Best Evidence for Spine Surgery: 20 Cardinal Cases by Rahul Jandial MD PhD, Steven R. Garfin MD

By Rahul Jandial MD PhD, Steven R. Garfin MD

Best facts for backbone surgical procedure offers consultant instances that assist you make certain the optimum surgical interventions to your sufferers. Drs. Rahul Jandial and Steven R. Garfin, and a balanced staff of preeminent neurosurgeons and orthopaedists, deal with the fad towards a extra collaborative strategy among backbone and orthopaedic surgical procedure. This easy-to-read, evidence-based source additionally positive factors "Tips from the masters" for a fast evaluate of significant components of prognosis and therapy and on-line entry at www.expertconsult.com with absolutely searchable textual content and downloadable images.

  • Choose the easiest thoughts in your sufferers utilizing proof that helps the optimum surgical intervention for every case.
  • Access the absolutely searchable textual content on-line at www.expertconsult.com, besides a downloadable snapshot gallery and a video library demonstrating nuances of key techniques.
  • Apply a multi-disciplinary method via assurance that displays the altering nature of the strong point with chapters written by means of neurosurgeons and orthopaedists.
  • Quickly evaluate crucial parts of prognosis via "Tips from the masters."
  • Easily locate the data you wish with a constant, case-based structure that in actual fact offers proof and techniques.

Best proof for backbone surgical procedure is the proper source for any health care professional drawn to studying concerning the top proof on instances for which there's debate concerning the surgical administration. info offered incorporates a thorough evaluation of literature, approach, and situations as offered through preeminent backbone surgeons. info is gifted from a balanced panel of orthopaedic and neurological surgeons, to articulate a collaborative strategy that has been the traditional evolution within the educational environment. This identify offers a consultant case and the facts for the optimum surgical intervention for that case, inside of a layout that makes crucial components available and appealing.

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8%. 7%. 12 OPLL more often occurs in the cervical spine of men older than age 40 and frequency increases in the 50s. It can occur in the upper and middle thoracic spine and may be associated with ossification of the ligamentum flavum. OPLL can penetrate the dura, which eliminates the epidural space. 1 Variations in the pattern of OPLL have been classified as continuous, segmental, mixed, and other types. Static compression of the spinal cord is thought to be the main cause of myelopathy in OPLL, yet dynamic factors can play a role in further deterioration.

Lumbar Diskectomy A variety of diskectomy techniques are currently used by orthopedic and neurologic surgeons. The procedure chosen is typically based on the surgeon’s preference and experience. The conventional open diskectomy involves use of a standard surgical incision to obtain adequate visualization and illumination, then frequently performance of a hemilaminotomy to relieve pressure on the nerve roots and visualize the protruded disk, followed by a diskectomy to remove the herniated nuclear disk material.

Although their clinical presentations may be similar, the management and prognosis of each of these conditions differs from that of a herniated disk and is not within the scope of this chapter. To properly evaluate a patient presenting with a lumbosacral radiculopathy, it is important to understand the anatomy of the lumbar spine, with particular attention to the relationships of the lumbar intervertebral spaces and foramina, nerve roots, and pedicles. Each lumbosacral nerve root exits the spinal canal via the neural foramen at the disk space below its respective vertebral body and is typically compressed by a herniation of the disk immediately above this vertebral body.

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