Decision-Making for Minimally Invasive Spine Surgery provides the critical tools needed to determine exactly when, for whom, and why minimally invasive spine surgery (MISS) is a viable option.Ten tightly focused chapters each begin with a decision-making algorithm that explains how to ascertain if MISS will benefit the patient more than traditional open surgery. Following each algorithm, concise yet detailed information on the preoperative evaluation, surgical techniques, and possible outcomes helps the reader to formulate a clear surgical strategy. The book closes with an incisive analysis of radiosurgery, instrumentation systems, image guidance, and promising advances in MISS that will stimulate further discussion of this emerging area.FeaturesA realistic assessment of both the advantages and drawbacks of MISS by pioneers in the fieldEvaluative algorithms allow readers to form rapid, fully informed treatment decisionsIntuitive organization by spinal region facilitates quick referenceSpine surgeons, residents, or fellows in orthopedic surgery or neurosurgery will refer to this easily accessible manual every time they consider performing a minimally invasive spine procedure.
Combining new, evidence-based literature with the hands-on experience of leading specialists, this book provides the practical approach clinicians need, especially when dealing with an emergency situation. Each chapter examines a question frequently encountered during neurotrauma care, offering clear and succinct answers to core topics. Most importantly, internationally recognized experts explain why they agree or disagree with a specific study, adding unique insights into vital patient management issues.Special highlights include:-Tightly focused chapters target key questions for quick and easy reference-Answers reflect the best available data, ensuring accuracy and underscoring the validity of the authors' recommendations-Top authorities in the field draw on their own clinical experience to provide differing viewpoints-Valuable coverage provided on related topics, such as resuscitation methods, classification of head and spinal cord injuries, imaging protocols for head injuries, and postacute care.Through reliable data and respected opinions, this text is sure to improve your diagnostic and decision-making skills. It is an ideal way to ''confer'' with the experts and belongs in the libraries of all neurosurgeons, trauma specialists, general surgeons, neurologists, and emergency room physicians.
Spinal range of motion assessment is a standard part of the evaluation of patients with back pain. The findings of such evaluations are important in clinical decision making to ascertain the extent of impairment and also in determining compensations. Reference normative values for spinal range of motion are important to know the normal range of motion values for proper diagnosis of spine problems and as an outcome tool to measure progress during back rehabilitation. However, there is still a dearth of population-specific databases for spinal range of motion. This book presents the outcome of a study designed to assess the spinal flexibility of apparently healthy individuals using the dual inclinometer method and also to investigate the correlates of spinal flexibility.
Spinal traction has been used for many years by the physiotherapist and other healthcare professionals for treating spinal ailments especially cervical and lumbar spinal disorders. There are many researches have been done it on to this area's to find out the therapeutic effect, applicability and adverse effect. Very limited researches have been done to find out the sustenance of traction effect, even that the methodological quality of the studies is not satisfactory. The standard of the studies are important for making a clinical decision and it will reduce the expense of the treatment and time. Still we don't have strong evidence about influence of adjuvants used along with traction especially Short Wave Diathermy (SWD). Many physiotherapists are prescribing spinal traction along with SWD without knowing the interface of each modality. Hence through this work we are providing solution to above problem with proper evidence.
Syringomyelia has fascinated neurologists and neurosurgeons for decades, if not for centuries. The slowly progressing cystic cavitations of the spinal cord have led scientists and clinicians to various pathophysiological hypotheses and treatment strategies. Until recently, no clear concept existed as to what caused a syrinx and how and when a particular patient should be treated. The introduction of magnetic resonance imaging (MRI) has revolutionized our view of syringomyelia. For the first time, we are able to diagnose a syrinx before it produces clinical symptoms, and we can follow the course of the syrinx before and after surgical treatment with a noninvasive method. This has led to a huge amount of information not available to previous scientists. Nevertheless, pathophysiology and treatment are still contro versial. The aim of this book is to give a guideline on how to approach a patient with a syrinx. Based on clinical experience, we have modified our strategies repeatedly in an attempt to improve clinical results. We have developed a treatment concept, evolved out of 20 years of clinical and experimental work, which has proven to be a solid basis for our decision making. Clinical courses, surgical indications, tech niques, and postoperative results are discussed for each of the different pathologies known to be associated with syringomyelia. In this manner, we hope to give a co herent overview on all aspects of syringomyelia, which should help physicians to counsel and treat patients with this fascinating but also potentially devastating dis ease.
A rare form of cancer, chordomas are among the most difficult tumors to treat, requiring highly specialized training and surgical expertise. Although generally slow-growing, chordomas present resection challenges due to their proximity to critical structures including the spinal cord, brainstem, nerves, and arteries. Written by an impressive cadre of internationally-renowned experts, this textbook is the most current, concise, and definitive resource on diagnosis and management of this complex pathology.Acclaimed surgeons from Brazil, Canada, Japan, Turkey, the USA, and the UK are contributors. The book starts with a historical overview, epidemiology, molecular pathogenesis, cytogenetics, local invasion and metastasis, and pathology. A thorough discussion covers diagnostic radiological and radionuclide imaging such as MRI, PET, SPECT, PET-CT, and PET-MRI, and clinical traits of skull base and spinal chordomas as defined by imaging modalities. Subsequent chapters explore decision making including selecting the most optimal techniques, surgical procedures, specialized topics, and new horizons in chordoma treatment.Key HighlightsAnterior and anterolateral approaches to the clivusThe use of endoscopy and intraoperative assistive technologiesMidline subfrontal, middle fossa, extended petrosal, and transcondylar approachesCraniospinal fusion techniques following resectionSurgery for spinal chordomas from the cervical to the sacral regionSpecial topics such as radiation, proton beam therapy, Gamma-Knife radiosurgery, and pediatric chordomas and chondrosarcomasThis is an essential text for neurosurgeons, orthopedic spine surgeons, otolaryngologists, and radiation oncologists. Read and learn from innovators who have mastered the latest state-of-the-art treatment methodologies for chordomas.
Trauma surgery has increasingly become a specialized field inspired by different principles and philosophy. A good trauma surgeon is a surgeon who knows how to perform abdominal vascular, thoracic, urologic, gynecologic, and orthopaedic procedures and is able to repair multiple traumatic injuries in the best sequence possible. In this first volume, practical, up-to-date guidance is provided on the optimal critical care and ICU management of trauma patients. In addition, individual chapters focus on specific injuries in orthopaedic trauma (and especially spinal trauma) and neurotrauma, with the aim of providing a fresh view of the surgical approach and practical suggestions for improving the skills of treating surgeons. Educational issues and the organization of a trauma center are also covered.The volume will be a handy pocket guide for trainee surgeons and any surgeon, physician, or nurse who treats trauma patients. It will be particularly relevant for emergency department physicians, critical care and ICU doctors, orthopaedic surgeons, neurosurgeons, and professionals responsible for trauma care and decision making, programs of trauma education, or organization of a trauma center.Also available: Trauma Surgery Vol. 2: Thoracic and Abdominal Trauma