Spine Surgery - A Case-Based Approach

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.

Inhaltsverzeichnis:

Part 1: Basics and Conservative Therapy.- Psychosomatics/behaviour therapy.-Indications for emergency treatment.- Part 2: Surgical treatment of degenerative cervical, thoracic and lumbar spinal pathologies.- Anterior cervical sub-axial treatment (fusion).- Cervical motion preserving procedures (TDR).- Posterior motion preserving procedures (Frykholm, laminoplasty).- Cervical myelopathy: indication and operative procedure.- Thoracic disc herniation and myelopathy.- Lumbar disc herniation, nucleo-and sequestrectomy.- Lumbar spinal stenosis.- Degenerative spondylolisthesis.- Slipped vertebra and degenerative lumbar scoliosis.- Lumbar non-fusion techniques.- Surgical treatment options at the sacroiliac joint.- Navigation in cervical, thoracic and lumbar spine.- Part 3: Deformity.- Diagnosis and conservativetreatment of AIS.- Operative treatment of AIS.- Congenital and neuromuscular scoliosis.- Adult scoliosis and complication management.- Conservative treatment options and indica tion for surgery in spondylolisthesis.- Operative treatment of spondylolisthesis.- Parameters of spinopelvic balance, etiology and pathogenesis of disturbed spinopelvic balance.- Diagnosis, classification, and general treatment options in hyperkyphosis.- Scheuermann Disease and M. Bechterew.- Surgical correction and special features in traumatic and congenital kyphotic deformities.- Part 4: Spinal fractures.- Pre-hospital management, physical examination, polytrauma management.- Upper cervical trauma (C0-C2).- Subaxial cervical trauma (C2 - C7).- Management criteria for thoracic, thoracolumbar and lumbar fractures.- Conservative management of spinal fractures.- Sacral fractures.- Pediatric spine injuries.- Spine injuries in the elderly.- Injuries in ankylosed spine condition.- Part 5: Tumors of spine and inflammatory diseases.- Vertebral osteomyelitis.- Rheumatic diseases.- Metabolic bone diseases.- Primary tumors.- Metastases.- Part 6: Intradural pathologies.- Vascular malfor mations: arteriovenous malformations (AVMs)/Cavernoma, spinal dAVFs.- Inflammation of spinal cord (myelitis).- Intradural, extramedullary tumors.- Intradural, intramedullary tumors.- Dysraphia, tethered cord, segmentation disorders.- Syringomyelia, sacral cysts.- Spinal cord injury - classification and diagnostics.- Spinal cord injury - surgical and pharmaceutical therapy.- Spontaneous CSF leak and ideopathic spinal cord herniation.- Intraoperative neurophysiological monitoring.- Management of intraoperative dural tear.- Therapy of chronic pain syndromes (pumps, DCS, DBS, CS).- Part 7: Extended indications and advanced operative techniques.- Craniocervical junction.- Basilar invagination.- Cervicothoracic junction.- Kyphosis in ankylosing spondylitis.- Thoracic spine.- Primary bone tumor.- Adolescent idiopathic scoliosis (AIS).- Lumbar degenerative scoliosis.- Adult degenerative scoliosis.- Long vs short contructs.- High-grade lumbar spondylolisthesis.- Spondyloptosis.- Sacrum.- Intradural tumors.- Oligosymptomatic intramedullary lesion.- Part 8: Revisions and complication management.- Positioning of the patient and related complications.- Postlaminectomy kyphosis.- Failed Back Surgery Syndrome (epidural scar).- Adjacent segment degeneration.- Management of post-op infections.- Pseudoarthrosis management (case with implant failure).- Coronal decompensation.- Proximal junctional kyphosis.- Blood management and thromboprophylaxis in spinal surgery.- Management of failure of osteoporotic fixation.- Visceral complications of deformity surgery (pulmonary, esophageal injury or chylothorax).- Revision of adult deformity.- Iatrogenic neurologic injury.- Management of CSF fistula.- Management of mechanical failure of cervical spine.- Pitfalls of anterior lumbar revision surgery (vasculary or uretheral injury).