Instrumentation in the Osteoporotic Spine
CHAPTER PREVIEW CHAPTER SYNOPSIS: Reconstruction of the adult spine in the setting of osteoporosis is complex, and the benefits of surgical treatment must be balanced against the potential risks for…
Junctional Degeneration of the Cervical Spine
CHAPTER PREVIEW CHAPTER SYNOPSIS: Junctional degeneration of the cervical spine, or adjacent segment disease, is a well-established complication after anterior cervical fusion. Although its cause is still highly debated, many…
Nonunion of the Cervical Spine: Anterior and Posterior Treatment
CHAPTER PREVIEW CHAPTER SYNOPSIS: The rate of symptomatic nonunion after anterior cervical discectomy and fusion varies from 5% to nearly 50%. Nonunion can be effectively treated through either an anterior,…
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…
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….
