Surgery of the Spine and Spinal Cord : A Neurosurgical Approach

This book offers essential guidance on selecting the most appropriate surgical management option for a variety of spinal conditions, including idiopathic problems, and degenerative disease. While the first part of the book discusses the neuroanatomy and biomechanics of the spine, pain mechanisms, and imaging techniques, the second guides the reader through the diagnostic process and treatment selection for disorders of the different regions of the spine, based on the principles of evidence-based medicine. I.e., it clearly explains why a particular technique should be selected for a specific patient on the basis of the available evidence, which is carefully reviewed. The book identifies potential complications and highlights technical pearls, describing newer surgical techniques and illustrating them with the help of images and accompanying videos. Though primarily intended for neurosurgeons, the book will also be of interest to orthopaedic surgeons, specialists in physical medicine, and pain specialists. ​ Front Matter....Pages i-xv Front Matter....Pages 1-1 Why Another Book on Spine Surgery?....Pages 3-4 Evolution of the Vertebral Column....Pages 5-14 Cell Regeneration: Current Knowledge and Evolutions....Pages 15-63 Fundamental Concepts in Evidence-Based Medicine....Pages 65-75 Where Is the Evidence? Best Practice in Spine Surgery....Pages 77-89 Front Matter....Pages 91-91 A Concise Introduction to the Imaging of the Cervical Spine....Pages 93-108 Rheumatoid Degenerative Instability of the C1–C2 Joints and Symptomatic Os Odontoideum: Transoral Approach....Pages 109-115 Posterior Fixation of the Craniovertebral Junction in Nontraumatic Instability....Pages 117-132 Cervical Spondylothic Myelopathy: Multilevel Anterior Diskectomy/Corporectomy and Arthrodesis....Pages 133-159 Cervical Laminectomy and Laminoplasty as Treatment of Spinal Stenosis....Pages 161-176 Laminoplasty as Surgical Treatment for Cervical Spondylotic Myelopathy....Pages 177-191 Anterior Cervical Decompression and Arthrodesis/Arthroplasty....Pages 193-211 Syringomyelia....Pages 213-222 Posterior Cervical Foraminotomy....Pages 223-230 Rod-Screw Stabilization of the Posterior Cervical Spine....Pages 231-239 Front Matter....Pages 241-241 Posterior Thoracolumbar Fixation: Overview of Implants and Surgical Techniques....Pages 243-261 Pedicular Screw Fixation of the Thoracic Spine: Freehand Versus 3D Image-Guided Techniques....Pages 263-279 Thoracic Disk Herniation: Endoscopic Resection....Pages 281-291 Endoscopic Resection of Thoracic Disk Herniations....Pages 293-311 Adolescent Idiopathic Scoliosis....Pages 313-332 Front Matter....Pages 333-333 A Concise Introduction to the Imaging of the Lumbar Spine....Pages 335-358 A Practical Approach to the Diagnosis and Understanding of Chronic Low Back Pain, Based on Its Pathophysiology....Pages 359-381 Chronic Low Back Pain....Pages 383-397 Pain Origin and Mechanisms in Low Back Pain....Pages 399-406 Appropriateness of Imaging in Chronic Low Back Pain....Pages 407-413 Advanced Intraoperative Imaging Techniques and Navigation in Spine Surgery....Pages 415-423 Herniated Lumbar Disk Evaluation and Surgical Management....Pages 425-429 Lumbar Disk Herniation: Endoscopic and Microsurgical Treatment....Pages 431-445 Extraforaminal Lumbar Disk Herniations....Pages 447-456 Medical Imaging of the Lumbar Facet Joint....Pages 457-470 Surgery of the Lumbar Facet Joints....Pages 471-495 Lumbar Laminectomy: Classical Versus Minimally Invasive Surgical Technique....Pages 497-512 Degenerative Spondylolisthesis....Pages 513-526 Minimal Invasive Surgery (MIS) for Lumbar Instability....Pages 527-545 Surgical Treatment of Lumbar Spondylolisthesis Due to Isthmic Lysis....Pages 547-572 Vertebroplasty/Kyphoplasty....Pages 573-584 Neurostimulation for the Management of Failed Back Surgery Syndrome (FBSS)....Pages 585-600 Front Matter....Pages 601-601 The Importance of Restoring the Sagittal Balance in Small and Large Stabilization Procedures of the Spine....Pages 603-625 The Behavior and Balance of Our Upright Spine is Defined by Spino-Pelvic Parameters....Pages 627-644 Preoperative Planning and Patient-Specific Rods for Surgical Treatment of Thoracolumbar Sagittal Imbalance....Pages 645-662 Front Matter....Pages 663-663 Surgical Management of Metastatic Tumors of the Spine....Pages 665-677 Schwannomas of the Cervical Spine....Pages 679-690 Meningiomas of the Craniocervical Junction....Pages 691-697 Primary Intramedullary Tumors....Pages 699-716 Primary and Metastatic Tumors of the Thoracolumbar Spine: Total En Bloc Spondylectomy....Pages 717-725 Primary and Metastatic Tumors of the Thoracic Spine: En Bloc Spondylectomy for Tumor Resection....Pages 727-739 Spinal Meningiomas....Pages 741-748 Back Matter....Pages 749-761