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Evidence for Neurosurgery (Hardcover)
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Evidence for Neurosurgery (Hardcover)
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Neurosurgery represents one of the most specialized arenas in
modern medicine. Today, more than ever, patients with neurological
disorders seek opinions from a variety of specialists and are often
treated by teams of physicians. While consensus is often reached
within institutions, regional variation is found between
institutions. The lack of high quality clinical evidence
contributes to this problem. This textbook aims to examine some of
the most controversial areas of neurological surgery by applying
the current evidence to illuminate our understanding of the
pathophysiology of each disease and the outcomes from surgical and
non-surgical treatments. Today's neurosurgeon must be able to apply
current evidence in the clinic to determine, for example: Which
aneurysm should be treated with endovascular or open vascular
techniques? Which degenerative lumbar spine should be fused,
decompressed, or both and which spine's deformity should be
corrected and to what extent? Whether an acoustic neuroma should be
treated, followed, removed, or irradiated? The Evidence for
Neurosurgery is a textbook that will challenge current dogmas in
many instances, provide an organized framework for understanding
where current evidence can be applied clinically, and illustrate
where gaps in the evidence exist and how these deficiencies may be
filled in the future. In the first chapter, "Clinical Evidence,"
the reader will gain an understanding of the levels of clinical
evidence and will learn what types of study designs are appropriate
and in which situations. The textbook is then divided into six
sections: Spine, Vascular, Tumor, Pediatrics, Functional, and
Trauma. Each section's editors have provided a brief synopsis of
the specific challenges within each field followed by chapters that
provide the current evidence in areas where clinical uncertainty
lies.
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