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Revision Lumbar Spine Surgery
- 1st Edition - March 3, 2021
- Editor: Robert F. Heary
- Language: English
- Hardback ISBN:9 7 8 - 0 - 3 2 3 - 7 1 2 0 1 - 9
- eBook ISBN:9 7 8 - 0 - 3 2 3 - 7 1 2 0 3 - 3
- eBook ISBN:9 7 8 - 0 - 3 2 3 - 7 1 2 0 2 - 6
Offering in-depth coverage of an often-neglected topic, Revision Lumbar Spine Surgery identifies clinical problems and discusses recent major advances in this challenging ar… Read more
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Institutional subscription on ScienceDirect
Request a sales quoteOffering in-depth coverage of an often-neglected topic, Revision Lumbar Spine Surgery identifies clinical problems and discusses recent major advances in this challenging area. Dr. Robert F. Heary and a team of international experts share their knowledge and experience with even the most difficult lumbar cases, helping you provide optimal outcomes for your patients. You’ll find authoritative guidance on indications, diagnosis, approaches, and follow-up, with a focus on the significant advances that have occurred over the past two decades in this fast-changing field.
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Identifies the clinical problems related to unsuccessful back spine surgery as well as indications, diagnosis, and new treatment options and advances in this complex area.
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Provides in-depth information on the multiple options that exist for most clinical situations: anterior, posterior, lateral, and combined anterior and posterior approaches.
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Covers methods of fixation, the use of interbody grafting, and surgical planning related to scar tissues, bleeding, and spinal fluid leaks.
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Discusses critical follow-up topics such as key clinical procedures, radiography, patient reported outcomes, and pain management.
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Includes timely chapters on robotics, bone density issues, medical fitness concerns, instrumentation options, imaging considerations, and much more.
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Enhanced eBook version included with purchase. Your enhanced eBook allows you to access all of the text, figures, and references from the book on a variety of devices.
Neurosurgeons
- Cover image
- Title page
- Table of Contents
- Any screen, Any time, Anywhere
- Copyright
- List of Contributors
- Foreword
- Preface
- Acknowledgments
- 1. Anatomy and Physiology/Biology of Bone
- Abstract
- Chapter Outline
- Anatomy
- Lumbar Spine Alignment
- Load Transmission
- Fusion Types and Area
- Basic Bone Biology
- Bone Grafting Area and Volume Available in Different Approaches
- Pain Generator Identification in Previously Fused Patients
- Implant Removal
- Looking for Pain Generators Outside of the Spine
- Summary and Conclusion
- References
- 2. The Role of Osteoporosis and Bone Diseases in Revision Spine Surgery
- Abstract
- Chapter Outline
- Introduction
- Adverse Consequences of Poor Bone Health
- Epidemiology of Poor Bone Health in Spine Surgery
- Bone Health Evaluation in Revision Spine Surgery
- Preoperative Bone Health Optimization
- Conclusion
- References
- 3. Medical Fitness Evaluation
- Abstract
- Chapter Outline
- Introduction
- Overall Wellness
- Comorbidities
- Conclusion
- References
- 4. Indications
- Abstract
- Chapter Outline
- Background
- Adjacent Segment Pathology
- Pseudarthrosis
- Implant Failure
- Flatback Syndrome
- Residual Stenosis or Recurrent Disc Herniation
- Complications (Wound Healing Issues/Infection)
- Conclusions
- References
- 5. Imaging Considerations (Magnetic Resonance, Computed Tomography, Myelography, Plain)
- Abstract
- Chapter Outline
- Introduction
- Magnetic Resonance Imaging
- Computed Tomography
- Myelography
- Conventional Radiography
- References
- 6. Dural Scarring and Repair Issues
- Abstract
- Chapter Outline
- Background
- Revision Lumbar Spine Surgery
- Dural Tears During Lumbar Spine Surgery
- Our Approach to Revision Lumbar Surgery (and Management of Durotomy)
- Conclusion
- Illustrative Case
- References
- 7. Decompression
- Abstract
- Chapter Outline
- Introduction
- Diagnosis and Indications for Surgery
- Outcome Measures
- Adjacent Segment Stenosis
- Revision Lumbar Laminectomy
- Revision Lumbar Discectomy
- Minimally Invasive Revision Microdiscectomy
- Conclusion
- References
- 8. Disc Herniation (Primary, Recurrent, Residual)
- Abstract
- Chapter Outline
- Introduction
- Anatomy
- Clinical Presentation
- Imaging
- Operative Management
- Risk Factors for Recurrent Disc Herniations
- Evaluation of Recurrent Disc Herniation
- Management of Recurrent Disc Herniation
- Conclusion
- References
- 9. Instrumentation Options
- Abstract
- Chapter Outline
- Introduction
- Considerations
- Posterior Instrumentation
- Anterior Instrumentation
- Conclusions
- References
- 10. Autograft/Allograft/Cage/Bone Morphogenetic Protein
- Abstract
- Chapter Outline
- The Use of Autograft and Allograft in Revision Lumbar Spine Surgery
- References
- 11. Minimally Invasive Surgery and Navigation
- Abstract
- Chapter Outline
- Introduction
- Revision Decompression Without Fusion
- Revision Fusion
- Navigation in Revision Surgery
- Conclusion
- References
- 12. Anterior Lumbar Fusion
- Abstract
- Chapter Outline
- Introduction
- Anterior Lumbar Interbody Fusion for Lumbar Pseudarthrosis
- Anterior Lumbar Interbody Fusion for Correction of Sagittal Deformity
- Other Relative Indications: Recurrent Disc Herniations, Spondylolisthesis/Instability, Adjacent Segment Disease, and Degenerative Disc Disease
- Risks and Complications
- Authors’ Preferred Technique
- Conclusion
- References
- 13. Revision Transforaminal Lumbar Interbody Fusion
- Abstract
- Chapter Outline
- Introduction
- Pseudarthrosis, Subsidence, and Cage Migration
- Adjacent Segment Stenosis, Recurrent Lumbar Disc Herniation/Revision Discectomy, or Instability After Previous Decompressive Surgery
- Open Versus Minimal Invasive Operative Considerations
- Complications
- References
- 14. Lateral Lumbar Interbody Fusion
- Abstract
- Chapter Outline
- Introduction
- Anatomical Considerations
- Brief Surgical Technique
- Surgical Indications and Lateral Lumbar Interbody Fusion Revision Surgery
- Conclusion
- References
- 15. Anterior-Posterior Surgeries
- Abstract
- Chapter Outline
- Introduction
- Indications for Staged Anterior-Posterior Lumbar Spine Surgery
- Operative Techniques and Considerations
- Representative Case
- References
- 16. Unilateral Versus Bilateral Strut Placement in Revision Spine Surgery
- Abstract
- Chapter Outline
- Introduction
- Complications in Posterior and Transforaminal Lumbar Interbody Fusions
- Reoperation in Lumbar Spine Surgery
- Single Versus Double Cage
- Clinical Case
- Conclusion
- References
- 17. Robotics for Revision Spine Surgery
- Abstract
- Chapter Outline
- Introduction
- Robotics as an Emerging Technology
- Technique
- Pros and Cons
- Complications and Pitfalls
- Future Directions
- Case Examples
- References
- 18. Pedicle Subtraction Osteotomy
- Abstract
- Chapter Outline
- Introduction
- Patient Selection and Operative Indications
- Operative Planning
- Choosing Proximal and Distal Fixation Levels for Lumbar Pedicle Subtractive Osteotomy
- Surgical Technique
- Complications and Strategies to Reduce Their Occurrence
- Conclusion
- References
- 19. Vertebral Column Resection
- Abstract
- Chapter Outline
- Introduction
- Surgical Considerations and Indications
- Deformity Assessment
- Radiological Evaluation
- Surgical Technique
- Posterior-Only Vertebral Column Resection Technique
- Anterior-Posterior Vertebral Column Resection Technique
- Postoperative Management
- Conclusion
- Disclosures
- References
- 20. Revision Lumbar Deformity Surgery
- Abstract
- Chapter Outline
- Introduction
- Patient Assessment
- Approach Considerations
- Sagittal Considerations
- Coronal Considerations
- Complications
- Conclusion
- References
- 21. Postoperative Considerations
- Abstract
- Chapter Outline
- Introduction
- Postoperative Drains
- Perioperative Antibiotic Prophylaxis
- Postoperative Venous Thromboembolism Prophylaxis
- Spinal Orthoses
- Physical Therapy
- Summary
- References
- 22. Adjacent Segment Disease After Fusion
- Abstract
- Chapter Outline
- Definitions
- Biomechanical Pathogenesis of Adjacent Segment Disease
- Incidence
- Risk Factors
- Association With Patient-Reported Outcomes
- Prevention of Adjacent Segment Disease
- Clinical Evaluation and Diagnosis
- Nonoperative Management
- Operative Management
- References
- 23. Pseudarthrosis/Nonunion
- Abstract
- Chapter Outline
- Introduction
- Lumbar Pseudarthrosis Definition, Epidemiology, and Diagnosis
- Imaging Modalities to Assess Pseudarthrosis
- Mechanical Biology of Bone Healing and Fusion
- Patient Risk Factors for Pseudarthrosis
- Bone Graft Materials
- Summary
- References
- 24. Iatrogenic Spinal Instability: Causes, Evaluation, Treatment, and Prevention
- Abstract
- Chapter Outline
- Introduction
- Epidemiology
- Diagnosis
- Treatment
- Prevention
- Summary
- References
- 25. Advances in Spinal Cord Stimulation
- Abstract
- Chapter Outline
- Introduction
- Why Spinal Cord Stimulation?
- What Therapy Is More Cost-Effective?
- How Are the Best Outcomes Achieved?
- The Surgical Procedure
- Special Surgical Situations
- The Device Is in, Now What?
- What Is Subparesthesia Stimulation?
- Conclusions
- Conflicts of Interest
- References
- Index
- Confidence is ClinicalKey
- No. of pages: 224
- Language: English
- Edition: 1
- Published: March 3, 2021
- Imprint: Elsevier
- Hardback ISBN: 9780323712019
- eBook ISBN: 9780323712033
- eBook ISBN: 9780323712026
RH
Robert F. Heary
Dr. Robert F. Heary is the Director of the Montclair Spine Center located in Mountainside Medical Center in Montclair, New Jersey. He is one of the premier physicians providing comprehensive spine care including a full range of conservative and surgical interventions for a wide range of spinal disorders. He is a Professor of Neurosurgery at the Hackensack Meridian School of Medicine in Nutley, New Jersey. Dr. Heary is on the editorial boards of Neurosurgery; Brain Disease Mechanisms-Frontiers in Molecular Neuroscience; Clinical Spine Surgery; Spinal Deformity; Neural Regeneration Research; World Neurosurgery; and the Journal of Spinal Cord Medicine. He was previously on the editorial board of the Journal of Neurosurgery: Spine for eight years serving as the chair of the Editorial Board in his final year. He is an active member of many scientific societies. Dr. Heary has served as a director-at-large and the Vice President of the American Association of Neurological Surgeons (AANS). He also served as the Chair of the AANS/CNS Joint Section on Disorders of the Spine & Peripheral Nerves, the President of the Cervical Spine Research Society (CSRS), and the President of the Lumbar Spine Research Society. Dr. Heary has been widely recognized for his skill, knowledge, expertise, and leadership abilities with his appointment to the highest positions in neurosurgery and spine surgery over the past two decades.
Affiliations and expertise
Robert F. Heary, MD
Chief, Neurosurgery Service
HMH Mountainside Medical Center
Montclair, NJ
Professor of Neurological Surgery
Hackensack Meridian School of Medicine
Nutley, NJ