Modern Management Of Spinal Deformities

Authored by two world-renowned pioneers in the field of spinal surgery, Modern Management of Spinal Deformities: A Theoretical, Practical, and Evidence-Based Text covers the range of spinal deformities-emphasizing scoliosis-and their etiologies, including idiopathic, congenital, neuromuscular, tumors, neurofibromatosis, and more. All too often in other works, too much attention has been focused on how to put in metalwork, without sufficiently discussing the what, when, and why. Authors Dickson and Harms provide a wealth of knowledge through experience that shows how important newer therapeutic concepts and surgical methods are, such that beyond just preventing the progression of deformity, it is now possible, with correctly performed surgery, to eliminate deformity and straighten spines permanently. Features: Evidence-based diagnostic and treatment concepts, emphasis on an understanding of the scientific principles providing the basis for good practice Superbly illustrated with many radiographs, CT images, and drawings Special newer surgical techniques, such as the anterior approach to the spine Spine surgeons, whether orthopaedically or neurosurgically trained, will value this authoritative treatise on spinal deformities.

Spinal deformities refer to the conditions of impairment of the backbone. These encompass various diseases associated with the spine such as spinal muscular atrophy, kyphosis, dorsalgia, ankylosing spondylitis, spina bifida, lumbar spinal stenosis, osteoporosis, spinal tumors and cauda equine syndrome. Spinal diseases also compose the diseases of cervical spine which are diseases of the vertebrae of the neck. Cervical spine is very flexible; because of this it is very likely for a person to damage that area over a long period of time. Some common diseases of cervical spine include cervical stenosis, cervical disc herniation and degenerative disc diseases. Neck pain is caused when spinal canal loses its gap and gets thinner. This book is a compilation of chapters that discuss the most vital concepts and modern management of spinal deformities. It presents researches and studies performed by experts across the globe. This book will serve as a reference to a broad spectrum of readers.

A who's who in this challenging field brings you state-of-the-art approaches to the full range of surgical management options-including reconstructive procedures-for the pediatric and adult patient with spinal deformity. Experts discuss the course of treatment for patients in different age groups and take into consideration the extent of the curve at the time of diagnosis and during follow-up, the patient's stage of bone growth, the amount of pain and deformity associated with the condition, and the patient's willingness and ability to withstand surgery. Plus, a section on general information such as practical surgical anatomy, imaging, applied biomechanics, and instrumentation helps you approach each patient more effectively. Emphasizes technical skills and surgical decision making, including pearls, pitfalls, and illustrative case studies, offering you expert advice on technically challenging surgeries. Provides the very latest information on minimally invasive endoscopic and mini-open approaches to broaden your surgical options and minimize post-operative complications. Discusses peri-operative considerations, including anesthesia, blood loss management, bone graft and fusion enhancement, neural monitoring, and complications, keeping you prepared for any event. Presents full-color line artwork of surgical procedures as well as diagnostic and clinical photographs for superb visual guidance. Offers a consistent format throughout and a full-color design for ease of reference.

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.

Although there are a number of excellent books dedicated to spinal deformities, this text employs a case-based format which offers the advantage of easy readability. This format will allow the reader to better synthesize the dense information encompassing spinal deformity complications and pearls to avoid them. Example cases highlight the importance of appropriate diagnosis, radiographic assessment, classification, surgical decision making, and complication avoidance. In addition, complication management is emphasized since complications will occur regardless of skill level, experience, or meticulous technique given the complex nature of spinal deformity. Written by key thought leaders, this book not only provides state of the art concepts and techniques but also provides pearls and tips to manage and avoid complications. This book will be useful to the spinal surgeon of any experience level who is interested in optimizing their care for patients with symptomatic spinal deformity. In addition, the concepts presented in this text will be valuable to residents and fellows training in spinal surgery.

Diagnosis and Treatment of Spine Deformities in Children at Specialized Centre -- Session 5: Rationalized Design of Individualized Treatment -- Biomechanical Simulations for Planning of Scoliosis Surgery -- Clinical Assessment of AIS -- Determination of Fixation Level of Osteosynthesis System with Knowledge Base -- 3D" Brace Treatment: "3D" Immediate Effect On Thoracic. Thoracolumbar and Lumbar Scoliotic Curves -- Treatment of Thoracolumbar and Lumbar Idiopathic Scoliotic Curves with the Progressive Action Short Brace (P.A.S.B.)Analysis of Results -- 3D Correction of Trunk Deformity in Patients with Idiopathic Scoliosis Using Cheneau Brace -- Social Effects of Boston Bracing -- Appendix. Clinical Application of 3-D Evaluation of Scoliosis -- Pre-IRSSD meeting Workshops held at Sainte-Justine Hospital, Montreal, Canada, 27 June, 1998. -- Workshop 1: Biomechanical Modelling of Scoliosis: What are the Priorities? -- Workshop 2: Usefulness of Computer Assisted Measurements During Surgery: Should we Continue? -- Workshop 3: Imaging Techniques, which Way to Go: X-Ray, CT Scans, MRI, Surface Topography, Etc.? -- Workshop 4: Aetiology and pattern of spinal deformities: should we continue to study biomechanical and 3D factors? -- Author Index

Contemporary spinal surgeons, whether orthopedic or neurosurgeons, are increasingly recognizing minimally invasive spine surgery (MISS) as a desirable option to manage advanced degenerative diseases. MISS techniques minimize blood loss, surgical site pain, and speed recovery. Thus, the marriage of MISS with adult spinal deformity was a natural one. Currently, the techniques, technologies, and education of surgeons have finally reached a point where MISS deformity surgeries are becoming commonplace. Nevertheless, the field is young enough that no comprehensive texts have addressed the unique challenges faced by surgeons exploring this evolving field. This book will fill the gap.

There has been significant progress in the field of spinal disorders in very young children over the past two decades. However, the treatment of such conditions remains challenging due to the age of the patient, different etiologies, associated morbidities and the progressive nature of the deformity. Depending on the etiology of the deformity, these children are often cared for by multiple specialists including pediatricians, pulmonologists, pediatric orthopedists or orthopedic spine surgeons, pediatric surgeons, pediatric neurosurgeons, neurologists and oncologists. Health professionals in all of the mentioned disciplines are involved in the management of these patients, which is why compiling a comprehensive text that is not limited to orthopedic specialists is essential. Since the second edition of this book was published, there has been a significant body of literature that has been published and advances made in the care of young children with spinal and thoracic deformities. This new edition will effectively help to standardize the care of these patients. Furthermore, other professionals, such as nurses, physical therapists and healthcare professionals in training, are usually not familiar with these conditions and are in need of a reference book to consult when caring for young children with spinal deformities. Sections are arranged thematically and comprise a comprehensive presentation of the current knowledge on disorders of the growing spine. After opening sections discussing general considerations and patient evaluation and diagnosis, subsequent sections describe the various categories of spinal deformity - idiopathic, congenital, neuromuscular, syndromic, and others - followed by surgical and non-surgical management strategies, both traditional and growth-friendly. Concluding sections address patient care and outcomes and outline future directions for research and practice.