Foreword |
|
xvii | |
Preface |
|
xviii | |
Introduction |
|
xix | |
Acknowledgments |
|
xx | |
Contributors |
|
xxi | |
|
1 Congenital Spinal Deformities |
|
|
1 | (12) |
|
|
|
|
|
1 | (1) |
|
|
1 | (2) |
|
|
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) |
|
|
6 | (1) |
|
|
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) |
|
|
11 | (2) |
|
2 Neuromuscular Spinal Deformities |
|
|
13 | (9) |
|
|
|
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) |
|
|
15 | (1) |
|
|
16 | (1) |
|
2.6.1 Nonoperative Treatment |
|
|
16 | (1) |
|
|
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) |
|
|
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) |
|
|
21 | (1) |
|
3 Idiopathic Spinal Deformities Treated with Spinal Osteotomies |
|
|
22 | (11) |
|
|
|
|
|
|
22 | (1) |
|
3.2 Posterior Column Osteotomy |
|
|
22 | (1) |
|
3.2.1 Indications in Idiopathic Deformity |
|
|
22 | (1) |
|
|
23 | (1) |
|
|
23 | (1) |
|
3.3 Pedicle Subtraction Osteotomy |
|
|
23 | (3) |
|
3.3.1 Indications in Idiopathic Deformity |
|
|
25 | (1) |
|
|
25 | (1) |
|
|
26 | (1) |
|
3.4 Preoperative Considerations and Postoperative Complications |
|
|
26 | (2) |
|
|
26 | (1) |
|
|
27 | (1) |
|
|
28 | (5) |
|
4 The Natural History of Rigid Spinal Deformities |
|
|
33 | (6) |
|
|
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) |
|
|
38 | (1) |
|
5 Surgical Management of Children with Congenital Deformities of the Upper Thoracic Spine and Vertebral Malformations |
|
|
39 | (10) |
|
|
|
39 | (4) |
|
5.2 Outcomes of Surgical Management |
|
|
43 | (6) |
|
6 Osteotomies in Children under the Age of 10 Years |
|
|
49 | (9) |
|
|
|
|
49 | (1) |
|
6.2 Overall Management of the Rigid Spine Deformity |
|
|
49 | (1) |
|
|
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) |
|
|
|
7.1 Thoracic Insufficiency Syndrome |
|
|
58 | (1) |
|
|
58 | (1) |
|
|
59 | (1) |
|
|
59 | (1) |
|
|
59 | (1) |
|
|
60 | (3) |
|
8 Vertebral Column Resection as a Treatment for Neurologic Deficit in Severe Spinal Deformity |
|
|
63 | (12) |
|
|
|
|
|
|
63 | (1) |
|
8.2 Preoperative Evaluation |
|
|
63 | (1) |
|
8.2.1 History and Physical Examination |
|
|
63 | (1) |
|
|
64 | (1) |
|
8.3 Halo-Gravity Traction |
|
|
64 | (1) |
|
|
65 | (2) |
|
8.5 Spinal Cord Monitoring |
|
|
67 | (1) |
|
8.6 Vertebral Column Resection for Progressive Myelopathy |
|
|
68 | (1) |
|
|
69 | (1) |
|
|
70 | (5) |
|
9 Osteotomies in Syndromic Patients |
|
|
75 | (9) |
|
|
|
|
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) |
|
|
78 | (2) |
|
9.5.1 Patient History and Physical Findings |
|
|
78 | (1) |
|
|
79 | (1) |
|
9.6 Surgical Aspects and Technique |
|
|
80 | (1) |
|
9.6.1 Positioning and Perioperative Measures |
|
|
80 | (1) |
|
|
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) |
|
|
82 | (1) |
|
|
82 | (1) |
|
|
83 | (1) |
|
|
83 | (1) |
|
10 Rigid Spine Deformities in Early-Onset Scoliosis |
|
|
84 | (9) |
|
|
|
|
84 | (1) |
|
10.2 Clinical and Radiographic Evaluation |
|
|
84 | (1) |
|
10.2.1 History and Physical Examination |
|
|
84 | (1) |
|
|
85 | (1) |
|
10.2.3 EOS Imaging System/Three-Dimensional Modeling Techniques |
|
|
85 | (1) |
|
|
85 | (1) |
|
|
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) |
|
|
90 | (1) |
|
10.4.2 Surgical Release of Soft Tissues |
|
|
91 | (1) |
|
10.4.3 Temporary Internal Distraction Rod |
|
|
91 | (1) |
|
|
91 | (1) |
|
|
91 | (2) |
|
11 Secondary Correction of Rigid Spinal Deformity after Failed Instrumentation |
|
|
93 | (9) |
|
|
|
|
93 | (1) |
|
11.2 Preoperative Evaluation |
|
|
93 | (1) |
|
|
93 | (1) |
|
11.2.2 Physical Examination |
|
|
93 | (1) |
|
|
94 | (1) |
|
|
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) |
|
|
99 | (1) |
|
|
100 | (2) |
|
12 Kyphectomy in Patients with Myelomeningocele |
|
|
102 | (6) |
|
|
|
|
102 | (1) |
|
|
102 | (1) |
|
|
103 | (2) |
|
|
105 | (3) |
|
13 Pitfalls and Difficulties in the Surgical Management of Severe Adolescent Idiopathic Scoliosis |
|
|
108 | (12) |
|
|
13.1 Definition of Severe Idiopathic Scoliosis |
|
|
108 | (2) |
|
13.1.1 Preoperative Study |
|
|
108 | (1) |
|
13.1.2 Preoperative Halo Traction |
|
|
109 | (1) |
|
|
110 | (1) |
|
|
110 | (1) |
|
13.3 Posterior-Only Procedures |
|
|
110 | (1) |
|
|
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) |
|
|
117 | (3) |
|
14 Posttraumatic Spine Deformity |
|
|
120 | (10) |
|
|
|
|
120 | (1) |
|
|
120 | (1) |
|
14.3 Evaluation of Posttraumatic Deformity |
|
|
121 | (2) |
|
14.3.1 Normal Thoracolumbar Alignment |
|
|
121 | (1) |
|
|
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) |
|
|
128 | (2) |
|
15 Osteoporotic Rigid Spinal Deformities |
|
|
130 | (5) |
|
|
|
|
|
|
|
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) |
|
|
|
|
|
135 | (1) |
|
16.2 Surgical Considerations |
|
|
135 | (1) |
|
|
136 | (1) |
|
|
136 | (2) |
|
17 Surgical Planning for En Bloc Resection of Spinal Tumors: Tailoring the Osteotomy to Tumor Extensions |
|
|
138 | (13) |
|
|
|
|
|
|
|
|
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) |
|
|
140 | (7) |
|
17.2.5 Osteotomy of the Spine to Finalize the En Bloc Resection |
|
|
147 | (1) |
|
|
147 | (1) |
|
17.4 Discussion and Conclusions |
|
|
148 | (3) |
|
17.4.1 Conflicts of Interest |
|
|
149 | (1) |
|
|
149 | (2) |
|
18 Corrective Osteotomies in the Cervical Spine |
|
|
151 | (8) |
|
|
|
|
|
151 | (1) |
|
18.2 Clinical Symptoms and Natural History |
|
|
151 | (1) |
|
|
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) |
|
|
155 | (1) |
|
18.5.3 Curve Rigidity and Degree of Deformity |
|
|
155 | (1) |
|
|
155 | (1) |
|
|
155 | (2) |
|
18.6.1 Anterior Osteotomies |
|
|
155 | (1) |
|
18.6.2 Posterior Osteotomies |
|
|
156 | (1) |
|
18.6.3 Combined Osteotomies |
|
|
157 | (1) |
|
|
157 | (2) |
|
19 Junctional Corrective Osteotomies (Cervicothoracic, Thoracolumbar, Lumbosacral) |
|
|
159 | (11) |
|
|
|
|
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) |
|
|
|
|
|
170 | (1) |
|
|
170 | (1) |
|
20.3 Radiographic Evaluation |
|
|
171 | (1) |
|
|
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) |
|
|
174 | (2) |
|
21 Ankylosing Spinal Disorders |
|
|
176 | (8) |
|
|
|
|
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) |
|
|
|
|
184 | (1) |
|
|
184 | (1) |
|
|
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) |
|
|
188 | (1) |
|
23 Classification and Definition of Rigid Spine Deformity |
|
|
189 | (5) |
|
|
|
|
|
189 | (1) |
|
|
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) |
|
|
191 | (1) |
|
23.3.1 Pediatric Spinal Deformity Classifications-- |
|
|
191 | (1) |
|
|
192 | (2) |
|
24 Strategies in the Correction of Rigid Spinal Deformities--Controversies between Anterior and Posterior Approach |
|
|
194 | (9) |
|
|
|
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) |
|
|
200 | (3) |
|
25 Anesthesia for Spinal Surgery |
|
|
203 | (6) |
|
|
|
|
203 | (1) |
|
|
203 | (1) |
|
|
203 | (1) |
|
25.4 Preoperative Assessment |
|
|
203 | (2) |
|
25.4.1 Preexisting Conditions |
|
|
203 | (1) |
|
|
204 | (1) |
|
25.4.3 Respiratory System |
|
|
204 | (1) |
|
25.4.4 Cardiovascular System |
|
|
204 | (1) |
|
|
204 | (1) |
|
|
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) |
|
|
206 | (1) |
|
|
206 | (1) |
|
25.7 Blood Conservation Techniques |
|
|
206 | (1) |
|
|
207 | (1) |
|
25.9 Postoperative Considerations and Complications |
|
|
207 | (1) |
|
|
208 | (1) |
|
26 Neuromonitoring in Rigid Spine Deformity Correction |
|
|
209 | (5) |
|
|
|
|
209 | (1) |
|
|
209 | (3) |
|
26.2.1 Somatosensory Evoked Potentials |
|
|
209 | (1) |
|
26.2.2 Transcranial Electric Motor Evoked Potentials |
|
|
210 | (2) |
|
|
212 | (1) |
|
26.2.4 Multimodality Approach |
|
|
212 | (1) |
|
26.3 Clinical Applications |
|
|
212 | (1) |
|
|
212 | (2) |
|
27 Neurological Complications after Surgery or Trauma to the Rigid Spine |
|
|
214 | (4) |
|
|
|
|
|
214 | (1) |
|
27.2 Spondyloarthropathies |
|
|
214 | (1) |
|
|
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) |
|
|
|
|
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) |
|
|
229 | (2) |
|
29 Robot-Guided Surgery in Rigid Spinal Deformities |
|
|
231 | (13) |
|
|
|
|
|
|
|
|
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) |
|
|
234 | (1) |
|
29.4.2 Revision Spinal Surgery-Redrilling Pedicles, Retained Instrumentation |
|
|
234 | (1) |
|
|
235 | (7) |
|
|
235 | (1) |
|
|
235 | (2) |
|
|
237 | (1) |
|
|
237 | (1) |
|
|
237 | (5) |
|
29.6 Robot-Guided Osteotomies for Rigid Deformities |
|
|
242 | (1) |
|
|
243 | (1) |
|
30 Biological Aspects of Spine Fusion--Methods to Enhance Fusion Rates |
|
|
244 | (7) |
|
|
|
|
244 | (1) |
|
|
244 | (1) |
|
30.3 Properties of Bone Grafts |
|
|
245 | (1) |
|
|
245 | (1) |
|
|
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) |
|
|
247 | (1) |
|
30.6.2 Synthetic Bone Grafts |
|
|
247 | (1) |
|
30.7 Osteopromotive Agents |
|
|
247 | (1) |
|
|
247 | (1) |
|
|
248 | (1) |
|
30.8.2 Parathyroid Hormone |
|
|
248 | (1) |
|
|
248 | (3) |
|
31 Role of Anterior Approach in the Correction of Adult Spinal Deformities |
|
|
251 | (10) |
|
|
|
|
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) |
|
|
256 | (3) |
|
|
256 | (1) |
|
|
256 | (1) |
|
|
256 | (1) |
|
|
257 | (1) |
|
|
257 | (2) |
|
|
259 | (2) |
|
32 Osteotomies in Spinal Tuberculosis--Adult Care |
|
|
261 | (10) |
|
|
|
|
|
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) |
|
|
270 | (1) |
|
33 Osteotomies in Tuberculosis--Pediatric Care |
|
|
271 | (5) |
|
|
|
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) |
|
|
|
|
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) |
|
|
279 | (2) |
|
34.5.1 Early Complications |
|
|
280 | (1) |
|
34.5.2 Late Complications |
|
|
280 | (1) |
|
|
281 | (2) |
Index |
|
283 | |