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Full Description
Complications in Spinal Surgery: A Comprehensive Guide is a comprehensive reference for before and after surgery, covering the common complications, but also the rare complexities which can occur. Unique to this book are the other implications of complications, such as how to approach patients and families, the medicolegal aspects of complications and how to deal with these situations at a personal level. With its evidence-based approach, real-world case discussions, and expert perspectives, it equips readers with the knowledge and confidence to navigate the complexities of spine surgery and improve patient outcomes. The book is divided into major sections, including safety in spine surgery, general complications, complications by region (cervical, thoracic, lumbar, and sacral), complications related to pediatrics, and then predictive analytics. Although some complications can happen irrespective of the spinal region, dividing into anatomical sections make the most sense for the reader. Complications in Spine Surgery: A Comprehensive Guide serves as an essential reference authored by leading global experts, offering a comprehensive and practical guide to one of the most challenging aspects of spine care. Designed to benefit both surgeons-in-training—residents and fellows—and seasoned professionals in orthopedic and neurosurgical spine practice, this book provides critical insights into the prevention, recognition, and management of complications.
Contents
Part 1. Safety in Spine Surgery
1. Defining and classifying complications in spine surgery
2. Medicolegal implications of complications in spine surgery
3. The psychology of failure
4. Approaching patients and families
5. Best practice guidelines and checklists
6. Preoperative planning in general and complex spinal surgery
7. Antibiotic therapy in spine surgery
8. Anesthetic considerations in spine surgery
9. Intraoperative neuromonitoring
10. Intraoperative navigation setup and failures
11. Robotic spine surgery setup and failures
Part 2. General Complications
12. Complications related to prone positioning
13. Complications related to lateral positioning
14. Massive blood loss
15. The osteoporotic spine
16. Wrong level and wrong side surgery
17. Retention of foreign bodies
Part 3. Cervical Spine
18. Postoperative dysphagia
19. Vertebral artery injury
20. Esophageal injury
21. Thoracic duct injury
22. Recurrent laryngeal nerve palsy
23. Horner's syndrome
24. Spinal Cord Injury
25. Cervical durotomy and pseudomeningocele
26. Hypoglossal nerve palsy
27. Acute anterior implant extrusion and failure
28. Acute posterior implant extrusion and failure
29. Soft tissue and epidural hematoma
30. Anterior cervical infection
31. Misplaced cervical screws
32. C5 palsy
33. Adjacent segment disease
34. Proximal junctional kyphosis and failure in the cervical spine
35. Laminoplasty failure
36. Disc replacement failure
Part 4. Thoracolumbar Spine
37. Thoracic or lumbar screw misplacement
38. Complications in robotic-assisted screw placement
39. Loss of motor signals during deformity surgery
40. Pseudoarthrosis
41. Venous injury (vena cava, iliac)
42. Arterial injury (aorta, iliac)
43. Lung injury
44. Bowel injury
45. Ureter injury
46. Proximal junctional kyphosis and failure in the thoracolumbar spine
47. Incidental durotomy, pseudomeningocele, and postoperative CSF leak
48. Incidental durotomy during tubular or endoscopic spine surgery
49. Postoperative deep/organ space infection
50. Postoperative wound infection - prevention and risk management
51. Screw osteolysis in severe infection
52. Perioperative visual loss
53. Disc replacement failure
54. Cement extravasation
Part 5. Sacrum
55. Insufficiency fractures after sacrectomy for primary tumors
56. Insufficiency fractures after long-segment instrumentation
57. S2AI screw loosening
58. Pelvic screw failure
59. Sacroiliac joint pain after instrumentation
60. Rectal injury
Part 6. Pediatric Spine
61. Halo gravity traction complications
62. Neuromonitoring signal changes during deformity correction
Part 7. Complication Prediction
63. Patient risk factors for perioperative complications
64. Logistic regression models to predict complications
65. Artificial intelligence and machine learning to predict complications



