Offering 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.
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.
Provides in-depth information on the multiple options that exist for most clinical situations: anterior, posterior, lateral, and combined anterior and posterior approaches.
Covers methods of fixation, the use of interbody grafting, and surgical planning related to scar tissues, bleeding, and spinal fluid leaks.
Discusses critical follow-up topics such as key clinical procedures, radiography, patient reported outcomes, and pain management.
Includes timely chapters on robotics, bone density issues, medical fitness concerns, instrumentation options, imaging considerations, and much more.
1. Cover image - p. Cover 2. Title page - p. ii 3. Table of Contents - p. iii 4. Any screen, Any time, Anywhere - p. iii 5. Title page - p. IFC1 6. Copyright - p. IFC1 7. List of Contributors - p. iv 8. Foreword - p. iv 9. Preface - p. xi 10. Acknowledgments - p. xiv 11. Contents - p. xv 12. List of Tables - p. xv 13. Chapter 1: Anatomy and Physiology/Biology of Bone - p. xv 14. Chapter 2: The Role of Osteoporosis and Bone Diseases in Revision Spine Surgery - p. 13 15. Chapter 3: Medical Fitness Evaluation - p. 25 16. Chapter 4: Indications - p. 34 17. Chapter 5: Imaging Considerations (Magnetic Resonance, Computed Tomography, Myelography, Plain) - p. 41 18. Chapter 6: Dural Scarring and Repair Issues - p. 50 19. Chapter 7: Decompression - p. 56 20. Chapter 8: Disc Herniation (Primary, Recurrent, Residual) - p. 61 21. Chapter 9: Instrumentation Options - p. 70 22. Chapter 10: Autograft/Allograft/Cage/Bone Morphogenetic Protein - p. 80 23. Chapter 11: Minimally Invasive Surgery and Navigation - p. 87 24. Chapter 12: Anterior Lumbar Fusion - p. 96 25. Chapter 13: Revision Transforaminal Lumbar Interbody Fusion - p. 104 26. Chapter 14: Lateral Lumbar Interbody Fusion - p. 112 27. Chapter 15: Anterior-Posterior Surgeries - p. 118 28. Chapter 16: Unilateral Versus Bilateral Strut Placement in Revision Spine Surgery - p. 123 29. Chapter 17: Robotics for Revision Spine Surgery - p. 130 30. Chapter 18: Pedicle Subtraction Osteotomy - p. 139 31. Chapter 19: Vertebral Column Resection - p. 149 32. Chapter 20: Revision Lumbar Deformity Surgery - p. 162 33. Chapter 21: Postoperative Considerations - p. 167 34. Chapter 22: Adjacent Segment Disease After Fusion - p. 172 35. Chapter 23: Pseudarthrosis/Nonunion - p. 178 36. Chapter 24: Iatrogenic Spinal Instability: Causes, Evaluation, Treatment, and Prevention - p. 184 37. Chapter 25: Advances in Spinal Cord Stimulation - p. 190 38. Index - p. 196 39. Confidence is ClinicalKey - p. 196
Offering 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.
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.
Provides in-depth information on the multiple options that exist for most clinical situations: anterior, posterior, lateral, and combined anterior and posterior approaches.
Covers methods of fixation, the use of interbody grafting, and surgical planning related to scar tissues, bleeding, and spinal fluid leaks.
Discusses critical follow-up topics such as key clinical procedures, radiography, patient reported outcomes, and pain management.
Includes timely chapters on robotics, bone density issues, medical fitness concerns, instrumentation options, imaging considerations, and much more.
1. Cover image - p. Cover 2. Title page - p. ii 3. Table of Contents - p. iii 4. Any screen, Any time, Anywhere - p. iii 5. Title page - p. IFC1 6. Copyright - p. IFC1 7. List of Contributors - p. iv 8. Foreword - p. iv 9. Preface - p. xi 10. Acknowledgments - p. xiv 11. Contents - p. xv 12. List of Tables - p. xv 13. Chapter 1: Anatomy and Physiology/Biology of Bone - p. xv 14. Chapter 2: The Role of Osteoporosis and Bone Diseases in Revision Spine Surgery - p. 13 15. Chapter 3: Medical Fitness Evaluation - p. 25 16. Chapter 4: Indications - p. 34 17. Chapter 5: Imaging Considerations (Magnetic Resonance, Computed Tomography, Myelography, Plain) - p. 41 18. Chapter 6: Dural Scarring and Repair Issues - p. 50 19. Chapter 7: Decompression - p. 56 20. Chapter 8: Disc Herniation (Primary, Recurrent, Residual) - p. 61 21. Chapter 9: Instrumentation Options - p. 70 22. Chapter 10: Autograft/Allograft/Cage/Bone Morphogenetic Protein - p. 80 23. Chapter 11: Minimally Invasive Surgery and Navigation - p. 87 24. Chapter 12: Anterior Lumbar Fusion - p. 96 25. Chapter 13: Revision Transforaminal Lumbar Interbody Fusion - p. 104 26. Chapter 14: Lateral Lumbar Interbody Fusion - p. 112 27. Chapter 15: Anterior-Posterior Surgeries - p. 118 28. Chapter 16: Unilateral Versus Bilateral Strut Placement in Revision Spine Surgery - p. 123 29. Chapter 17: Robotics for Revision Spine Surgery - p. 130 30. Chapter 18: Pedicle Subtraction Osteotomy - p. 139 31. Chapter 19: Vertebral Column Resection - p. 149 32. Chapter 20: Revision Lumbar Deformity Surgery - p. 162 33. Chapter 21: Postoperative Considerations - p. 167 34. Chapter 22: Adjacent Segment Disease After Fusion - p. 172 35. Chapter 23: Pseudarthrosis/Nonunion - p. 178 36. Chapter 24: Iatrogenic Spinal Instability: Causes, Evaluation, Treatment, and Prevention - p. 184 37. Chapter 25: Advances in Spinal Cord Stimulation - p. 190 38. Index - p. 196 39. Confidence is ClinicalKey - p. 196