Surgical Management Of Spinal Cord Injury

Surgical Management of Spinal Cord Injury: Controversies and Consensus reviews the controversies pertaining to the emergency, diagnostic, medical, and surgical management of spinal cord injury (SCI). In vitro studies, animal models, and clinical outcome analyses have all failed to yield incontrovertible guidelines that define the role of surgery in SCI. As a result, there is no consensus regarding the necessity, timing, nature, or approach of surgical intervention. In this concise yet comprehensive book some of the leading authorities in the field scrutinize the scientific data and summarize the foundations of rational treatment paradigms. Specific topics include: the timing of decompressive surgery the adjunctive use of solumedrol management of penetrating injuries radiographic evaluation spinal stabilization pediatric SCI Surgical Management of Spinal Cord Injury is an essential new book for all members of the patient care team involved in spinal cord injury.

Spinal paralysis is probably the most devastat the President of the International Medical So ing of all the illnesses that can befall man. Only ciety of Paraplegia. He has made many signifi a few years ago, 80% of spinal victims were cant contributions, both in the initial treatment dead within three years due to the complica and in the later rehabilitation of spinal cord tions that frequently accompany the condition. victims. He is a man who truly cares about peo Today, the situation is quite diH'erent and 80% ple. He is superbly organized, meticulous in his of spinal victims have a relatively normal life planning, and energetic in his execution of expectancy. The author of this book was one of goals. He demands and receives perfection the first to realize that if a paraplegic patient is from his staff. As a result, his Spinal Unit in carefully looked after in the early stages of his Perth, Australia is one of the best treatment illness and if all of the potential complications and rehabilitation centers in the world. His are prevented, that individual can eventually knowledge, from both the scientific and prac recover sufficient function to live a productive tical viewpoints, is truly staggering-a fact that and independent life. This basic concept un is quite obvious from the details contained in derlies the modern approach to the treatment this book. of spinal injuries.

This second edition updates and expands on the original bestseller, Contemporary Management of Spinal Cord Injuries, with completely new chapters on applied biomechanics, pediatric spinal cord injury, patient selection and timing of the surgery, NASCIS 3 and other spinal cord injury drug trials. In addition, the text reviews the management of spinal cord injured patients with sports injuries from epidemiology to return to play, and the nutritional assessment and management of spina cord-injured patients. Contemporary Management of Spinal Cord Injuries, Second Edition provides significant value to the neurosurgeons, orthopedic surgeons, physiatrists, urologists, rehab specialist and others caring for the victims of spinal cord injury. This must-have text will teach the reader to: Identify the most common spine fractures Understand and evaluate today's state-of-the-art concepts regarding the management of spinal cord injury Understand the appropriate surgical technique Develop a multidisciplinary approach to the management of the spinal cord injured-patient (Distributed by Thieme for the American Association of Neurological Surgeons)

Traumatic Brain and Spinal Cord Injury comprehensively covers the medical and pathological issues related to neurotrauma and its often devastating consequences. Written by globally renowned experts in the field, both clinicians and researchers will find this book invaluable to update their knowledge. This volume is divided into two sections, one covering the brain, the other the spinal cord. Each section discusses the following topics: • The demographic in the developed and developing world where neurotrauma is witnessing a massive expansion • Major clinical issues including advanced semi-experimental monitoring techniques utilized by neurosurgeons and intensivists and the potential use of identifying markers of tissue injury • Overview of major pathophysiological changes • The development of animal models; successes and limitations • Past, current and future therapeutic strategies including rehabilitative opportunities. Presenting the most up-to-date clinical and experimental research in neurotrauma, this volume is essential reading for neurologists, neurosurgeons, intensive care physicians and rehabilitative physicians.

A discussion of the options, advantages and disadvantages of both the conservative and the surgical management of spine fractures at each level of the vertebral column. Special attention is given to procedures which may alter the courses of the initially neurologically traumatized patient.

The definitive textbook on the management of cervical spine trauma from master spine surgeons! Understanding the clinical implications of cervical trauma requires thorough knowledge of the anatomy and physiology of the cervical spine. Cervical Trauma: Surgical Management by renowned spine surgeon Robert Heary and a cadre of prominent neurosurgical and orthopaedic spine experts is the most comprehensive, state-of-the-art resource available to date on this topic. The text begins with discussion of cervical anatomy and the pathophysiology of spinal cord injury (SCI), SCI classification systems, initial assessments in patients with cervical SCIs, and cranioskeletal traction, followed by injury-specific chapters. Classification systems and management protocols developed over the last 40 years have enabled spine surgeons to work collaboratively with specialists in trauma surgery and critical care to provide optimal management of SCIs and attain improved long-term patient outcomes. This book covers a full spectrum of trauma-related conditions impacting the cervical spine and multidisciplinary interventions including minimally invasive surgery, neurointerventional techniques, reconstructive therapy with bone grafts or alternative stabilization methods, evidence-based medications, and SCI rehab. Key Highlights Discussion of upper cervical injuries – from more prevalent trauma such as atlanto-occipital injuries, odontoid and hangman's fractures, and atlantoaxial subluxations – to uncommon injuries like atlantoaxial rotatory fixation Management of subaxial injuries in adults and children and cervical burst fractures Special topics including sport-related cervical spine injuries and return-to-play criteria, craniovertebral injuries in pediatric patients, and managing comorbidities such as congenital spinal stenosis and rheumatoid arthritis Pearls on handling potential complications and insightful guidance and rationales for choosing surgical interventions over conservative methods and vice versa Neurosurgical and orthopaedic residents, veteran spine surgeons, and allied healthcare practitioners who treat patients with traumatic cervical spine conditions will benefit from reading this outstanding resource, cover-to-cover. It also provides an ideal go-to reference to consult in the ER when patients present with cervical trauma.

This comprehensive, up-to-date guide to the rehabilitation care of persons with spinal cord injuries and disorders draws on the ever-expanding scientific and clinical evidence base to provide clinicians with all the knowledge needed in order to make optimal management decisions during the acute, subacute, and chronic phases. A wealth of information is presented on the diverse medical consequences and complications encountered in these patients and on the appropriate rehabilitative measures in each circumstance. The coverage encompasses all forms of spinal cord injury and all affected organ systems. Readers will also find chapters on the basics of functional anatomy, neurological classification and evaluation, injuries specifically in children and the elderly, and psychological issues. The book will be an invaluable aid to assessment and medical care for physicians and other professional personnel in multiple specialties, including physiatrists, neurosurgeons, orthopedic surgeons, internists, critical care physicians, urologists, neurologists, psychologists, and social workers.