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E-grāmata: Corrective Osteotomies for Rigid Spinal Deformities

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  • Formāts: 316 pages
  • Izdošanas datums: 02-Mar-2023
  • Izdevniecība: Thieme Publishing Group
  • Valoda: eng
  • ISBN-13: 9783132454392
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  • Formāts: 316 pages
  • Izdošanas datums: 02-Mar-2023
  • Izdevniecība: Thieme Publishing Group
  • Valoda: eng
  • ISBN-13: 9783132454392
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The ultimate guide and surgical manual for managing patients with rigid spinal deformities

Despite attempts to detect and treat spine deformities early in younger and older populations, spine deformity surgeons encounter a wide array of complex spine pathologies in patients across the age and pathology continuum. Corrective Osteotomies for Rigid Spinal Deformities, edited by world-renowned spinal deformity specialists Leon Kaplan and Lawrence G. Lenke, features contributions from an impressive group of global experts. The superbly written compendium highlights inherent challenges of managing rigid spinal deformities and provides a wide array of safe and optimal treatment solutions.

Thirty-four chapters encompass surgical and nonsurgical management strategies for congenital, neuromuscular, syndrome-associated, and infection- and neoplasm-related rigid spinal deformities. Special topics include secondary correction, pitfalls and difficulties, revision surgeries, and surgical and trauma-related neurological complications. New technologies are covered, including computer-assisted robotic surgery, evaluation and treatment of spinal tuberculosis in adults and children, and biological aspects that enhance spinal fusion. Throughout the text, the authors share firsthand pearls gained over many decades of delivering surgical care.

Key Highlights

  • The rationale, decision-making, meticulous planning, surgical strategies, and outcomes presented for each type of spinal deformity reflect the authors' extensive clinical and surgical experience
  • Step-by-step methodology for treating rigid spinal deformities, including anterior, posterior, and combined approaches
  • Anesthetic aspects of spine correction in different stages of surgery and the importance of spinal neuromonitoring
  • Reader-friendly algorithms, full color photographs, and radiographic images enhance the understanding of underlying pathologies and treatment strategies

This is an indispensable diagnostic and surgical manual for advanced spine surgeons who specialize in correcting rigid spinal deformities in pediatric and adult patients. Spine surgery residents and fellows will also benefit from reading this comprehensive resource.

This print book includes complimentary access to a digital copy on https://medone.thieme.com.

Publisher's Note: Products purchased from Third Party sellers are not guaranteed by the publisher for quality, authenticity, or access to any online entitlements included with the product.

Foreword xvii
Preface xviii
Introduction xix
Acknowledgments xx
Contributors xxi
1 Congenital Spinal Deformities
1(12)
Ibrahim Obeid
Louis Boissiere
Derek T. Cawley
1.1 Introduction
1(1)
1.2 Deciding on Surgery
1(2)
1.3 Prognosis
3(1)
1.4 Congenital Kyphosis and Kyphoscoliosis
4(1)
1.5 Further Perioperative Considerations
4(2)
1.6 Treatment Options and Principles
6(5)
1.6.1 Observation
6(1)
1.6.2 Epiphysiodesis
6(1)
1.6.3 Hemivertebra Resection
6(2)
1.6.4 Pedicle Subtraction Osteotomy
8(1)
1.6.5 Vertebral Column Resection
9(2)
1.6.6 Vertebral Column Decancellation
11(1)
1.7 Conclusion
11(2)
2 Neuromuscular Spinal Deformities
13(9)
Athanasios I. Tsirikos
2.1 Introduction
13(1)
2.2 Clinical Problems Associated with Spinal Deformity
13(1)
2.3 Etiology and Natural History of Spinal Deformity
13(1)
2.4 Patterns of Spinal Deformity
14(1)
2.5 Specific Types of Spinal Deformity
15(1)
2.5.1 Spina Bifida (Myelomeningocele)
15(1)
2.5.2 Neurofibromatosis
15(1)
2.6 Treatment Principles
16(1)
2.6.1 Nonoperative Treatment
16(1)
2.6.2 Surgical Treatment
16(1)
2.7 Medical Considerations--Preoperative Assessment
17(1)
2.8 Complications during and after Scoliosis Surgery
17(1)
2.9 Deformity Correction Techniques
18(1)
2.9.1 First- and Second-Generation Instrumentation Techniques
18(1)
2.9.2 Third-Generation Instrumentation
18(1)
2.10 Additional Surgical Considerations
19(1)
2.10.1 Intraoperative Management
19(1)
2.10.2 Levels of Fusion
19(1)
2.10.3 Anterior Correction
19(1)
2.10.4 Posterior Vertebral Column Resection
20(1)
2.10.5 Growth Preservation/Modulation Techniques
20(1)
2.11 Quality of Life Assessment/Life Expectancy after Scoliosis Surgery
20(1)
2.12 Conclusion
21(1)
3 Idiopathic Spinal Deformities Treated with Spinal Osteotomies
22(11)
Paul J. Park
Eduardo C. Beauchamp
Meghan Cerpa
Lawrence C. Lenke
3.1 Introduction
22(1)
3.2 Posterior Column Osteotomy
22(1)
3.2.1 Indications in Idiopathic Deformity
22(1)
3.2.2 Technique
23(1)
3.2.3 Case Illustration
23(1)
3.3 Pedicle Subtraction Osteotomy
23(3)
3.3.1 Indications in Idiopathic Deformity
25(1)
3.3.2 Technique
25(1)
3.3.3 Case Illustration
26(1)
3.4 Preoperative Considerations and Postoperative Complications
26(2)
3.4.1 PCO versus PSO
26(1)
3.4.2 Complications
27(1)
3.5 Conclusions
28(5)
4 The Natural History of Rigid Spinal Deformities
33(6)
Jean Dubousset
4.1 Definition and Measurement
33(1)
4.2 Natural History, Physiopathology
33(1)
4.3 Natural History, Assessment of Flexibility/Rigidity
34(1)
4.3.1 Reduction of the Deformity Will Be Checked: Locally and Globally
34(1)
4.4 Natural History According to the Growing Spine and Etiologies
34(1)
4.5 Natural History According to the Mature Spine and Etiologies
34(1)
4.6 Natural History According to the Aging Spine and Etiologies
35(1)
4.7 Subsequent Indications for Surgical Treatment
35(1)
4.7.1 Treatment and Election of Surgical Approaches
35(1)
4.8 Choice of Surgical Techniques and Approaches
36(2)
4.8.1 For Localized Rigid Pathology
36(1)
4.8.2 For Lesions Extending to Multiple Levels (Scoliotic, Kyphoscoliotic, or Lordoscoliotic Curve)
36(2)
4.9 Conclusion
38(1)
5 Surgical Management of Children with Congenital Deformities of the Upper Thoracic Spine and Vertebral Malformations
39(10)
Sergei Vissarionov
5.1 Introduction
39(4)
5.2 Outcomes of Surgical Management
43(6)
6 Osteotomies in Children under the Age of 10 Years
49(9)
Josh Schroeder
Leon Kaplan
6.1 Background
49(1)
6.2 Overall Management of the Rigid Spine Deformity
49(1)
6.3 Halo Traction
50(1)
6.3.1 Halo Placement Technique
50(1)
6.3.2 Complications with Halo Frames
50(1)
6.4 Osteotomies for Correction of Rigid Spinal Deformities
50(6)
6.4.1 Partial Facet Joint Resection
50(1)
6.4.2 Complete Facet Joint Resection (Posterior Elementectomy)
50(1)
6.4.3 Three-Column Osteotomies
51(5)
6.5 Outcome and Complications
56(2)
7 Surgical Treatment of Rigid Spinal Deformities in Patients with Thoracic Insufficiency Syndrome
58(5)
Leon Kaplan
Josh Schroeder
7.1 Thoracic Insufficiency Syndrome
58(1)
7.2 Care
58(1)
7.3 Treatment Options
59(1)
7.3.1 Casting
59(1)
7.3.2 Surgery
59(1)
7.4 Conclusion
60(3)
8 Vertebral Column Resection as a Treatment for Neurologic Deficit in Severe Spinal Deformity
63(12)
Eduardo C. Beauchamp
Paul J. Park
Meghan Cerpa
Lawrence C. Lenke
8.1 Introduction
63(1)
8.2 Preoperative Evaluation
63(1)
8.2.1 History and Physical Examination
63(1)
8.2.2 Imaging
64(1)
8.3 Halo-Gravity Traction
64(1)
8.4 Surgical Technique
65(2)
8.5 Spinal Cord Monitoring
67(1)
8.6 Vertebral Column Resection for Progressive Myelopathy
68(1)
8.7 Case Illustration
69(1)
8.8 Conclusion
70(5)
9 Osteotomies in Syndromic Patients
75(9)
Dino Colo
Rene M. Castelein
9.1 Introduction
75(1)
9.2 Definition, Classification, and Indication
75(1)
9.3 Rigid Deformities in Syndromic Patients
75(3)
9.4 Choice of Osteotomy: Type and Goal
78(1)
9.5 Preoperative Workup
78(2)
9.5.1 Patient History and Physical Findings
78(1)
9.5.2 Imaging Studies
79(1)
9.6 Surgical Aspects and Technique
80(1)
9.6.1 Positioning and Perioperative Measures
80(1)
9.7 Surgical Technique
80(2)
9.7.1 Smith-Petersen Osteotomy and Ponte Osteotomy
80(1)
9.7.2 Pedicle Subtraction Osteotomy
81(1)
9.7.3 Bone-Disk-Bone Osteotomy
81(1)
9.7.4 Vertebral Column Resection
81(1)
9.8 Postoperative Care
82(1)
9.9 Complications
82(1)
9.10 Outcome
83(1)
9.11 Conclusion
83(1)
10 Rigid Spine Deformities in Early-Onset Scoliosis
84(9)
Pooria Hosseini
Behrooz A. Akbarnia
10.1 Introduction
84(1)
10.2 Clinical and Radiographic Evaluation
84(1)
10.2.1 History and Physical Examination
84(1)
10.2.2 Plain Radiographs
85(1)
10.2.3 EOS Imaging System/Three-Dimensional Modeling Techniques
85(1)
10.2.4 CTScan
85(1)
10.2.5 MRI
85(1)
10.3 Treatment of Rigid Spine Deformities in EOS
85(5)
10.3.1 Nonoperative Treatments
85(1)
10.3.2 Operative Treatments
86(4)
10.4 Extra Procedures Considered in the Treatment of Rigid Curves
90(1)
10.4.1 Traction
90(1)
10.4.2 Surgical Release of Soft Tissues
91(1)
10.4.3 Temporary Internal Distraction Rod
91(1)
10.4.4 Osteotomies
91(1)
10.5 Discussion
91(2)
11 Secondary Correction of Rigid Spinal Deformity after Failed Instrumentation
93(9)
Meric Enercan
Azmi Hamzaoglu
11.1 Introduction
93(1)
11.2 Preoperative Evaluation
93(1)
11.2.1 History
93(1)
11.2.2 Physical Examination
93(1)
11.2.3 Imaging Studies
94(1)
11.3 Surgical Technique
94(5)
11.3.1 Correction of Scoliosis Deformity
95(1)
11.3.2 Correction of Kyphoscoliosis Deformity
95(1)
11.3.3 Correction of Kyphosis Deformity
96(1)
11.3.4 Correction of Lordosis/Lordoscoliosis Deformity
97(1)
11.3.5 Correction of Severe Rigid Pelvic Obliquity in Neglected Congenital Scoliosis
98(1)
11.3.6 Reconstruction Laminectomy Defect following Posterior Vertebral Column Resection
98(1)
11.4 Complications
99(1)
11.5 Conclusion
100(2)
12 Kyphectomy in Patients with Myelomeningocele
102(6)
Josh Schroeder
Leon Kaplan
12.1 Introduction
102(1)
12.2 Kyphectomy
102(1)
12.3 Surgical Technique
103(2)
12.4 Outcome
105(3)
13 Pitfalls and Difficulties in the Surgical Management of Severe Adolescent Idiopathic Scoliosis
108(12)
Mario Di Silvestre
13.1 Definition of Severe Idiopathic Scoliosis
108(2)
13.1.1 Preoperative Study
108(1)
13.1.2 Preoperative Halo Traction
109(1)
13.2 Surgical Treatment
110(1)
13.2.1 Introduction
110(1)
13.3 Posterior-Only Procedures
110(1)
13.3.1 Pedicle Screws
111(1)
13.3.2 Posterior Staged Technique
111(1)
13.4 Preferred Operative Technique
111(6)
13.4.1 Magnetically Controlled Growing Rod
113(1)
13.4.2 Intraoperative Monitoring of Spinal Cord Function
114(1)
13.4.3 First Posterior Surgery
114(2)
13.4.4 Second Stage of Posterior Surgery
116(1)
13.5 Conclusion
117(3)
14 Posttraumatic Spine Deformity
120(10)
David B. Bumpass
Lawrence C. Lenke
14.1 Introduction
120(1)
14.2 Epidemiology
120(1)
14.3 Evaluation of Posttraumatic Deformity
121(2)
14.3.1 Normal Thoracolumbar Alignment
121(1)
14.3.2 Classification
121(1)
14.3.3 Biomechanics and Pathology
121(1)
14.3.4 Presentation and Physical Exam
122(1)
14.3.5 Radiographic Evaluation
122(1)
14.4 Nonoperative Management
123(1)
14.5 Operative Management
123(7)
14.5.1 Surgical Indications and Planning
123(3)
14.5.2 Anterior Surgical Approaches
126(1)
14.5.3 Combined Anterior-Posterior Surgical Approaches
126(1)
14.5.4 Posterior Surgical Approaches
126(1)
14.5.5 Technical Considerations
127(1)
14.5.6 Complications
128(2)
15 Osteoporotic Rigid Spinal Deformities
130(5)
Marco Brayda-Bruno
Andrea Luca
Gabriele Ristori
Lisa Babbi
Alessio Low
15.1 Introduction
130(1)
15.2 Epidemiology and Etiology of Osteoporotic Deformities
130(1)
15.3 Our Philosophy of Treatment in Osteoporotic VCFs and Related Kyphotic Deformities
130(1)
15.4 How to Improve Pedicle Screw Stability
131(1)
15.5 Osteoporotic Spine Deformity Correction
132(1)
15.6 Complications and Conclusions
132(3)
16 Spinal Deformities in Patients with Parkinson's Disease
135(3)
Stephane Wolff
Peter Upex
Cuillaume Riouallon
16.1 Introduction
135(1)
16.2 Surgical Considerations
135(1)
16.3 Surgical Technique
136(1)
16.4 Conclusion
136(2)
17 Surgical Planning for En Bloc Resection of Spinal Tumors: Tailoring the Osteotomy to Tumor Extensions
138(13)
Stefano Boriani
Alessandro Casbarrini
Riccardo Ghermandi
Shifra Fraifeld
Jose E. Cohen
Eyal Itshayek
17.1 Introduction
138(1)
17.2 Planning En Bloc Resection
139(8)
17.2.1 Steps for Surgical Planning
139(1)
17.2.2 Essential Surgical Criteria
140(1)
17.2.3 Surgical Tips and Techniques
140(1)
17.2.4 Surgical Approach
140(7)
17.2.5 Osteotomy of the Spine to Finalize the En Bloc Resection
147(1)
17.3 Case Report
147(1)
17.4 Discussion and Conclusions
148(3)
17.4.1 Conflicts of Interest
149(1)
17.4.2 Acknowledgments
149(2)
18 Corrective Osteotomies in the Cervical Spine
151(8)
Venu M. Nemani
Peter B. Derman
Han Jo Kim
18.1 Introduction
151(1)
18.2 Clinical Symptoms and Natural History
151(1)
18.3 Physical Exam
151(1)
18.4 Radiographic Evaluation
152(2)
18.5 Assessment and Preoperative Planning
154(1)
18.5.1 Location of the Deformity
154(1)
18.5.2 Previous Surgery
155(1)
18.5.3 Curve Rigidity and Degree of Deformity
155(1)
18.5.4 Neurologic Status
155(1)
18.6 Osteotomy Types
155(2)
18.6.1 Anterior Osteotomies
155(1)
18.6.2 Posterior Osteotomies
156(1)
18.6.3 Combined Osteotomies
157(1)
18.7 Conclusion
157(2)
19 Junctional Corrective Osteotomies (Cervicothoracic, Thoracolumbar, Lumbosacral)
159(11)
Claudio Lamartina
Riccardo Cecchinato
19.1 Introduction
159(1)
19.2 Preoperative Evaluation
159(1)
19.3 Cervicothoracic Kyphotic Deformity and Corrective Osteotomies
160(2)
19.3.1 Patient Preparation
160(1)
19.3.2 Technical Considerations
160(2)
19.4 Thoracolumbar Corrective Osteotomies
162(3)
19.4.1 Patient Preparation
163(1)
19.4.2 Technical Considerations
164(1)
19.5 Lumbosacral Corrective Osteotomies
165(5)
19.5.1 Patient Preparation
166(1)
19.5.2 Technical Considerations
166(4)
20 Corrective Strategies and Management of Rigid Sacropelvic Pathologies
170(6)
Yechiel N. Gellman
Josh Schroeder
Meir Liebergall
20.1 Introduction
170(1)
20.2 Presenting Symptoms
170(1)
20.3 Radiographic Evaluation
171(1)
20.4 Management
171(3)
20.4.1 Reconstruction of the Pelvic Girdle
171(1)
20.4.2 Sacral Osteotomies
172(1)
20.4.3 Pelvic Osteotomies
172(1)
20.4.4 Other Salvage Procedures
172(1)
20.4.5 Computer-Assisted Surgery
173(1)
20.5 Summary
174(2)
21 Ankylosing Spinal Disorders
176(8)
Roongrath Chitragran
Rune Hedlund
21.1 Introduction
176(1)
21.2 Ankylosing Spondylitis with Fracture
176(2)
21.3 Ankylosing Spondylitis with Kyphotic Deformity
178(2)
21.4 Diffuse Idiopathic Skeletal Hyperostosis with Fracture
180(4)
22 Osteotomies in Revision Surgery
184(5)
Ahmet Alanay
Caglar Yilgor
22.1 Introduction
184(1)
22.2 General Indications
184(1)
22.3 Osteotomies
185(2)
22.3.1 Grade 1 Osteotomies
185(1)
22.3.2 Grade 2 Osteotomies
185(1)
22.3.3 Grade 3 Osteotomies
185(1)
22.3.4 Grade 4 Osteotomies
186(1)
22.3.5 Grade 5 and 6 Osteotomies
186(1)
22.4 Difficulties in Performing Osteotomies in Revision Cases
187(1)
22.5 Conclusions
188(1)
23 Classification and Definition of Rigid Spine Deformity
189(5)
Josh Schroeder
Janina Kueper
Leon Kaplan
23.1 Introduction
189(1)
23.2 Definition
189(2)
23.2.1 Pediatric Rigid Spinal Deformity
189(1)
23.2.2 Idiopathic Scoliosis
190(1)
23.2.3 Congenital Deformity
190(1)
23.2.4 Neuromuscular and Paralytic Scoliosis
190(1)
23.2.5 Scheuermann's Kyphosis
190(1)
23.2.6 Adult Spinal Deformity
190(1)
23.3 Classification
191(1)
23.3.1 Pediatric Spinal Deformity Classifications--
191(1)
23.4 Conclusions
192(2)
24 Strategies in the Correction of Rigid Spinal Deformities--Controversies between Anterior and Posterior Approach
194(9)
Sebastien Charosky
24.1 Introduction
194(1)
24.2 Patient Assessment and Surgical Strategy
194(6)
24.2.1 Location of the Deformity
194(1)
24.2.2 Shape and Severity of the Deformity
195(2)
24.2.3 Flexibility of the Deformity and Balance of the Trunk
197(3)
24.3 Conclusion
200(3)
25 Anesthesia for Spinal Surgery
203(6)
Ruth Shaylor
Benjamin Drenger
25.1 Introduction
203(1)
25.2 Spinal Cord
203(1)
25.3 Blood Supply
203(1)
25.4 Preoperative Assessment
203(2)
25.4.1 Preexisting Conditions
203(1)
25.4.2 Airway
204(1)
25.4.3 Respiratory System
204(1)
25.4.4 Cardiovascular System
204(1)
25.4.5 Neurologic System
204(1)
25.4.6 Trauma
204(1)
25.5 Induction and Maintenance
205(1)
25.5.1 Neurophysiologic Monitoring
205(1)
25.5.2 Bispectral Index (BIS) Monitoring
205(1)
25.5.3 Other Monitoring
206(1)
25.6 Positioning
206(1)
25.7 Blood Conservation Techniques
206(1)
25.8 Wake-Up Test
207(1)
25.9 Postoperative Considerations and Complications
207(1)
25.10 Conclusions
208(1)
26 Neuromonitoring in Rigid Spine Deformity Correction
209(5)
Akiva Korn
Joseph Danto
26.1 Introduction
209(1)
26.2 NIOM Tools
209(3)
26.2.1 Somatosensory Evoked Potentials
209(1)
26.2.2 Transcranial Electric Motor Evoked Potentials
210(2)
26.2.3 Electromyography
212(1)
26.2.4 Multimodality Approach
212(1)
26.3 Clinical Applications
212(1)
26.4 Conclusion
212(2)
27 Neurological Complications after Surgery or Trauma to the Rigid Spine
214(4)
Avi Ohry
W. S. El Masri
Stephen Eisenstein
27.1 Introduction
214(1)
27.2 Spondyloarthropathies
214(1)
27.3 Scoliosis
215(1)
27.4 Posttraumatic Kyphosis (Hermann Kummell's Disease; 1895)
216(1)
27.5 Rehabilitation Medicine Perspective
216(2)
28 Importance of the Sagittal Balance in Correction of Rigid Spine
218(13)
Pierre Roussouly
Amer Sebaaly
28.1 Introduction
218(1)
28.2 Pelvic Sagittal Parameters: The Plinth of Sagittal Balance
218(1)
28.3 Spinal Sagittal Parameters: Are We Speaking the Same Language?
219(2)
28.4 Spinal Balance Parameters: Metric versus Angular
221(2)
28.5 Spinal Shapes in the Normal Population
223(1)
28.6 Degenerative Spinal Evolution
224(2)
28.7 Surgical Strategies in Correcting Rigid Spinal Sagittal Deformity
226(2)
28.7.1 When the Pelvic Incidence Is Small (>50 degrees)
227(1)
28.7.2 When the Pelvic Incidence Is High (<50 degrees)
228(1)
28.8 Proximal Junctional Kyphosis: A Complication of Faulty Surgical Strategy
228(1)
28.9 Conclusion
229(2)
29 Robot-Guided Surgery in Rigid Spinal Deformities
231(13)
Yair Barzilay
Sajan K. Hegde
Isador H. Lieberman
Pramod K. Sudarshan
Harel Arzi
Samuel S. Bederman
29.1 Introduction
231(1)
29.2 Robotic Guidance in Spine Surgery
231(1)
29.2.1 Robotic Systems in Clinical Use
231(1)
29.3 Robotic Surgery in Spinal Deformity
232(2)
29.4 Special Considerations
234(1)
29.4.1 Pelvic Fixation
234(1)
29.4.2 Revision Spinal Surgery-Redrilling Pedicles, Retained Instrumentation
234(1)
29.5 Case Illustrations
235(7)
29.5.1 Case 1
235(1)
29.5.2 Case 2
235(2)
29.5.3 Case 3
237(1)
29.5.4 Case 4
237(1)
29.5.5 Case 5
237(5)
29.6 Robot-Guided Osteotomies for Rigid Deformities
242(1)
29.7 Conclusion
243(1)
30 Biological Aspects of Spine Fusion--Methods to Enhance Fusion Rates
244(7)
Venu M. Nemani
Matthew E. Cunningham
30.1 Introduction
244(1)
30.2 Fusion Formation
244(1)
30.3 Properties of Bone Grafts
245(1)
30.4 Types of Grafts
245(1)
30.4.1 Autograft
245(1)
30.5 Osteoinductive Agents
246(1)
30.5.1 Bone Morphogenetic Proteins
246(1)
30.5.2 Demineralized Bone Matrix
246(1)
30.6 Osteoconductive Agents
247(1)
30.6.1 Allograft Bone
247(1)
30.6.2 Synthetic Bone Grafts
247(1)
30.7 Osteopromotive Agents
247(1)
30.8 Systemic Agents
247(1)
30.8.1 Bisphosphonates
248(1)
30.8.2 Parathyroid Hormone
248(1)
30.9 Conclusions
248(3)
31 Role of Anterior Approach in the Correction of Adult Spinal Deformities
251(10)
Sleiman Haddad
Ferran Pellise
31.1 Introduction
251(1)
31.2 Adult Spinal Deformity
252(1)
31.3 Reconstruction of the Lower Lumbar Spine and Lumbosacral Junction
252(2)
31.3.1 Access to the Lower Lumbar Spine
252(1)
31.3.2 Restoration of Anterior Column Support
253(1)
31.3.3 Reconstruction of Lumbosacral Segmental Sagittal Alignment
253(1)
31.4 Thoracolumbar Kyphoscoliosis and Anterior Release
254(2)
31.4.1 Complications of the Anterior Approaches
255(1)
31.4.2 Comparative Studies: Combined Approaches
256(1)
31.5 Case Studies
256(3)
31.5.1 Case 1
256(1)
31.5.2 Case 2
256(1)
31.5.3 Case 3
256(1)
31.5.4 Case 4
257(1)
31.5.5 Case 5
257(2)
31.6 Conclusion
259(2)
32 Osteotomies in Spinal Tuberculosis--Adult Care
261(10)
S. Rajasekaran
Rishi Mugesh Kanna
Ajoy Prasad Shetty
32.1 Introduction
261(1)
32.2 Pathophysiology of Kyphosis in Spinal Tuberculosis
261(1)
32.2.1 Kyphosis during the Acute Phase of Tuberculosis
261(1)
32.2.2 Healing Patterns in Spinal Tuberculosis
262(1)
32.2.3 Kyphosis Progression in the "Healed" Phase
262(1)
32.3 Surgical Treatment of Kyphosis in Spinal Tuberculosis
262(5)
32.3.1 Principles of Surgery in Active Tuberculosis
262(1)
32.3.2 Single-Stage Kyphosis Correction by Anterior Approach and Stabilization
263(1)
32.3.3 Single-Stage Transpedicular Approach and Posterior Correction (Posterior Closing Wedge Osteotomy)
263(2)
32.3.4 Single-Stage Kyphosis Correction by Posterior-Only Transforaminal Approach and Interbody Fusion
265(1)
32.3.5 Single-Stage Kyphosis Correction by Posterior Costotransversectomy or Anterolateral Approach and Posterior Stabilization
265(2)
32.3.6 Kyphosis Correction by Combined Anterior and Posterior Approach
267(1)
32.4 Surgery for Kyphosis Correction in Healed Tuberculosis
267(3)
32.4.1 Transpedicular Decancellation Osteotomy
268(1)
32.4.2 Pedicle Subtraction Osteotomy
268(1)
32.4.3 Single-Stage Kyphosis Correction through Extrapleural Approach
268(1)
32.4.4 Closing Opening Wedge Osteotomy (Vertebral Column Resection)
268(2)
32.5 Conclusion
270(1)
33 Osteotomies in Tuberculosis--Pediatric Care
271(5)
Alexander Mushkin
33.1 Introduction
271(1)
33.2 Diagnosis of Spinal Tuberculosis in Children
271(1)
33.3 Principles of Treatment
271(5)
33.3.1 Surgical Treatment of the Consequences of Tuberculosis Spondylitis in Children
273(3)
34 Osteotomies for Adult Degenerative Scoliosis
276(7)
Yigal Mirovsky
Yossi Smorgick
34.1 Introduction
276(1)
34.2 Selection of Fusion Levels
276(1)
34.3 Spine with Mobile Disks
277(1)
34.3.1 Two Main Surgical Techniques Described in This Category
277(1)
34.4 Spine with Decreased Disk Mobility
277(2)
34.4.1 Pedicle Subtraction Osteotomy
277(2)
34.5 Complications
279(2)
34.5.1 Early Complications
280(1)
34.5.2 Late Complications
280(1)
34.6 Conclusion
281(2)
Index 283