There has been an exponential increase in the volume and quality of published research relating to spine care over the last several decades. Among thousands of articles, a small fraction has been shown to be truly "game changing," forcing the entire field to pause and take notice. These landmark studies may describe a new procedure or surgical approach, evaluate the relative effects of known treatments or techniques, introduce a new classification system, or provide new insights into natural history or disease prognosis. Such studies form the foundations of spine surgery today.This book will be a useful reference not only to the established spine surgeon, but also to neurosurgery and orthopedic residents, as well as to spine surgery fellows as they continue to fortify their knowledge surrounding spinal disorders. Further, this will no doubt serve as a useful evidence-based resource for trainees studying for professional examinations and perhaps most importantly challenge and inspire clinicians to produce high-quality impactful research.

Minimally invasive procedures are increasingly utilized and are replacing open surgery to reduce scarring and pain, enhance patient recovery, and minimize cost. Minimally Invasive Spine Surgery provides step-by-step guidance, expert instruction, and detailed illustration of current minimally invasive orthopedic spine procedures. With a variety of chapters covering critical developments in the field-including the utilization of biologic materials, image-guided surgery, and bone fusion-this guide delves into discussions of indications, methods for preoperative planning, complication avoidance strategies, and patient outcomes. Covering emerging technologies and biological advances that will result in smaller incisions, less trauma, and enhanced patient rehabilitation, this book: Helps surgeons identify key anatomical structures for minimally invasive access Considers preoperative planning, complications, and outcomes for all operative methods Updates surgeons on significant advances in bone graft substitutes for spine fusion Details decompression and mini-open surgical techniques-all intended to achieve less traumatic surgical treatments and improve patient outcomes Includes a section on needle-based procedures for chronic pain relief

Focuses on individualized spinal injury assessments, immobilization techniques, nonoperative and operative indications, operative fixation strategies, and prognoses. Fractures of the Cervical, Thoracic, and Lumbar Spine surveys the anatomy and physiology of the spinal cord injury designation and analysis using force vectors the spinal cord injury without radiographic abnormality reduction and alignment of the spine in emergency management pharmacological intervention prior to surgery imaging in spinal trauma classification of cervical spine trauma Containing over 1900 references, Fractures of the Cervical, Thoracic, and Lumbar Spine is an invaluable resource for orthopedic, spinal, and trauma surgeons; neurosurgeons; emergency medicine physicians; and neurologists; and residents, nurses, and medical school students in these disciplines.

This reference focuses on individualized spinal injury assessments, immobilization techniques, nonoperative and operative indications, operative fixation strategies, and prognoses. Containing over 1900 references, Fractures of the Cervical, Thoracic, and Lumbar Spine is an invaluable resource for orthopedic, spinal, and trauma surgeons; neurosurgeons; emergency medicine physicians; and neurologists; and residents, nurses, and medical school students in these disciplines.

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

With contributions from more than 100 renowned authorities in the field, this reference compiles treatment recommendations and tips for a myriad of complications associated with nonoperative and operative management of various spinal pathologies in children and adults-providing expert guidance on complication identification, recognition, management, and prevention, as well as the legal and ethical aspects of contemporary spinal care.

Neural Repair and Regeneration after Spinal Cord Injury and Spine Trauma provides readers with a comprehensive overview on the most up-to-date strategies to repair and regenerate the injured spinal cord following SCI and spine trauma. With contributions by international authors, chapters put regenerative approaches in context, allowing the reader to understand the challenges and future directions of regenerative therapies. Recent clinical trial advancements are thoroughly discussed, with the impact of trial findings addressed. Additionally, major ongoing clinical trials are included with thoughts from experts in the field. Recent clinical practice guidelines for the management of traumatic spinal cord injury are featured throughout. These guidelines are quickly being adopted as the standard of care worldwide, and the comprehensive information found within this book will place these recommendations in context with current knowledge surrounding spinal cord injury and spine trauma.

A best evidence approach to key topics in spine surgery Drawing on the expertise of world-renowned orthopedic and neurological spine surgeons, Controversies in Spine Surgery: Best Evidence Recommendations compiles, summarizes, and synthesizes the most relevant scientific literature available in the field today. Each succinct, problem-oriented chapter addresses a different controversial issue where there is a lack of consensus about the best possible course of action. The authors provide guidance and objective recommendations for each scenario based on the most relevant data found in the literature to give surgeons the background they need to make fully informed treatment decisions. Features: *Concise outline format enables rapid reading for the busy spine surgeon *Invaluable synopses of highly practical evidence-based literature *Detailed coverage of commonly disputed issues, such as how to manage vertebral compression fractures, surgery for axial back pain, minimally invasive lumbar fusion, the use of prophylactic antibiotics in spine surgery, and much more *Grading of Best Evidence feature in which the authors rate the viability of the data presented *Numerous summary tables throughout the text emphasize the main conclusions of published studies *Pearls highlight important points in each chapter This cutting-edge clinical reference will help every resident, fellow, and spine surgeon in orthopaedic surgery and neurosurgery streamline their medical decision making process and improve their patient care.

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.

Focusing solely on must-know procedures, Operative Techniques: Spine Surgery, 3rd Edition by Drs. Alexander R. Vaccaro and Eli Baron, offers a highly visual, step-by-step approach to the latest techniques in the field. Thorough updates keep you current with recent changes in spine surgery, and new contributors bring a fresh perspective to this rapidly-changing specialty. Part of the popular Operative Techniques series, this practical reference focuses on individual procedures, each presented in an easy-to-follow format for quick reference. Step-by-step intraoperative photos depict each technique, and high-quality radiographs show presenting problems and post-surgical outcomes. Surgical videos available online demonstrate how to perform state-of-the-art procedures. Clean design layout features brief, bulleted descriptions, clinical pearls, and just the right amount of relevant science. Ideal for orthopaedic and neurosurgery residents, fellows, and practicing surgeons. Expert ConsultT 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. Updated coverage includes hybrid surgery, coflex fusion, and modifications to the lateral transosseous approach.

Revision spine surgery requires a unique skill set different from performing a primary operation. Understanding when a simple revision is sufficient, when a more complex approach is needed, or when a non-surgical option should be considered is critical to good patient care and outcomes. In this first book to focus exclusively on the complex topic of revision spine surgery, world-renowned Dr. Alex Vaccaro and leading neuro and orthopaedic spine surgeons, navigate physicians through the initial evaluative process and the potential pitfalls and complications encountered in revision surgery.

This book provides neurosurgeons and trainees with the latest techniques in spinal surgery. Divided into three sections, each is dedicated to surgical procedures in a key region of the spine - cervical, thoracic and lumbar. Each topic is presented in a step by step process covering anatomy, indications and contraindications, techniques and outcomes. Authored by internationally recognised, Philadelphia-based experts in the field, this invaluable text is enhanced by more than 200 surgical images and illustrations. Key points Practical guide to latest techniques in spinal surgery for neurosurgeons and trainees In depth coverage of procedures for each section of the spine - cervical, thoracic and lumbar Internationally recognised, Philadelphia-based author team Highly illustrated with surgical images and illustrations

Updated edition of bestseller from master spine surgeons uncovers tricks of the trade Thieme congratulates Todd Albert on being chosen by New York magazine for its prestigious 'Best Doctors 2017' list. Written by world-renowned masters in spine surgery, this expanded third edition details all the major procedures and newest technical innovations in the field. Experts share clinical pearls gleaned from years of surgical experience and ongoing refinement of techniques. Throughout 21 well organized sections, the essential elements of a full spectrum of cervical, thoracic, lumbar, and sacroiliac joint procedures are distilled into 112 concise, easy to understand chapters. From deformities to spinal tumors, the text facilitates a greater understanding of surgical nuances and potential complications encountered in standard to complex cases. The authors share insights for improving patient safety and outcome such as reducing radiation exposure during fluoroscopy, minimizing intraoperative blood loss, and utilization of the surgical microscope. Updated pain management content encompasses varied strategies including injections, steroids, and nerve blocks. Special Features: More than 400 stunning full color illustrations, diagrams, and photographs replace black and white images from the previous edition Online access to 40 videos in which surgeon-authors share personal tips and demonstrate how to deftly navigate challenging, real life cases. Highlights include up close and personal footage shot in the OR and cadaver simulations Greatly expanded section on minimally invasive technologies covers AxiaLIF, Presacral Interbody Fusion, SI Joint Fusion, and the use of both Robotics and Endoscopy Up to date and comprehensive, this book is an outstanding resource for orthopedic and neurosurgical fellows and residents, as well as clinicians specializing in spine surgery.

This book is a practical guide to the diagnosis of spine-related disorders. Covering both adult and paediatric conditions, each chapter presents a systematic approach to common and more complex problems, including associated complaints such as headaches, bowel and bladder incontinence and retention, and groin pain. Typical case presentations and initial work up are provided for each condition, followed by differential diagnosis and treatment options. Authored by internationally recognised experts from the USA, this comprehensive text is enhanced by clinical images, diagrams and tables to assist understanding. Key Points Practical guide to diagnosis of spine-related disorders Covers adult and paediatric conditions Each topic includes typical case presentations and initial work up Authored by internationally recognised experts in the field

Featuring an expanded focus on in-demand endoscopic and minimally invasive spine procedures, Surgical Anatomy and Techniques to the Spine, 2nd Edition pairs new anatomic photographs and radiographic images with expertly rendered color illustrations and clear, step-by-step descriptions to help you effectively perform all of the latest and most effective spine surgery techniques. A multidisciplinary approach makes this medical reference book relevant and informative to all surgeons regardless of their specialty or level of surgical experience with the spine. Proceed with confidence. An atlas-style format featuring clear, concise, step-by-step descriptions of the anatomy and procedures along with clinical hints and pearls, tables, and management algorithms provideing swift answers and trusted guidance. Sharpen your surgical acumen with a deeper understanding of the anatomy of the surgical target and related anatomy. Comprehensive information on cervical, cervical/thoracic, thoracic/lumbar, lumbar spine, lumbar/pelvis, and other surgical locations ensures the best approaches to spine surgery and results. Understand the spine from all angles with multiple-viewpoint, full-color photographs, and illustrations. Master surgical anatomy of the spine and the latest minimally invasive techniques. Sweeping revisions and updates-including 22 new chapters-provide new and expanded coverage of spine surgery procedures and topics such as surgical management in gunshot wound to the spine, vertebroplasty, and kyphoplasty. Visualize every step of each procedure thanks to new anatomic photographs and radiographic images, corresponding with expertly rendered illustrations which more in-depth than ever before. Access the entire text and illustrations online, fully searchable, at Expert Consult. With over 60 additional contributors.

Spinal cord injury (SCI) is a devastating condition with enormous financial, social and personal costs. SCI is the most expensive traumatic condition in the United States. Overall, most frequent aetiologies of injury are motor vehicle crashes and falls, followed by violence, sports-related injuries, and work-related accidents. Research on SCI prevention, regeneration and long term care has progressed steadily over the past decade making an introductory foray into the epidemiology of SCI and important undertaking. This book is designed as a general reference book reviewing the epidemiology of SCI throughout the world with potential insight to cause and effect as well as the difficulties and boundaries to minimise this unfortunate occurrence.

This book is a comprehensive guide to defining the value of spine care. Beginning with an introduction and definition of common terminology, the following chapters evaluate the processes and outcomes of spinal surgery. Written by recognised, US-based experts in the field, this practical manual provides spine care specialists with an in depth understanding of the key concepts, measurement tools and methods for value-based spine care.

A comprehensive and concise reference for determining treatment options of the spine Updated and expanded to reflect current management strategies and new technologies, Decision Making in Spinal Care, Second Edition provides readers with focused guidance to every major topic in spine, with an emphasis on clinical decision making. Covering the most common spine problems, this new edition covers the spectrum of diagnoses seen in a typical spinal practice, from trauma injuries to metabolic and degenerative diseases to spinal deformities. Highlights of the Second Edition: Focuses on "must-know" information that significantly impacts clinical decisions Includes new spinal technologies in the Contemporary Topics section to keep readers current Contains more algorithms, figures, and diagrams to aid understanding and facilitate rapid management guidance Written by world-renowned spinal care experts This handy portable reference will enable residents, fellows, spine surgeons, and associated clinicians in orthopedic surgery and neurosurgery to quickly access the information they need to make the right decisions in treating typical spinal conditions.

Originally founded by three renowned orthopedic masters, Bauer, Kerschbaumer, and Poisel, this atlas has enjoyed a longstanding reputation for the exceptional quality of its surgical, topographic anatomical illustrations. Considerable advances in minimally invasive, endoscopic, and arthroscopic surgery during the last few decades necessitated this updated edition. Special Features The addition of more than 40 new surgical procedures, including soft tissue preservation techniques used in trauma surgery. More than 700 color illustrations drawn directly from cadavers or documentation from the operating room. The authors provide a unique operative guide, gleaned from years of evidence-based, clinical experience. From the cervical spine to the foot and ankle, each part of the body is divided into detailed subsections. Multiple approaches are included to treat common and rare musculoskeletal injuries, conditions, and diseases. The concise descriptions are complemented by meticulously crafted, labelled anatomical drawings illustrating each step of the procedure, from the skin incision to the targeted region to incision closure. Associated indications, patient positioning and preparation, precautions, and dangers are also summarized for each approach. This comprehensive, state-of-the-art atlas is an invaluable surgical resource for all orthopedic surgeons, residents, and medical students.

Master spine surgeons Alexander R. Vaccaro, Richard G. Fessler, and a cadre of esteemed co-editors have compiled the most comprehensive textbook to date detailing minimally invasive spine (MIS) versus open spine surgery techniques. Controversies in Spine Surgery, MIS versus OPEN: Best Evidence Recommendations features debates by renowned experts on one of the most provocative topics in spine surgery. Twenty-four chapters systematically organized into four sections - degenerative, trauma, tumor, and other issues, cover procedures and underlying pathologies, backed by a large, diverse body of literature. MIS and open approaches are thoroughly compared and contrasted in each chapter. Evidence is presented and analyzed in an objective manner with 'opposing sides' presenting differing opinions and techniques, resulting in a synchronous collection of pros and cons. Every chapter is masterfully summed up by the book's editors - each of whom have varying stances on the topics at hand. This unique 'duel' and 'duet' discussion enables readers to assimilate information, benefit from the balanced harmony between divergent opinions, and reach their own conclusions. Key Highlights Comparative risks, benefits, complications, and outcomes for a full spectrum of lumbar, thoracic and cervical procedures MIS versus open approaches for lumbar stenosis, synovial cysts, lumbar adjacent segment degeneration, degenerative scoliosis, flatback syndrome, thoracic disc herniation, and dural tears Tumor resection and stabilization, quality of life issues, and potential advantages and risks of MIS techniques Key differences in MIS versus open operations such as radiation exposure and costs Analysis of 3-D navigational imaging to improve outcomes and reduce radiation exposure and operating time This book is a tremendous, evidence-based tool to guide spine surgeons as they make important decisions on selecting the most optimal spine surgery techniques. It is a must-have resource for all resident and veteran orthopaedic surgeons and neurosurgeons who specialize in treating patients with spine conditions.

Pocket Atlas of Spine Surgery, 2nd Edition by Kern Singh and Alexander Vaccaro is unique in its presentation, utilizing multilayered visuals to delineate the most commonly performed spine procedures. High-definition intraoperative photographs are juxtaposed with translucent anatomic drawings. This facilitates visualization of both the entire surgical field and complex anatomy never "seen" during surgery. It also provides greater insights into the subtleties of both open and technically demanding minimally invasive spine surgery techniques. Unlike many large spine surgery atlases, this is the perfect, on-the-go, pocket-size resource for busy spine surgeons who work in any clinical setting. From the cervical to lumbar spine, 21 concise chapters reflect the collective technical expertise of internationally renowned spine surgeons. Easy-to-follow guidance is provided on fundamental open and minimally invasive techniques, including pedicle screw placement, fusion, discectomy, corpectomy, foraminotomy, laminoplasty, and laminectomy. Each procedural chapter focuses on the importance of accurate visualization, adequate homeostasis, and impacted anatomical structures. Insightful tips, pearls, and potential pitfalls throughout the book expedite acquisition of knowledge Nearly 200 detailed, clearly labeled images of common spine procedures provide invaluable anatomical and clinical guidance Expanded insights on positioning in spine surgery Added discussion of surgical challenges, including warnings and descriptions of internervous planes Orthopaedic surgeons, neurosurgeons, and surgical trainees will discover an indispensable and friendly white coat reference for everyday practice. The visually rich atlas will also benefit physician assistants, surgical nurses, and all practitioners involved in the operative care of spine surgery patients.

A unique how-to guide for spine surgeons on state-of-the-art computer-assisted navigation and robotic surgery techniques The past decade has seen major advances in image-guided spine surgery techniques, with robotically assisted approaches emerging in the last five years. While early adopters of this technology paved the way for more widespread use of navigated and robotic systems, barriers still exist. Navigation and Robotics in Spine Surgery by master spine surgeon Alexander Vaccaro and esteemed co-editors Jaykar Panchmatia, I. David Kaye, and Srinivas Prasad addresses existing issues such as the perception of increased upfront costs, intrusion on current workflow, and a lack of understanding about the potential ways these technologies can enhance the surgical experience and improve patient outcomes. Organized into six sections, the book starts with evidence-based fundamentals of navigated spine surgery and robotics including discussion of instrumentation and mechanics. Sections 2-5 serve as a surgical handbook for spine surgeons who wish to introduce these technologies into practice or augment their current repertoire with more complex techniques. Topics range from more routine procedures such as navigated and robotic minimally invasive TLIF to complex approaches like intraoperative ultrasound guided intradural spinal tumor resection. The final section looks at future directions and potential new applications for these technologies. Key Highlights An impressive group of international spine surgeons who pioneered navigation and robotic surgery techniques share invaluable tricks of the trade Discussion of fluoroscopy- and intraoperative CT-based platforms, applications for intraoperative sonography, and radiation exposure and minimization strategies Special topics include OR set-up and workflow, surmounting the learning curve, artificial intelligence, and lessons learned from other industries Procedural videos demonstrate the benefits of computer-assisted navigation and robotic techniques This book is essential reading for orthopaedic surgery and neurosurgery residents and spine fellows who wish to learn about and incorporate these technologies into practice. Seasoned spine surgeons seeking to expand the scope of their navigated/robotic practice will benefit from chapters detailing advanced approaches. This book includes complimentary access to a digital copy on https://medone.thieme.com.

In the last two decades, spine instrumentation and surgery have undergone many improvements. The second edition benefits from contributions by renowned orthopaedic surgeons and neurosurgeons who helped create and refine the systems described in the book, and devoted their careers to educating next generations of spine surgeons. Advancements in instrumentation - plates, cages, rods, screws, disc replacements, spacers, and fusion devices - have led to improved outcomes for patients. The spinal device field has grown exponentially, and surgeons are faced with an increasingly diverse choice of instrumentation options. While the first edition categorized available systems, the new edition is focused on helping clinicians avoid complications and quickly recognize and manage complications when they do occur. Key Features A concise yet comprehensive reference that educates clinicians on the causes, recognition, and avoidance of instrumentation complications Organized by anatomical region and condition, the visualization of relevant anatomical landmarks is discussed in context with safe use of spinal instrumentation Now four-color, with more than 230 new and original illustrations Easy-to-digest text helps translate classroom knowledge into clinical application This up-to-date book will help orthopaedic surgeons and neurosurgeons learn how to utilize spinal devices more efficaciously and safely. The text is also an excellent reference for radiologists, spine fellows and residents, and physician extenders who are interested in attaining knowledge and experience in spinal instrumentation.

Thieme congratulates Todd Albert on being chosen by New York magazine for its prestigious 'Best Doctors 2017' list. Master spine surgeons Todd Albert and Alexander Vaccaro update essential spine textbook with expanded sections and full-color illustrations Written by world-renowned spine surgery experts, this definitive text elucidates the importance of obtaining a thorough medical history and performing a physical exam for a full spectrum of spine conditions. There have been significant advancements in minimally invasive spinal surgery techniques since publication of the last edition. However, spine evaluations will always be imperative to clinical practice. These exams reveal a myriad of clues that help spine specialists make a differential diagnosis for a wide array of pathologies. This book is a clear, concise "how to" guide on conducting physical examinations of the spine. The text begins with a methodical review of fundamentals including basic anatomy and neurology; sensation, muscle, and reflex tests; and classification systems. Subsequent chapters succinctly delineate why the spinal exam is an integral component of neurosurgical, neurological, orthopaedic, and chiropractic exams. Key Highlights: The updated edition features a wealth of beautiful, full-color line drawings A systematic, step-by-step guide on spine examination techniques organized by anatomy - from the cervical spine to the lumbar spine Thorough discussion of motor, sensory, reflex techniques, and special tests provides a greater understanding of how to examine the spine Expanded sections on thoracic spine pathologies and deformities Up-to-date and comprehensive, this book is essential reading for trainee and practicing orthopaedic surgeons and neurosurgeons who perform spine tests in daily practice. It is also a terrific resource for neurologists, physical therapists, and allied health professionals who frequently treat patients for back and neck pain.