The treatment of spinal disorders is often challenging and demanding for both patient and clinician. These challenges and demands are often amplified in the elderly patient. The concepts and methods presented in The Comprehensive Treatment of the Aging Spine: Minimally Invasive and Advanced Techniques are aimed at assisting the clinician in approaching the complexities of the aging spine. Osteoporosis, diabetes, cardiovascular and cerebral vascular disease, poor nutrition, and other co-morbidities often mandate a collective decision making process. In addition, the fundamentals of spinal anatomy, spinal embryology, biomechanics, biochemistry of spinal implants, and radiologic changes that occur in the aging spine are delineated for the clinician. Knowledge of non-operative/conservative treatment modalities such as land and aquatic therapy, acupuncture, injections, medication, and yoga therapies is a prerequisite to the initial management of the aging spine, especially in the presence of such co-morbidities.
If non-operative care does not sufficiently remedy the patient's symptoms, operative intervention may be necessary. An emphasis on decision making and operative options for differing pathologies such as spinal stenosis, spondylolisthesis, scoliosis, cervical myelopathy, osteoporotic fractures and fixation, and spinal tumors are presented. Each chapter underscores the relevant pathology, surgical technique, outcomes, and complications that can occur in the operative treatment of the aging spine.
New developments and emerging technologies are introduced to the clinician. The use of cyberknife therapy, nanotechnologies, endoscopic, and ozone therapies are reviewed. Innovative approaches such as the lateral approach to the spine (Extreme Lateral [XLIF] and Guided Lateral [GLIF]) are reviewed and described. Lastly, the economic impact of the aging spine is reviewed in terms of the cost benefit of caring for spinal disorders in the aging population.
Key Features
- Master the very latest techniques and technologies through detailed step-by-step surgical instructions, tips, and pearls.
- Stay current on the state-of-the-art in intraspinous and biologic devices-such as Stent (Alphatec) and Optimesh Spineology; thoracic techniques such as kyphoplasty, vertebroplasty, and spacers; and conservative treatment modalities including injection therapies, acupuncture, and yoga.
- Make expert-guided decisions on techniques and device selection using the collective clinical experience of pioneering editors and contributors.
- Identify the advantages and disadvantages for the full range of available microsurgical and endoscopic techniques for management of cervical, thoracic, and lumbar spine pathology---minimally invasive fusion, reconstruction, decompression, and dynamic stabilization.
- View a narrated video library demonstrating surgical techniques and device tips and pearls on the included DVD.
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.
- Videos: View video clips illustrating a variety of conditions.
- Images: Browse a Library of all book images. Easily select, organize, and download your images into a presentation.
Contents
Part 1 - Introduction to the Aging Spine
- Chapter 1 - Embryology of the Spine
- Chapter 2 - Applied Anatomy of the Normal and Aging Spine
- Chapter 3 - Histological Changes in the Aging Spine
- Chapter 4 - Natural History of the Degenerative Cascade
- Chapter 5 - History and Physical Examination of the Aging Spine
- Chapter 6 - The Role of Nutrition, Weight, and Exercise on the Aging Spine
- Chapter 7 - The Psychology of the Aging Spine, Treatment Options, and Ayurveda as a Novel Approach
Part 2 - Basic Science of the Aging Spine
- Chapter 8 - Biomechanics of the Senescent Spine
- Chapter 9 - Non-Invasive Strength Analysis of the Spine Using Clinical CT Scans
- Chapter 10 - Kinematics of the Aging Spine: A Review of Past Knowledge and Survey of Recent Developments, with a Focus on Patient-Management Implications for the Clinical Practitioner
- Chapter 11 - Causes of Premature Aging of the Spine
- Chapter 12 - Osteoporosis and the Aging Spine: Diagnosis and Treatment
- Chapter 13 - Osteoarthritis and Inflammatory Arthritides of the Aging Spine
- Chapter 14 - Spinal Stenosis Without Spondylolisthesis
- Chapter 15 - Spinal Stenosis with Spondylolisthesis
- Chapter 16 - Imaging of the Aging Spine
Part 3 - Conservative Treatment Modalities
- Chapter 17 - Land Based Rehabilitation and the Aging Spine
- Chapter 18 - Aquatic Physical Therapy
- Chapter 19 - The Role of Spinal Injections in Treating the Aging Spine
- Chapter 20 - Acupuncture in Treatment of Aging Spine–Related Pain Conditions
- Chapter 21 - Tai Chi, Qi Gong, and Other Complementary Alternative Therapies for Treatment of the Aging Spine and Chronic Pain
- Chapter 22 - Oral Analgesics for Chronic Low Back Pain in Adults
- Chapter 23 - Yoga and the Aging Spine
Part 4 - Surgical Treatment Modalities: Cervical Spine
- Chapter 24 - Cervical Stenosis: Radiculopathy – Review of Concepts, Surgical Techniques, and Outcomes
- Chapter 25 - Cervical Stenosis: Myelopathy
- Chapter 26 - Cervical Kyphosis
- Chapter 27 - Surgical Treatment Modalities for Cervical Stenosis: Central Cord Syndrome and Other Spinal Cord Injuries in the Elderly
- Chapter 28 - Occipital-Cervical and Upper Cervical Spine Fractures
- Chapter 29 - Subaxial Cervical and Upper Thoracic Spine Fractures in the Elderly
- Chapter 30 - Infections of the Cervical Spine
- Chapter 31 - Rheumatoid Arthritis of the Cervical Spine
- Chapter 32 - Tumors of the Cervical Spine
- Chapter 33 - Role of Minimally Invasive Cervical Spine Surgery in the Aging Spine
Part 5 - Osteoporotic Surgical Treatment Modalities: Thoracic Spine
- Chapter 34 - Kyphoplasty
- Chapter 35 - Vertebroplasty
- Chapter 36 - Vertebral Body Stenting
- Chapter 37 - Structural Osteoplasty: The Treatment of Vertebral Body Compression Fractures using the OsseoFix Device
- Chapter 38 - Kiva System in the Treatment of Vertebral Osteoporotic Compression Fractures
- Chapter 39 - Directed Cement Flow Kyphoplasty for Treatment of Osteoporotic Vertebral Compression Fractures
- Chapter 40 - Radiofrequency Kyphoplasty: A Novel Approach to Minimally Invasive Treatment of Vertebral Compression Fractures
- Chapter 41 - Structural Kyphoplasty: The StaXx FX System
- Chapter 42 - Crosstrees Percutaneous Vertebral Augmentation
- Chapter 43 - Biologic Treatment of Osteoporotic Compression Fractures: OptiMesh
- Chapter 44 - Vessel-X
Part 6 - Other Surgical Treatment Modalities: Thoracic Spine
- Chapter 45 - Treatment of Thoracic Vertebral Fractures
- Chapter 46 - Tumors of the Thoracic Spine
- Chapter 47 - Infections of the Thoracic Spine
- Chapter 48 - Thoracic Spinal Stenosis
- Chapter 49 - Stereotactic Radiosurgery for Spine Tumors
Part 7 - Surgical Treatment Modalities: Lumbar Spine
- Chapter 50 - The Role of Spinal Fusion and the Aging Spine: Stenosis without Deformity
- Chapter 51 - The Role of Spinal Fusion and the Aging Spine: Stenosis with Deformity
- Chapter 52 - A Case Study Approach to the Role of Spinal Deformity Correction in the Aging Spine
- Chapter 53 - Assessment and Avoiding Complications in the Scoliotic Elderly Patient
- Chapter 54 - Interspinous Spacers for Minimally Invasive Treatment of Dynamic Spinal Stenosis and Low Back Pain
- Chapter 55 - Lumbar Disc Arthroplasty: Indications and Contraindications
- Chapter 56 - The Role of Dynamic Stabilization and the Aging Spine
- Chapter 57 - Pedicle Screw Fixation in the Aging Spine
- Chapter 58 - The Role for Biologics in the Aging Spine
- Chapter 59 - Minimally Invasive Spinal Surgery (MISS) Techniques for the Decompression of Lumbar Spinal Stenosis
- Chapter 60 - Minimally Invasive Scoliosis Treatment
- Chapter 61 - Lateral XLIF Fusion Techniques
- Chapter 62 - Pelvic Fixation of the Aging Spine
- Chapter 63 - Intradiscal Biologics: A Potential Minimally Invasive Cure for Symptomatic Degenerative Disc Disease?
Part 8 - The Future of the Aging Spine
- Chapter 64 - Endoscopic Surgical Pain Management in the Aging Spine
- Chapter 65 - Dorsal Endoscopic Rhizotomy for Chronic Nondiscogenic Axial Low Back Pain
- Chapter 66 - Economics of Spine Care
- Chapter 67 - Micro- and Nanotechnology and the Aging Spine
- Chapter 68 - Guided Lumbar Interbody Fusion (GLIF)
- Chapter 69 - Laser and Ozone Spinal Decompression
- Chapter 70 - The Biochemistry of Spinal Implants: Short- and Long-Term Considerations
About the Authors
- James Joseph Yue, MD, Associate Professor, Yale University School of Medicine, Department of Orthopaedic Surgery and Rehabilitation, New Haven, Connecticut.
- Richard D. Guyer, MD, President, Texas Back Institute, Plano, Texas; Associate Clinical Professor, Department of Orthopedics, University of Texas, Southwestern Medical School, Dallas, Texas.
- J. Patrick Johnson, MD, FACS, Neurosurgeon, Spine Specialist, Director of Education, Spine Fellowship and Academic Programs, Co-Director, Spine Stem Cell Research Program, Director, California Association of Neurological Surgeons, Los Angeles, California.
- Larry T. Khoo, MD, Director of Minimally Invasive Neurological Spinal Surgery, Los Angeles Spine Clinic, Los Angeles, California.
- Stephen H. Hochschuler, MD, Chairman, Texas Back Institute Holdings, Paradise Valley, Arizona.
Product Details
- Hardcover: 496 pages
- Publisher: Saunders; 1 Har/Psc edition (2011)
- Language: English
- ISBN-10: 1437703739
- ISBN-13: 978-1437703733
- Product Dimensions: 11.1 x 8.7 x 1 inches
List Price: $295.00