By Rahul Jandial MD PhD, Steven R. Garfin MD

Best proof for backbone surgical procedure offers consultant circumstances that assist you be certain the optimum surgical interventions on your sufferers. Drs. Rahul Jandial and Steven R. Garfin, and a balanced group of preeminent neurosurgeons and orthopaedists, handle the craze towards a extra collaborative process among backbone and orthopaedic surgical procedure. This easy-to-read, evidence-based source additionally good points "Tips from the masters" for a fast evaluation of significant components of prognosis and therapy and on-line entry at www.expertconsult.com with totally searchable textual content and downloadable images.

  • Choose the simplest techniques on your sufferers utilizing facts that helps the optimum surgical intervention for every case.
  • Access the totally searchable textual content on-line at www.expertconsult.com, in addition to a downloadable photo gallery and a video library demonstrating nuances of key techniques.
  • Apply a multi-disciplinary method via assurance that displays the altering nature of the uniqueness with chapters written via neurosurgeons and orthopaedists.
  • Quickly evaluate an important components of analysis via "Tips from the masters."
  • Easily locate the data you would like with a constant, case-based structure that truly provides facts and techniques.

Best proof for backbone surgical procedure is the best source for any doctor drawn to studying in regards to the top facts on instances for which there's debate concerning the surgical administration. info awarded incorporates a thorough overview of literature, method, and instances as provided by way of preeminent backbone surgeons. info is gifted from a balanced panel of orthopaedic and neurological surgeons, to articulate a collaborative procedure that has been the typical evolution within the educational surroundings. This name provides a consultant case and the proof for the optimum surgical intervention for that case, inside of a layout that makes an important components obtainable and appealing.

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Extra info for Best Evidence for Spine Surgery: 20 Cardinal Cases

Sample text

Ogawa Y, Chiba K, Matsumoto M, et al: Long-term results after expansive open door laminoplasty for segmental type of ossification of the posterior longitudinal ligament of the cervical spine: a comparison of nonsegmental type lesions, J Neurosurg Spine 3:198–204, 2005. A Japanese study of 57 patients with OPLL treated with laminoplasty who were followed for a minimum of 7 years. Clinical results (JOA scores) were found to be better for those with nonsegmental-type (mixed and continuous) OPLL than for those with segmental-type OPLL.

7-9 Multilevel OPLL involving three or more levels should be addressed with multilevel corpectomies, allograft strut grafting, anterior plating, and supplemental posterior fixation and fusion. 7-9 Laminectomy with or without Fusion Posterior surgical approaches to treat myelopathy due to OPLL include laminectomy with or without fusion and laminoplasty (Tips from the Masters 3-3). The patient can be placed prone in a Mayfield pin headrest or in a halo ring vest to maintain alignment and avoid pressure on the central retinal artery.

Imaging: Magnetic resonance imaging (MRI) of the lumbar spine showed a large lateral disk herniation at the level of L4-5 (Figures 5-2 and 5-3). After discussion of all the therapeutic options, the patient selected surgery. The patient underwent a standard L4 hemilaminectomy with L4-5 microdiskectomy. The patient did well postoperatively and was discharged on postoperative day 1. The patient was seen in the clinic for follow-up 2 weeks later and was doing well, with significant improvement in his lower back pain and right radicular leg pain.

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