Offering in-depth coverage of an often-neglected topic, Revision Lumbar Spine Surgery identifies clinical problems and discusses recent major advances in this challenging area. Dr. Robert F. Heary and a team of international experts share their knowledge and experience with even the most difficult lumbar cases, helping you provide optimal outcomes for your patients. You'll find authoritative guidance on indications, diagnosis, approaches, and follow-up, with a focus on the significant advances that have occurred over the past two decades in this fast-changing field. - Identifies the clinical problems related to unsuccessful back spine surgery as well as indications, diagnosis, and new treatment options and advances in this complex area. - Provides in-depth information on the multiple options that exist for most clinical situations: anterior, posterior, lateral, and combined anterior and posterior approaches. - Covers methods of fixation, the use of interbody grafting, and surgical planning related to scar tissues, bleeding, and spinal fluid leaks. - Discusses critical follow-up topics such as key clinical procedures, radiography, patient reported outcomes, and pain management. - Includes timely chapters on robotics, bone density issues, medical fitness concerns, instrumentation options, imaging considerations, and much more.

This best-selling resource explores the full spectrum of surgical techniques used in spine surgery, and describes how to avoid and manage complex problems. It emphasizes how to achieve successful outcomes and minimize risks. The 2nd Edition delivers more than 25 brand-new chapters, as well as extensive revisions and updates throughout, to reflect all of the latest advances in the field. It also features contributions from an increased number of orthopaedic surgeons to round out the strong coverage provided by the many neurosurgeon contributors. Features contributions from well-known neurosurgeons and orthopaedic surgeons, for well-rounded, authoritative coverage from beginning to end. Offers more than 825 outstanding illustrations that demonstrate how to perform every procedure step by step. Provides more than 25 brand-new chapters, as well as extensive revisions or total rewrites to the majority of existing chapters-to present all of the most up-to-date information available on every aspect of spine surgery. Includes chapters on hot topics such as Nonspinal Pathology Masquerading as Spinal Disease · Bone Void Fillers: Bone and Bone Substitutes · Data Management · Posterior Lumbar Interbody Fusion · Ankylosing Spondylitis and Related Disorders · Craniocervical Junction Deformities · Pediatric Spinal Deformities · Subsidence and Dynamic Spinal Stabilization · and The Nonoperative Management of Neck and Back Pain. With 267 additional contributing experts.

Lumbosacral and Pelvic Procedures provides a comprehensive review of the evaluation, diagnosis and treatment of disorders of the lumbosacral and pelvic regions. The contributors discuss distinctive anatomy and radiographic patterns and emphasize minimally invasive techniques for the treatment of lumbosacral disorders. The book supplies step-by-step instruction on a wide range of treatment techniques—from bracing to lumbosacral injections to lumbar disc replacement. A thorough review of the available instrumentation for these types of treatments is included.

Approaches to complex pelvic surgery have changed dramatically in recent years thanks to the development of the entire field of orthopedic surgery. This volume focuses on the mastery of diagnosis, management and operative techniques for tumors of the pelvis. It also provides a thorough understanding of how to select the best procedure, how to avoid complications, and what outcomes to expect. Written by experts from leading institutions around the globe, it is a comprehensive reference on treating the full range of musculoskeletal tumors frequently encountered in the pelvis. It offers an overview and an update on the epidemiology, principles of initial assessment, clinical presentation and imaging characteristics of pelvic tumors, guiding clinicians through key questions for developing a differential diagnosis and selecting the appropriate surgical technique. This book is an indispensable resource for orthopedists, oncologists, as well as radiologists and pathology specialists treating patients with bone and soft-tissue tumors.

Thanks to an increasing life expectancy of our populations the number of elderly persons is steadily growing and will continue to do so. Among these, the rate of persons with illnesses and degenerative diseases is significant. The prevalence of osteoporosis is especially high in elderly women and leads to typical fracture patterns. Hip fractures, proximal humerus fractures, distal radius fractures and fractures of the vertebral column are the most common. In the last decade, we are confronted with a sharp increase of fragility fractures of the pelvis. Until now, there is no consensus on how to identify and classify these lesions and there are no guidelines for treatment and after treatment. In particular, there is no common view on which patients need an operative treatment and which technique of osteosynthesis should be used. This book fills the gap in available literature and gives a state of the art guide to the treatment of fragility fractures of the pelvis. With the sharp increase of these fractures and the lacking consensus, Fragility Fractures of the Pelvis will become indispensable for the physicians who take care of elderly patients with this pathology. Written by a team of expert opinion leaders, the aim of this book is to contribute to the scientific discussion in this area and to help provide the optimal care for these patients.

Unique resource from internationally renowned experts details the key role of sagittal spine balance Through evolution, human verticality became associated with a wide range of normal pelvic shapes and associated pelvic incidence angles (PIs). While all types of sagittal alignment generally provide adequate support to young adults, age, stress, and related degeneration can progressively lead to sagittal imbalance and contribute to various spinal pathologies. Sagittal Balance of the Spine by Pierre Roussouly, João Luiz Pinheiro-Franco, Hubert Labelle, Martin Gehrchen, and a cadre of esteemed international contributors focuses on the importance of sagittal alignment and spino-pelvic shape identification in clinical practice. Offering the most comprehensive text on sagittal balance to date, this state-of-the-art, richly illustrated book fills a void in the literature, offering clinical pearls throughout seven sections and 24 chapters. Key Highlights The biomechanics of sagittal balance including spine modeling, primary parameters, spinal curves segmentation, and lumbar lordosis classification The role of sagittal balance in low back pain and degeneration, with discussion of spinal orientation and the contact forces theory, spinal degeneration associated with spinopelvic morphotypes, and compensatory mechanisms Comprehensive analysis of the relationship between sagittal imbalance and isthmic lysis spondylolisthesis, degenerative spondylolisthesis, Scheuermann's kyphosis, adolescent idiopathic scoliosis, and adult scoliosis Posterior and anterior treatment approaches – from spinal fixation and spinal fusion – to spinal osteotomy techniques and management of surgical failure This text is essential reading for every neurosurgical and orthopaedic resident, as well as veteran surgeons who evaluate and treat patients with spine conditions. Clinicians will learn why incorporating sagittal balance evaluations into spinal exams is integral to devising more effective treatment strategies and achieving improved outcomes.

Providing a sound definition and review of the pertinent treatment goals for the management of adult lumbar scoliosis, this practical and comprehensive guide covers everything from pre-operative evaluation and radiography to post-operative management and complications. Both non-operative and operative strategies are presented, including minimally invasive techniques, decompression, anterior release, spinal osteotomy, and proximal and distal fixation, with an emphasis on clinical guidelines and management outcomes. The impact and prevention of complications following treatment are also discussed, including the prevention of proximal junctional kyphosis. Concluding with an examination of future directions for research and clinical treatment strategies, the comprehensive approach of this book provides the orthopedic surgeon, neurosurgeon and spinal practitioner with the most current evidence and expert thought about the evaluation and management of adult lumbar scoliosis.

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

Joint replacement is a logical step in the treatment of severe joint pathologies with irreversible lesions resisting conservative therapy. At the spinal level, arthrodesis became, very early, the gold standard of treatment for severe intervertebral disc pathologies. The next logical step was to envision functional replacement, and this step was taken as early as 1956, when the first intervertebral implant was described. However, it took many more years and a great variety of proposed implant designs before clinical applications could be attempted.