Fusion in Adult Scoliosis
CHAPTER PREVIEW CHAPTER SYNOPSIS: Adult scoliosis is a common problem. Patients may have both back and leg pain. Spinal stenosis is often the underlying problem, but decompression may lead to…
Extreme Lateral Approach for Degenerative Disorders of the Spine
CHAPTER PREVIEW CHAPTER SYNOPSIS: This chapter describes a minimally disruptive spine procedure called the extreme lateral interbody fusion, or XLIF (NuVasive, Inc., San Diego, Calif.). This technique can be used…
Posterior Laminectomy without Fusion for the Treatment of De Novo Scoliosis
CHAPTER PREVIEW CHAPTER SYNOPSIS: Degenerative de novo scoliosis (DDS) and spinal stenosis may occur in tandem, and often present with pain and neurogenic claudication. When nonoperative management of this population…
Posterior Lumbar Interbody Fusion for Degenerative Disorders of the Spine
CHAPTER PREVIEW CHAPTER SYNOPSIS: Interbody fusion is often the surgical treatment of choice for degenerative spine disease. Posterior lumbar interbody fusion (PLIF) was developed originally but was associated with neural…
Management of Postoperative Lumbar Wound Infections
CHAPTER PREVIEW CHAPTER SYNOPSIS: Postoperative spinal infections require early recognition and aggressive management for successful treatment. Traditional treatment methods included aggressive irrigation and debridement with delayed primary or secondary closure…
How to Choose the Surgical Approach for the Treatment of De Novo Scoliosis
CHAPTER PREVIEW CHAPTER SYNOPSIS: The management of degenerative, or de novo, scoliosis requires a surgeon to individualize the surgical treatment according to the patient’s symptoms, deformity, and confounding factors. A…
Glenoid Bone Loss Treated with Bone Grafts
CHAPTER PREVIEW CHAPTER SYNOPSIS: Glenoid bone loss when present with primary osteoarthritis is usually posterior and with rotator cuff deficiency is superior and medial. When primary arthroplasty is performed, use…
Anterior Approach for the Treatment of Lumbar Degenerative Disorders: Axial Back Pain
CHAPTER PREVIEW CHAPTER SYNOPSIS: Advantages and disadvantages of anterior lumbar spinal surgery are reviewed, including approaches to the anterior lumbar spine, fusion techniques, as well as biologic and biomechanical considerations….
Posterior Approach for the Treatment of Lumbar Degenerative Disorders: Axial Back Pain
CHAPTER PREVIEW CHAPTER SYNOPSIS: Axial low back pain is a prevalent cause of impairment with significant socioeconomic consequences. Degenerative disc disease is a common cause of axial back pain. Conservative…
Indications for Fusion for Degenerative Disorders of the Lumbar Spine
CHAPTER PREVIEW CHAPTER SYNOPSIS: Lumbar degenerative disorders are typically divided between those that cause mechanical back pain and those that cause radiating leg pain. Treatment decisions must recognize that each…
