Minimally Invasive Spine Surgery

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Author :
Publisher : Ao Publishing, Davos
ISBN 13 : 9783131723819
Total Pages : 0 pages
Book Rating : 4.7/5 (238 download)

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Book Synopsis Minimally Invasive Spine Surgery by : Roger Härtl

Download or read book Minimally Invasive Spine Surgery written by Roger Härtl and published by Ao Publishing, Davos. This book was released on 2012 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Hear the authors discuss Minimally Invasive Spine Surgery. Minimally invasive spine surgery, in some form or other, has historical roots dating back more than 100 years, and recent advances in technology now make it increasingly effective in treating suitable spine patients. While minimally invasive approaches have shown to reduce muscle damage, blood loss, and post-operative pain, to perform this t ype of surgery correctly, even highly skilled modern-day surgeons must prepare themselves for a demanding learning curve. For this reason, AOSpine proudly presents Minimally Invasive Spine Surgery: Techniques,Evidence, and Controversies, the most comprehensive book of its kind, which includes more than 500 pages of surgical techniques, illustrations, case images, tips and tricks, and research, providing an invaluable tool for spine surgeons around the world. Each technique is fully examined: The pros and cons of each is objectively reviewed Its spectrum of indications and contraindications is summarized Historical and modern day controversies relating to each technique are discussed Uniquely, chapters in the text are further supported by an evidence-based section summarizing research studies, analysis, and conclusions into each technique, from peer-reviewed journals The text covers more than just a range of interesting medical techniques. By including brief historical introductions on each technique and the surgeons that explored and founded its methods, their early (sometimes self-made) instrumentation, right through to todays current best-practice, this book provides an interesting, informative, and topical instruction on minimally invasive surgery and its increasingly encouraging results for spine-patient care.

Modern Techniques in Spine Surgery

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Publisher : JP Medical Ltd
ISBN 13 : 9351525309
Total Pages : 470 pages
Book Rating : 4.3/5 (515 download)

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Book Synopsis Modern Techniques in Spine Surgery by : Arvind Bhave

Download or read book Modern Techniques in Spine Surgery written by Arvind Bhave and published by JP Medical Ltd. This book was released on 2014-11-30 with total page 470 pages. Available in PDF, EPUB and Kindle. Book excerpt: Minimally invasive techniques are now the preferred method for spine surgery because the incision is much smaller, causing less damage to surrounding muscles, pain is usually greatly reduced, and recovery time is faster. This book is a practical guide to minimally invasive diagnostic and surgical techniques for spine operations. Beginning with an overview of spinal anatomy and the basics of minimally invasive surgery, the following chapters examine the management of numerous different spinal conditions. A complete chapter is dedicated to patients with spinal cord injury and rehabilitation. More than 200 clinical photographs, diagrams and tables enhance the comprehensive text, making it an invaluable resource for both trainees and practising spine surgeons. Key points Comprehensive guide to minimally invasive spine surgery Covers diagnosis and treatment of numerous spinal disorders Complete chapter dedicated to spinal injury and rehabilitation Includes more than 200 photographs and illustrations

Essential Step-by-Step Techniques for Minimally Invasive Spinal Surgery

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Author :
Publisher : Thieme
ISBN 13 : 1638536236
Total Pages : 1068 pages
Book Rating : 4.6/5 (385 download)

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Book Synopsis Essential Step-by-Step Techniques for Minimally Invasive Spinal Surgery by : Roger Hartl

Download or read book Essential Step-by-Step Techniques for Minimally Invasive Spinal Surgery written by Roger Hartl and published by Thieme. This book was released on 2022-05-27 with total page 1068 pages. Available in PDF, EPUB and Kindle. Book excerpt: The ultimate resource for learning and mastering minimally invasive spine surgery techniques An estimated 1.5 million instrumented spinal procedures are performed every year in the US. The majority of decompressions and about 50% of fusion procedures can be performed completely or partially using minimally invasive spine surgery (MISS) techniques. The full potential of MISS techniques has yet to be realized. Essential Step-by-Step Techniques for Minimally Invasive Spinal Surgery by internationally renowned MISS neurosurgeon Roger Härtl, spine-neurosurgeon Rodrigo Navarro-Ramirez, and an impressive group of global multidisciplinary contributors is the most comprehensive and detailed textbook written to date on this topic. The foundation of the book is built on six interacting principles critical to surgical success, and MISS in particular: Target, Technology, Technique, Teaching and Training, Testing, and Talent. The text starts with an opening chapter on the definition of MISS and introduction of these principles. Fifty-six subsequent chapters provide a comprehensive discussion on how to utilize an MISS approach for a full spectrum of spinal pathologies using nuanced variations specific to the operating surgeon. To ensure readers are well versed in all aspects of MISS, these chapters include painstaking details on indications, contraindications, pathoanatomy, operating room set-up, step-by-step techniques, and postoperative management. Key Highlights Contributions from master spine surgeons across the world provide a balanced global perspective on mastering and incorporating diverse techniques into practice Invaluable clinical pearls including tips/tricks and complication avoidance High-quality images, figures, anatomic drawings, and imaging studies illustrate relevant anatomic approaches and corridors and delineate why anatomic mastery is critical to MISS Twenty-five videos enhance the ability to learn and implement MISS approaches This is a must-have resource for practicing spine surgeons interested in MISS who wish to learn the latest techniques from master surgeons and achieve optimal patient outcomes. The text and videos also provide a robust training tool for senior-level orthopaedic and neurosurgery residents and spine fellows.

Manual of Spine Surgery

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Author :
Publisher : Springer Nature
ISBN 13 : 3662640627
Total Pages : 563 pages
Book Rating : 4.6/5 (626 download)

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Book Synopsis Manual of Spine Surgery by : Uwe Vieweg

Download or read book Manual of Spine Surgery written by Uwe Vieweg and published by Springer Nature. This book was released on 2023-10-16 with total page 563 pages. Available in PDF, EPUB and Kindle. Book excerpt: This manual has been compiled in response to the rapid expansion of instrumented spinal surgery using minimally invasive and non-fusion techniques, with a view to meeting the needs of spinal surgeons (orthopaedic and neurosurgeons). The various open, less invasive, and minimally invasive techniques are presented step by step in a clear and instructive way with the aid of more than 600 high-quality illustrations. Careful attention is paid to all aspects vital to the success of any spinal operation: precise definition of indications and contraindications, technical and organizational factors, good operating technique, and correct preoperative preparation and positioning of the patient. This second edition of the manual takes full account of the latest developments in spinal instrumentation and implants and new surgical techniques. It is authoritative, concise, and portable – ideal for use in a fast-paced clinical setting – and will serve as a daily companion for spinal surgeons and others who care for patients with spinal disorders.

Motion Preservation Surgery of the Spine

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Publisher : Elsevier Health Sciences
ISBN 13 : 1437721672
Total Pages : 817 pages
Book Rating : 4.4/5 (377 download)

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Book Synopsis Motion Preservation Surgery of the Spine by : James J. Yue

Download or read book Motion Preservation Surgery of the Spine written by James J. Yue and published by Elsevier Health Sciences. This book was released on 2008-06-11 with total page 817 pages. Available in PDF, EPUB and Kindle. Book excerpt: New motion-preserving devices are revolutionizing spine surgery...but the learning curve for these operations is steep, and great attention must be given to patient and device selection and the perfect execution of each procedure. Only one reference spells out exactly how to perform these new techniques...and its peerless author team, comprised of key investigators involved in the devices' actual clinical trials, is uniquely qualified to help you get the best results! These global leaders in this area discuss the advantages and disadvantages of the full range of non-fusion technologies...and present the step-by-step, richly illustrated operative guidance you need to achieve optimal outcomes! Select the best device and approach for each patient! * cervical total disc arthroplasty * lumbar total disc arthroplasty * lumbar partial disc replacement: nucleus replacement * lumbar posterior dynamic stabilization: pedicle screw based * lumbar posterior dynamic stabilization: interspinous based * lumbar facet replacement Produce optimal outcomes with detailed advice on... * advantages and disadvantages of each option * indications and contraindications * patient selection * interpretation of imaging studies * surgical anatomy and biomechanics * surgical techniques * tips and pearls See how to perform each technique, thanks to step-by-step, full-color illustrations

Spine Surgery

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Publisher :
ISBN 13 : 9780443066160
Total Pages : 1166 pages
Book Rating : 4.0/5 (661 download)

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Book Synopsis Spine Surgery by : Edward C. Benzel

Download or read book Spine Surgery written by Edward C. Benzel and published by . This book was released on 2005 with total page 1166 pages. Available in PDF, EPUB and Kindle. Book excerpt: This best-selling resource explores the full spectrum of surgical techniques used in spine surgery, and describes how to avoid and manage complex problems. It emphasizes how to achieve successful outcomes and minimize risks. The 2nd Edition delivers more than 25 brand-new chapters, as well as extensive revisions and updates throughout, to reflect all of the latest advances in the field. It also features contributions from an increased number of orthopaedic surgeons to round out the strong coverage provided by the many neurosurgeon contributors. Features contributions from well-known neurosurgeons and orthopaedic surgeons, for well-rounded, authoritative coverage from beginning to end. Offers more than 825 outstanding illustrations that demonstrate how to perform every procedure step by step. Provides more than 25 brand-new chapters, as well as extensive revisions or total rewrites to the majority of existing chapters-to present all of the most up-to-date information available on every aspect of spine surgery. Includes chapters on hot topics such as Nonspinal Pathology Masquerading as Spinal Disease · Bone Void Fillers: Bone and Bone Substitutes · Data Management · Posterior Lumbar Interbody Fusion · Ankylosing Spondylitis and Related Disorders · Craniocervical Junction Deformities · Pediatric Spinal Deformities · Subsidence and Dynamic Spinal Stabilization · and The Nonoperative Management of Neck and Back Pain. With 267 additional contributing experts.

Surgical Approaches to the Spine

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Publisher : Springer Science & Business Media
ISBN 13 : 1468401556
Total Pages : 198 pages
Book Rating : 4.4/5 (684 download)

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Book Synopsis Surgical Approaches to the Spine by : Robert G. Watkins

Download or read book Surgical Approaches to the Spine written by Robert G. Watkins and published by Springer Science & Business Media. This book was released on 2012-12-06 with total page 198 pages. Available in PDF, EPUB and Kindle. Book excerpt: The desire to expose the spine for surgery by anterior approaches at any level between the head and the sacrum is not new. Spinal pathology is often located anterior to the spinal cord and nerve roots in the cervical and thoracic spine, and anterior to the peripheral nerves that emerge from the lumbosacral spine below the first lumbar ver tebra. To treat such pathology one prefers to expose the front of the spine directly and widely enough to eradicate the pathology and to have full control of bleeding throughout the procedure. The posterior elements of the spine are important for mechanical stability of the spine, and therefore for the protection of the neural and vascular structures in the spine that would be threatened by instability. Extensive eradication of pathology posterior to the spinal canal and the intervertebral foraminae, including the transverse processes, may leave no adequate bony bed for the surgical creation of a stabilizing osseous fusion. In such a situation, an anterior fusion procedure is the only viable alternative to a posterior or posterolateral fusion. In situations where it is critically important to obtain a stable fusion, as in tuberculosis of the spine, both an anterior and a posterior fusion operation at the same motion segments is, in almost every instance, a guarantee of a stable osseous fusion. One should know both approaches.

The Comprehensive Treatment of the Aging Spine E-Book

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Publisher : Elsevier Health Sciences
ISBN 13 : 1455700037
Total Pages : 497 pages
Book Rating : 4.4/5 (557 download)

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Book Synopsis The Comprehensive Treatment of the Aging Spine E-Book by : James J. Yue

Download or read book The Comprehensive Treatment of the Aging Spine E-Book written by James J. Yue and published by Elsevier Health Sciences. This book was released on 2010-12-03 with total page 497 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Comprehensive Treatment of the Aging Spine provides all the state-of-the-art coverage you need on both operative and non-operative treatments for different clinical pathologies of the aging spine. Dr James Yue and a team of talented, pioneering orthopedic surgeons and neurosurgeons cover hot topics like minimally invasive fusion, dynamic stabilization, state-of-the-art intraspinous and biologic devices, and more...in print and online. Search the full text and access a video library online at expertconsult.com. Master the very latest techniques and technologies through detailed step-by-step surgical instructions, tips, and pearls. Stay current on the state-of-the-art in intraspinous and biologic devices—such as Stent (Alphatec) and Optimesh Spineology; thoracic techniques—kyphoplasty, vertebroplasty, and spacers; and conservative treatment modalities—including injection therapies, acupuncture, and yoga. Make expert-guided decisions on techniques and device selection using the collective clinical experience of pioneering editors and contributors. Identify the advantages and disadvantages for the full range of available microsurgical and endoscopic techniques for management of cervical, thoracic, and lumbar spine pathology—minimally invasive fusion, reconstruction, decompression, and dynamic stabilization.

Spine Surgery

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Author :
Publisher : Springer
ISBN 13 : 9783319988740
Total Pages : 0 pages
Book Rating : 4.9/5 (887 download)

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Book Synopsis Spine Surgery by : Bernhard Meyer

Download or read book Spine Surgery written by Bernhard Meyer and published by Springer. This book was released on 2019-03-20 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book covers the content of European postgraduate spine surgery courses, using a case-based approach. It describes a stepwise solution to a real-world clinical problem and compares this with the best available evidence. It then provides suggestions on how to bridge the gap (if there is one) between standard of care and evidence-based medicine. Spine Surgery: A Case-Based Approach is aimed at postgraduate students of spine surgery (both trainee neurosurgeons and trainee orthopedic surgeons), and is also of interest to medical students.

Spine Surgery

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Publisher : Thieme
ISBN 13 : 1604061596
Total Pages : 352 pages
Book Rating : 4.6/5 (4 download)

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Book Synopsis Spine Surgery by : Alexander R. Vaccaro

Download or read book Spine Surgery written by Alexander R. Vaccaro and published by Thieme. This book was released on 2011-01-01 with total page 352 pages. Available in PDF, EPUB and Kindle. Book excerpt: Praise for this book:[Four stars] This book is required reading for orthopedic and neurosurgical fellows and residents...very highly recommend[ed]...outstanding.--Doody's ReviewThis best-selling book returns in a second edition covering the major procedures in spine surgery and the latest technical innovations in the field. Retaining the comprehensive scope and accessible presentation of the previous edition, the book distills the basic elements of each procedure using concise descriptions and simple line drawings. New sections of the book cover minimally invasive exposure methods, motion-sparing techniques, and the latest fixation techniques.Highlights: Each chapter outlines the essentials of the procedure in just a few pages Consistent presentation throughout the book enhances ease of use Tips, pearls, lessons learned, special considerations, pitfalls, and bailout, rescue, and salvage procedures emphasize critical points to help ensure a safe and effective procedure Nearly 500 illustrations demonstrate key technical points Concise and up-to-date, this book serves as an invaluable quick reference prior to surgery. It is ideal for clinicians and residents in spine surgery, orthopedics, and neurosurgery.

Spine and Peripheral Nerves

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Publisher : Thieme
ISBN 13 : 1604064870
Total Pages : 935 pages
Book Rating : 4.6/5 (4 download)

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Book Synopsis Spine and Peripheral Nerves by : Christopher Wolfla

Download or read book Spine and Peripheral Nerves written by Christopher Wolfla and published by Thieme. This book was released on 2011-01-01 with total page 935 pages. Available in PDF, EPUB and Kindle. Book excerpt: This volume, part of the second edition of the classic Neurosurgical Operative Atlas series, presents the latest techniques for managing the full range of spinal and peripheral nerve problems. Each chapter addresses a different surgical procedure, guiding the reader through patient selection, preoperative preparation, anesthetic techniques, patient monitoring, and surgical techniques and outcomes. The authors also discuss common complications and offer tips for how to avoid and manage them. Spine and Peripheral Nerves is ideal for residents to study and for established surgeons seeking a quick refresher in preparation for surgery. Neurosurgeons, orthopedists, and plastic surgeons will benefit from the wealth of information provided in this up-to-date clinical reference. Highlights: Renowned experts in the field share their clinical insights and extensive experience Concise, step-by-step descriptions enable the reader to rapidly review techniques More than 750 illustrations and images demonstrate key concepts Organized by anatomical location to aid quick reference Series description:The American Association of Neurological Surgeons and Thieme have collaborated to produce the second edition of the acclaimed Neurosurgical Operative Atlas series. Edited by leading experts in the field, the series covers the entire spectrum of neurosurgery in five volumes. In addition to Spine and Peripheral Nerves, the series also features:Neuro-Oncology, edited by Behnam Badie Vascular Neurosurgery, edited by R. Loch MacdonaldFunctional Neurosurgery, edited by Philip Starr, Nicholas M. Barbaro, and Paul LarsonPediatric Neurosurgery, edited by James Tait Goodrich

Anesthesia for Spine Surgery

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Publisher : Cambridge University Press
ISBN 13 : 1107005310
Total Pages : 477 pages
Book Rating : 4.1/5 (7 download)

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Book Synopsis Anesthesia for Spine Surgery by : Ehab Farag

Download or read book Anesthesia for Spine Surgery written by Ehab Farag and published by Cambridge University Press. This book was released on 2012-05-17 with total page 477 pages. Available in PDF, EPUB and Kindle. Book excerpt: A comprehensive guide to anesthesia specifically for spine surgery, explaining procedures from the point of view of both anesthesiologists and surgeons.

Advances in Minimally Invasive Surgery and Therapy for Spine and Nerves

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Publisher : Springer Science & Business Media
ISBN 13 : 3211993703
Total Pages : 253 pages
Book Rating : 4.2/5 (119 download)

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Book Synopsis Advances in Minimally Invasive Surgery and Therapy for Spine and Nerves by : Alberto Alexandre

Download or read book Advances in Minimally Invasive Surgery and Therapy for Spine and Nerves written by Alberto Alexandre and published by Springer Science & Business Media. This book was released on 2010-11-25 with total page 253 pages. Available in PDF, EPUB and Kindle. Book excerpt: Radiologists, orthopedic and neurological surgeons present the different minimally invasive methods. Peripheral nerve problems and problems concerning differential diagnosis in special situations such as between radicular and peripheral nerve trunk lesions are discussed, pinpointing the significance of different diagnostic tools. Minimally invasive techniques, utilized nowadays to minimize bone demolition, scarring and risk of recurrence are analyzed. Microdiscectomy is compared with the results of intradiscal techniques, and new methods are discussed facing problems such as epidural fibrotisation, microinstability, osteoporotic or neoplastic or posttraumatic vertebral lesions.

Rothman-Simeone The Spine E-Book

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Publisher : Elsevier Health Sciences
ISBN 13 : 0323511953
Total Pages : 2127 pages
Book Rating : 4.3/5 (235 download)

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Book Synopsis Rothman-Simeone The Spine E-Book by : Steven R. Garfin

Download or read book Rothman-Simeone The Spine E-Book written by Steven R. Garfin and published by Elsevier Health Sciences. This book was released on 2017-09-11 with total page 2127 pages. Available in PDF, EPUB and Kindle. Book excerpt: Get comprehensive, practical coverage of both surgical and non-surgical treatment approaches from the world's most trusted authorities in spine surgery and care. Rothman-Simeone and Herkowitz's The Spine, 7th Edition, edited by Drs. Steven R. Garfin, Frank J. Eismont, Gordon R. Bell, Jeffrey S. Fischgrund, and Christopher M. Bono, presents state-of-the-art techniques helping you apply today's newest developments in your practice. - Highlights critical information through the use of pearls, pitfalls, and key points throughout the text, as well as more than 2,300 full-color photographs and illustrations. - Offers a newly revised, streamlined format that makes it easier than ever to find the information you need. - Contains new chapters on the clinical relevance of finite element modeling and SI joint surgery. - Includes an expanded section on minimally invasive spine surgery, including recent developments and future directions. - Provides the latest evidence-based research from high-quality studies, including new randomized controlled trials for lumbar stenosis, surgery, fusion, and injections. - Presents the knowledge and expertise of new international contributors, as well as new editorial leadership from Dr. Steven Garfin. - Expert ConsultTM eBook version included with purchase. This enhanced eBook experience allows you to search all of the text, figures, and references from the book on a variety of devices.

Spinal Deformities

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Publisher : Thieme
ISBN 13 : 1604064749
Total Pages : 324 pages
Book Rating : 4.6/5 (4 download)

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Book Synopsis Spinal Deformities by : Robert F. Heary

Download or read book Spinal Deformities written by Robert F. Heary and published by Thieme. This book was released on 2011-01-01 with total page 324 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.

Advanced Concepts in Lumbar Degenerative Disk Disease

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Author :
Publisher : Springer
ISBN 13 : 3662477564
Total Pages : 823 pages
Book Rating : 4.6/5 (624 download)

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Book Synopsis Advanced Concepts in Lumbar Degenerative Disk Disease by : João Luiz Pinheiro-Franco

Download or read book Advanced Concepts in Lumbar Degenerative Disk Disease written by João Luiz Pinheiro-Franco and published by Springer. This book was released on 2015-10-09 with total page 823 pages. Available in PDF, EPUB and Kindle. Book excerpt: In this book, leading international specialists in the field join forces to discuss topics, issues and approaches that are of key importance in the optimal treatment of lumbar degenerative disk disease. The coverage is wide ranging, from current understanding of physiopathology and genetics and modern imaging techniques through to the diverse minimally invasive, non-fusion, and fusion surgical techniques. Detailed attention is drawn to the most important aspects to be considered when approaching the patient and making treatment decisions. The role of conservative management is appraised, and surgical techniques and their indications are carefully described. In the concluding section, some of the top specialists from across the world reflect on the lessons that they have learned during lifetimes in spinal surgery. Advanced Concepts in Lumbar Degenerative Disk Disease will be an instructive and fascinating source of information for all spine surgeons and other spine care providers.

Bloodless Spine Surgery

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Publisher :
ISBN 13 : 9780974537405
Total Pages : 132 pages
Book Rating : 4.5/5 (374 download)

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Book Synopsis Bloodless Spine Surgery by : Kenneth K. Hansraj

Download or read book Bloodless Spine Surgery written by Kenneth K. Hansraj and published by . This book was released on 2008-01-01 with total page 132 pages. Available in PDF, EPUB and Kindle. Book excerpt: BLOODLESS SPINE SURGERY; PICTURES & EXPLANATIONS by KENNETH K. HANSRAJ, M.D. is an illustrated book to help the general public understand the basic concepts of herniated discs, degenerative disc disease, spinal stenosis, spondylolisthesis and scoliosis. Diagnosis, and treatment of these spinal problems are fully explained.This manuscript presents a comprehensive preparation of a patient for bloodless spine surgery, techniques for diminishing blood loss in the operating room, postoperative considerations, and includes case reports of patients who have undergone surgery using the blood management methods outlined.Special emphasis is placed on Jehovah?s witnesses. Typically, patients of this religion do not accept transfusion s of whole blood, packed cells, white blood cells, platelets, or plasma or auto transfusion of predeposited blood. Some witnesses may permit infusion of albumin, clotting factor solutions, or dextran or other plasma expanders and intraoperative auto transfusion, done under closed loop technique. Even though a transfusion may be necessary to save a patient?s life, the administration of blood and/or blood products in the face of refusal after informed consent can be legally considered a violation of a patient?s right to control what is done to his or her body.Digital images and illustrations are incorporated throughout the book to show important concepts, and a dictionary is provided to thoroughly explain the important factors in bloodless surgery. An effort was made to ensure that the information is provided for readers who come from a non-medical background, with adherence to the basics.