Written by an international group of recognized experts, this volume addresses the complications of spine surgery and the treatment of patients with adverse surgical outcomes. Coverage includes discussions of failed spine fusion, postoperative scoliosis, postoperative flat back, postoperative infection, epidural fibrosis, and complications resulting from implants and devices. Chapters offer guidelines on patient selection for surgery and identify psychosocial risk factors for chronic pain. Sections on treatment of the failed spine cover medications, physical therapy, and invasive modalities including radiofrequency procedures, spinal cord stimulation, epiduroscopy, and revision lumbar fusion. A treatment algorithm for the failed back surgery syndrome is included.

In the eight years since the first edition of this book several marvelous technical advances have become available clinically for the care of patients with "failed back syndromes. " High resolution MRI scans, three dimension al CT scans, and percutaneous discectomy are notable technological ad vances. Overall, however, the problem of "the failed back" remains as complex and poorly understood as ever. A discouraging amount of what we claim to be our knowledge of the pathophysiology and appropriate therapy for the complex of disorders that constitute the failed back syndrome re mains unvalidated by careful scientific study. 1 The discussions of patho physiology, diagnosis, and therapy put forth in the first edition for the most part remain equally as valid or as controversial as they were eight years ago. The first edition was well received by numerous physicians and other health care givers from a variety of disciplines and through them the book seems to have contributed usefully to many of those who suffer the unpleasant mal adies of "the failed back. " I hope this second edition will likewise prove to be a positive contribution. The timing of the publication of this second edition is significant in several ways in the context of the current medicolegal climate in the United States.

This book covers the content of European postgraduate spine surgery courses, using a case-based approach. It describes a stepwise solution to a real-world clinical problem and compares this with the best available evidence. It then provides suggestions on how to bridge the gap (if there is one) between standard of care and evidence-based medicine. Spine Surgery: A Case-Based Approach is aimed at postgraduate students of spine surgery (both trainee neurosurgeons and trainee orthopedic surgeons), and is also of interest to medical students.

Offering in-depth coverage of an often-neglected topic, Revision Lumbar Spine Surgery identifies clinical problems and discusses recent major advances in this challenging area. Dr. Robert F. Heary and a team of international experts share their knowledge and experience with even the most difficult lumbar cases, helping you provide optimal outcomes for your patients. You'll find authoritative guidance on indications, diagnosis, approaches, and follow-up, with a focus on the significant advances that have occurred over the past two decades in this fast-changing field. - Identifies the clinical problems related to unsuccessful back spine surgery as well as indications, diagnosis, and new treatment options and advances in this complex area. - Provides in-depth information on the multiple options that exist for most clinical situations: anterior, posterior, lateral, and combined anterior and posterior approaches. - Covers methods of fixation, the use of interbody grafting, and surgical planning related to scar tissues, bleeding, and spinal fluid leaks. - Discusses critical follow-up topics such as key clinical procedures, radiography, patient reported outcomes, and pain management. - Includes timely chapters on robotics, bone density issues, medical fitness concerns, instrumentation options, imaging considerations, and much more.

This open access book offers an essential overview of brain, head and neck, and spine imaging. Over the last few years, there have been considerable advances in this area, driven by both clinical and technological developments. Written by leading international experts and teachers, the chapters are disease-oriented and cover all relevant imaging modalities, with a focus on magnetic resonance imaging and computed tomography. The book also includes a synopsis of pediatric imaging. IDKD books are rewritten (not merely updated) every four years, which means they offer a comprehensive review of the state-of-the-art in imaging. The book is clearly structured and features learning objectives, abstracts, subheadings, tables and take-home points, supported by design elements to help readers navigate the text. It will particularly appeal to general radiologists, radiology residents, and interventional radiologists who want to update their diagnostic expertise, as well as clinicians from other specialties who are interested in imaging for their patient care.

"... I would recommend this book for an in-depth analysis of the lumbar spine and its degenerative states ... extremely beneficial for the resident early in trainings as he or she attempts to correlate the complex anatomy of the lumbosacral region with associated pathological states ...” Journal of Neurosurgery

In light of evolving techniques and strategies for increasingly complex orthopedic procedures, this accessible guide to patient management outlines the considerations involved in selecting the most suitable anesthetic for both common and complex clinical scenarios. Chapters cover a multitude of clinical presentations and procedures, ranging from orthopedic trauma to total joint replacement, outpatient hand procedures and regional anesthetic placement in patients with pre-existing conditions. Each chapter discusses and evaluates multiple approaches, accompanied by a review of the current literature. Abundant case scenarios of patients undergoing orthopedic surgical or regional anesthesia provide a handy framework for specialists and consultants, as well as an invaluable guide for trainees in anesthesia, regional anesthesia and emergency medicine.