This is the second volume in a clinical series designed to examine the myriad approaches used in spine surgery today. Each volume of Controversies in Spine Surgery concentrates on a new set of 8-10 clinical problems, ranging from the most common to the most complex, and offers treatment strategies of choice from the world's leading spine surgeons. The editors do not actively advocate one approach over another, but rather strive to put spinal problems into perspective and present the full spectrum of treatment options available for all featured conditions. In nearly every instance, at least three different and often conflicting therapies are presented for each problem, allowing the reader to judge, on a case-by-case basis, which approaches are likely to yield high-quality outcomes for the patients under their care. Existing differences of opinion are candidly acknowledged, and contributions are sought from experts in both orthopedic and neurologic spine surgery. Tightly focused and clinically oriented, this affordably priced volume is appropriate for spine surgeons at all levels of expertise. Features: Provides ongoing, broadly-based coverage of the entire field Enables clinicians to quickly and conveniently weigh the relative merits of competing therapies Free of bias - editorial board and contributors include orthopedic and neurosurgeons See What's New in Volume: Presents controversial approaches to thoracic disc herniation, lumbar disc herniation, and L4-5 degenerative disc diseases Examines various minimally invasive approaches Covers cervical decompression and fusion, intraoperative monitoring, pain management, and more

Master spine surgeons Alexander R. Vaccaro, Richard G. Fessler, and a cadre of esteemed co-editors have compiled the most comprehensive textbook to date detailing minimally invasive spine (MIS) versus open spine surgery techniques. Controversies in Spine Surgery, MIS versus OPEN: Best Evidence Recommendations features debates by renowned experts on one of the most provocative topics in spine surgery. Twenty-four chapters systematically organized into four sections — degenerative, trauma, tumor, and other issues, cover procedures and underlying pathologies, backed by a large, diverse body of literature. MIS and open approaches are thoroughly compared and contrasted in each chapter. Evidence is presented and analyzed in an objective manner with 'opposing sides' presenting differing opinions and techniques, resulting in a synchronous collection of pros and cons. Every chapter is masterfully summed up by the book's editors — each of whom have varying stances on the topics at hand. This unique 'duel' and 'duet' discussion enables readers to assimilate information, benefit from the balanced harmony between divergent opinions, and reach their own conclusions. Key Highlights Comparative risks, benefits, complications, and outcomes for a full spectrum of lumbar, thoracic and cervical procedures MIS versus open approaches for lumbar stenosis, synovial cysts, lumbar adjacent segment degeneration, degenerative scoliosis, flatback syndrome, thoracic disc herniation, and dural tears Tumor resection and stabilization, quality of life issues, and potential advantages and risks of MIS techniques Key differences in MIS versus open operations such as radiation exposure and costs Analysis of 3-D navigational imaging to improve outcomes and reduce radiation exposure and operating time This book is a tremendous, evidence-based tool to guide spine surgeons as they make important decisions on selecting the most optimal spine surgery techniques. It is a must-have resource for all resident and veteran orthopaedic surgeons and neurosurgeons who specialize in treating patients with spine conditions. Alexander R. Vaccaro, MD, PhD, FACS, MBA, is Richard H. Rothman Professor and Chairman, Department of Orthopaedic Surgery, and Professor of Neurosurgery, Thomas Jefferson University and Hospitals; and President, The Rothman Institute, Philadelphia, Pennsylvania, USA. Richard G. Fessler, MD, PhD, is Professor, Department of Neurosurgery, Rush University Medical Center, Chicago, Illinois, USA. Faheem A. Sandhu, MD, PhD, is Professor of Neurosurgery, Director of Spine Surgery, and Co-Director, Center for Minimally Invasive Spine Surgery, Department of Neurosurgery, MedStar Georgetown University Hospital, Washington, DC, USA. Jean-Marc Voyadzis, MD, is Co-Director, Center for Minimally Invasive Spine Surgery and Associate Professor of Neurosurgery, MedStar Georgetown University Hospital, Washington, DC, USA. Jason C. Eck, DO, MS, is an Orthopaedic Spine Surgeon, Center for Sports Medicine and Orthopedics, Chattanooga, Tennessee, USA. Christopher K. Kepler, MD, MBA, is an Associate Professor and Orthopaedic Spine Surgeon, Department of Orthopaedic Surgery, Thomas Jefferson University and Hospitals, and The Rothman Institute, Philadelphia, Pennsylvania, USA. An award-winning international medical and scientific publisher, Thieme has demonstrated its commitment to the highest standard of quality in the state-of-the-art content and presentation of all its products. Founded in 1886, the Thieme name has become synonymous with high quality and excellence in online and print publishing.

New motion-preserving devices are revolutionizing spine surgery...but the learning curve for these operations is steep, and great attention must be given to patient and device selection and the perfect execution of each procedure. Only one reference spells out exactly how to perform these new techniques...and its peerless author team, comprised of key investigators involved in the devices' actual clinical trials, is uniquely qualified to help you get the best results! These global leaders in this area discuss the advantages and disadvantages of the full range of non-fusion technologies...and present the step-by-step, richly illustrated operative guidance you need to achieve optimal outcomes! Select the best device and approach for each patient! * cervical total disc arthroplasty * lumbar total disc arthroplasty * lumbar partial disc replacement: nucleus replacement * lumbar posterior dynamic stabilization: pedicle screw based * lumbar posterior dynamic stabilization: interspinous based * lumbar facet replacement Produce optimal outcomes with detailed advice on... * advantages and disadvantages of each option * indications and contraindications * patient selection * interpretation of imaging studies * surgical anatomy and biomechanics * surgical techniques * tips and pearls See how to perform each technique, thanks to step-by-step, full-color illustrations

This clinical series examines some of the controversies surrounding the myriad approaches used in spine surgery. Developments in implant technology, biologic grafting materials, and minimal access techniques have resulted in an exciting-but sometimes overwhelming-array of options for the management of spinal disorders. Each volume in this new series will focus on 8 to 10 clinical problems, ranging from the most common to the most complex, and will present the treatment strategies of choice of the world's leading orthopaedic and neurologic spine surgeons. While no one method is deemed "best," Controversies in Spine Surgery helps put the problems and their treatment in perspective, and offers you multiple options for selecting the approach that works best for you and your patient.

Master spine surgeons Alexander R. Vaccaro, Richard G. Fessler, and a cadre of esteemed co-editors have compiled the most comprehensive textbook to date detailing minimally invasive spine (MIS) versus open spine surgery techniques. Controversies in Spine Surgery, MIS versus OPEN: Best Evidence Recommendations features debates by renowned experts on one of the most provocative topics in spine surgery. Twenty-four chapters systematically organized into four sections — degenerative, trauma, tumor, and other issues, cover procedures and underlying pathologies, backed by a large, diverse body of literature. MIS and open approaches are thoroughly compared and contrasted in each chapter. Evidence is presented and analyzed in an objective manner with 'opposing sides' presenting differing opinions and techniques, resulting in a synchronous collection of pros and cons. Every chapter is masterfully summed up by the book's editors — each of whom have varying stances on the topics at hand. This unique 'duel' and 'duet' discussion enables readers to assimilate information, benefit from the balanced harmony between divergent opinions, and reach their own conclusions. Key Highlights Comparative risks, benefits, complications, and outcomes for a full spectrum of lumbar, thoracic and cervical procedures MIS versus open approaches for lumbar stenosis, synovial cysts, lumbar adjacent segment degeneration, degenerative scoliosis, flatback syndrome, thoracic disc herniation, and dural tears Tumor resection and stabilization, quality of life issues, and potential advantages and risks of MIS techniques Key differences in MIS versus open operations such as radiation exposure and costs Analysis of 3-D navigational imaging to improve outcomes and reduce radiation exposure and operating time This book is a tremendous, evidence-based tool to guide spine surgeons as they make important decisions on selecting the most optimal spine surgery techniques. It is a must-have resource for all resident and veteran orthopaedic surgeons and neurosurgeons who specialize in treating patients with spine conditions.

Drawing on the expertise of world-renowned orthopedic and neurological spine surgeons, Controversies in Spine Surgery: Best Evidence Recommendations compiles, summarizes, and synthesizes the most relevant scientific literature available in the field today.Each succinct, problem-oriented chapter addresses a different controversial issue where there is a lack of consensus about the best possible course of action. The authors provide guidance and objective recommendations for each scenario based on the most relevant data found in the literature to give surgeons the background they need to make fully informed treatment decisions.Features: Concise outline format enables rapid reading for the busy spine surgeon Invaluable synopses of highly practical evidence-based literature Detailed coverage of commonly disputed issues, such as how to manage vertebral compression fractures, surgery for axial back pain, minimally invasive lumbar fusion, the use of prophylactic antibiotics in spine surgery, and much more Grading of Best Evidence feature in which the authors rate the viability of the data presented Numerous summary tables throughout the text emphasize the main conclusions of published studies Pearls highlight important points in each chapter This cutting-edge clinical reference will help every resident, fellow, and spine surgeon in orthopaedic surgery and neurosurgery streamline their medical decision making process and improve their patient care.This is exactly the book one should have ready access to.--American Journal of NeuroradiologyAll providers who care for patients with spinal problems should consider using this book to help with decision making for their patients on an everyday basis.--Journal of Neurosurgery

Written and edited by world-renowned experts in the field, Benzel’s Spine Surgery: Techniques, Complication Avoidance and Management, 5th Edition, provides expert, step-by-step guidance on the evaluation and management of disorders of the spine. This definitive, two-volume work explores the full spectrum of techniques used in spine surgery, giving you the tools you need to hone your skills and increase your knowledge in this challenging area. Clearly organized and extensively revised throughout, it features contributions from both neurosurgeons and orthopaedic surgeons to present a truly comprehensive approach to spine disease. Offers a thorough overview of the effective management of patients with spinal disorders, including fundamental principles, biomechanics, applied anatomy, instrumentation, pathophysiology of spinal disorders, surgical techniques, motion preservation strategies, non-surgical management, and complication avoidance and management, as well as controversies. Focuses on both pathophysiology and surgical treatment of spine disease, with an increased emphasis on minimally invasive surgery. Contains new features such as key points boxes at the beginning of chapters and algorithms to help streamline the decision making process. Covers today’s hot topics in spine surgery, such as health economics, artificial intelligence, predictive analytics, new less invasive techniques including endoscopic spine surgery, and the future of spine surgery. Provides expert coverage of key topics including biomechanics of motion preservation techniques, spinal injuries in sports, biologics in spine fusion surgery, anterior sub-axial cervical fixation and fusion techniques, complex lumbosacropelvic fixation techniques, and many more. Features more than 1,500 high-quality illustrations, as well as new procedural videos on en bloc spondylectomy, minimally invasive endoscopic posterior cervical foraminotomy, cervical total disc replacement, minimally invasive lumbar decompression of stenosis, and more. Enhanced eBook version included with purchase. Your enhanced eBook allows you to access all of the text, figures, and references from the book on a variety of devices.