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Complications of Pediatric and Adult Spinal Surgery

2004 Edition, September 15, 2004

Complete Document



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Active, Most Current

EN
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ISBN: 978-0-8247-5421-1
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Product Details:

  • Revision: 2004 Edition, September 15, 2004
  • Published Date: September 15, 2004
  • Status: Active, Most Current
  • Document Language: English
  • Published By: CRC Press (CRC)
  • Page Count: 809
  • ANSI Approved: No
  • DoD Adopted: No

Description / Abstract:

Preface

Over the past two decades the field of spinal surgery has expanded and evolved into a complex and technical surgical subspecialty. Fellowship training programs have produced a new breed of spinal specialists, often with practice interests distinct from their counterparts in general orthopedic, neurosurgery, or rehabilitation medicine. As the field of spinal care has evolved, vast changes have occurred in the techniques used for patient diagnosis, nonoperative management, and surgical treatment of spinal conditions. Along with sweeping advances in medical technology have come new challenges and potential complications associated with their applications. Each new technology brings with it a learning curve and a new set of potential pitfalls. To successfully navigate the waters of modern spinal care, the spine physician must be aware of the possibility of specific complications and be prepared to aggressively diagnose and successfully treat these situations. To date, no text or resource exists that comprehensively identifies and offers treatment advice for the myriad of complications experienced in contemporary spinal care.

The goal of this book is to provide an up-to-date and comprehensive overview of potential complications associated with nonoperative and operative management of various spinal pathologies. To achieve this goal, the book contains over 40 chapters written and edited by experienced nationally (and internationally) recognized experts in the field of spinal care. The book is divided into four parts, beginning with complication identification, prevention, and management. This section serves to lay the framework for understanding, diagnosing, and managing complications related to spinal intervention. The second part of the book addresses general complications, that may arise in all areas of spinal care. This section covers specific and challenging scenarios that are familiar to spinal specialists but are not often written about in the format of a book. The third part addresses specific complications that present within a well-defined area of spinal treatment. To improve organization and flow, this section is subdivided by spinal region, starting with occipital-cervical issues and ending with issues involving the lumbosacral region. In these subparts, modern nonoperative and operative interventions including surgical techniques and implant applications, are discussed to clarify the limitations, risks, and appropriate use of the described technologies. Two more subparts, discussing the complications of minimally invasive spinal procedures and pediatric spinal surgery complications, round out the specific complications section.

The section related to minimally invasive techniques is of particular interest, as this aspect of spinal surgery is changing rapidly, often with no good reference to which the spinal specialist can turn for advice on how to manage the frequent setbacks experienced with new and technically challenging innovations. It is paramount for the spine surgeon to be able to accurately compare emerging, less invasive techniques with their traditional open counterparts and thus understand the appropriate role of this new field of spinal surgery. This part not only identifies the benefits of less invasive techniques but also points out the limitations of each technology and the unique risks that may be encountered.

The section on pediatric spinal surgery addresses pathological conditions unique to the pediatric patient, including rare and often difficult-to-manage genetic conditions affecting the spine.

The fourth and final part of the book deals specifically with complication avoidance and addresses unique and important issues such as the involvement of house staff (i.e., residents and fellows) in the care of spinal patients and the legal and ethical aspects of contemporary spinal care. The book's division into subparts enables the reader to quickly reference a topic of interest.

This text provides practical, ‘‘in the trenches'' information that will be useful to all physicians treating patients with spinal disorders. It fills a void in the available spinal literature, providing a ‘‘one-stop'' reference for spinal care physicians on preventing and managing the unexpected complications arising in the management of these oftendifficult patients. Consequently, it is an indispensable manual for those who care for spinal disorders at all stages of their career.

We thank Michael A. Pahl, M.D., for his assistance with the editing and production of the book.