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This book presents multiple aspects of spine care from the perspective of different disciplines. It's organized by sections focused on non-operative care, spine injections and procedures, perioperative care, operative care, pediatric care, and special topics. Each chapter has been written by a clinician whose active practice involves the topic of their chapter. Practical and clinically relevant, this book educates any practitioner who cares for patients with back and neck pain and other spine conditions about implementing a multidisciplinary team to treat the spine.
iSpine is unique in its presentation of interventional spine, employing a disease-based or specific structure injury model. Expert clinicians take you through theÜ full gamut of painful spine conditions, detailing historical features, clinical presentation, diagnostic testing, imaging studies, and the latest treatment interventions. Spine biomechanics and ergonomic principles are also covered to promote strategies for reducing spine strain and minimizing the risk of recurrent injury. Containing hundreds of fluoroscopic images and other illustrations, iSpine provides a practical, procedural approach to the diagnosis and treatment of painful spine disorders. The contributing national and international authors are drawn from multiple specialties - including physiatry, anesthesiology, radiology, biomechanical engineering, physical therapy, orthopedics, neurosurgery, internal medicine, and rheumatology - reflecting the multidisciplinary nature of outcomes-oriented interventional spine care. iSpine belongs on the shelf of any clinician practicing high-yield state-of-the-art interventional spine medicine, using the best available evidence to accurately diagnose, optimally treat, and minimize the healthcare costs associated with these disorders. Features of iSpine Include: Technical instructions for performing procedures including hundreds of fluoroscopic images and other illustrations Chapters discuss innovative new technologies and spinal applications, such as intradiscal biologic agents for degenerative lumbar discs and augmentation of pelvic insufficiency fractures Critical analysis of the literature on interventional spine care Chapters written by internationally recognized experts
A comprehensive resource written by and for anaesthesiologists, physiatrists, neurologists, interventional radiologists, interventional pain specialists, orthopaedic surgeons, neurosurgeons and therapists treating painful spinal disorders globally. The book describes basic principles that must be understood before patients with spinal pain can be treated and procedures are clearly explained. Practice-proven diagnostic and therapeutic algorithms are given for all conditions. Detailed protocols are given for what to do in different scenarios and, most importantly, what to do next. Surgical treatment is covered only to the extent useful to the non-surgeon.
Part of the popular Tips and Tricks series, Emory Spine: Illustrated Tips and Tricks in Spine Surgery provides succinct and practical advice acquired from years of expert practice in spine surgery. Led by John M. Rhee, MD from the Emory University Department of Orthopaedic Surgery and Emory University Spine Fellowship, this visually stunning reference focuses exclusively on detailed descriptions of technical tips and tricks for all aspects of spine surgery. This unique approach will be highly useful to everyone from orthopaedic and neurosurgery spine fellows and residents, to practicing spinal surgeons – anyone who would benefit from exposure to the wisdom that experienced attending surgeons pass on to those who are training or working in this complex field.
A single-volume reference for managing pediatric spine disorders and disease Ideal for neurosurgeons, pediatric neurosurgeons, and orthopedic surgeons, Surgery of the Pediatric Spine is a comprehensive multidisciplinary reference for the surgical management of the most frequently encountered spine problems in the pediatric patient. An overview of developmental and clinical aspects provides essential information on biomechanics, neuroimaging, preoperative evaluation, anesthesia, and neurophysiological monitoring. The book goes on to present the surgical anatomy and various approaches to the spine and spinal cord. Chapters are grouped into easy-to-reference sections that are organized by type of problem, including congenital anomalies and developmental disorders; neoplasms; vascular malformations; inflammatory and infectious diseases; neuromuscular disease; trauma; and deformities. The book also presents special techniques for the treatment of spinal deformity, such as osteotomy, vertebrectomy, VEPTR expansion thoracoplasty, and fusionless techniques. A chapter devoted to the rehabilitation of children with spinal cord injury covers the principles and key concepts in treatment, as well as the possible secondary complications and challenges that are unique to pediatric patients. Highlights: Clinical insights from well-known experts in the fields of neurosurgery, pediatric neurosurgery, and orthopedics Detailed information for each stage of management guides the reader through clinical presentation, diagnostic studies, indications, operative techniques, nonsurgical treatments, possible complications, and outcomes More than 1,000 illustrations and images demonstrate key concepts Numerous cases in selected chapters illustrate management principles and treatment outcomes An invaluable resource for multidisciplinary approaches to patient care, this comprehensive text provides readers with a solid foundation in the specific issues associated with treating the pediatric patient with spine disease and disorders.
Unsustainable healthcare costs and sophisticated predictive modeling based on large-scale medical data is rapidly changing models of healthcare delivery. The shift towards a value-based, consumer-driven industry has created an urgent need for validated tools to increase cost efficiency, reduce rates of adverse events, and improve patient outcomes. Value-based approaches to spine care will be presented, highlighting models for the future. These approaches stress cost effectiveness and sustainable approaches to spinal disease, where quality and safety are paramount. Beginning with a review of current trends in health care delivery leading to more value-based platforms, the discussion then focuses on how modern spine care is being shaped by the aging population, scientific and technological advancements, and the economic impact of various treatment modalities, providing insight into the seminal efforts surrounding sustainable spine care guideline development. The over-utilization of spine fusion surgery and adult spinal deformity are presented as examples that have led to a decline in the value of care delivered, as well as how a multidisciplinary evaluation by the range of clinicians involved in spine surgery can revise recommendations for management. The benefits and risks of LEAN methodology for streamlining and standardizing spine care approaches are discussed, and the specific approach of the Seattle Spine Team is presented as an example of successful system-wide improvement. Similar changes to outcome measurement, specifically for adult spinal deformity, are described. Last, the future of technology in spine care is presented, including robotics, nanotechnology, 3D printing, and the use of biologics and biomaterials. Given the broad scope of topics covered in this book, the intended audience includes not only orthopedic and spinal surgeons, neurosurgeons, physiatrists, and medical students, residents and fellows, but also hospital CEOs, CMOs, administrators, health services researchers, and health care policymakers, consultants and strategists.
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.
Covering all commonly used interventions for acute and chronic low back pain conditions, Evidence-Based Management of Low Back Pain consolidates current scientific studies and research evidence into a single, practical resource. Its multidisciplinary approach covers a wide scope of treatments from manual therapies to medical interventions to surgery, organizing interventions from least to most invasive. Editors Simon Dagenais and Scott Haldeman, along with expert contributors from a variety of clinical and academic institutions throughout the world, focus on the best available scientific evidence, summarizing the results from the strongest to the weakest types of studies. No other book makes it so easy to compare the different interventions and treatment approaches, giving you the tools to make better, more informed clinical decisions. - A multidisciplinary approach covers treatments from manual therapies to medical interventions to surgery, and many others in between. - An interdisciplinary approach enables health care providers to work together. - A logical, easy-to-follow organization covers information by intervention type, from least invasive to most invasive. - Integration of interventions provides information in a clinically useful way, so it's easier to consider more than one type of treatment or intervention for low back pain, and easier to see which methods should be tried first. - 155 illustrations include x-rays, photos, and drawings. - Tables and boxes summarize key information. - Evidence-based content allows you to make clinical decisions based on the ranking the best available scientific studies from strongest to weakest. - Patient history and examination chapters help in assessing the patient's condition and in ruling out serious pathology before making decisions about specific interventions. - Experienced editors and contributors are proven authors, researchers, and teachers, and practitioners, well known in the areas of orthopedics, pain management, chiropractic, physical therapy, and behavioral medicine as well as complementary and alternative medicine; the book's contributors include some of the leading clinical and research experts in the field of low back pain. - Coverage based on The Spine Journal special issue on low back pain ensures that topics are relevant and up to date. - A systematic review of interventions for low back pain includes these categories: patient education, exercise and rehabilitation, medications, manual therapy, physical modalities, complementary and alternative medicine, behavioral modification, injections, minimally invasive procedures, and surgery. - Surgical interventions include decompression, fusion, disc arthroplasty, and dynamic stabilization. - Additional coverage includes patient education and multidisciplinary rehabilitation.
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.
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.