Modern Techniques In Spine Surgery

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Minimally Invasive Spine Surgery

Author : Roger Haertl
Publisher : Thieme
ISBN 13 : 3131724412
Total Pages : 928 pages
Book Rating : 4.1/5 (317 download)

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Book Synopsis Minimally Invasive Spine Surgery by : Roger Haertl

Download or read book Minimally Invasive Spine Surgery written by Roger Haertl and published by Thieme. This book was released on 2012-12-12 with total page 928 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.

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

Author : Roger Hartl
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.

Spine Surgery

Author : Bernhard Meyer
Publisher : Springer
ISBN 13 : 3319988751
Total Pages : 675 pages
Book Rating : 4.3/5 (199 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 2019-03-04 with total page 675 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.

Motion Preservation Surgery of the Spine

Author : James J. Yue
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

Manual of Spine Surgery

Author : Uwe Vieweg
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.

Modern Techniques in Spine Surgery

Author : Arvind Bhave
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

Surgical Approaches to the Spine

Author : Robert G. Watkins
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

Author : James J. Yue
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

Author : Edward C. Benzel
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.

Anesthesia for Spine Surgery

Author : Ehab Farag
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.

Advanced Concepts in Lumbar Degenerative Disk Disease

Author : João Luiz Pinheiro-Franco
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.

Core Techniques in Operative Neurosurgery E-Book

Author : Rahul Jandial
Publisher : Elsevier Health Sciences
ISBN 13 : 032352396X
Total Pages : 579 pages
Book Rating : 4.3/5 (235 download)

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Book Synopsis Core Techniques in Operative Neurosurgery E-Book by : Rahul Jandial

Download or read book Core Techniques in Operative Neurosurgery E-Book written by Rahul Jandial and published by Elsevier Health Sciences. This book was released on 2019-07-31 with total page 579 pages. Available in PDF, EPUB and Kindle. Book excerpt: Get step-by-step, expert guidance on fundamental procedures in neurosurgery. Core Techniques in Operative Neurosurgery, 2nd Edition, provides the tools needed to hone existing surgical skills and learn new techniques, helping you minimize risk and achieve optimal outcomes for every procedure. Led by Dr. Rahul Jandial, this concise reference offers quick access to the expertise and experience of the world's leading authorities in the field of neurosurgery. - Presents consistent, easy-to-follow chapters that cover the indications and contraindications, pitfalls, tips and tricks from the experts, and more for each procedure. - Covers minimally invasive spine techniques such as Thoracic Corpectomy and Minimally Invasive Direct Lateral Transpsoas Interbody Fusion. - Includes new chapters on Microvascular Decompression and Brachial Plexus Injury Nerve Grafting and Transfers.

Surgical Atlas of Spinal Operations

Author : Jason Eck
Publisher : Jaypee Brothers Medical Publishers
ISBN 13 : 9386322706
Total Pages : 511 pages
Book Rating : 4.3/5 (863 download)

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Book Synopsis Surgical Atlas of Spinal Operations by : Jason Eck

Download or read book Surgical Atlas of Spinal Operations written by Jason Eck and published by Jaypee Brothers Medical Publishers. This book was released on 2019-07-31 with total page 511 pages. Available in PDF, EPUB and Kindle. Book excerpt: This new edition has been fully revised to provide spine surgeons with the latest advances in their field. Beginning with an overview of surgical anatomy of the spine, the following chapters describe numerous surgical techniques for each section of the spine – cervical, thoracic, and lumbosacral. The text covers both traditional and new procedures, and includes discussion on recent technologies such as disk arthroplasty and minimally invasive techniques. The final section of this comprehensive volume focuses on associated practices including graft harvesting, discography, and cement augmentation. Authored by renowned experts in the field, this guide is enhanced by clinical photographs and diagrams. A list of ‘key points’ summarises the most important aspects in each chapter. Previous edition (9789350903261) published in 2013. Key points Fully revised, new edition presenting latest advances in spinal surgery Covers techniques for each section of the spine Authored by internationally recognised, US-based experts in the field Previous edition (9789350903261) published in 2013

Minimally Invasive Spine Surgery

Author : Burak Ozgur
Publisher : Springer Science & Business Media
ISBN 13 : 038789831X
Total Pages : 193 pages
Book Rating : 4.3/5 (878 download)

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Book Synopsis Minimally Invasive Spine Surgery by : Burak Ozgur

Download or read book Minimally Invasive Spine Surgery written by Burak Ozgur and published by Springer Science & Business Media. This book was released on 2009-10-08 with total page 193 pages. Available in PDF, EPUB and Kindle. Book excerpt: Minimally Invasive Spine Surgery is a beautifully illustrated atlas describing the 18 most widely accepted minimally invasive procedures in spine surgery. Written by leaders in both neurologic and orthopedic spine surgery, this book offers the most up-to-date material and the broadest perspective on the subject. Procedures range from simple to complex and cover the cervical, thoracic and lumbar regions of the spine.

Rothman-Simeone The Spine E-Book

Author : Steven R. Garfin
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.

Emerging Spine Surgery Technologies

Author : Terry Corbin
Publisher : Thieme Medical Publishers
ISBN 13 : 9781626235809
Total Pages : 0 pages
Book Rating : 4.2/5 (358 download)

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Book Synopsis Emerging Spine Surgery Technologies by : Terry Corbin

Download or read book Emerging Spine Surgery Technologies written by Terry Corbin and published by Thieme Medical Publishers. This book was released on 2005-09-30 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Today's spinal surgeons are poised at the threshold of technological breakthroughs that will enable them to restore the disc to like-new performance, make every fusion a certainty, and reverse osteoporotic fractures - all with minimally invasive procedures. Yet several of the final barriers to success are unlike those faced by earlier researchers and clinicians. Evidence-Based Medicine Evidence-based medicine, which requires different and more stringent clinical studies than those required for regulatory approval, is now the dominant decision methodology demanded by payers of health care. This is where the treatments to be used by tomorrow's spinal surgeon will be made or broken. To ensure reimbursement, physicians must have access to scientific evidence that a new product is not only safe and effective but also appropriate for a specific condition. This comprehensive book provides a solid evidence-based foundation for evaluating developments in the spine surgery arena. It is essential reading for all spine surgeons. Emerging Spinal Surgery Technologies presents the methods from which the gold standard of the next decade will most likely emerge. It thoroughly details what lies on the horizon in every discipline dedicated to treatment of the spine. And it outlines the many new considerations, FDA approval and ever-rising reimbursement standards by Medicare and the major health insurers, that will influence the course of future developments. Leading Authorities Chapters by distinguished individuals in the field preview the most promising developments in biologic and tissue engineering as applicable to spine fusion, repair and regeneration of the intervertebral disc, and spinal cord repair and regeneration. Chapters describing the leading methods of surgical navigation, often required to verify placement of devices and to visualize anatomy, are also included. Step-by-Step Surgical Technique for All Major Procedures Readers will find authoritative, step-by-step descriptions of surgical techniques and methods for spinal implants and disc replacements. In each chapter the authors outline patient indications and then guide the reader through the intricacies of each procedure. Numerous photographs and radiographs as well as ample boxes and tables add further detail. In addition, tips and tricks, problems and complications, as well as results and benefits are discussed.

Spinal Deformities

Author : Robert F. Heary
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.