E-Book, Englisch, 878 Seiten, ePub
DeWald / Dewald Spinal Deformities
2. Auflage 2024
ISBN: 978-1-63853-411-2
Verlag: Thieme
Format: EPUB
Kopierschutz: Adobe DRM (»Systemvoraussetzungen)
The Comprehensive Text
E-Book, Englisch, 878 Seiten, ePub
ISBN: 978-1-63853-411-2
Verlag: Thieme
Format: EPUB
Kopierschutz: Adobe DRM (»Systemvoraussetzungen)
The definitive authoritative textbook on spinal deformities from the Scoliosis Research Society
, edited by renowned spinal deformity surgeons Christopher J. DeWald and his father Ronald L. DeWald, is a long-awaited, authoritative, one-stop resource that covers the breadth and depth of this specialized field. The first edition textbook edited by Ronald DeWald attempted to help formulate a Scoliosis Research Society (SRS) core curriculum for spinal deformity to meet the educational needs of both aspiring and seasoned spine deformity surgeons. This second edition edited by father and son expands and reorganizes the core curriculum concept. Since the publication of the first edition in 2003, significant advancements have been made in this field. This book reflects greater understanding of the mechanics of correction, new implants and techniques that improve three-dimensional correction, emergence of innovative growing constructs for early-onset scoliosis, and introduction of minimally invasive and nonfusion approaches.
The textbook features 81 chapters organized into six comprehensive sections: Spinal Anatomy and Evaluation, Spinal Pathologies, Pediatric and Adolescent Spinal Deformity, Adult Spinal Deformity, Spondylolisthesis, and Surgical Considerations and Complications. From perioperative management to intraoperative neuromonitoring techniques, the authors share strategies to enhance patient safety and optimize surgical outcomes. Greatly expanded content covers anatomy, etiologies, pediatric and adult deformities, surgical and nonsurgical treatments, and potential pitfalls.
Key Features
- Sponsored by the SRS, with 100% of contributions from members, including senior surgeons
- Step-by-step instructions on diagnosis, surgical planning, operating room setup, intraoperative techniques, and management of complex complications
- Forty videos covering major techniques enhance understanding of surgical procedures and facilitate acquisition of practical skills
This comprehensive reference and practical guide is essential reading for all spine deformity surgeons, from residents and fellows to more advanced practitioners.
This book includes complimentary access to a digital copy on https://medone.thieme.com.
Publisher's Note: Products purchased from Third Party sellers are not guaranteed by the publisher for quality, authenticity, or access to any online entitlements included with the product.
Autoren/Hrsg.
Fachgebiete
Weitere Infos & Material
Section I. Spinal Anatomy and Evaluation
1A: Surgical Anatomy of the Cervical Spine
1B: Surgical Anatomy of the Thoracic Spine
2A: Surgical Anatomy of the Lumbar Spine
2B: Surgical Anatomy of the Sacrum and Pelvis
3: Neuroanatomy of the Spine
4: Embryology and Maturation of the Spine
5: Biomechanics of the Spine
6: Mechanics of Sagittal Balance
7: Radiographic Measurements in Spinal Deformity
8: Spinopelvic Parameters
9: Evaluation of the Patient with Congenital Spine Deformity
10: Evaluation of the Pediatric and Adolescent Spinal Patient
11: Evaluation of Neuromuscular and Syndromic Spinal Deformity Patients
12: Evaluation of the Adult Spinal Deformity Patient
Section II. Spinal Pathologies
13: Degenerative Disk Disease
14: Spinal Inflammatory Arthritides
15: Spinal Neuroarthropathy (Charcot's Spine)
16: Pyogenic Vertebral Infection
17: Management of Metastatic Disease to the Spine
18: Spinal Trauma and Neurological Injury
19: Anterior Horn Cell Disease: Poliomyelitis, Spinal Muscular Atrophy, and Acute Transverse Myelitis
20: Congenital and Developmental Spinal Cord Abnormalities: Syringomyelia, Tethered Cord, Diastematomyelia, and Diplomyelia
21: Spinal Dysraphisms
22: The Spine in Friedrich's Ataxia, Charcot–Marie–Tooth Disease, and Familial Dysautonomia
23: Cerebral Palsy and Muscular Dystrophies
Section III. Pediatric and Adolescent Spinal Deformity
24: Congenital Scoliosis and Kyphosis
25: Idiopathic Scoliosis: Prevalence and Natural History
26: Genetics of Adolescent Idiopathic Scoliosis
27: Neuromuscular Scoliosis
28: Scheuermann's Kyphosis
29: Neurofibromatosis in Spinal Deformity
30: Spinal Deformity in Syndromic Spinal Diseases
31: Infectious and Inflammatory Disorders
32: Primary Spine Neoplasms
33: Pediatric Spine Trauma
34: Casting in Infantile Idiopathic Scoliosis
35: Bracing and Exercises for Scoliosis
36: Basic Principles of Spinal Deformity Correction
37: Early Onset Scoliosis
38: Vertical Expandable Prosthetic Titanium Rib
39: Adolescent Idiopathic Scoliosis Surgical Correction
40: Surgical Techniques for the Stiff Deformity
41: Anterior Scoliosis Surgery for Adolescent Idiopathic Scoliosis
42: Rib Resection/Thoracoplasty
43: Postlaminectomy Kyphosis
Section IV. Adult Spinal Deformity
44: Degenerative/De Novo Scoliosis
45: Adult Postidiopathic Scoliosis: Decision to Operate
46: Kyphotic Deformities in the Adult
47: Cervical Spinal Deformity
48: Inflammatory Arthritic Conditions of the Spine
49: Vertebral Osteomyelitis in the Adult
50: Neoplasms of the Spinal Column
51: Adult Spine Trauma
52: Physical Therapy
53: The Use of Spinal Injections in Spinal Deformity Patients
54: Spinal Fusion
55: Posterior Spinal Surgical Techniques in Adult Spinal Deformity
56: Open Anterior Spinal Surgery in Adult Spinal Deformities
57: Sacropelvic Fixation in Spinal Deformity
58: Staging Procedures
59: Minimal and Lesser Invasive Approaches to the Anterior Spine in Adult Spinal Deformity
60: Revision Surgery
61: Spinal Osteotomies: Smith-Petersen and Pedicle Subtration
Section V. Spondylolisthesis
62: Spondylolysis and Spondylolisthesis in the Pediatric Patient
63: Surgical Treatment for Pediatric Spondylolisthesis
64: Spondylolisthesis in the Adult Low-Grade Spondylolisthesis
65: High-Grade Spondylolisthesis in the Adult Patient
Section VI. Surgical Considerations and Complications
66: Nutritional Concerns
67: Osteoporosis: Evaluation and Pharmacologic Treatment
68: Surgical Planning
69: Anesthesia
70: Patient Positioning for Thoracolumbar Deformity Surgery
71: Management of Perioperative Blood Loss in Spine Surgery
72: Neuromonitoring
73: Avoiding Neurologic Deficits in Spinal Deformity Surgery
74: Bone Grafting
75: Prevention of Surgical Site Infections in Spine Surgery
76: Rehabilitation
77: Neurologic Complications
78: Incidental Durotomy in Deformity Surgery
79: Structural Complications in Spinal Deformity Surgery
80: Proximal Junctional Kyphosis and Proximal Junctional Failure
81: Flatback and Other Postoperative Sagittal Malalignment Syndromes
Videos
Video 1: Adult Spinal Deformity: Degenerative Kyphoscoliosis
Comron Saifi and Vincent Arlet
Demonstration of the planning, preoperative spinopelvic measurements, and the surgical correction of a 65-year-old woman with severe degenerative kyphoscoliosis. It is accomplished in two stages with an anterior antepsoas fusion followed by a second stage T4–pelvis posterior fusion with multiple, posterior, single-column osteotomies.
Video 2: Adult Idiopathic Lumbar Scoliosis Correction
Christopher J. DeWald
Demonstration of an adult with thoracolumbar scoliosis, posterior spinal correction from T11 to L3 with posterior spinal instrumentation, and posterior column osteotomies.
Video 3: Adult Degenerative Lumbar Scoliosis Correction
Christopher L. Hamill
After placing pedicle screws, pelvic screws, and performing posterior facetectomies/osteotomies, this video demonstrates the use of rod bending and reduction towers to complete the scoliosis correction in an adult patient. Preoperative and postoperative X-rays are shown.
Video 4: Vertebral Column Resection, T7
Christopher J. DeWald and Ricardo B. V. Fontes
Demonstration of a three-column osteotomy of a T7 vertebral column resection for a severe adolescent osteochondritis in a teenage boy with Rubenstein-Taybi syndrome. A large oblique interbody titanium cage was chosen versus an expandable cage as we were able to securely compress across this cage.
Video 5: Anterior Lumbar Interbody Fusion/Cage
Christopher J. DeWald
Demonstration of a horizontal incision for a single-level ALIF at L5–S1. This is a portion of a longer video under the revision spinal surgery video.
Video 6: Pedicle Subtraction Osteotomy of L5
Christopher J. DeWald
Demonstration of a pedicle subtraction osteotomy (PSO) across a L5 hemivertebrae status post a posterior spinal fusion using Harrington rod posterior fixation many years ago. The PSO included the hemivertebrae and half of the angled L4 vertebrae within the solid arthrodesis.
Video 7: Resection of Pedicle for PSO
Ricardo B. V. Fontes
Demonstration of the pedicle resection portion of a pedicle subtraction osteotomy using an osteotome. Placement of a temporary rod is also shown.
Video 8: Removal of Broken or Stripped Pedicle Screws
Christopher J. DeWald
Demonstration of different techniques of removing broken or stripped screws. There are a couple of tricks to remove these screws. Watch out for the HA-coated screws.
Video 9: Distal Revision of a Long Spinal Construct
Christopher J. DeWald
Demonstration of a distal junctional failure extension to the pelvis after an early distal failure with a distraction injury at L4–L5. Note the use of dual rod-to-rod connectors.
Video 10: S2AI (S2 Alar–Iliac) Screw Placement
Christopher J. DeWald
Demonstration of the placement with fluoroscopy images of a S2 alar–iliac screw pelvic fixation.
Video 11: Placement of an Iliac Screw
Ricardo B. V. Fontes
Demonstration of placement of an iliac screw with power tap and screw driver.
Video 12: Minimally Invasive Fixation of the Sacropelvic
Saman Shabani, Nishanth Krishnan, Anthony Lee, Nitin Agarwal, Dean Chou, and Praveen Mummaneni
Demonstration of a right sided iliac screw via a Minimally Invasive (MIS) technique using CT navigation for use in a longer spinal construct.
Video 13: Placement of Proximal Hooks and Thoracolumbar Hooks (Claw)
Christopher J. DeWald
Video showing proximal use of hooks to top off a scoliotic construct. The use of hooks is a forgotten technique but is useful as a damping effect at the cephalad aspect of a long spinal construct to help decrease risk of catastrophic junctional kyphosis as well as an important technique when pedicles are very small.
Video 14: Surgical Techniques for Posterior Iliac Crest Harvesting
Vardhaan S. Ambati, Saman Shabani, Anthony Lee, Nitin Agarwal, Jeremy Huang, Dean Chou, and Praveen Mummaneni
Demonstration of obtaining a tri-cortical autograft via an open approach from the right ilium is presented.
Video 15: Technique of a Posterior Interbody Fusion via a Minimally Invasive Technique
Ricardo B. V. Fontes
Using a microscope in an MIS TLIF technique.
Video 16: Open Interbody Fusion for a Severe Foraminal Stenosis in a Grade 2 Spondylolisthesis/Gill Laminectomy
Christopher J. DeWald
An open decompression with Gill laminectomy of a high-grade 2 lytic spondylolisthesis of L5–S1. The foramen is sequentially opened from one side to the other and then compressed to improve lordosis and compress the interbody cages.
Video 17: Surgical Treatment of Isthmic Spondylolisthesis
Philip K. Louie and Howard S. An
Video and discussion of the surgical technique of a Gill laminectomy of a L5–S1 isthmic spondylolisthesis.
Video 18: Spondylolysis Repair—Minimally Invasive Technique
Patrick J. Cahill
Demonstration of the use of an MIS technique in the repair of a spondylolysis.
Video 19: Dome Osteotomy of a High-Grade Spondylolisthesis
Ricardo B. V. Fontes and Frank Phillips
Demonstration of the decompression, distraction across the lumbosacral kyphosis, partial translation/reduction, and final compression of a high-grade spondylolisthesis. Key points are presented at the conclusion of the video.
Video 20: Dual Differential Correction of an Adolescent Idiopathic Scoliosis
Christopher J. DeWald
Demonstration of the DDC technique of adolescent scoliosis surgical correction. The idea of DDC is to use a softer metal (titanium) on the convex portion of a thoracic curve and a stiffer hyper-bent rod (cobalt chrome) on the concave curve. The convex rod acts as the AXIS of derotation while the stiffer concave rod allows the curve to distract while derotating. This slow segmental process ideally allows derotation without the need for DVR towers and improved thoracic kyphotic posture.
Video 21: Thoracoplasty/Rib Resection in Severe Scoliosis
Christopher J. DeWald
Demonstration of a technique of thoracoplasty of a 100-degree scoliosis case. After exposing the rib prominence adjacent to the spine, the medial rib is exposed, and a rib stripper is used to completely separate the adjacent tissue off the rib. Care is taken to strip the inferior aspect of the rib to protect the neurovascular bundle. Approximately 1 to 1.5 cm of rib is removed medial to the rib angle to the lateral aspect of the spine. The rib is cut just medial to the angle of the rib, so the cut surface is not protruding posteriorly against the muscle or skin.
Video 22: Vertebral Body Tethering
Patrick J. Cahill
An intraoperative endoscopic video demonstrating the placement of a vertebral tethering in an adolescent patient with thoracic scoliosis.
Video 23: Scheuermann’s Kyphosis Surgical Correction
Christopher J. DeWald
Demonstration of multiple posterior osteotomies (Ponte osteotomies) for the correction of a thoracic Scheuermann’s deformity. A combination of cantilever forces combined with compressive forces provide for a segmental correction of the kyphotic deformity.
Video 24: Rod Bending Techniques—One and Two Surgeon Methods
Christopher J. DeWald and Christopher L. Hamill
Not all rods are pre-bent. This video demonstrates two intraoperative rod bending methods. It is an art.
Video 25: Ponte Osteotomies
Christopher J. DeWald
Posterior single-column osteotomies—Ponte osteotomies are demonstrated in the correction of a thoracolumbar scoliosis.
Video 26: Sublaminar Wires
Gregory Benes and Paul Sponsellor
An instructional video demonstrating the placement of sublaminar wires in the thoracic spine in a juvenile patient. Key points of the technique are discussed.
Video 27: Facetectomies for Scoliosis Correction
Christopher J. DeWald
The Chicago method for performing facetectomies in an idiopathic thoracic scoliosis is demonstrated. Special care is taken to identify the laminar facet junction to safely remove the inferior facet while always beware of protecting the spinal cord. Both 0.5-inch osteotome and an ultrasonic scalpel are used.
Video 28: Direct Vertebral Rotation for Idiopathic Scoliosis
Christopher J. DeWald
The use of DVR towers to derotate the spine in an idiopathic scoliosis is demonstrated. Interconnecting towers are used to derotate segmentally versus using an en-bloc technique. Each vertebra is slowly derotated by tightening the concave towers while holding the convex towers with a clockwise rotation force. Each set of tower connection is visited over and over to continue the derotation until the final correction.
Video 29: Anterior Cervical Diskectomy and Fusion
Howard S. An and Philip K....
