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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.
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.
Covers the anatomy, etiology, and natural history of scoliosis - from patient evaluation and an algorithm for treatment to pulmonary function after surgical treatment and the use of instruments to evaluate surgical treatment. This new monograph focuses on the most common form of scoliosis occurring otherwise normal adolescents, affecting spinal alignment, growth, and function.
Patients and families coping with scoliosis and other spinal deformities are increasingly seeking better solutions for care and management. The recent worldwide expansion of the Schroth method, an exercise rehabilitation treatment originating in Germany, and its new advancements in compatible bracing have led to the need for an overview of evidence-based treatment principles. This comprehensive textbook is the first of its kind from the Schroth Best Practice Academy, an international group of highly esteemed and experienced scoliosis practitioners and researchers. A collaborative body of work, it focuses on the most common spinal deformities and provides current methods of non-surgical treatment. It highlights cutting-edge treatment options often disregarded by mainstream medicine, and will serve to guide and enhance the knowledge of conservative treatment practitioners desiring to help patients improve treatment outcomes and quality of life.
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 3rd Edition of this classic text presents the latest procedures in the diagnosis and clinical management of spinal malformation. Surgical and non-surgical techniques for treating scoliosis and other spinal deformities are discussed in detail as well as instrumentations including the Cotrel-Dubousset instrumentation and the hook and hook-screw systems.
When a child has a health problem, parents want answers. But when a child has cerebral palsy, the answers don't come quickly. A diagnosis of this complex group of chronic conditions affecting movement and coordination is difficult to make and is typically delayed until the child is eighteen months old. Although the condition may be mild or severe, even general predictions about long-term prognosis seldom come before the child's second birthday. Written by a team of experts associated with the Cerebral Palsy Program at the Alfred I. duPont Hospital for Children, this authoritative resource provides parents and families with vital information that can help them cope with uncertainty. Thoroughly updated and revised to incorporate the latest medical advances, the second edition is a comprehensive guide to cerebral palsy. The book is organized into three parts. In the first, the authors describe specific patterns of involvement (hemiplegia, diplegia, quadriplegia), explain the medical and psychosocial implications of these conditions, and tell parents how to be effective advocates for their child. In the second part, the authors provide a wealth of practical advice about caregiving from nutrition to mobility. Part three features an extensive alphabetically arranged encyclopedia that defines and describes medical terms and diagnoses, medical and surgical procedures, and orthopedic and other assistive devices. Also included are lists of resources and recommended reading.
Three-dimensional scoliosis therapy has for decades played an established role in the conservative management of mild and even of severe scoliosis. As well as describing every aspect of the pathologically curved, deformed spine, this textbook incorporates an extensive programme of exercises that can be tailored specifically to the needs of the individual patient. As outlined in Three-Dimensional Scoliosis Therapy: The Schroth Breathing Orthopaedic System, correction of the spinal deformity is based on a special breathing technique and active muscle stretching, as well as on elongation, detorsion and reduction of lordosis. The provision of psychological support for the patient is also emphasised as a key element. Christa Lehnert-Schroth born 1924 in Meissen She worked as a physiotherapist for about 50 years with scoliosis patients and further developed her mother's breathing orthopaedic technique with great success. Between 1961 and 1995 Christa Lehnert-Schroth - always surrounded by physicians - was director of the private Katharina-Schroth-Klinik in Bad Sobernheim/Germany. In many lectures, articles, seminars and films for physiotherapists and medical doctors in addition to recorded discs for patient's training at home she illustrated her mother's special method for scoliosis assuring well being of many patients and in honor her mother's legacy.
While most spine deformities such as scoliosis, kyphosis, and lordosis are idiopathic, muscular dystrophy, cerebral palsy, spinal cord tumors and lesions are associated with more severe curve progression. Bracing typically does not prevent progression of spinal curves, and surgery is necessary for these patients. Neuromuscular Spine Deformity by Amer F. Samdani et al is the most comprehensive book on this topic to date, detailing the latest surgical techniques for a wide range of common to rare neuromuscular pathologies, in 27 well-illustrated chapters. The comprehensive content derives from the authors' collective years of hands-on expertise, evidence-based knowledge from the literature, and multicenter scoliosis studies performed by the prestigious Harms Study Group, a worldwide research-based association of spine surgeons. The text begins with discussion of preoperative evaluation, nonoperative management, and surgical considerations such as anesthesia, neuromonitoring, and estimated blood loss. Section two highlights pathology-specific surgical interventions, while sections three and four provide clinical pearls on a wide array of surgical techniques, complications, and patient outcomes. Key Highlights Disease-related challenges including dislocated hips, hyperlordotic/hyperkyphotic spine in cerebral palsy, myelomeningocele-related myelodysplasia and spine deformity, Duchenne's muscular dystrophy, and spinal muscular atrophy Guidance on assessing the sagittal profile preoperatively and executing it intraoperatively in patients with spinal cord injury Multiple options for fixation including the new sacral alar iliac screw approach for sacropelvic fixation and correction of pelvic obliquity Postoperative issues including ICU management, incidence and management of early and late wound infection, instrumentation failure, junctional kyphosis, and cervical extension Health-related quality of life outcomes in pediatric patients with cerebral palsy who have undergone scoliosis surgery This state-of-the-art resource is essential reading for orthopaedic surgeons, neurosurgeons, and trainees in these specialties. It is also a must-have reference for academic programs and institutional departments specializing in pediatric spine pathologies.