Neuromuscular Spine Deformity - A Harms Study Group Treatment Guide

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, neuromonitori ng, 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 pe diatric 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.

Inhaltsverzeichnis:

I. Surgical and Medical Considerations
1. Preoperative Evaluation and Optimization
2. Nonoperative Management
3. Surgical Indications in Neuromuscular Scoliosis
4. Intraoperative Issues: Anesthesia, Neuromonitoring, Estimated Blood Loss
5. Unique Challenges with Scoliosis and Dislocated Hips
6. Predicting Complications: When to Operate or Not
II. Diagnosis Specific
7. Scoliosis in Cerebral Palsy
8. Surgical Treatment of Spinal Deformity in Myelomeningocele
9. The Patient with Spinal Cord Injury: Surgical Considerations
10. The Spine in Duchenne Muscular Dystrophy
11. Spinal Muscular Atrophy
12. Other Neuromuscular Conditions: Rett Syndrome, Charcot Marie Tooth Disease, and Friedreich's Ataxia
13. Neurosurgical Causes of Scoliosis
14. Sagittal Plane Spinal Deformity in Patients with Neuromuscular Disease
15. Spinal Deformity Associated with Neurodegenerative Disease in Adults
III. Surgical Techniques
16. Sacropelvic Fixation Techniques
17. Comparison of Unit Rods with Modular Constructs in Cerebral Palsy
18. Halo-Gravity Traction: An Adjunctive Treatment for Severe Spinal Deformity
19. Osteotomies: Ponte and Vertebral Column Resection
20. Growing Spine Options for Neuromuscular Scoliosis
21. Anterior Approaches to the Spine for Neuromuscular Spinal Deformity
IV. Postoperative Management and Complications
22. Incidence of Major Complications in Surgery for Neuromuscular Spine Deformity
23. Management of Early and Late Infection
24. Postoperative Intensive Care Unit Management
25. Reoperations: Instrumentation Failure, Junctional Kyphosis, and Cervical Extension
26. Health-Related Quality of Life in Neuromuscular Scoliosis
27. Baclofen Pump: Preoperative, Intraoperative, and Postoperative Management