino-pelvic and sagittal balance metrics, stabilization, and clinical evaluations. Throughout 11 chapters, step-by-step guidance is provided on therapeutic decision-making to achieve optimal individualized outcomes. From the fundamentals of open and minimally invasive techniques to the impact of socioeconomic factors on the treatment of PDLS patients, the authors offer invaluable firsthand insights. Key Features Discussion of techniques including en bloc laminectomy, the U-turn approach to root decompression, hemilaminectomy – a safe and versatile decompressive technique, and the lateral intra-muscular planar (LIMP) procedure The use of a descriptive clinical sub-classification system for low back pain and grading scale based on a simple testing maneuver Extensive post-operative care chapter emphasizes pain and infection control Challenges including chronic axial lumbar pain, post-operative junctional stress, sagittal imbalance, spondylolisthesis, and coronal deformity Uniquely insightful, this concise guide covers the fundamental clinical and technical skills necessary to care for patients with degenerative lumbar spine pain. It is essential reading for neurosurgical and orthopedic residents, spine fellows, spine surgeons and all clinicians involved in administrating surgical and nonsurgical spine care.

Low back pain is a very common problem that is increasingly being treated surgically. This book aims to evaluate carefully the possible surgical approaches to low back pain, with detailed appraisal of the factors leading to their success or failure. It begins by explaining the scientific basis for surgery and considering the different diagnostic techniques that may be employed, thereby elucidating the surgical rationale, indications, and contraindications. The value of conservative options is also assessed to help the reader weigh the need for surgery. The various surgical modalities, including the most recent, are then fully described and evaluated with the aid of numerous illustrations. The book concludes with a chapter devoted to evidence-based analysis of the outcome of surgery in patients with low back pain. This book will be invaluable to orthopaedic and neurosurgeons, rheumatologists, neurologists, and all who are concerned with the effective treatment of this often debilitating condition.

The official publication of the International Society for the Study of the Lumbar Spine, this volume is the most authoritative and up-to-date reference on the lumbar spine. This edition provides more balance between basic science and clinical material and has been completely reorganized for easy reference. New chapters cover gene therapy, outcomes assessment, and alternatives to traditional nonoperative treatment. The editors have also added chapters on preparation for surgery, surgical approaches, spinal instrumentation, and bone grafts. Chapters on specific disorders have a consistent structure—definition, natural history, physical examination, imaging, nonoperative treatment, operative treatment, postoperative management, results of surgery, and complications.

Handbook of Spine Surgery, Second Edition, is a completely updated and comprehensive reference that distills the basic principles of contemporary spine surgery. Its coverage of both principles and techniques makes it an excellent refresher before surgery or a valuable daily companion for residents and surgeons caring for patients with spinal disorders. Key Features of the Second Edition: New chapters on adult degenerative deformity, pediatric scoliosis and radiographic principles of deformity Expanded spinal trauma section now includes separate chapters on cervical, thoracolumbar, and sacropelvic injuries Common clinical questions (with answers) at the end of each chapter highlight topics frequently encountered in the operating room and on board exams Easy-to-read bulleted format The second edition of this handbook is the go-to guide for all those involved in spine surgery.