
Operative Techniques: Spine Surgery
- 4th Edition - June 11, 2024
- Imprint: Elsevier
- Editors: Alexander R. Vaccaro, Eli M. Baron
- Language: English
- Hardback ISBN:9 7 8 - 0 - 3 2 3 - 9 3 8 1 9 - 8
- eBook ISBN:9 7 8 - 0 - 4 4 3 - 1 0 4 5 3 - 4
Part of the superbly illustrated Operative Techniques series, Spine Surgery, 4th Edition, brings you up to speed with must-know surgical techniques in today’s technically… Read more

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Request a sales quotePart of the superbly illustrated Operative Techniques series, Spine Surgery, 4th Edition, brings you up to speed with must-know surgical techniques in today’s technically demanding spine surgery. Step-by-step, evidence-based guidance walks you through both common and uncommon situations you’re likely to see in your practice, including trauma-related cases. Concise, detailed text accompanies the excellent visuals to provide a comprehensive, practical tool ideal for orthopaedic and neurosurgery residents, fellows, and practicing surgeons.
- Focuses on individual procedures, each presented in an easy-to-follow format for quick reference
- Combines brief bulleted descriptions of surgical procedures with crisp, clear illustrative drawings and images, clinical pearls, and just the right amount of relevant science
- Contains seven all-new chapters: Adolescent Idiopathic Scoliosis: Lenke Classification and Surgical Indications; NOMS Framework: Approach to the Treatment of Spinal Metastatic Tumors; Antepsoas Approach for Lumbar Interbody Fusion; Robotically-Assisted Spinal Surgery: Setup and Workflow; Virtual Reality/ Augmented Reality in Spinal Surgery: Setup and Workflow; Endoscopic Discectomy and Foraminotomy; and Awake Spinal Surgery
- Includes surgical videos available online that demonstrate how to perform state-of-the-art procedures
- An eBook version is included with purchase. The eBook allows you to access all of the text, figures, and references, with the ability to search, customize your content, make notes and highlights, and have content read aloud. Additional digital ancillary content may publish up to 6 weeks following the publication date
Orthopaedic Surgeons
- Cover image
- Title page
- Table of Contents
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- Copyright
- Dedication
- Contributors
- Foreword to the First Edition
- Preface
- Video Contents
- Section I Cervical Spine
- Section II Thoracic Spine
- Section III Lumbar Spine
- Section I: Cervical Spine
- Procedure 1. Closed Cervical Skeletal Tong Placement and Reduction Techniques
- INDICATIONS
- SURGICAL ANATOMY
- POSITIONING
- PORTALS/EXPOSURES
- PROCEDURE
- POSTOPERATIVE CARE AND EXPECTED OUTCOMES
- EVIDENCE
- Procedure 2. Halo Placement in the Adult and Pediatric Patient
- ADULT PATIENT
- PEDIATRIC PATIENT
- EVIDENCE
- Procedure 3. Anterior Odontoid Resection: The Transoral Approach
- INDICATIONS
- SURGICAL ANATOMY
- POSITIONING
- PORTALS/EXPOSURES
- PROCEDURE
- POSTOPERATIVE CARE AND EXPECTED OUTCOMES
- EVIDENCE
- EVIDENCE
- Procedure 4. Odontoid Screw Fixation
- INDICATIONS
- SURGICAL ANATOMY
- POSITIONING
- PROCEDURE
- EVIDENCE
- EVIDENCE
- Procedure 5. Anterior C1-C2 Arthrodesis: Lateral Approach of Barbour and Whitesides
- INDICATIONS
- SURGICAL ANATOMY
- POSITIONING
- PROCEDURE
- POSTOPERATIVE CARE AND EXPECTED OUTCOMES
- EVIDENCE
- Procedure 6. Anterior Cervical Corpectomy/Diskectomy
- INDICATIONS
- EXAMINATION/IMAGING
- SURGICAL ANATOMY
- SET-UP AND POSITIONING
- PROCEDURE
- POSTOPERATIVE CARE
- CERVICAL CORPECTOMY
- EVIDENCE
- Procedure 7. Anterior Resection of Ossification of the Posterior Longitudinal Ligament
- INTRODUCTION
- INDICATIONS
- EXAMINATION/IMAGING
- SURGICAL ANATOMY
- POSITIONING
- PORTALS/EXPOSURES
- PROCEDURE
- POSTOPERATIVE CARE AND EXPECTED OUTCOMES
- EVIDENCE
- Procedure 8. Cervical Total Disk Replacement
- INDICATIONS
- SURGICAL ANATOMY
- POSITIONING
- PORTALS/EXPOSURES
- PROCEDURE
- POSTOPERATIVE CARE AND EXPECTED OUTCOMES
- EVIDENCE
- Procedure 9. Occipital-Cervical Fusion
- INDICATIONS
- EXAMINATION/IMAGING
- SURGICAL ANATOMY
- POSITIONING
- PORTALS/EXPOSURES
- PROCEDURE
- POSTOPERATIVE CARE AND EXPECTED OUTCOMES
- EVIDENCE
- Procedure 10. C2 Translaminar Screw Fixation
- INDICATIONS
- EXAMINATION/IMAGING
- SURGICAL ANATOMY
- POSITIONING
- PORTALS/EXPOSURES
- PROCEDURE
- POSTOPERATIVE CARE AND EXPECTED OUTCOMES
- EVIDENCE
- Procedure 11. C1-C2 Posterior Fusion Harms and Magerl Techniques
- C1-C2 POSTERIOR FUSION
- INDICATIONS
- EXAMINATION
- IMAGING
- POSITIONING
- C1-C2 POSTERIOR SEGMENTAL SCREW AND ROD FIXATION (HARMS TECHNIQUE)
- POSTERIOR C1-C2 TRANSARTICULAR FACET SCREWS (MAGERL TECHNIQUE)
- EVIDENCE
- Procedure 12. Cervical Spine: Lateral Mass Screw Fixation
- INTRODUCTION
- INDICATIONS
- SURGICAL ANATOMY (FIG. 12.2)
- PATIENT POSITIONING
- PORTALS/EXPOSURES
- PROCEDURE
- POSTOPERATIVE CARE
- EVIDENCE
- Procedure 13. Cervical Pedicle Screw Fixation
- OVERVIEW
- INDICATIONS
- SURGICAL ANATOMY
- POSITIONING
- PORTALS/EXPOSURES
- SURGICAL PROCEDURE
- POSTOPERATIVE CARE AND EXPECTED OUTCOMES
- SUMMARY
- EVIDENCE
- Procedure 14. Cervical Osteotomy Techniques
- INDICATIONS/CONTRAINDICATIONS
- PREOPERATIVE PLANNING
- SURGERY
- CERVICOTHORACIC PEDICLE SUBTRACTION OSTEOTOMY
- MIDCERVICAL EXTENSION OSTEOTOMY
- POSTOPERATIVE MANAGEMENT
- CONCLUSION
- EVIDENCE
- Procedure 15. Posterior Cervical Laminoplasty
- INDICATIONS
- SURGICAL ANATOMY
- POSITIONING
- PORTALS/EXPOSURES
- PROCEDURE
- POSTOPERATIVE CARE AND EXPECTED OUTCOMES
- EVIDENCE
- Procedure 16. Posterior Cervical Foraminotomy, Microdiskectomy
- INDICATIONS
- SURGICAL ANATOMY
- POSITIONING
- PROCEDURE
- POSTOPERATIVE CARE AND EXPECTED OUTCOMES
- EVIDENCE
- Procedure 17. Subaxial Cervical Trauma Classification and Treatment
- INTRODUCTION
- MECHANISTIC CLASSIFICATION SYSTEMS
- MORPHOLOGIC CLASSIFICATION SYSTEMS
- TREATMENT
- CONCLUSIONS
- EVIDENCE
- Section II: Thoracic Spine
- Procedure 18. Anterior Thoracic Diskectomy and Corpectomy
- INDICATIONS
- SURGICAL ANATOMY
- POSITIONING
- PORTALS AND EXPOSURES
- PROCEDURE
- POSTOPERATIVE CARE AND EXPECTED OUTCOMES
- EXPECTED OUTCOMES
- EVIDENCE
- Procedure 19. Anterior Thoracolumbar Spinal Fusion via Open Approach for Idiopathic Scoliosis
- INDICATIONS
- POSITIONING
- PORTALS/EXPOSURES
- PROCEDURE: THORACOLUMBAR SPINE FUSION VIA AN OPEN APPROACH USING SINGLE-ROD INSTRUMENTATION
- PROCEDURE: THORACOLUMBAR SPINE FUSION VIA AN OPEN APPROACH USING DUAL-ROD
- POSTOPERATIVE CARE AND EXPECTED OUTCOMES
- EVIDENCE
- Procedure 20. Operative Management of Scheuermann Kyphosis
- INDICATIONS
- SURGICAL ANATOMY
- POSITIONING
- PROCEDURE
- POSTOPERATIVE CARE AND EXPECTED OUTCOMES
- EVIDENCE
- PROCEDURE 21. Resection of Intradural Intramedullary or Extramedullary Spinal Tumors
- INDICATIONS
- SURGICAL ANATOMY
- POSITIONING
- PORTALS/EXPOSURES
- PROCEDURE
- POSTOPERATIVE CARE AND EXPECTED OUTCOMES
- EVIDENCE
- PROCEDURE 22. Endoscopic Image-Guided Thoracic Diskectomy
- INDICATIONS
- SURGICAL ANATOMY
- POSITIONING
- PORTALS/EXPOSURES
- PROCEDURE
- POSTOPERATIVE CARE AND EXPECTED OUTCOMES
- SURGICAL OUTCOMES
- COMPLICATIONS AND AVOIDANCE
- EVIDENCE
- PROCEDURE 23. Adolescent Idiopathic Scoliosis: Lenke Classification and Surgical Indications
- INTRODUCTION
- LENKE ADOLESCENT IDIOPATHIC SCOLIOSIS AIS CLASSIFICATION SYSTEM
- VALIDATION OF THE LENKE ADOLESCENT IDIOPATHIC SCOLIOSIS CLASSIFICATION SYSTEM
- SURGICAL INDICATIONS BASED ON THE LENKE ADOLESCENT IDIOPATHIC SCOLIOSIS CLASSIFICATION SYSTEM
- CONCLUSION
- EVIDENCE
- PROCEDURE 24. Posterior Thoracolumbar Fusion Techniques for Adolescent Idiopathic Scoliosis
- INDICATIONS
- SURGICAL ANATOMY
- POSITIONING
- EXPOSURE
- PROCEDURE
- POSTOPERATIVE CARE AND EXPECTED OUTCOMES
- EVIDENCE
- PROCEDURE 25. Complete Vertebral Resection for Primary Spinal Tumors
- INDICATIONS
- SURGICAL ANATOMY
- POSITIONING
- EXPOSURES
- PROCEDURE
- POSTOPERATIVE CARE AND EXPECTED OUTCOMES
- EVIDENCE
- PROCEDURE 26. Hybrid Therapy for Metastatic Spine Tumors in the Context of the NOMS Decision Framework
- INDICATIONS
- Examination/Imaging
- SURGICAL ANATOMY
- POSITIONING
- PORTALS/EXPOSURES
- PROCEDURE
- EVIDENCE
- PROCEDURE 27. Surgical Treatment of Spinal Arachnoid Cysts and Arachnoid Web
- INDICATIONS
- Examination/Imaging
- SURGICAL ANATOMY
- POSITIONING
- PORTALS/EXPOSURES
- PROCEDURE
- POSTOPERATIVE CARE AND EXPECTED OUTCOMES
- EVIDENCE
- PROCEDURE 28. Surgical Management of Adult Syringomyelia
- INDICATIONS
- POSITIONING
- PORTALS/EXPOSURES
- PROCEDURE
- POSTOPERATIVE CARE AND EXPECTED OUTCOMES
- EVIDENCE
- PROCEDURE 29. Surgical Treatment of Dural Arteriovenous Fistulas and Arteriovenous Malformations
- INDICATIONS
- SURGICAL ANATOMY
- POSITIONING
- PORTALS/EXPOSURES
- PROCEDURE
- POSTOPERATIVE CARE AND EXPECTED OUTCOMES
- EVIDENCE
- PROCEDURE 30. Adult Scoliosis: Classification and Treatment
- CLASSIFICATION OF ADULT SCOLIOSIS
- INDICATIONS
- INDICATIONS
- CONCLUSION
- EVIDENCE
- Procedure 31. Spinopelvic Balance: Preoperative Planning and Calculation
- INTRODUCTION
- PREOPERATIVE MEDICAL CONSIDERATIONS
- PREOPERATIVE RADIOGRAPHIC ANALYSIS
- RADIOGRAPHIC ANALYSIS
- CONSIDERATIONS WITH PREDICTING POSTOPERATIVE SAGITTAL MEASUREMENTS
- SAGITTAL PLANE CORRECTION TECHNIQUES: BASIC PRINCIPLES
- INTERBODY GRAFTING OR PROSTHESIS PLACEMENT
- OSTEOTOMIES
- CONCLUSIONS
- EVIDENCE
- Section III: Lumbar Spine
- Procedure 32. Sacropelvic Fixation
- INDICATIONS
- NEUROMUSCULAR SCOLIOSIS
- DEGENERATIVE SPINAL DEFORMITIES
- SPONDYLOLISTHESIS (HIGH GRADE)
- SACRECTOMY
- TRAUMA
- BIOCHEMICAL CONSIDERATIONS
- Examination/Imaging
- SURGICAL ANATOMY
- POSITIONING
- PORTALS/EXPOSURES
- PROCEDURE A: S1 PEDICLE SCREWS
- PROCEDURE B: SACRAL ALAR SCREWS
- PROCEDURE C: ILIOSACRAL SCREWS
- PROCEDURE D: GALVESTON RODS
- PROCEDURE E: ILIAC SCREWS (ILIAC BOLTS)
- PROCEDURE F: TRANSILIAL BAR
- PROCEDURE G: S2 ALAR ILIAC SCREWS (S2AI)
- POSTOPERATIVE CARE AND EXPECTED OUTCOMES
- EVIDENCE
- Procedure 33. Posterior Far Lateral Diskectomy
- INDICATIONS
- SURGICAL ANATOMY
- POSITIONING
- PORTALS/EXPOSURES
- PROCEDURE
- POSTOPERATIVE CARE AND EXPECTED OUTCOMES
- EVIDENCE
- Procedure 34. Pedicle Subtraction Osteotomy for Fixed Sagittal Imbalance
- INDICATIONS
- POSITIONING
- PORTALS/EXPOSURES
- PROCEDURE
- ADDITIONAL STEPS
- POSTOPERATIVE CARE AND EXPECTED OUTCOMES
- EVIDENCE
- Procedure 35. Spondylolysis Repair
- INDICATIONS
- SURGICAL ANATOMY
- POSITIONING
- PORTALS/EXPOSURES
- PROCEDURE
- INSTRUMENTATION/IMPLANTATION
- POSTOPERATIVE CARE AND EXPECTED OUTCOMES
- EVIDENCE
- Procedure 36. Surgical Treatment of High-Grade Spondylolisthesis
- INDICATIONS
- SURGICAL ANATOMY
- POSITIONING
- PORTALS/EXPOSURES
- PROCEDURE A: SACRAL DOME OSTEOTOMY
- PROCEDURE B: TRANSACRAL SCREW/FIBULAR DOWEL
- PROCEDURE C: GAINES PROCEDURE
- EVIDENCE
- Procedure 37. Interspinous Process Motion-Sparing Implant
- INDICATIONS
- SURGICAL ANATOMY
- POSITIONING
- PORTALS/EXPOSURES
- PROCEDURE (COFLEX INTERSPINOUS DEVICE)
- PROCEDURE (SUPERION INTERSPINOUS DEVICE)
- POSTOPERATIVE CARE AND EXPECTED OUTCOMES
- EVIDENCE
- Procedure 38. Vascular Exposure for Anterior Lumbar Interbody Fusion
- INDICATIONS
- SURGICAL ANATOMY
- POSITIONING (Fig. 38.3)
- PROCEDURE (Fig. 38.4)
- POSTOPERATIVE CARE AND EXPECTED OUTCOMES
- EVIDENCE
- Procedure 39. Transforaminal Lumbar Interbody Fusion
- INDICATIONS
- POSITIONING
- SURGICAL ANATOMY
- PORTALS AND EXPOSURES
- PROCEDURE
- POSTOPERATIVE CARE AND EXPECTED OUTCOMES
- ACKNOWLEDGMENTS
- EVIDENCE
- Procedure 40. The Transpsoas Approach for Thoracolumbar Interbody Fusion
- INDICATIONS
- SURGICAL ANATOMY
- POSITIONING
- PROCEDURE
- POSTOPERATIVE CARE AND EXPECTED OUTCOMES
- EVIDENCE
- Procedure 41. Antepsoas Approach for Lumbar Interbody Fusion
- INDICATIONS
- SURGICAL ANATOMY
- POSITIONING
- PROCEDURE
- ADDITIONAL STEPS
- POSTOPERATIVE CARE AND EXPECTED OUTCOMES
- EVIDENCE
- Procedure 42. Lumbar Total Disk Arthroplasty
- INDICATIONS
- TREATMENT OPTIONS
- SURGICAL ANATOMY
- POSITIONING
- PORTALS/EXPOSURES
- PROCEDURE
- POSTOPERATIVE CARE AND EXPECTED OUTCOMES
- EVIDENCE
- Procedure 43. Kyphoplasty
- INDICATIONS
- SURGICAL ANATOMY
- POSITIONING
- PORTALS/EXPOSURES
- PROCEDURE
- POSTOPERATIVE CARE AND EXPECTED OUTCOMES
- EVIDENCE
- Procedure 44. Minimally Invasive Exposure Techniques of the Lumbar Spine
- INDICATIONS
- SURGICAL ANATOMY
- POSITIONING
- GENERAL ASPECTS TO POSTERIOR TUBULAR RETRACTO SURGERY
- RADIATION
- TUBULAR MICRODISCECTOMY AND DECOMPRESSION TECHNIQUES
- SPINAL FUSION
- TRANSFORAMINAL LUMBAR INTERBODY FUSION
- ANTERIOR LUMBAR INTERBODY FUSION
- LATERAL TRANSPSOAS INTERBODY FUSION
- PERCUTANEOUS PEDICLE SCREW INSTRUMENTATION
- MINI-OPEN
- POSTOPERATIVE CARE AND EXPECTED OUTCOMES
- EVIDENCE
- Procedure 45. Hemivertebrae Resection
- INDICATIONS
- SURGICAL ANATOMY
- POSITIONING
- PORTALS/EXPOSURES
- PROCEDURE A: LATERAL-POSTERIOR LUMBAR HEMIVERTEBRAE RESECTION AND CORRECTION WITH SEGMENTAL ANTERIOR INSTRUMENTATION
- PROCEDURE B: HEMIVERTEBRA RESECTION AND FUSION: ANTERIOR AND POSTERIOR
- PROCEDURE C: POSTERIOR HEMIVERTEBRAE RESECTION AND CORRECTION
- POSTOPERATIVE CARE AND EXPECTED OUTCOMES
- EVIDENCE
- Procedure 46. Lumbar Internal Laminectomy
- INDICATIONS
- SURGICAL ANATOMY
- POSITIONING
- PORTALS/EXPOSURES
- PROCEDURE
- POSTOPERATIVE CARE AND EXPECTED OUTCOMES
- EVIDENCE
- Procedure 47. Cortical Screw Fixation in the Lumbar Spine
- INDICATIONS
- SURGICAL ANATOMY
- POSITIONING
- PROCEDURE
- POSTOPERATIVE CARE AND EXPECTED OUTCOMES
- EVIDENCE
- Procedure 48. Spinal Navigation: Setup and Workflow
- INDICATIONS
- SURGICAL ANATOMY
- POSITIONING
- REFERENCE FRAME
- PROCEDURE
- EVIDENCE
- Procedure 49. Robotically Assisted Spinal Surgery: Setup and Workflow
- INDICATIONS
- SURGICAL ANATOMY
- POSITIONING
- PROCEDURE
- POSTOPERATIVE CARE AND EXPECTED OUTCOMES
- EVIDENCE
- Procedure 50. Virtual and Augmented Reality in Spinal Surgery: Setup and Workflow
- INDICATIONS
- SURGICAL ANATOMY
- POSITIONING
- PORTALS/EXPOSURES
- PROCEDURE
- ADDITIONAL STEPS: CLOSURE
- POSTOPERATIVE CARE AND EXPECTED OUTCOMES
- EVIDENCE
- Procedure 51. Thoracolumbar Trauma Classification and Surgical Treatment
- BACKGROUND
- EVIDENCE
- Procedure 52. Sacral Fixation: Iliosacral Screws and Sacral Fixation
- INDICATIONS
- SURGICAL ANATOMY
- POSITIONING
- PORTALS/EXPOSURES
- PROCEDURE A: SACROILIAC STYLE SCREWS
- PROCEDURE B: POSTERIOR ILIOSACRAL PLATING: TENSION BAND PLATING
- PROCEDURE C: DIRECT DORSAL-SACRAL PLATING
- POSTOPERATIVE CARE AND EXPECTED OUTCOMES
- EVIDENCE
- Procedure 53. Sacroiliac Joint Fusion
- INDICATIONS
- CONTRAINDICATIONS
- SURGICAL ANATOMY
- POSITIONING
- PROCEDURE
- POSTOPERATIVE CARE AND EXPECTED OUTCOMES
- EVIDENCE
- Surgical Management of Sacroiliac Joint Pain
- Randomized Controlled Trials
- Prospective Cohort Studies
- Case Series
- Procedure 54. Endoscopic Lumbar Diskectomy and Foraminotomy: Indications and Techniques
- INDICATIONS
- SURGICAL ANATOMY
- POSITIONING
- PORTALS/EXPOSURES
- TRANSFORAMINAL APPROACH
- INTERLAMINAR PROCEDURE
- POSTOPERATIVE CARE AND EXPECTED OUTCOMES
- EVIDENCE
- Procedure 55. Awake Spinal Surgery: Indications and Technique
- INDICATIONS
- SURGICAL ANATOMY
- POSITIONING
- PORTALS/EXPOSURES
- PROCEDURE
- POSTOPERATIVE CARE AND EXPECTED OUTCOMES
- EVIDENCE
- Index
- Confidence is ClinicalKey
- Edition: 4
- Published: June 11, 2024
- Imprint: Elsevier
- No. of pages: 486
- Language: English
- Hardback ISBN: 9780323938198
- eBook ISBN: 9780443104534
AV
Alexander R. Vaccaro
Dr. Vaccaro has served as the president of Rothman Orthopaedics since 2014 and is the Richard H. Rothman Professor and Chairman in the Department of Orthopaedic Surgery and Professor of Neurosurgery at Thomas Jefferson University in Philadelphia, Pennsylvania. He was the recipient of the Leon Wiltse award given for excellence in leadership and clinical research for spine care by the North American Spine Society (NASS) and is the past President of Cervical Spine Research Society (CSRS), the American Spinal Injury Association and the Association for Collaborative Spine Research. He is currently a member of the American Academy of Orthopaedic Surgeons (AAOS) Board of Directors.
He has over 900 peer-reviewed and 200 non-peer reviewed publications. He has published over 372 book chapters and is the editor of over 63 textbooks and co-editor of OKU-Spine I and editor of OKU-8. Dr. Vaccaro also serves as Co-Director of the Regional Spinal Cord Injury Center of the Delaware Valley.
Affiliations and expertise
Richard H. Rothman Professor and Chairman, Department of Orthopaedic Surgery, Professor of Neurosurgery, Sidney Kimmel Medical Center of Thomas Jefferson University, Co-Director, Delaware Valley Spinal Cord Injury Center, President, Rothman Orthopaedics, Philadelphia, Pennsylvania, USAEB
Eli M. Baron
Dr. Eli M. Baron is a Clinical Neurosurgery Associate Professor and a board certified neurosurgeon at the Cedars-Sinai Spine Center. Dr. Baron graduated the State University of New York at Binghamton with Summa Cum Laude in biological sciences. Afterwards he earned his medical degree at Temple University School of Medicine where he also completed a preliminary surgery year and a neurological surgery residency. He performed additional trainings in orthopaedic spine surgery at the famous Thomas Jefferson University Hospital in Philadelphia, Pennsylvania and a combined neurosurgical/orthopaedic spine fellowship at the Cedars-Sinai Spine Center. Dr. Baron is a prolific researcher and has published extensively in the fields of spine surgery and neurological surgery. He is the author and co-author of over 60 articles and book chapters on a wide range of subjects, all related to spinal disorders and spine surgery.
Affiliations and expertise
Co-Medical Director, Spine Trauma Surgery, Associate Professor, Neurosurgery, Mark Goodson Building, USA