Spine Secrets
1. Cover image - p. cover 2. Title page - p. ii 3. Table of Contents - p. iii 4. Copyright - p. iii 5. Dedication - p. v 6. Contributors - p. vi 7. Preface - p. vii 8. Top 100 Secrets - p. vii 9. I. Regional Spinal Anatomy - p. 12 10. 1. Clinically relevant anatomy of the cervical region - p. 12 11. 2. Clinically relevant anatomy of the thoracic region - p. 25 12. 3. Clinically relevant anatomy of the lumbar and sacral region - p. 34 13. II. Clinical Evaluation of the Spine Patient - p. 44 14. 4. Evaluation of cervical spine disorders - p. 44 15. 5. Evaluation of thoracic and lumbar spine disorders - p. 51 16. 6. Evaluation of spinal deformities - p. 58 17. 7. Evaluation of impairment, disabilty, and workers’ compensation - p. 67 18. III. Spinal Imaging - p. 78 19. 8. Strategies for imaging and diagnosis in spinal disorders - p. 78 20. 9. Radiographic assessment of the spine - p. 85 21. 10. Magnetic resonance imaging of the spine - p. 99 22. 11. Computed tomography and CT-myelography - p. 113 23. 12. Nuclear imaging and spinal disorders - p. 120 24. IV. Nonsurgical Management of Spinal Disorders - p. 127 25. 13. Cervical spinal disorders: Nonsurgical management strategies - p. 127 26. 14. Thoracic and lumbar spinal disorders: Nonsurgical management strategies - p. 137 27. 15. Pharmacologic management of pain in spine disorders - p. 147 28. 16. Diagnostic and therapeutic spinal injections - p. 158 29. 17. Electrodiagnosis in spinal disorders - p. 168 30. 18. Spinal orthoses - p. 176 31. V. Surgical Indications and Perioperative Management of the Spine Patient - p. 190 32. 19. Indications for surgical intervention in spinal disorders and when not to operate - p. 190 33. 20. Preoperative assessment and planning for patients undergoing spine surgery - p. 198 34. 21. Anesthetic considerations and intraoperative management during spine surgery - p. 205 35. 22. Intraoperative neurophysiologic monitoring during spinal procedures - p. 215 36. 23. Postoperative management and adverse events after spine surgery - p. 221 37. VI. Basic Spinal Procedures, Surgical Approaches, and Spinal Instrumentation - p. 232 38. 24. Procedures for decompression of the spinal cord and nerve roots - p. 232 39. 25. Spinal arthrodesis, graft materials, and graft techniques - p. 241 40. 26. Surgical approaches to the occiput and cervical spine - p. 252 41. 27. Surgical approaches to the thoracic, lumbar, and lumbosacral spine - p. 259 42. 28. Occipital and cervical spine instrumentation - p. 274 43. 29. Thoracic and lumbar spine instrumentation - p. 286 44. 30. Instrumentation and fusion at the lumbosacral junction and pelvis - p. 297 45. 31. Minimally invasive spine surgery - p. 305 46. 32. Artificial disc replacement - p. 313 47. 33. Revision spine surgery - p. 322 48. 34. Spinal cord stimulation and implantable drug delivery systems - p. 332 49. VII. Pediatric Spinal Deformities and Spinal Disorders - p. 340 50. 35. Pediatric back pain - p. 340 51. 36. Pediatric cervical disorders - p. 348 52. 37. Early-onset scoliosis - p. 357 53. 38. Idiopathic scoliosis - p. 368 54. 39. Congenital spinal deformities - p. 381 55. 40. Neuromuscular spinal deformities - p. 389 56. 41. Sagittal plane deformities in pediatric patients - p. 398 57. 42. Spondylolysis and spondylolisthesis in pediatric patients - p. 407 58. 43. Pediatric spinal trauma - p. 417 59. VIII. Degenerative Disorders of the Adult Spine - p. 428 60. 44. Pathophysiology and pathoanatomy of degenerative disorders of the adult spine - p. 428 61. 45. Cervical degenerative disorders - p. 435 62. 46. Thoracic disc herniation and stenosis - p. 445 63. 47. Lumbar disc herniation - p. 450 64. 48. Discogenic low back pain - p. 457 65. 49. Lumbar spinal stenosis - p. 465 66. 50. Disorders of the sacroiliac joint - p. 471 67. IX. Adult Spinal Deformities - p. 482 68. 51. Adult idiopathic and degenerative scoliosis - p. 482 69. 52. Sagittal plane deformities in adults - p. 494 70. 53. Spondylolysis and spondylolisthesis in adults - p. 504 71. X. Spinal Trauma - p. 514 72. 54. Evaluation of the spine trauma patient - p. 514 73. 55. Spinal cord injury - p. 522 74. 56. Upper cervical spine trauma - p. 531 75. 57. Lower cervical spine injuries - p. 544 76. 58. Thoracic and lumbar spine fractures - p. 556 77. 59. Sacral fractures - p. 572 78. 60. Spinal injuries in athletes - p. 580 79. XI. Systemic Problems Affecting the Spinal Column - p. 592 80. 61. Disorders of the spinal cord and related structures - p. 592 81. 62. Primary spine tumors - p. 607 82. 63. Metastatic spine tumors - p. 622 83. 64. Metabolic bone diseases of the spine - p. 632 84. 65. Treatment options for osteoporotic vertebral compression fractures - p. 647 85. 66. Spinal infections - p. 659 86. 67. Rheumatoid arthritis - p. 667 87. 68. Ankylosing spondylitis and diffuse idiopathic skeletal hyperostosis - p. 678 88. XII. Emerging Spinal Technologies - p. 690 89. 69. Spinal navigation, robotic surgery, and three-dimensional printing - p. 690 90. Index - p. 699
Spine Secrets
1. Cover image - p. cover 2. Title page - p. ii 3. Table of Contents - p. iii 4. Copyright - p. iii 5. Dedication - p. v 6. Contributors - p. vi 7. Preface - p. vii 8. Top 100 Secrets - p. vii 9. I. Regional Spinal Anatomy - p. 12 10. 1. Clinically relevant anatomy of the cervical region - p. 12 11. 2. Clinically relevant anatomy of the thoracic region - p. 25 12. 3. Clinically relevant anatomy of the lumbar and sacral region - p. 34 13. II. Clinical Evaluation of the Spine Patient - p. 44 14. 4. Evaluation of cervical spine disorders - p. 44 15. 5. Evaluation of thoracic and lumbar spine disorders - p. 51 16. 6. Evaluation of spinal deformities - p. 58 17. 7. Evaluation of impairment, disabilty, and workers’ compensation - p. 67 18. III. Spinal Imaging - p. 78 19. 8. Strategies for imaging and diagnosis in spinal disorders - p. 78 20. 9. Radiographic assessment of the spine - p. 85 21. 10. Magnetic resonance imaging of the spine - p. 99 22. 11. Computed tomography and CT-myelography - p. 113 23. 12. Nuclear imaging and spinal disorders - p. 120 24. IV. Nonsurgical Management of Spinal Disorders - p. 127 25. 13. Cervical spinal disorders: Nonsurgical management strategies - p. 127 26. 14. Thoracic and lumbar spinal disorders: Nonsurgical management strategies - p. 137 27. 15. Pharmacologic management of pain in spine disorders - p. 147 28. 16. Diagnostic and therapeutic spinal injections - p. 158 29. 17. Electrodiagnosis in spinal disorders - p. 168 30. 18. Spinal orthoses - p. 176 31. V. Surgical Indications and Perioperative Management of the Spine Patient - p. 190 32. 19. Indications for surgical intervention in spinal disorders and when not to operate - p. 190 33. 20. Preoperative assessment and planning for patients undergoing spine surgery - p. 198 34. 21. Anesthetic considerations and intraoperative management during spine surgery - p. 205 35. 22. Intraoperative neurophysiologic monitoring during spinal procedures - p. 215 36. 23. Postoperative management and adverse events after spine surgery - p. 221 37. VI. Basic Spinal Procedures, Surgical Approaches, and Spinal Instrumentation - p. 232 38. 24. Procedures for decompression of the spinal cord and nerve roots - p. 232 39. 25. Spinal arthrodesis, graft materials, and graft techniques - p. 241 40. 26. Surgical approaches to the occiput and cervical spine - p. 252 41. 27. Surgical approaches to the thoracic, lumbar, and lumbosacral spine - p. 259 42. 28. Occipital and cervical spine instrumentation - p. 274 43. 29. Thoracic and lumbar spine instrumentation - p. 286 44. 30. Instrumentation and fusion at the lumbosacral junction and pelvis - p. 297 45. 31. Minimally invasive spine surgery - p. 305 46. 32. Artificial disc replacement - p. 313 47. 33. Revision spine surgery - p. 322 48. 34. Spinal cord stimulation and implantable drug delivery systems - p. 332 49. VII. Pediatric Spinal Deformities and Spinal Disorders - p. 340 50. 35. Pediatric back pain - p. 340 51. 36. Pediatric cervical disorders - p. 348 52. 37. Early-onset scoliosis - p. 357 53. 38. Idiopathic scoliosis - p. 368 54. 39. Congenital spinal deformities - p. 381 55. 40. Neuromuscular spinal deformities - p. 389 56. 41. Sagittal plane deformities in pediatric patients - p. 398 57. 42. Spondylolysis and spondylolisthesis in pediatric patients - p. 407 58. 43. Pediatric spinal trauma - p. 417 59. VIII. Degenerative Disorders of the Adult Spine - p. 428 60. 44. Pathophysiology and pathoanatomy of degenerative disorders of the adult spine - p. 428 61. 45. Cervical degenerative disorders - p. 435 62. 46. Thoracic disc herniation and stenosis - p. 445 63. 47. Lumbar disc herniation - p. 450 64. 48. Discogenic low back pain - p. 457 65. 49. Lumbar spinal stenosis - p. 465 66. 50. Disorders of the sacroiliac joint - p. 471 67. IX. Adult Spinal Deformities - p. 482 68. 51. Adult idiopathic and degenerative scoliosis - p. 482 69. 52. Sagittal plane deformities in adults - p. 494 70. 53. Spondylolysis and spondylolisthesis in adults - p. 504 71. X. Spinal Trauma - p. 514 72. 54. Evaluation of the spine trauma patient - p. 514 73. 55. Spinal cord injury - p. 522 74. 56. Upper cervical spine trauma - p. 531 75. 57. Lower cervical spine injuries - p. 544 76. 58. Thoracic and lumbar spine fractures - p. 556 77. 59. Sacral fractures - p. 572 78. 60. Spinal injuries in athletes - p. 580 79. XI. Systemic Problems Affecting the Spinal Column - p. 592 80. 61. Disorders of the spinal cord and related structures - p. 592 81. 62. Primary spine tumors - p. 607 82. 63. Metastatic spine tumors - p. 622 83. 64. Metabolic bone diseases of the spine - p. 632 84. 65. Treatment options for osteoporotic vertebral compression fractures - p. 647 85. 66. Spinal infections - p. 659 86. 67. Rheumatoid arthritis - p. 667 87. 68. Ankylosing spondylitis and diffuse idiopathic skeletal hyperostosis - p. 678 88. XII. Emerging Spinal Technologies - p. 690 89. 69. Spinal navigation, robotic surgery, and three-dimensional printing - p. 690 90. Index - p. 699