Surgery for Low Back Pain (eBook)

Marek Szpalski, Robert Gunzburg, Björn L. Rydevik, Jean-Charles Le Huec, H. Michael Mayer (Herausgeber)

eBook Download: PDF

2010 | 2010
XIV, 285 Seiten
Springer Berlin (Verlag)
978-3-642-04547-9 (ISBN)

Infos

Low back pain is a very common problem that is increasingly being treated surgically. This book aims to evaluate carefully the possible surgical approaches to low back pain, with detailed appraisal of the factors leading to their success or failure. It begins by explaining the scientific basis for surgery and considering the different diagnostic techniques that may be employed, thereby elucidating the surgical rationale, indications, and contraindications. The value of conservative options is also assessed to help the reader weigh the need for surgery. The various surgical modalities, including the most recent, are then fully described and evaluated with the aid of numerous illustrations. The book concludes with a chapter devoted to evidence-based analysis of the outcome of surgery in patients with low back pain. This book will be invaluable to orthopaedic and neurosurgeons, rheumatologists, neurologists, and all who are concerned with the effective treatment of this often debilitating condition.

Inhalt

Preface 5
Contents 6
Part I Basics 14
The Biology of Intervertebral Disc Degeneration 15
Low Back Pain: Where Does the Pain Come From? 23
The Role of Cytokines in the Degenerative Spine 28
Psychosocial Aspects of Low Back Pain 33
Instability and Low Back Pain 38
Part II Diagnosis 46
Dynamic MRI of the Spine 47
Assessment of Status of End Plate and Diffusion in Degenerative Disc Disease 54
The Role of Physician Extenders in a Low Back Pain Practice 63
Part III Conservative Treatment 68
Natural Evolution of Nonspecific Low- Back Pain 69
Prescribing Conservative Treatment for Low Back Pain 76
Comprehensive Rehabilitation for Low back Pain and Back Schools 82
The Place of Chiropractic Care in the Treatment of Low Back Pain 87
Efficacy of IDET and PIRFT for the Treatment of Discogenic Low Back Pain 97
Lumbar Orthoses to Prevent and Treat Low- Back Pain 103
Part IV Surgical Treatment: Fusion 109
Indication for Lumbar Spinal Fusion 110
Evidence for Efficacy of Pedicle- Based Systems 124
Low Back Pain Is Not an Indication for Stabilisation in Patients Operated for Lumbar Spinal Stenosis 127
Hybrid Construct for DDD in the Lumbar Spine: The Compromise Between Fusion and Nonfusion 131
The Management of Spondylolysis and Spondylolisthesis 136
Transpedicular-Transdiscal-Transcorporal ( TPDC)- Fixation 145
Facet Problems: A Surgical Indication? 153
Adjacent Level Disease: “Myth” or “Fact” 157
Pelvic Girdle Pain: Indication for Surgery? 163
Blood Loss Management in Major Spine Surgery 167
Part V Surgical Treatment: Other Technologies 172
How Disc Replacement Fits in the Treatment Algorithm for Degenerative Disc Disease: Refining Indications for Disc Replacement 173
Clinical Factors that May Affect Outcome in Lumbar Total Disc Replacement. What Is the Evidence? 178
A Prospective Randomized Comparison of Two Lumbar Total Disk Replacements 187
Limitations of Lumbar Disk Arthroplasty 192
Is Posterior Dynamic Stabilization an Option to Avoid Adjacent Segment Decompensation? 199
Immediate Biomechanical Effects of Lumbar Posterior Dynamic Stabilisation 204
Overview of Pedicle Screw-Based Posterior Dynamic Stabilization Systems 212
Semirigid Fixation System for the Lumbar Spine 218
Nonrigid Stabilization of the Spine – Problems Observed: Screw Loosening/ Breakage/ Implant Failure/ Adjacent Segment Degeneration 223
Interspinous Implants: State of the Art and Research of Evidence 230
NuBac Disc Arthroplasty System: Rationale and Clinical Results 238
Part VI Outcomes 246
Outcome Assessment for Cost-Utility Evaluations: SF- 6D vs. EQ- 5D 247
Review of the Medical Evidence Regarding the Surgical Treatment of Low Back Pain 255
Index 266

Produkt-Details

• Erscheint lt. Verlag: 26.3.2010
• Zusatzinfo: XIV, 285 p.
• Verlagsort: Berlin
• Sprache: englisch
• Themenwelt: Medizin / Pharmazie ► Medizinische Fachgebiete ► Chirurgie
• Themenwelt: Medizinische Fachgebiete ► Innere Medizin ► Rheumatologie
• Themenwelt: Medizin / Pharmazie ► Medizinische Fachgebiete ► Neurologie
• Themenwelt: Medizin / Pharmazie ► Medizinische Fachgebiete ► Orthopädie
• Schlagworte: Decompression • degenerative spine • Fusion • instability • Rehabilitation • Surgery • Total disc replacement
• ISBN-10: 3-642-04547-2 / 3642045472
• ISBN-13: 978-3-642-04547-9 / 9783642045479