Acknowledgments |
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vi | |
Foreword |
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xv | |
Preface |
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xvi | |
Contributors |
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xvii | |
Principles of Spinal Deformities |
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1 | (1) |
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1 The History and Overview of Spinal Deformity |
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2 | (12) |
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1.1 The History of Spinal Deformity |
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2 | (1) |
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1.2 Overview of Spinal Deformity |
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3 | (2) |
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1.3 Spinal Deformity Terms and Principles |
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5 | (3) |
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1.4 Evaluation of the Patient with a Spinal Deformity |
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8 | (1) |
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1.5 Indications for Adult Spinal Deformity Surgery |
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9 | (1) |
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9 | (1) |
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1.7 Postoperative Considerations |
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10 | (1) |
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1.8 Results and Complications |
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10 | (1) |
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11 | (1) |
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12 | (2) |
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12 | (2) |
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2 Measuring Value in Spinal Deformity Care |
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14 | (4) |
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2.1 The Importance of Health Care Economics |
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14 | (1) |
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2.2 Outcome Measures in Spinal Deformity Surgery |
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14 | (1) |
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2.3 Minimum Clinically Important Difference and Substantial Clinical Benefit |
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15 | (1) |
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2.4 QALYs, ICER, and Value in Health Care Decision Making |
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15 | (1) |
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2.5 Value in Spinal Deformity Care |
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16 | (1) |
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17 | (1) |
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17 | (1) |
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3 Intraoperative Neuromonitoring in Spinal Deformity Surgery |
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18 | (11) |
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18 | (1) |
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3.2 Neurophysiological Monitoring Techniques |
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18 | (4) |
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3.2.1 Somatosensory Evoked Potentials |
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18 | (1) |
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3.2.2 Transcranial Electric Motor Evoked Potentials |
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19 | (1) |
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19 | (1) |
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20 | (1) |
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3.2.5 Stimulated Electromyography |
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21 | (1) |
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3.2.6 The Transpsoas Approach |
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21 | (1) |
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3.3 The Role of IONM in Monitoring Patient Positioning |
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22 | (1) |
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3.4 Pathophysiology of Evoked Potential and Electromyography Changes |
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22 | (2) |
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3.5 Effects of Anesthetics on Neurophysiological Signals |
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24 | (3) |
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27 | (2) |
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27 | (2) |
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4 Anatomy and Evaluation of Spinal Alignment |
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29 | (7) |
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29 | (1) |
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4.2 Clinical and Radiographic Evaluation of Deformity |
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29 | (5) |
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4.2.1 Coronal Alignment Angles and Displacements |
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31 | (1) |
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Regional Spinal Alignment |
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32 | (1) |
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32 | (1) |
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32 | (1) |
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Sagittal Alignment Angles and Displacements |
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32 | (2) |
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Regional Spinal Alignment |
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34 | (1) |
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34 | (1) |
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34 | (1) |
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34 | (2) |
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34 | (2) |
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5 Anatomical Variants with Spinal Deformity |
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36 | (7) |
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36 | (1) |
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36 | (2) |
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5.2.1 Idiopathic Scoliosis |
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36 | (1) |
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5.2.2 Congenital/Dysplastic and Isthmic Spondylolysis and Spondylolisthesis |
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37 | (1) |
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5.2.3 Scheuermann Kyphosis |
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37 | (1) |
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38 | (1) |
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38 | (1) |
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39 | (1) |
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5.6 Facet Joints and Pars Interarticularis |
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39 | (1) |
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40 | (1) |
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41 | (2) |
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41 | (1) |
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41 | (1) |
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42 | (1) |
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6 The Importance of the Sacrum and Pelvis in Deformity Evaluation and Treatment |
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43 | (6) |
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43 | (1) |
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6.2 Pelvic Radiographic Parameters and Compensation |
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43 | (1) |
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44 | (1) |
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45 | (2) |
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47 | (1) |
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47 | (2) |
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47 | (2) |
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7 The Lenke Classification System for Adolescent Idiopathic Scoliosis |
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49 | (10) |
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49 | (1) |
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7.2 Radiographic Measurements |
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49 | (1) |
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7.3 Classification Schemes for Adolescent Idiopathic Scoliosis |
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49 | (1) |
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7.4 Lenke AIS Classification System |
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50 | (4) |
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7.5 Operative Treatment of AIS According to Curve Types |
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54 | (2) |
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7.5.1 Type 1: Main Thoracic Curves |
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54 | (1) |
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7.5.2 Type 2: Double Thoracic Curves |
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55 | (1) |
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7.5.3 Type 3: Double Major Curves |
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56 | (1) |
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7.5.4 Type 4: Triple Major Curves |
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56 | (1) |
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7.5.5 Type 5: Thoracolumbar/Lumbar Curves |
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56 | (1) |
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7.5.6 Type 6: Thoracolumbar/Lumbar-Main Thoracic Curves |
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56 | (1) |
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56 | (3) |
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58 | (1) |
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8 Principles of Sagittal Plane Deformity |
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59 | (8) |
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59 | (4) |
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8.1.1 Assessment of Sagittal and Spinopelvic Alignment |
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60 | (3) |
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8.2 Clinical Correlations of Sagittal Spinopelvic Alignment |
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63 | (1) |
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8.3 Sagittal Spinopelvic Alignment: Surgical Planning and Treatment |
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63 | (2) |
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65 | (2) |
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65 | (2) |
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9 Principles of Coronal Plane Deformity |
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67 | (8) |
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67 | (1) |
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9.2 Clinical Evaluation of Coronal Balance |
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67 | (1) |
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9.3 Radiographic Evaluation of Coronal Balance |
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67 | (1) |
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9.4 Coronal Balance in Adolescent Idiopathic Scoliosis |
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68 | (2) |
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9.5 Coronal Balance in Adult Idiopathic Scoliosis |
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70 | (1) |
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9.5.1 Thoracic Major Curves |
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70 | (1) |
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9.5.2 Thoracolumbar and Lumbar Major Curves |
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70 | (1) |
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9.5.3 Lumbosacral Fractional Curves |
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70 | (1) |
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9.6 Coronal Balance in de Novo Degenerative Scoliosis |
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71 | (1) |
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9.7 Coronal Balance in Congenital Scoliosis |
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72 | (1) |
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9.8 Coronal Balance in Complex Severe Multiplanar Deformities |
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72 | (1) |
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9.8.1 Posterior Vertebral Osteotomies |
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72 | (1) |
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9.8.2 Anterior-Posterior Vertebral Osteotomies |
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72 | (1) |
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9.8.3 Vertebral Column Resection |
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72 | (1) |
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73 | (2) |
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73 | (2) |
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10 Flexible versus Fixed Spinal Deformity |
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75 | (12) |
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75 | (1) |
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10.2 Structural Characteristics of Pediatric and Adult Deformities |
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75 | (1) |
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10.3 Radiographic Evaluation of the Deformity: Is It Fixed or Flexible? |
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76 | (3) |
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10.4 Spinopelvic Parameters |
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79 | (1) |
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10.5 Smith-Petersen and Pedicle Subtraction Osteotomies and Vertebral Column Resection in the Treatment of Fixed Spinal Deformities |
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80 | (2) |
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10.6 Alignment and Flexibility Issues Impacting Surgical Management of Pediatric and Adult Spinal Deformity |
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82 | (3) |
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85 | (2) |
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85 | (2) |
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11 The Natural History of Spinal Deformity |
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87 | (7) |
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87 | (1) |
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11.2 juvenile Idiopathic Scoliosis |
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87 | (1) |
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87 | (1) |
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11.4 Adolescent Idiopathic Scoliosis |
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87 | (7) |
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87 | (1) |
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11.4.2 The Natural History |
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87 | (1) |
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11.4.3 The Natural History of Preskeletal Maturity |
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88 | (1) |
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11.4.4 The Natural History of Postskeletal Maturity Scholiosis |
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89 | (2) |
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91 | (2) |
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Treatment of Spinal Deformities |
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93 | (1) |
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94 | (9) |
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12.1 Classification and Terminology |
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94 | (1) |
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94 | (1) |
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94 | (1) |
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95 | (1) |
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12.5 Nonoperative Treatment |
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96 | (1) |
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12.5.1 Periodic Observation |
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96 | (1) |
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97 | (1) |
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97 | (4) |
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12.6.1 Posterior Spinal Arthrodesis |
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97 | (1) |
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12.6.2 Combined Anterior and Posterior Arthrodesis |
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98 | (1) |
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12.6.3 Combined Anterior and Posterior Hemiepiphy-seodesis and Hemiarthrodesis |
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98 | (1) |
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12.6.4 Hemivertebra Excision and Fusion |
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98 | (2) |
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12.6.5 Thoracic Expansion Surgery |
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100 | (1) |
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12.6.6 Vertebral Column Resection |
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101 | (1) |
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101 | (2) |
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101 | (2) |
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103 | (9) |
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103 | (1) |
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13.2 Classification of Early-Onset Scoliosis |
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103 | (1) |
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103 | (1) |
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13.4 Growth of the Lungs and Spine |
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104 | (1) |
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105 | (1) |
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13.6 Radiographic Evaluation |
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105 | (1) |
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13.7 Nonoperative Treatment |
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106 | (1) |
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106 | (2) |
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13.9 Vertical Expandable Prosthetic Titanium Rib |
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108 | (1) |
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13.10 Guided-Growth Techniques |
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108 | (1) |
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13.11 Outcome Measures in Early-Onset Scoliosis |
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108 | (1) |
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109 | (1) |
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13.12.1 How to Minimize Complications in Growing Rod Surgery |
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109 | (1) |
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13.13 Magnetically Controlled Growing Rods |
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110 | (1) |
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110 | (2) |
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110 | (2) |
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14 Neuromuscular Scoliosis |
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112 | (14) |
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112 | (2) |
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114 | (2) |
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14.3 Nonoperative Treatment |
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116 | (1) |
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116 | (10) |
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14.4.1 Duchenne Muscular Dystrophy |
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121 | (1) |
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14.4.2 Spinal Cord Injury |
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121 | (1) |
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121 | (3) |
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124 | (2) |
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15 Anterior Surgery for Thoracic Scoliosis |
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126 | (9) |
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126 | (1) |
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15.2 Anterior Fusion with or without Instrumentation |
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126 | (1) |
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15.2.1 Classification of Thoracic Scoliosis |
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126 | (1) |
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15.2.2 Indications for Anterior Surgical Approach for Thoracic Scoliosis |
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126 | (1) |
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15.2.3 Contraindications for Anterior Instrumentation and Fusion Approach for Thoracic Scoliosis |
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127 | (1) |
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127 | (1) |
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127 | (1) |
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Indications for the Open Technique |
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127 | (1) |
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127 | (1) |
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Results of the Open Technique |
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127 | (1) |
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15.3.2 Thoracoscopic Technique |
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127 | (1) |
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127 | (1) |
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127 | (1) |
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Results of the Thoracoscopic Technique of Anterior Instrumentation and Fusion |
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128 | (1) |
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15.4 Other Issues Associated with Anterior Spinal Fusion |
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128 | (1) |
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15.4.1 Spontaneous Correction of the Lumbar Curve and Proximal Thoracic Curve |
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128 | (1) |
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15.4.2 Pulmonary Function |
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129 | (1) |
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15.4.3 Progressive Sagittal Kyphosis |
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129 | (1) |
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15.5 Fusionless Anterior Surgery for Spinal Deformity |
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129 | (4) |
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15.5.1 The Natural History |
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129 | (1) |
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15.5.2 Vertebral Body Stapling |
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129 | (1) |
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Indications for Vertebral Body Stapling |
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130 | (1) |
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Surgical Technique for Vertebral Body Stapling |
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130 | (1) |
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Results of Vertebral Body Stapling |
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130 | (1) |
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15.5.3 Vertebral Body Tethering |
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131 | (1) |
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131 | (1) |
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131 | (1) |
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Preliminary Results of Vertebral Body Tethering |
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132 | (1) |
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133 | (2) |
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133 | (2) |
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16 Posterior Approach in Thoracic Deformity |
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135 | (8) |
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135 | (1) |
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136 | (1) |
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16.3 Selection of Posterior versus Anterior Spinal Fusion |
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136 | (1) |
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137 | (4) |
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141 | (1) |
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141 | (1) |
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141 | (2) |
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141 | (2) |
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17 Lateral Interbody Fusion Approaches in Spinal Deformity |
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143 | (8) |
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143 | (1) |
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143 | (1) |
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17.3 Radiographic Assessment |
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144 | (1) |
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145 | (1) |
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145 | (2) |
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17.6 Lateral Approach: Surgical Technique and Outcomes |
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147 | (1) |
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148 | (3) |
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149 | (2) |
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18 Anterior-Posterior Surgery for Spinal Deformity |
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151 | (6) |
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151 | (1) |
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151 | (1) |
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18.3 Radiographic Assessment |
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151 | (1) |
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151 | (2) |
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18.4.1 Pediatric Deformity |
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152 | (1) |
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152 | (1) |
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153 | (2) |
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153 | (1) |
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153 | (2) |
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155 | (1) |
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155 | (1) |
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155 | (2) |
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155 | (2) |
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19 Minimally Invasive Surgery for Adult Spinal Deformities |
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157 | (6) |
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157 | (1) |
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19.2 Lateral Interbody Fusion with Percutaneous Screw Fixation |
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158 | (1) |
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19.3 Multilevel MIS Transforaminal Lumbar Inter-body Fusion |
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159 | (2) |
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19.3.1 Surgical Technique |
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159 | (2) |
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19.4 Mini-Open Pedicle Subtraction Osteotomy |
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161 | (1) |
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19.4.1 Surgical Technique |
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161 | (1) |
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162 | (1) |
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19.5 Conflict of Interest Statement |
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162 | (1) |
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162 | (1) |
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163 | (12) |
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163 | (1) |
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20.2 Normal Sagittal Alignment |
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163 | (1) |
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163 | (1) |
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20.3 Pathomechanics of Kyphotic Spinal Deformities |
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164 | (4) |
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20.3.1 Scheuermann Kyphosis |
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165 | (1) |
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20.3.2 Etiology and Pathogenesis |
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166 | (1) |
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20.3.3 Clinical and Radiographic Findings and the Natural History |
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166 | (1) |
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20.3.4 Radiographic Findings |
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167 | (1) |
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20.3.5 Differential Diagnosis |
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167 | (1) |
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20.4 Nonoperative Treatment |
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168 | (1) |
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168 | (4) |
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172 | (3) |
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173 | (2) |
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21 Technological Advances in Spinal Deformity Surgery |
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175 | (11) |
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175 | (1) |
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175 | (4) |
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21.2.1 Minimally Invasive Surgery |
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175 | (1) |
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Thoracoscopic Approach for Deformity Correction |
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175 | (3) |
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178 | (1) |
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Derotation: Minimally Invasive Surgery or Open |
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179 | (1) |
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Uniplanar versus Fixed versus Polyaxial Screws |
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179 | (1) |
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179 | (1) |
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179 | (1) |
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21.3 Computer Assistance and Image Guidance |
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179 | (3) |
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21.3.1 Fluoroscopy-Based Image-Guided Surgery |
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180 | (1) |
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21.3.2 Computed Tomography-Based Image-Guided Surgery |
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181 | (1) |
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21.4 Robotics for Spine Surgery |
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182 | (2) |
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21.4.1 Robotic Spine Surgery |
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182 | (1) |
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183 | (1) |
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21.4.2 Surgical-Assist Devices |
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183 | (1) |
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183 | (1) |
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183 | (1) |
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183 | (1) |
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21.4.4 Application of Robotics to Endoscopic Spine Surgery |
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184 | (1) |
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184 | (2) |
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185 | (1) |
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22 Surgery for Adult Spinal Deformity |
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186 | (9) |
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186 | (1) |
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22.2 Incidence and Function |
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186 | (1) |
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187 | (2) |
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187 | (1) |
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22.3.2 Physical Examination |
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187 | (1) |
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22.3.3 Radiographic Assessment |
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188 | (1) |
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22.3.4 Diskography and Facet Blocks |
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189 | (1) |
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189 | (1) |
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22.4 Treatment and Indications |
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189 | (4) |
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22.4.1 Nonsurgical Treatment |
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189 | (1) |
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22.4.2 Surgical Treatment |
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189 | (1) |
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189 | (1) |
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189 | (2) |
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191 | (1) |
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191 | (1) |
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191 | (1) |
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192 | (1) |
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Minimally Invasive Surgery |
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192 | (1) |
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22.4.3 Intraoperative Management |
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192 | (1) |
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22.4.4 Postoperative Care |
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192 | (1) |
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193 | (1) |
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193 | (2) |
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193 | (2) |
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23 Osteotomies and Vertebral Column Resections for Complex Spinal Deformities |
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195 | (10) |
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195 | (1) |
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23.2 Preoperative Planning and Patient Evaluation |
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195 | (1) |
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23.3 Sagittal Malalignment |
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196 | (3) |
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23.3.1 Etiology of Sagittal Malalignment |
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196 | (1) |
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196 | (1) |
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23.3.3 Surgical Techniques |
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197 | (1) |
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197 | (1) |
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Eggshell Osteotomy and Pedicle Subtraction Osteotomy |
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198 | (1) |
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23.4 Coronal and Multiplanar Imbalance |
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199 | (2) |
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23.4.1 Surgical Techniques |
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199 | (1) |
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Multiple Osteotomies of the Spine |
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199 | (1) |
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Vertebral Column Resection |
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199 | (1) |
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Posterior Vertebral Column Resection |
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200 | (1) |
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23.5 General Considerations |
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201 | (1) |
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23.6 Potential Complications of Osteotomies |
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202 | (1) |
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202 | (3) |
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203 | (2) |
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24 Adult Spinal Deformity Revision Surgery |
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205 | (8) |
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205 | (1) |
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205 | (1) |
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24.3 Radiographic Assessment |
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205 | (1) |
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206 | (1) |
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206 | (5) |
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24.5.1 Perioperative Management |
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206 | (1) |
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24.5.2 Surgical Managament |
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206 | (1) |
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206 | (1) |
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207 | (1) |
|
Implant Failure or Pullout (Especially at L5 or the Sacrum) |
|
|
207 | (1) |
|
|
207 | (2) |
|
|
209 | (1) |
|
|
209 | (1) |
|
Distal Adjacent Segment Disease |
|
|
210 | (1) |
|
Proximal Adjacent Segment Disease |
|
|
210 | (1) |
|
|
211 | (2) |
|
|
211 | (2) |
|
25 Surgical Treatment of Spondylolisthesis |
|
|
213 | (9) |
|
|
|
|
|
213 | (1) |
|
|
213 | (1) |
|
|
214 | (1) |
|
|
214 | (1) |
|
25.5 Radiographic Assessment |
|
|
214 | (1) |
|
25.6 Indications for Surgery |
|
|
215 | (1) |
|
|
215 | (5) |
|
|
216 | (1) |
|
25.7.2 Spinal Fusion: Low-Grade Lytic and Degenerative Spondylolisthesis |
|
|
217 | (1) |
|
25.7.3 Minimally Invasive Techniques for Low-Grade Spondylolisthesis |
|
|
218 | (1) |
|
25.7.4 Spinal Fusion: High-Grade |
|
|
|
|
218 | (2) |
|
|
220 | (1) |
|
|
220 | (2) |
|
|
220 | (2) |
|
26 Prevention and Treatment of Posttraumatic Deformity of the Thoracolumbar Spine |
|
|
222 | (8) |
|
|
|
|
|
|
222 | (1) |
|
|
222 | (1) |
|
26.3 Anatomy and Biomechanics |
|
|
222 | (1) |
|
26.4 Clinical Presentation |
|
|
223 | (1) |
|
26.5 Radiographic Evaluation |
|
|
223 | (1) |
|
|
223 | (2) |
|
26.6.1 Deformity in the Sagittal Plane |
|
|
223 | (1) |
|
|
223 | (1) |
|
|
224 | (1) |
|
26.6.2 Deformity in the Coronal Plane |
|
|
224 | (1) |
|
|
224 | (1) |
|
|
224 | (1) |
|
|
224 | (1) |
|
|
224 | (1) |
|
|
225 | (1) |
|
|
225 | (1) |
|
|
225 | (1) |
|
|
225 | (3) |
|
26.8.1 Kyphotic Deformity |
|
|
225 | (2) |
|
26.8.2 Scoliotic Deformity |
|
|
227 | (1) |
|
26.8.3 Lordotic Deformity |
|
|
227 | (1) |
|
26.8.4 Translational Deformity |
|
|
227 | (1) |
|
|
227 | (1) |
|
|
228 | (1) |
|
|
228 | |
|
|
228 | |
|
26.7 Causes of Posttraumatic Deformity |
|
|
224 | (6) |
|
27 Bracing and Nonoperative Treatment of Spinal Deformity |
|
|
230 | (5) |
|
|
|
|
230 | (1) |
|
|
230 | (1) |
|
27.3 Radiographic Assessment |
|
|
231 | (1) |
|
27.4 Indications for Nonoperative Management |
|
|
231 | (1) |
|
27.4.1 Adolescent Idiopathic Scoliosis |
|
|
231 | (1) |
|
27.4.2 Scheuermann Kyphosis |
|
|
231 | (1) |
|
27.4.3 Isthmic Spondylolysis and Spondylolisthesis |
|
|
231 | (1) |
|
27.4.4 Neuromuscular Scoliosis |
|
|
231 | (1) |
|
27.5 Treatment Options and Published Outcomes |
|
|
231 | (4) |
|
|
231 | (1) |
|
|
232 | (1) |
|
|
232 | (1) |
|
|
232 | (1) |
|
|
232 | (1) |
|
|
232 | (1) |
|
Suspension Trunk Orthosis |
|
|
233 | (1) |
|
Jewett Hyperextension Brace |
|
|
233 | (1) |
|
|
233 | (1) |
|
Antilordotic Lumbosacral Brace |
|
|
233 | (1) |
|
|
233 | (1) |
|
Adolescent Idiopathic Scoliosis |
|
|
233 | (1) |
|
|
234 | (1) |
|
Isthmic Spondylolysis and Spondylolisthesis |
|
|
234 | (1) |
|
|
235 | (1) |
|
|
235 | (1) |
References |
|
235 | (2) |
Index |
|
237 | |