Surgical Management Of Spinal Deformities

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.

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.

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.

Authored by two world-renowned pioneers in the field of spinal surgery, Modern Management of Spinal Deformities: A Theoretical, Practical, and Evidence-Based Text covers the range of spinal deformities-emphasizing scoliosis-and their etiologies, including idiopathic, congenital, neuromuscular, tumors, neurofibromatosis, and more. All too often in other works, too much attention has been focused on how to put in metalwork, without sufficiently discussing the what, when, and why. Authors Dickson and Harms provide a wealth of knowledge through experience that shows how important newer therapeutic concepts and surgical methods are, such that beyond just preventing the progression of deformity, it is now possible, with correctly performed surgery, to eliminate deformity and straighten spines permanently. Features: Evidence-based diagnostic and treatment concepts, emphasis on an understanding of the scientific principles providing the basis for good practice Superbly illustrated with many radiographs, CT images, and drawings Special newer surgical techniques, such as the anterior approach to the spine Spine surgeons, whether orthopaedically or neurosurgically trained, will value this authoritative treatise on spinal deformities.

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.

The ultimate guide and surgical manual for managing patients with rigid spinal deformities Despite attempts to detect and treat spine deformities early in younger and older populations, spine deformity surgeons encounter a wide array of complex spine pathologies in patients across the age and pathology continuum. Corrective Osteotomies for Rigid Spinal Deformities, edited by world-renowned spinal deformity specialists Leon Kaplan and Lawrence G. Lenke, features contributions from an impressive group of global experts. The superbly written compendium highlights inherent challenges of managing rigid spinal deformities and provides a wide array of safe and optimal treatment solutions. Thirty-four chapters encompass surgical and nonsurgical management strategies for congenital, neuromuscular, syndrome-associated, and infection- and neoplasm-related rigid spinal deformities. Special topics include secondary correction, pitfalls and difficulties, revision surgeries, and surgical and trauma-related neurological complications. New technologies are covered, including computer-assisted robotic surgery, evaluation and treatment of spinal tuberculosis in adults and children, and biological aspects that enhance spinal fusion. Throughout the text, the authors share firsthand pearls gained over many decades of delivering surgical care. Key Highlights The rationale, decision-making, meticulous planning, surgical strategies, and outcomes presented for each type of spinal deformity reflect the authors' extensive clinical and surgical experience Step-by-step methodology for treating rigid spinal deformities, including anterior, posterior, and combined approaches Anesthetic aspects of spine correction in different stages of surgery and the importance of spinal neuromonitoring Reader-friendly algorithms, full color photographs, and radiographic images enhance the understanding of underlying pathologies and treatment strategies This is an indispensable diagnostic and surgical manual for advanced spine surgeons who specialize in correcting rigid spinal deformities in pediatric and adult patients. Spine surgery residents and fellows will also benefit from reading this comprehensive resource.

The Spine: Medical and Surgical Conditions is a complete, two volume, evidence based study edited by an internationally recognised team of spine surgeons based in the USA, China, Canada, Germany, Japan, Brazil, Egypt and India. The two volumes are divided into 137 chapters, across fourteen sections. The first section covers general topics in spinal medicine, including anatomy, biomechanics, physical and neurological examination, interventional diagnostics and therapeutics, and anaesthesia. This is followed by sections on the development of the spine, metabolic disorders, and bone grafting. Subsequent sections focus on surgery for particular parts of the spine, including cervical, lumbar and thoracic, as well as sections on spinal cord injuries and motor preservation. Later sections in the book provide information on the spine in paediatrics, adult deformity, tumours, vascular malformations and infections, complications of spinal surgery, and a final section on minimally invasive techniques. Enhanced by 1500 full colour images, The Spine: Medical and Surgical Conditions is also made available online, complete with text, images and video, with each physical copy. Key Points Comprehensive, two volume guide to spinal medicine Covers anatomy, biomechanics, examination, diagnostics, therapeutics, anaesthesia, surgery and complications Enhanced by 1500 full colour images Includes access to online version with complete text, images and video