Ideal for neurosurgeons, pediatric neurosurgeons, and orthopedic surgeons, Surgery of the Pediatric Spine is a comprehensive multidisciplinary reference for the surgical management of the most frequently encountered spine problems in the pediatric patient. An overview of developmental and clinical aspects provides essential information on biomechanics, neuroimaging, preoperative evaluation, anesthesia, and neurophysiological monitoring. The book goes on to present the surgical anatomy and various approaches to the spine and spinal cord. Chapters are grouped into easy-to-reference sections that are organized by type of problem, including congenital anomalies and developmental disorders; neoplasms; vascular malformations; inflammatory and infectious diseases; neuromuscular disease; trauma; and deformities. The book also presents special techniques for the treatment of spinal deformity, such as osteotomy, vertebrectomy, VEPTR expansion thoracoplasty, and fusionless techniques. A chapter devoted to the rehabilitation of children with spinal cord injury covers the principles and key concepts in treatment, as well as the possible secondary complications and challenges that are unique to pediatric patients. Highlights:Clinical insights from well-known experts in the fields of neurosurgery, pediatric neurosurgery, and orthopedicsDetailed information for each stage of management guides the reader through clinical presentation, diagnostic studies, indications, operative techniques, nonsurgical treatments, possible complications, and outcomesMore than 1,000 illustrations and images demonstrate key conceptsNumerous cases in selected chapters illustrate management principles and treatment outcomesAn invaluable resource for multidisciplinary approaches to patient care, this comprehensive text provides readers with a solid foundation in the specific issues associated with treating the pediatric patient with spine disease and disorders.
Endoscopic technology has advanced to the point where practitioners can now access, visualize, and treat spine pathologies previously only accessible through open surgical approaches. Endoscopic Spine Surgery 2nd Edition provides a comprehensive background on endoscopic spine surgery and covers an unparalleled number of minimally invasive spine procedures that have revolutionized the spine treatment paradigm. Readers will greatly benefit from many years of expertise and wisdom shared by master spine surgeons Daniel Kim, Gun Choi, Sang-Ho Lee, and Richard Fessler, and their expert contributors.

Due to the narrow endoscopic view, subtle microanatomical differences in the lumbar, thoracic, and cervical regions are not always easy to visually discern. To address this challenge, the book contains detailed procedural descriptions and images mirroring endoscopic views spine surgeons encounter in the OR. Organized anatomically, 53 chapters guide readers systematically through lumbar, thoracic, cervical, and craniocervical junction procedures for pathologies ranging from low back pain and deformities to tumors, lesions, infections, and trauma.

Key Features

More than 1000 high quality images including color procedural photographs and medical illustrations provide in-depth visual understanding.Spinal pathologies and procedures delineated in 75 videos accessible via the Media Center - from case studies to step-by-step technique tutorials.Covers the full spectrum of spine endoscopy including percutaneous approaches, microdiscectomy, laminectomy, discectomy foraminotomy, hemilaminectomy, thoracic decompressions, fusion, fixation, and thoracoscopic procedures.The use of state-of-the-art technology such as ultrasonic bone dissectors, endoscopic radiofrequency denervation, the video telescope operating monitor (VITOM), minimally invasive tubular retractors, and 3D stereo-tubular endoscopic systems.

Neurosurgical and orthopaedic residents, spine fellows, and seasoned spine surgeons will all greatly benefit from the significant knowledge and insights revealed in this remarkable multimedia resource. This book may also be of interest to neurosurgical and orthopaedic nurses, physical therapists, chiropractors, and medical device professionals.

Due to advances in spinal endoscopy, practitioners are now able to offer efficacious alternatives to open surgery to patients with low back pain, radiculopathy, and related disorders affecting the epidural space. Epiduroscopy enables surgeons to access, diagnose, and treat discogenic pain and spinal pathologies using minimally invasive techniques via direct visualization and focused intervention. Typically performed as a one-day outpatient procedure under local anesthesia, epiduroscopy provides a viable option to many patients suffering from low back pain.

Starting with the history of this procedure, the authors guide the reader systematically through relevant clinical indications, radiological anatomy, the pathophysiology of spinal pain, diagnostic modalities, and the use of specialized tools. Subsequent chapters detail specific conditions and approaches, histopathologic/microbiological findings, and patient assessment and outcomes.

Key Features

Clinical pearls gleaned from years of hands-on experience, including preventing and managing complications.Online access to 46 step-by-step surgical videos and animations provides in-depth understanding of techniques.Nearly 600 high quality images, including procedural photos and medical illustrations delineate approaches.The use of epiduroscopy-assisted mechanical adhesiolysis, laser procedures, radiofrequency, analgesic and pharmacological therapy, ozone therapy, spinal cord stimulation, and more.

This is an essential resource for trainee and practicing physicians in the fields of neurosurgery, orthopaedic surgery, pain medicine, and interventional medicine.

In the last two decades, spine instrumentation and surgery have undergone many improvements. The second edition benefits from contributions by renowned orthopaedic surgeons and neurosurgeons who helped create and refine the systems described in the book, and devoted their careers to educating next generations of spine surgeons.

Advancements in instrumentation - plates, cages, rods, screws, disc replacements, spacers, and fusion devices - have led to improved outcomes for patients. The spinal device field has grown exponentially, and surgeons are faced with an increasingly diverse choice of instrumentation options. While the first edition categorized available systems, the new edition is focused on helping clinicians avoid complications and quickly recognize and manage complications when they do occur.

Key Features

A concise yet comprehensive reference that educates clinicians on the causes, recognition, and avoidance of instrumentation complicationsOrganized by anatomical region and condition, the visualization of relevant anatomical landmarks is discussed in context with safe use of spinal instrumentationNow four-color, with more than 230 new and original illustrationsEasy-to-digest text helps translate classroom knowledge into clinical application

This up-to-date book will help orthopaedic surgeons and neurosurgeons learn how to utilize spinal devices more efficaciously and safely. The text is also an excellent reference for radiologists, spine fellows and residents, and physician extenders who are interested in attaining knowledge and experience in spinal instrumentation.

A tecnologia endoscópica avançou até o ponto em que os profissionais agora podem acessar, visualizar e tratar patologias da coluna anteriormente acessíveis apenas por meio de abordagens cirúrgicas abertas. Cirurgia Endoscópica da Coluna Vertebral, Segunda Edição, apresenta uma visão abrangente sobre a cirurgia endoscópica da coluna com um vasto número de procedimentos de coluna minimamente invasivos, que revolucionaram o paradigma de tratamento da coluna vertebral. Os leitores serão enormemente beneficiados com muitos anos de experiência e sabedoria compartilhados pelos mestres da cirurgia de coluna, Daniel Kim, Gun Choi, Sang-Ho Lee, Richard Fessler e seus colaboradores especialistas. Devido à visão endoscópica estreita, diferenças microanatômicas sutis nas regiões lombar, torácica e cervical nem sempre são fáceis de discernir visualmente. Para enfrentar este desafio, a obra contém descrições detalhadas de procedimentos e imagens que espelham as visualizações endoscópicas que os cirurgiões de coluna encontram no centro cirúrgico. Organizada anatomicamente, 53 capítulos guiam os leitores de forma sistemática através de procedimentos nas regiões lombar, torácica e cervical e na junção craniocervical para patologias que variam de lombalgia e deformidades a tumores, lesões, infecções e trauma. • Mais de 1.000 imagens de alta qualidade, incluindo fotografias coloridas de procedimentos e ilustrações médicas, fornecem uma profunda compreensão visual. • Patologias e procedimentos da coluna vertebral foram delineados em 64 vídeos on-line, acessíveis através do Media Center, com estudos de caso a tutoriais com técnicas passo a passo. • Todo o espectro da endoscopia da coluna, incluindo as abordagens percutâneas, microdiscectomia, laminectomia, discectomia, foraminotomia, hemilaminectomia, descompressão torácica, fusão, fixação e procedimentos toracoscópicos. • Uso de tecnologia de ponta, como dissectores ósseos ultrassônicos, denervação por radiofrequência endoscópica, monitor cirúrgico de vídeo telescópico (VITOM), retratores tubulares minimamente invasivos e sistemas endoscópicos tridimensionais estéreotubulares. Neurocirurgiões e cirurgiões experientes, bem como residentes em neurocirurgia e em ortopedia, serão enormemente beneficiados pelo conhecimento e insights significativos revelados neste notável recurso multimídia. Esta obra é também de interesse para enfermeiros, fisioterapeutas e todos os demais profissionais da saúde que lidam com a coluna vertebral.
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