Degenerative Cervical Myelopathy and Radiculopathy (eBook)

Treatment Approaches and Options

Michael G. Kaiser, Regis W. Haid, Christopher I. Shaffrey, Michael G. Fehlings (Herausgeber)

eBook Download: PDF

2018 | 1st ed. 2019
XIII, 431 Seiten
Springer International Publishing (Verlag)
978-3-319-97952-6 (ISBN)

Infos

Degenerative disorders of the cervical spine are among the more common reasons why patients seek medical attention or consult with a spine specialist.  These conditions can lead to neck pain and/or neurological deficit that can significantly compromise an individual's quality of life.  Despite the regularity of these conditions, there remains both uncertainty and controversy regarding optimal management.  No standard of care exists, however there are nuances related to a patients history, clinical presentation, and imaging that may make one approach more conducive to clinical success.

This text is intended to serve as a comprehensive, up-to-date resource for clinicians involved in the management of patients with cervical degenerative disease.  The text is divided into sections, organized in a clinically strategic manner.  The initial chapters address the basics of cervical spine anatomy and biomechanics as well as the pathophysiology leading to various cervical degenerative disorders and the possible neurological sequelae.  Subsequent chapters outline characteristics of the clinical presentation and the various diagnostic modalities to evaluate these patients.  Key elements involved in the surgical-decision making process are covered, providing the necessary elements to establish a solid foundation for treatment planning.  The final sections discusses specific procedures; including traditional approaches as well as more recent developments such as motion preservation surgery and minimally invasive techniques.  The last section focuses on challenging clinical scenarios that require advanced surgical consideration. Individual chapters are organized  with an introductory outline containing key chapter elements.  Chapters focusing on specific pathological entities include discussions regarding pathophysiology, genetics, and risk factors.  Those describing surgical procedures include a discussion on indications/contraindications, pre-operative planning, surgical technique, post-operative care, and complication avoidance. Chapter authors present their personal experience enhancing the information from current, evidence-based, referenced material.  When appropriate, case presentations are added to provide a practical application of chapter's key points.

This text, based on relevant, up-to-date clinical information and the cumulative experience of current spine experts, offers physicians the necessary tools involved in the decision-making process to formulate the optimal treatment plan for an individual patient. In addition, identification of knowledge gaps will hopefully stimulate future research and the evolution of cervical spondylotic treatments.

Michael G. Kaiser

The Neurological Institute 

Columbia University   

New York, NY

USA

Regis W. Haid

Atlanta Brain and Spine Care

Atlanta, GE

USA

Christopher I. Shaffrey

University of Virginia Health System

Charlottesville, VA

USA

Micheal G. Fehlings

Department of Surgery and Spine Program

University of Toronto

Division of Neurosurgery

Toronto Western Hospital

Toronto, Ontario

Canada

Inhalt

Part I The BasicsFunctional Anatomy of the Spinal CordCervical Spine BiomechanicsCervical Alignment and Sagittal BalanceDegenerative Cervical Myelopathy: A Spectrum of Degenerative SpondylopathiesPathobiology of Cervical Radiculopathy and MyelopathyNatural History of Cervical Degenerative DisordersPart II Evaluation and Diagnosis of Cervical Spondylotic DisordersFundamentals of Cervical Neurological ExamClinical Assessment ToolsRadiographic ModalitiesAlternative Diagnostic ToolsPart III Surgical Decision-MakingFailure of Nonoperative ManagementTiming of Operative InterventionSurgical Approach Decision-MakingUtility of Intraoperative NeuromonitoringFactors Predictive of Operative OutcomeThe Cost-Effectiveness of Various Surgical Procedures in the Cervical SpineAn Overview of Various Surgical ApproachesPart IV Motion Preservation Surgery for Cervical Degenerative DisordersPosterior Laminoforaminotomy for RadiculopathyCervical LaminoplastyCervical Disc ArthroplastyMIS Approaches for Cervical Spondylotic DiseasePart V Fusion Techniques for Cervical Degenerative DisordersDegenerative Cervical Myelopathy and Radiculopathy: Treatment Approaches and Options—Anterior Cervical Discectomy and FusionAnterior Cervical CorpectomyMultilevel ACDF Versus CorpectomyOptions for Interbody GraftingAnterior Fixation PlatingCervical Laminectomy and FusionBiological Enhancers of FusionPart VI Challenges of Cervical FixationOccipitocervical StabilizationAlternative Means of Posterior Cervical StabilizationAtlantoaxial StabilizationReconstructive Procedures in the Osteoporotic PatientThe Cervicothoracic JunctionOsteotomy for Cervical Kyphosis.

Produkt-Details

• Erscheint lt. Verlag: 22.12.2018
• Zusatzinfo: XIII, 431 p. 182 illus., 97 illus. in color.
• Verlagsort: Cham
• Sprache: englisch
• Themenwelt: Medizin / Pharmazie ► Medizinische Fachgebiete ► Neurologie
• Themenwelt: Medizin / Pharmazie ► Medizinische Fachgebiete ► Orthopädie
• Schlagworte: Cervical Corpectomy • Cervical Fixation • Cervical Laminectomy • Cervical Spondylosis • Interbody Grafting • Posterior Laminoforaminotomy
• ISBN-10: 3-319-97952-3 / 3319979523
• ISBN-13: 978-3-319-97952-6 / 9783319979526