Rothman Simeone The Spine 6th Edition 2 Volume Set (Expert Consult Series) with DVD

This edition of The Spine, the Sixth, has been assembled under the direction of the same Editorial Board that was responsible for the Fifth edition (2000). The guiding principles taught to us by our mentors, Richard H. Rothman, MD, PhD, and Frederick A. Simeone, MD, permeate the chapters of this Sixth edition. They include (1) understanding of the basic science behind the clinical aspects of spinal disorders, (2) knowledge of natural history and the clinical course, and (3) treatment based on sound science and evidence-based literature.

This new edition of The Spine continues the tradition of providing a comprehensive book of spinal disease affecting children and adults. It is dedicated to students of spinal disease regardless of specialty and rank. It is also dedicated to the patients whose care may be influenced by the words contained within its 108 chapters. Because history plays such an important role in furthering scientific knowledge, a review of the previous prefaces will help put this new edition in proper perspective.

The forerunner to The Spine was The Intervertebral Disc by Drs. Rothman and DePalma. In their preface written in 1970, the authors wrote: "The role of the intervertebral disc in the production of neck and back pain, with or without radiation into one of the extremities, has been the subject of much investigation for many decades. … The disc has been attacked from every conceivable angle, the most important of which is its biochemical nature and its response to physiologic aging and trauma. In spite of the exhaustive studies recorded in the literature, it is alarming to find how little of this knowledge has been acquired by those concerned with neck and back disorders. … This monograph deals with the modern concepts of the biochemical structure of the disc, its functional role, and how different phases of alterations in the disc are related to the presenting clinical syndrome. … We are sure that much that is recorded in this book is still very controversial. Yet, we believe that our approach to this complex problem will be helpful and rewarding to others.” This comprehensive monograph on the disc totaled 373 pages. A significant portion of the information it contained was based on the authors’ own work and rigorous analysis of their results. The sections on the chemistry and physiology of the disc, though the crux of the book, were limited and reflected the state of knowledge at the time. However, it did crystallize concepts of the disc for spine physicians of the day and served as the forerunner of the books that were to follow.

In the preface to the First edition, Rothman and Simeone stated: “The Spine had as its genesis a strong feeling on the part of its editors that a need existed for a comprehensive textbook to include all aspects of diagnosis and treatment of spinal disease. Our goals were to lower the traditional disciplinary barriers and biases and to present a uniform guideline to problem solving in this area. … This book has been designed to include all facets of disease related to the spine, whether orthopedic, neurosurgical, or medical in nature. … An attempt has been made to achieve completeness without exhaustive and burdensome details. The contributing authors have not merely recorded the possibilities in diagnosis and treatment of spinal disorders but have relied on their personal experience to offer concrete recommendations.” The success of that effort is legend. The First edition of The Spine followed the dictates of the editors, covered the full range of knowledge of spinal disorders known at the time, and became an essential component of the libraries of all medical personnel who dealt with spinal disorders. The authors, one a neurosurgeon (F.A.S.) and one an orthopaedic surgeon (R.H.R.), combined their efforts to teach the world not only diseases of the spine, but also the importance of working together in an attempt to understand and treat the disease processes. Their spinal fellowship, as well as personal fellowship, was (is) based on this team, multidisciplinary, yet regimented approach to the spine, and has been the model that we have sought to achieve in our own clinical and teaching environments. In fact, it may be required in the future that successful spine fellowships be a coordinated effort between multispecialties, as envisioned and taught by Drs. Rothman and Simeone, so that the spine is not broken up into multiple segments (bone, nerves, discs, etc.).

The preface to the Second edition of The Spine stated: “Advancements in medicine generally follow broader scientific and even social trends. The treatment of spine diseases is no exception. Consequently, increments of new information have been added to the general body of knowledge in spotty, but predictable areas. These new developments constitute the raison d’etre for this Second edition. The dramatic progress in radiologic imaging stands out as the most useful innovation. … Logic indicates that the next generation of (CT) scanners will delineate all thoracic and cervical disc lesions. Spinal trauma is managed better since the advent of computed tomography. Infections, tumor infiltration, and congenital malformations are being better understood as experience grows. … Each contributor has demonstrated his commitment to summarizing the most recent information in a manner useful to students and clinicians alike, and for this the editors are proud and appreciative.”

The preface to the Third edition included the following: “The current edition has new editorial leadership. Those of us involved in the direction of this project have tried to follow the model previously established by Drs. Rothman and Simeone in finding the best authors for each chapter. We, hopefully, have emphasized, as in past editions, the importance of understanding the basic science in a concise manner, which leads to the ability to make appropriate decisions and manage patients with simple or complex spinal problems. We have attempted to update each section, have eliminated those areas that are not current, and have separated some components of the basic science from the clinical to aid readers in locating pertinent information in the ever-increasing body of knowledge related to the spine.”

The current editors have been involved with Dick Rothman and Fred Simeone in various ways. Some have been fellows, some residents, and some partners. Each of us has developed special feelings and interactions with them. Each of us has carried the messages they teach and actively practice to our own clinical and research environments. They have taught us the importance of combining scientific queries with active clinical practices and have fostered in us the desire to succeed clinically and academically in an open and honest fashion.

The Fourth edition of Rothman and Simeone The Spine was the largest in terms of physical size and number of pages. The Editorial Board for the Fourth edition carried over from the Third edition. The Fourth edition provided expanded information on magnetic resonance imaging and laparoscopic and endoscopic surgery. It contained a comprehensive discussion of disc degeneration and its treatment. This edition also introduced a chapter on outcomes research and its importance to our assessment of functional outcome in addition to the more traditional measurements of success, including radiographic parameters. For the first time, the Fourth edition contained a chapter on ossification of the posterior longitudinal ligament and its treatment.

The Fifth edition of The Spine added much new information, along with significant updates in content and references. This edition introduced key points, which were four or five important concepts and facts contained at the end of many of the clinical chapters. There was also added a key reference section for each chapter, which highlighted the most significant references. Chapters new to the Fifth edition included surgical management of osteopenic fractures, disc and nuclear replacement, management of flatback deformity, use of transforaminal lumbar interbody fusion, and use of bone graft extenders and bone morphogenetic protein (BMP) in the lumbar spine. Other new chapters included thoracoscopic surgery and its clinical applications and intraoperative monitoring, including motor-evoked potentials. A new chapter on genetic application and its exciting role for future treatments of degenerative disease was included in the basic science section. Minimally invasive posterior approaches to the lumbar spine were also introduced in that edition.

Significant updating of many of the chapters introduced in the Fourth edition was noted throughout the Fifth edition. These included chapters on spinal instrumentation, adult scoliosis, surgery for rheumatoid arthritis and spondylitis, and cervical myelopathy and its management, including detailed discussions of anterior and posterior approaches, along with the detailed surgical techniques for these approaches.

This new edition, the Sixth, continues under the same Editorial Board as the previous one. The editors were charged with ensuring that the chapters within their sections contained the latest evidence-based information whenever available. This edition also continues the use of key points and key references at the end of each chapter. These have been very useful to highlight the significant information contained within those respective chapters.

New chapters include those devoted to arthroplasty for cervical and lumbar degenerative disorders. In addition, revision strategies for failed disc replacements highlight the potential difficulties in dealing with this complex surgical problem.

The Fifth edition introduced the concepts of minimally invasive surgery. The Sixth edition significantly expands the discussion with six chapters devoted to the rationale for minimally invasive surgery and the surgical techniques, results, and complications. A chapter devoted to soft stabilization for lumbar fixation has also been added.

Also, new to this edition are a chapter devoted to annulus repair, which summarizes the research done in this evolving field, and a chapter devoted to the basic science of spinal cord injury which highlights the advances made in the understanding of this devastating condition. As has been done in previous editions, chapter updates have been incorporated throughout the book whenever appropriate, including updated references. Finally, a video library of surgical techniques and procedures in the cervical and lumbar spine is included in a DVD format for all readers of this new edition.

The editors are confident that readers of this Sixth edition will continue to find the resources and information needed to help care for children and adults with spinal afflictions. The editors are confident that this new edition will continue to serve as a valuable educational resource for all students of The Spine from neophytes to experienced practitioners regardless of their chosen specialty.

The Editorial Board remains committed to the broad-based appeal of this book, as demonstrated in the previous editions. The authors include basic scientists, neuroradiologists, neurologists, physiatrists, and rheumatologists, along with orthopaedic surgeons and neurosurgeons. In addition, this book remains unique in providing comprehensive sections on pediatric disorders, as well as adult disease. Its comprehensive content ranges from degenerative disease to deformity to trauma and tumor. Afflictions of the spinal cord along with detailed discussions of complications and their management contribute to this book's broad appeal.

The Editorial Board feels confident that the readers of this Sixth edition will find the information necessary to diagnose and care for pediatric and adult patients afflicted with spinal disease of all types regardless of the complexity.

Finally, the Editorial Board is proud to call The Spine, Sixth edition, the continued primary reference resource for all physicians and nonphysicians with an interest in disorders of the spine.
Harry N. Herkowitz, Steven R. Garfin, Frank J. Eismont, Gordon R. Bell, Richard A. Balderston

Book Features
  • Get the best results from the full range of both surgical and non-surgical treatment approaches with guidance from the world's most trusted authorities in orthopaedic spine surgery.
  • Find important information quickly through pearls, pitfalls, and key points that highlight critical points.

Website Features
  • Consult the book from any computer at home, in your office, or at any practice location.
  • Instantly locate the answers to your clinical questions via a simple search query.
  • Quickly find out more about any bibliographical citation by linking to its MEDLINE abstract.
  • Images: Browse a Library of all book images. Easily select, organize, and download your images into a presentation.
  • Videos: Watch experts perform key techniques in real time, demonstrating minimally invasive surgery: SED procedure; thorascopic techniques; lumbar discectomy; pedicle subtraction osteotomy (PSO); C1, C2 fusion; intradural tumor; cervical laminoforaminoty; and much more.

New in this Edition
  • Watch experts perform key techniques in real time with videos, on DVD and online, demonstrating minimally invasive surgery: SED procedure; thorascopic techniques; lumbar discectomy; pedicle subtraction osteotomy (PSO); C1, C2 fusion; intradural tumor; cervical laminoforaminoty; and much more.
  • Apply the newest developments in the field thanks to expert advice on minimally invasive surgery, spinal arthroplasty and the latest spinal implants and equipments.
  • See procedures clearly through an all new full-color design with 2300 color photographs and illustrations placed in context.
  • Access the fully searchable contents of text online at
The new edition of the leading spine book in the fast-paced field of spine surgery presents state-of-the-art treatments and surgical techniques for spinal disorders through text and videos and is written by an internationally diverse group of the best specialist surgeons.

Volume 1

Section 1: Basic Science
  • 1. Development of the Spine
  • 2. Applied Anatomy of the Spine
  • 3. Architectural Design and Function of Human Back Muscles
  • 4. Anatomy and Mechanics of the Abdominal Muscles
  • 5. Lumbar Musculature: Anatomy and Function
  • 6. The Intervertebral Disc: Normal, Aging, and Pathologic
  • 7. Biomechanics of the Spine Motion Segment
  • 8. Sciatica and Nerve Root Pain in Disc Herniation and Spinal Stenosis: A Basic Science Review and Clinical Perspective
  • 9. Genetic Applications: An Overview
  • 10. Outcomes Research for Spinal Disorders
Setion II: Diagnosis
  • 11. The Patient History and Physical Examination: Cervical, Thoracic, and Lumbar
  • 12. Spine Imaging
  • 13. The Electrodiagnostic Examination
  • 14. Intraoperative Neurophysiologic Monitoring of the Spine
  • 15. Targeting Pain Generators
  • 16. Discography
Section III: Surgical Anatomy and Approaches
  • 17. Cervical Spine: Surgical Approaches
  • 18. Thoracic Spine: Surgical Approaches
  • 19. Anterior Exposure to Lumbosacral Spine: Anatomy and Techniques
  • 20. Lateral and Posterior Approaches to the Lumbosacral Spine: Anatomy and Techniques
Section IV: The Child's Spine
  • 21. Back Pain in Children and Adolescents
  • 22. Congenital Scoliosis
  • 23. Idiopathic Scoliosis
  • 24. Neuromuscular Scoliosis
  • 25. Thoracoscopic Approach for Spinal Conditions
  • 26. Pediatric Kyphosis: Scheuermann Disease and Congenital Deformity
  • 27. Spondylolysis and Spondylolisthesis
  • 28. Cervical, Thoracic, and Lumbar Spinal Trauma of the Immature Spine
  • 29. The Immature Spine and Athletic Injuries
  • 30. Congenital Anomalies of the Cervical Spine
  • 31. Congenital Anomalies of the Spine Colrd
  • 32. Spinal Disorders Associated with Skeletal Dysplasias and Metabolic Diseases
Section V: Arthritis and Inflammatory Disorders
  • 33. Arthritic Disorders
  • 34. Surgical Management of Rheumatoid Arthritis
  • 35. Ankylosing Spondylitis
  • 36. Cervical Spondylosis: Pathophysiology, Natural History, and Clinical Syndromes of Neck Pain, Radiculopathy, and Myelopathy
  • 37. Medical Myelopathies
  • 38. Nonoperative Management of Cervical Disc and Degenerative Disorders
  • 39. Surgical Management of Axial Pain
  • 40. Cervical Radiculopathy: Anterior Surgical Approach
  • 41. Cervical Spondylotic Myelopathy: Surgical Management
  • 42. Ossification of the Posterior Longitudinal Ligament
  • 43. Cervical Disc Replacement
Section VII: Thoracic and Lumbar Disc Disease
  • 44. Thoracic Disc Disease
  • 45. Lumbar Disc Disease
  • 46. Lumbar Disc Herniations
  • 47. Annular Repair
  • 48. Anterior Lumbar Interbody Fusion
  • 49. Posterior Lumbar Interbody Fusion
  • 50. Transforaminal Lumbar Interbody Fusion
  • 51. Lumbar Total Disc Replacement
  • 52. Lumbar Nucleus Replacement
  • 53. Posterior Dynamic Stabilization
  • 54. Total Facet Replacement
Section VIII: Minimally Invasive Surgery
  • 55. Rationale of Minimally Invasive Spine Surgery
  • 56. Minimally Invasive Posterior Approaches to the Spine
  • 57. Minimally Invasive Posterior Lumbar Instrumentation
  • 58. Minimally Invasive Posterior Lumbar Fusion Techniques
  • 59. Posterolateral Endoscopic Lumbar Discectomy
  • 60. Interspinous Process Decompressive Devices

Volume II
Section IX: Spinal Stenosis

  • 62. Spinal Stenosis: Pathophysiology, Clinical Diagnosis, and Differential Diagnosis
  • 63. Nonoperative Management of Lumbar Spinal Stenosis
  • 64. Surgical Management of Lumbar Spinal Stenosis
  • 65. Degenerative Spondylolisthesis
Section X: Spinal Fusion and Instrumentation
  • 66. Techniques and Complications of Bone Graft Harvesting
  • 67. Principles of Bone Fusion
  • 68. Bone Substitutes: Basic Science and Clinical Applications
  • 69. Electrical Stimulation for Spinal Fusion
  • 70. Cervical Instrumentation: Anterior and Posterior
  • 71. Thoracolumbar Instrumentation: Anterior and Posterior
Section XI: Adult Deformtiy
  • 72. Adult Isthmic Spondylollisthesis
  • 73. Adult Scoliosis
  • 74. Fixed Sagittal Imbalance
Section XII: Spine Trauam
  • 75. Basic Science of Spinal Cord Injury
  • 76. Injuries of the Upper Cervical Spine
  • 77. Injuries of the Lower Cervical Spine
  • 78. Thoracic and Lumbar Spinal Injuries
  • 79. Late Decompression of Patients with Spinal Cord Injury
  • 80. Sacral Fractures
  • 81. Acute Treatment of Patients with Spinal Cord Injury
  • 82. Vertebral Artery Injuries Associated with Cervical Spinal Trauma
  • 83. Spinal Orthoses for Traumatic and Degenerative Disease
  • 84. Spinal Cord Injury Rehabilitation
Section XIII: Afflictions of the Vertebrae
  • 85. Tumors of the Spine
  • 86. Infections of the Spine
  • 87. Metabolic Bone Disorders of the Spine
  • 88. Osteoporosis: Surgical Strategies
Section XIV: Spinal Cord
  • 89. Intradural Tumors
  • 90. Spinal Intradural Infections
  • 91. Vascular Malformations of the Spinal Cord
  • 92. Vascular Anatomy of the Spine, Imaging, and Endovascular Treatment of Spinal Vascular Diseases
  • 93. Syringomyelia
Section XV: Complications
  • 94. Complications of Spinal Surgery
  • 95. Spinal Dural Injuries
  • 96. Vascular Complications in Spinal Surgery
  • 97. Instrumentation Complications
  • 98. Postoperative Spinal Infections
Section XVI: Failed Surgery
  • 99. Revision Spine Surgery
  • 100. Faied Disc Replacement
  • 101. Postoperative Deformity of the Cervical Spine
  • 102. Arachnoiditis and Epidural Fibrosis
Section XVII: Chronic Pain/Rehabilitation
  • 103. Chronic Pain: The Basic Science
  • 104. Psychologic Strategies for Chronic Pain
  • 105. Pharmacologic Strategies in Back Pain and Radiculopathy
  • 106. Physical Therapy - The Science
  • 107. Functional Restoration
  • 108. Surgical Procedures for the Control of Chronic Pain

Product Details

  • Hardcover: 2096 pages
  • Publisher: Saunders; 6 edition (February 10, 2011)
  • Language: English
  • ISBN-10: 1416067264
  • ISBN-13: 978-1416067269
  • Product Dimensions: 11.5 x 9.4 x 4.2 inches 
  • Author: Harry N. Herkowitz MD, Steven R. Garfin MD, Frank J. Eismont MD and Gordon R. Bell 
List Price: $359.00

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