Neuromuscular Spine Deformity

A Harms Study Group Treatment Guide

Amer Samdani, Peter O. Newton, Harry L. Shufflebarger, Randal R. Betz (Herausgeber)

Buch | Hardcover

300 Seiten

2018
Thieme (Verlag)
978-1-62623-260-0 (ISBN)

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While most spine deformities such as scoliosis, kyphosis, and lordosis are idiopathic, muscular dystrophy, cerebral palsy, spinal cord tumors and lesions are associated with more severe curve progression. Bracing typically does not prevent progression of spinal curves, and surgery is necessary for these patients. »Neuromuscular Spine Deformity« by Amer F. Samdani et al is the most comprehensive book on this topic to date, detailing the latest surgical techniques for a wide range of common to rare neuromuscular pathologies, in 27 well-illustrated chapters.

The comprehensive content derives from the authors' collective years of hands-on expertise, evidence-based knowledge from the literature, and multicenter scoliosis studies performed by the prestigious Harms Study Group, a worldwide research-based association of spine surgeons. The text begins with discussion of preoperative evaluation, nonoperative management, and surgical considerations such as anesthesia, neuromonitoring, and estimated blood loss. Section two highlights pathology-specific surgical interventions, while sections three and four provide clinical pearls on a wide array of surgical techniques, complications, and patient outcomes.

Key Highlights:

Disease-related challenges including dislocated hips, hyperlordotic/hyperkyphotic spine in cerebral palsy, myelomeningocele-related myelodysplasia and spine deformity, Duchenne's muscular dystrophy, and spinal muscular atrophy
Guidance on assessing the sagittal profile preoperatively and executing it intraoperatively in patients with spinal cord injury
Multiple options for fixation including the new sacral alar iliac screw approach for sacropelvic fixation and correction of pelvic obliquity
Postoperative issues including ICU management, incidence and management of early and late wound infection, instrumentation failure, junctional kyphosis, and cervical extension
Health-related quality of life outcomes in pediatric patients with cerebral palsy who have undergone scoliosis surgery

This state-of-the-art resource is essential reading for orthopaedic surgeons, neurosurgeons, and trainees in these specialties. It is also a must-have reference for academic programs and institutional departments specializing in pediatric spine pathologies.

I. Surgical and Medical Considerations

1. Preoperative Evaluation and Optimization

2. Nonoperative Management

3. Surgical Indications in Neuromuscular Scoliosis

4. Intraoperative Issues: Anesthesia, Neuromonitoring, Estimated Blood Loss

5. Unique Challenges with Scoliosis and Dislocated Hips

6. Predicting Complications: When to Operate or Not

II. Diagnosis Specific

7. Scoliosis in Cerebral Palsy

8. Surgical Treatment of Spinal Deformity in Myelomeningocele

9. The Patient with Spinal Cord Injury: Surgical Considerations

10. The Spine in Duchenne Muscular Dystrophy

11. Spinal Muscular Atrophy

12. Other Neuromuscular Conditions: Rett Syndrome, Charcot-Marie-Tooth Disease, and Friedreich's Ataxia

13. Neurosurgical Causes of Scoliosis

14. Sagittal Plane Spinal Deformity in Patients with Neuromuscular Disease

15. Spinal Deformity Associated with Neurodegenerative Disease in Adults

III. Surgical Techniques

16. Sacropelvic Fixation Techniques

17. Comparison of Unit Rods with Modular Constructs in Cerebral Palsy

18. Halo-Gravity Traction: An Adjunctive Treatment for Severe Spinal Deformity

19. Osteotomies: Ponte and Vertebral Column Resection

20. Growing Spine Options for Neuromuscular Scoliosis

21. Anterior Approaches to the Spine for Neuromuscular Spinal Deformity

IV. Postoperative Management and Complications

22. Incidence of Major Complications in Surgery for Neuromuscular Spine Deformity

23. Management of Early and Late Infection

24. Postoperative Intensive Care Unit Management

25. Reoperations: Instrumentation Failure, Junctional Kyphosis, and Cervical Extension

26. Health-Related Quality of Life in Neuromuscular Scoliosis

27. Baclofen Pump: Preoperative, Intraoperative, and Postoperative Management

Erscheinungsdatum	18.04.2018
Zusatzinfo	300 Abb.
Verlagsort	Stuttgart
Sprache	englisch
Gewicht	1 g
Einbandart	gebunden
Themenwelt	Medizinische Fachgebiete ► Chirurgie ► Neurochirurgie
	Medizinische Fachgebiete ► Chirurgie ► Unfallchirurgie / Orthopädie
	Medizin / Pharmazie ► Medizinische Fachgebiete ► Orthopädie
Schlagworte	Wirbelsäule
ISBN-10	1-62623-260-1 / 1626232601
ISBN-13	978-1-62623-260-0 / 9781626232600
Zustand	Neuware