基本説明
Drawing on the expertise of world-renowned orthopedic and neurological spine surgeons, this book compiles, summarizes, and synthesizes the most relevant scientific literature available in the field today.
Full Description
A best evidence approach to key topics in spine surgeryDrawing 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.
Contents
Section I Introduction1 Introduction to Best Evidence MedicineSection II TraumaCervical Spine2 Clearing Cervical Spine Injuries: MRI, Dynamic X-rays, CT3 Type II Odontoid Fractures: Operative versus Nonoperative Management4 Management of Cervical Facet Fractures: Surgical Indications and Approach5 Management of Cervical Facet Dislocations: Role of Magnetic Resonance Imaging6 Management of Cervical Facet Dislocations: Timing of Reduction7 Management of Cervical Facet Dislocations: Anterior versus Posterior ApproachThoracolumbar Spine8 Thoracolumbar Burst Fracture: Surgery versus Conservative Care9 Vertebral Compression Fractures: Percutaneous Vertebral AugmentationSpinal Cord Injury10 Use of Steroids for Spinal Cord Injury11 Role of Early Surgical Decompression for Spinal Cord InjurySection III DegenerativeCervical Spine12 Cervical Myelopathy: Anterior versus Posterior Approach13 Cervical Myelopathy: Timing of Surgery14 Cervical Myelopathy: Meaning of Magnetic Resonance Imaging Signal Changes15 Avoidance of Cervical Adjacent Segment DiseaseThoracolumbar Spine16 Adult Low-Grade Spondylolisthesis: Conservative Treatment versus Surgery17 Adult Low-Grade Spondylolisthesis: Surgical Approach, Role of Fusion, Role of Instrumentation18 Adult Low-Grade Spondylolisthesis: Role of Reduction versus Fusion In Situ19 Surgery for Axial Back Pain: ALIF versus PLIF or TLIF20 Recurrent Lumbar Disk Herniation: Repeat Diskectomy versus Fusion21 Management of Thoracic Disk HerniationSection IV Technology22 Rigid versus Dynamic Cervical Plates: Indications and Efficacy23 Bone Morphogenetic Protein in the Cervical Spine: Efficacy and Associated Risks24 Role of Cervical Disk Replacement: Does It Avoid the Shortcomings of a Fusion?25 Role of Lumbar Disk Replacement: Does It Avoid the Shortcomings of a Fusion?26 Minimally Invasive Lumbar Fusion: Results and Complications Compared with Open Techniques27 Magnetic Resonance Imaging Findings of Posterior Ligamentous InjurySection V Infection28 Bone Morphogenetic Protein in the Settingof Infection: Indications, Risks, and Efficacy29 Spine Infections: Medical versus Surgical Treatment Options30 Use of Prophylactic Antibiotics in Spine Surgery
