Section 9, Chapter 9: Sacropelvic Fixation in Adult Spinal Deformity

Section 9, Chapter 9: Sacropelvic Fixation in Adult Spinal Deformity

Section 9, Chapter 9: Sacropelvic Fixation in Adult Spinal Deformity Brian J. Neuman and Khaled Kebaish INTRODUCTION The development of a pseudarthrosis at lumbosacral junction continues to be a concern in spine surgery. Fixation failure due to poor bone quality of the sacrum and substantial biomechanical forces at this junction leads to a cascade of…

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Section 3, Chapter 3: Biomechanics of Spinal Implants

Section 3, Chapter 3: Biomechanics of Spinal Implants

Section 3, Chapter 3: Biomechanics of Spinal Implants Sanghita Bhattacharya, Vikas Kaul, Constantine K. Demetropoulos, and Vijay K. Goel INTRODUCTION Back pain is a major public health problem in industrialized societies. This places an enormous economic burden on the society. In adults 17 to 64 years of age, back or spine impairment accounts for a…

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Section 3, Chapter 6: Biomechanics of Motion Preservation Technologies

Section 3, Chapter 6: Biomechanics of Motion Preservation Technologies

Section 3, Chapter 6: Biomechanics of Motion Preservation Technologies Peter McCombe, Ashish Diwan, and Hans-Joachim Wilke INTRODUCTION Movement of the spine is important for all activities of daily living, work and leisure. Spinal movement is essential to change posture to adapt the spinal curves, particularly in the sagittal plane, to bear a load in the…

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Section 8, Chapter 3: Paget’s Disease

Section 8, Chapter 3: Paget’s Disease

Section 8, Chapter 3: Paget’s Disease Kevin Taliaferro; Sigurd Berven INTRODUCTION Paget’s disease is a disorder of bone metabolism that results in an abnormal bone turnover and remodeling. The effect of Paget’s disease on bone leads to compromise in the strength of cancellous bone architecture and may cause pain, risk of fracture and deformity. Paget’s…

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Section 11, Chapter 14: Navigation in Spine Surgery

Section 11, Chapter 14: Navigation in Spine Surgery

Section 11, Chapter 14: Navigation in Spine Surgery Rajasekaran, S. Dilip Chand Raja, and Ajoy Prasad Shetty INTRODUCTION Pedicle screws with its capability to achieve three-column fixations and higher fusion rates have revolutionized the use of instrumentation in spine surgery. They provide good biomechanical anchorage by achieving three-column fixations and, therefore,permits the surgeon to avoid…

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Section 11, Chapter 5: Lateral Approaches to the Lumbar Spine

Section 11, Chapter 5: Lateral Approaches to the Lumbar Spine

Section 11, Chapter 5: Lateral Approaches to the Lumbar Spine Nicolas Plais, MD and Federico P. Girardi, MD INTRODUCTION/CONCEPTS In 2003,1 Bertagnoli et al. described the transpsoas approach to access the retroperitoneal lumbar spine. In 2006,2 Ozgur et al. described a minimally invasive technique for anterior lumbar interbody fusion with less morbidity than the classic…

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Section 19, Chapter 5: Postoperative Spondylodiscitis

Section 19, Chapter 5: Postoperative Spondylodiscitis

Section 19, Chapter 5: Postoperative Spondylodiscitis Kenneth Nwosu and Christopher M. Bono INTRODUCTION Spontaneous spondylodiscitis, or a primary infection of the nucleus pulposus with secondary involvement of the cartilaginous endplate and vertebral bone, was initially described by Ghormley et al. in 1940.1 However, it was not until the 1950’s when it was first documented as…

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Section 19, Chapter 4: High-grade Spondylolisthesis: Pediatric and Adults

Section 19, Chapter 4: High-grade Spondylolisthesis: Pediatric and Adults

Section 19, Chapter 4: High-grade Spondylolisthesis: Pediatric and Adults Shanmuganathan Rajasekaran, Siddharth Aiyer, and Rishi Mugesh Kanna INTRODUCTION Management options in spondylolisthesis vary with the etiology, morphology, grade of slip and severity of dysplasia at the affected segment. While the treatment options are well defined in most situations, the optimal management of high grade spondylo…

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Section 17, Chapter 9: Gunshot Injuries to the Lumbar Spine

Section 17, Chapter 9: Gunshot Injuries to the Lumbar Spine

Section 17, Chapter 9: Gunshot Injuries to the Lumbar Spine Adriaan Hendrik Botha and Robert N. Dunn CORE CURRICULUM Introduction What is the incidence of gunshot injuries to the spine? What is the epidemiology of gunshot injuries to the lumbar spine? What are the cost implications of these injuries? How were these injuries managed previously?…

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Section 19, Chapter 3: De Novo Pyogenic Spondylodiscitis

Section 19, Chapter 3: De Novo Pyogenic Spondylodiscitis

Section 19, Chapter 3: De Novo Pyogenic Spondylodiscitis Jose Antonio Umali and Ashish Diwan INTRODUCTION De Novo or spontaneous or primary pyogenic spondylodiscitis is an infection affecting both the vertebral body and intervertebral disc of the spine due to bacterial pathogens. Spontaneous pyogenic spondylodiscitis is caused by hematogenous spread secondary to bacteremia from integumentary, respiratory,…

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