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Spine Secrets Plus E-Book

Spine Secrets Plus E-Book

Vincent J. Devlin

(2011)

Abstract

Spine Secrets Plus—a Secrets Series® title in the new PLUS format— gives you the answers you need to succeed on your rotations, your boards, and your career. Dr. Vincent J. Devlin provides the expert perspective you need to grasp the nuances of spine surgery and related specialties. This new edition offers expanded coverage, a larger format, and colorful visual elements to provide an overall enhanced learning experience. All this, along with the popular question-and answer approach, makes it a perfect concise board review tool and a handy clinical reference.

  • Prepare effectively with the proven question-and-answer format of the highly acclaimed Secrets Series®.
  • Master all common conditions and their treatments.
  • Identify key facts using the "Top 100 Secrets".
  • Review material quickly thanks to bulleted lists, tables, and short answers.
  • Apply memory aids and "secrets" from experts in the field.
  • Get an overall enhanced learning experience from the new PLUS format, with an expanded size and layout for easier review, more information, and full-color visual elements.
  • Stay current on the latest standards in medical care thanks to extensive updates, including new chapters on Spinal Cord Stimulation and Implantable Drug Delivery Systems, Special surgical Techniques for the Growing Spine, Pathophysiology of Degenerative Disorders of the Spine, Discogenic Low Back Pain, Treatment Options for Osteoporotic Vertebral Compression Fractures, and Disorders Affecting the Spinal Cord and Nerve Roots.
  • See a clearer picture of what you encounter in practice through larger, detailed images and illustrations.
  • Find information quickly and easily with additional color that enhances tables, legends, key points, and websites.

Table of Contents

Section Title Page Action Price
Front Cover Cover
SPINE SECRETS PLUS, SECOND EDITION i
Copyright page ii
Dedication page iii
Preface v
Contributors vii
Table of Contents xi
Top 100 Secrets 1
PART I REGIONAL SPINAL ANATOMY 9
CHAPTER 1 CLINICALLY RELEVANT ANATOMY OF THE CERVICAL REGION 10
OSTEOLOGY 10
ARTICULATIONS, LIGAMENTS, AND DISCS 12
NEURAL ANATOMY 14
VASCULAR STRUCTURES OF THE CERVICAL REGION 16
FASCIA AND MUSCULATURE OF THE CERVICAL SPINE 17
Key Points 18
Websites 18
Bibliography 18
CHAPTER 2 CLINICALLY RELEVANT ANATOMY OF THE THORACIC REGION 19
OSTEOLOGY 19
ARTICULATIONS, LIGAMENTS, AND DISCS 20
NEURAL ANATOMY 21
VASCULAR STRUCTURES 22
FASCIA, MUSCULATURE, AND RELATED STRUCTURES 23
Key Points 25
Websites 25
Bibliography 25
CHAPTER 3 CLINICALLY RELEVANT ANATOMY OF THE LUMBAR AND SACRAL REGION 26
OSTEOLOGY 26
ARTICULATIONS, LIGAMENTS, AND DISCS 27
NEURAL ANATOMY 29
VASCULAR STRUCTURES 30
FASCIA, MUSCULATURE, AND RELATED STRUCTURES 31
Key Points 32
Websites 32
Bibliography 32
PART II CLINICAL EXAMINATION OF THE SPINE PATIENT 33
CHAPTER 4 EVALUATION OF CERVICAL SPINE DISORDERS 34
Key Points 38
Websites 38
Bibliography 39
CHAPTER 5 EVALUATION OF THORACIC AND LUMBAR SPINE DISORDERS 40
LUMBAR SPINE EXAM 41
Key Points 45
Websites 45
Bibliography 45
CHAPTER 6 EVALUATION OF THE SPINE TRAUMA PATIENT 46
Key Points 51
Websites 51
Bibliography 51
CHAPTER 7 EVALUATION OF SPINAL DEFORMITIES 52
Key Points 58
Websites 58
Bibliography 58
CHAPTER 8 DISABILITY EVALUATION 59
Key Points 63
Websites 63
Bibliography 63
PART III SPINAL IMAGING 65
CHAPTER 9 STRATEGIES FOR IMAGING IN SPINAL DISORDERS 66
Key Points 69
Websites 69
Bibliography 69
CHAPTER 10 RADIOGRAPHIC ASSESSMENT OF THE SPINE 70
CERVICAL SPINE 70
THORACIC SPINE 72
LUMBAR SPINE 72
SPINAL DEFORMITY ASSESSMENT 75
Key Points 79
Websites 79
Bibliography 79
CHAPTER 11 MAGNETIC RESONANCE IMAGING OF THE SPINE 80
Key Points 90
Website 90
Bibliography 91
CHAPTER 12 COMPUTED TOMOGRAPHY AND CT-MYELOGRAPHY 92
Key Points 96
Website 96
Bibliography 96
CHAPTER 13 NUCLEAR IMAGING AND SPINAL DISORDERS 97
Key Points 100
Websites 100
Bibliography 100
PART IV ASSESSMENT AND NONSURGICAL MANAGEMENT OF SPINAL DISORDERS 101
CHAPTER 14 REHABILITATION MEDICINE APPROACHES TO SPINAL DISORDERS 102
CERVICAL SPINE 104
THORACIC AND LUMBAR SPINE 105
Key Points 110
Websites 110
Bibliography 111
CHAPTER 15 PHARMACOLOGIC MANAGEMENT OF CHRONIC SPINAL PAIN 112
Key Points 119
Websites 119
Bibliography 119
CHAPTER 16 DIAGNOSTIC AND THERAPEUTIC SPINAL INJECTIONS 120
Key Points 127
Websites 127
Bibliography 127
CHAPTER 17 ELECTRODIAGNOSIS IN SPINAL DISORDERS 128
Key Points 133
Websites 133
Bibliography 133
CHAPTER 18 SPINAL ORTHOSES 134
Key Points 144
Websites 144
Bibliography 144
CHAPTER 19 COMPLEMENTARY AND ALTERNATIVE MEDICINE TREATMENTS FOR BACK PAIN 146
Key Points 150
Websites 150
Bibliography 150
PART V SURGICAL MANAGEMENT OF THE SPINE: GENERAL CONSIDERATIONS 151
CHAPTER 20 INDICATIONS FOR SURGICAL INTERVENTION IN SPINAL DISORDERS 152
Key Points 156
Websites 156
Bibliography 156
CHAPTER 21 WHEN NOT TO OPERATE FOR SPINAL DISORDERS 157
Key Points 159
Websites 159
Bibliography 159
CHAPTER 22 PREOPERATIVE ASSESSMENT AND PLANNING FOR PATIENTS UNDERGOING SPINE SURGERY 160
Key Points 164
Websites 164
Bibliography 164
CHAPTER 23 PROCEDURES FOR DECOMPRESSION OF THE SPINAL CORD AND NERVE ROOTS 165
Key Points 170
Websites 170
Bibliography 170
CHAPTER 24 SPINAL ARTHRODESIS AND BONE-GRAFTING TECHNIQUES 171
Key Points 176
Websites 176
Bibliography 176
CHAPTER 25 SURGICAL APPROACHES TO THE CERVICAL SPINE 177
POSTERIOR APPROACH TO THE CERVICAL SPINE 177
ANTERIOR APPROACHES TO THE CERVICAL SPINE 178
Key Points 182
Websites 182
Bibliography 182
CHAPTER 26 APPROACHES TO THE ANTERIOR THORACIC AND LUMBAR SPINE 183
Key Point 189
Websites 189
Bibliography 189
CHAPTER 27 POSTERIOR SURGICAL APPROACHES TO THE THORACIC AND LUMBAR SPINE 190
Key Points 193
Website 194
Bibliography 194
CHAPTER 28 CERVICAL SPINE INSTRUMENTATION 195
Key Points 204
Websites 204
Bibliography 205
CHAPTER 29 THORACIC AND LUMBAR SPINE INSTRUMENTATION 206
GENERAL CONSIDERATIONS 206
POSTERIOR SPINAL INSTRUMENTATION 206
ANTERIOR SPINAL INSTRUMENTATION 211
Key Points 213
Websites 213
Bibliography 213
CHAPTER 30 INSTRUMENTATION AND FUSION OF THE SPINE TO THE SACRUM AND PELVIS 214
Key Points 218
Websites 218
Bibliography 219
CHAPTER 31 INTRAOPERATIVE NEUROPHYSIOLOGIC MONITORING DURING SPINAL PROCEDURES 220
Key Points 224
Websites 224
Bibliography 224
CHAPTER 32 ANESTHESIA AND RELATED INTRAOPERATIVE CONSIDERATIONS IN SPINE SURGERY 225
Key Points 230
Websites 230
Bibliography 230
CHAPTER 33 POSTOPERATIVE MANAGEMENT AND COMPLICATIONS AFTER SPINE SURGERY 231
Key Points 236
Websites 236
Bibliography 236
CHAPTER 34 REVISION SPINE SURGERY 237
GENERAL CONSIDERATIONS 237
REVISION SURGERY AFTER PRIOR SPINAL DECOMPRESSION 239
REVISION SURGERY AFTER PRIOR SPINAL FUSION 239
REVISION SURGERY FOR SPINAL DEFORMITY 241
Key Points 242
Websites 242
Bibliography 242
CHAPTER 35 SPINAL CORD STIMULATION AND IMPLANTABLE DRUG DELIVERY SYSTEMS 243
Key Points 247
Websites 247
Bibliography 247
PART VI PEDIATRIC SPINAL DEFORMITIES AND RELATED DISORDERS 249
CHAPTER 36 PEDIATRIC BACK PAIN 250
Key Points 255
Websites 255
Bibliography 255
CHAPTER 37 PEDIATRIC CERVICAL DISORDERS 256
GENERAL CONCEPTS 256
TORTICOLLIS 256
CERVICAL ANOMALIES 257
Key Points 260
Websites 260
Bibliography 260
CHAPTER 38 SPONDYLOLYSIS AND SPONDYLOLISTHESIS IN PEDIATRIC PATIENTS 261
Key Points 267
Website 267
Bibliography 267
CHAPTER 39 IDIOPATHIC SCOLIOSIS 268
Key Points 277
Websites 277
Bibliography 277
CHAPTER 40 SAGITTAL PLANE DEFORMITIES IN PEDIATRIC PATIENTS 278
Key Points 282
Websites 283
Bibliography 283
CHAPTER 41 NEUROMUSCULAR SPINAL DEFORMITIES 284
Key Points 290
Websites 290
Bibliography 290
CHAPTER 42 CONGENITAL SPINAL DEFORMITIES 291
Key Points 297
Websites 297
Bibliography 297
CHAPTER 43 SPECIAL SURGICAL TECHNIQUES FOR THE GROWING SPINE 298
Key Points 302
Websites 302
Bibliography 303
CHAPTER 44 PEDIATRIC SPINAL TRAUMA 304
GENERAL CONSIDERATIONS 304
CERVICAL SPINE 305
THORACIC AND LUMBAR SPINE 307
Key Points 309
Websites 310
Bibliography 310
PART VII DEGENERATIVE DISORDERS OF THE ADULT SPINE 311
CHAPTER 45 PATHOPHYSIOLOGY AND PATHOANATOMY OF DEGENERATIVE DISORDERS OF THE SPINE 312
Key Points 315
Websites 315
Bibliography 315
CHAPTER 46 CERVICAL DEGENERATIVE DISORDERS 316
Key Points 324
Websites 324
Bibliography 324
CHAPTER 47 THORACIC DISC HERNIATION AND STENOSIS 325
Key Points 328
Websites 328
Bibliography 328
CHAPTER 48 LOW BACK PAIN: ASSESSMENT AND INITIAL MANAGEMENT 329
Key Points 331
Websites 331
Bibliography 331
CHAPTER 49 LUMBAR DISC HERNIATION 332
Key Points 336
Websites 336
Bibliography 336
CHAPTER 50 DISCOGENIC LOW BACK PAIN 337
Key Points 341
Websites 341
Bibliography 341
CHAPTER 51 LUMBAR SPINAL STENOSIS 342
Key Points 345
Websites 346
Bibliography 346
PART VIII ADULT SPINAL DEFORMITIES AND RELATED PROBLEMS 347
CHAPTER 52 ADULT IDIOPATHIC AND DEGENERATIVE SCOLIOSIS 348
Key Points 352
Websites 352
Bibliography 353
CHAPTER 53 SAGITTAL PLANE DEFORMITIES IN ADULTS 354
Key Points 358
Websites 358
Bibliography 358
CHAPTER 54 SPONDYLOLYSIS AND SPONDYLOLISTHESIS IN ADULTS 359
ISTHMIC SPONDYLOLISTHESIS 360
DEGENERATIVE SPONDYLOLISTHESIS 361
Key Points 364
Websites 365
Bibliography 365
PART IX SPINE TRAUMA 367
CHAPTER 55 UPPER CERVICAL SPINE TRAUMA 368
OCCIPITOCERVICAL ARTICULATION 369
ATLAS FRACTURES AND TRANSVERSE ATLANTAL LIGAMENT (TAL) INJURIES 370
AXIS FRACTURES: ODONTOID FRACTURES AND HANGMAN’S FRACTURES 372
Key Points 374
Websites 375
Bibliography 375
CHAPTER 56 INITIAL MANAGEMENT 376
INITIAL MANAGEMENT 376
INJURY CLASSIFICATION 377
ANTERIOR COLUMN INJURIES 379
POSTERIOR COLUMN INJURIES 381
LATERIAL COLUMN INJURIES 381
INJURIES IN SPECIAL CIRCUMSTANCES 384
Key Points 385
Websites 385
Bibliography 385
CHAPTER 57 THORACIC AND LUMBAR SPINE FRACTURES 386
COMPRESSION FRACTURES 388
STABLE BURST FRACTURES 389
UNSTABLE BURST FRACTURES 391
CHANCE FRACTURES 394
FLEXION-DISTRACTION INJURIES 395
TRANSLATIONAL INJURIES (FRACTURE-DISLOCATIONS) 396
GUNSHOT INJURIES TO THE SPINE 397
Key Points 398
Websites 398
Bibliography 398
CHAPTER 58 SACRAL FRACTURES 399
Key Points 403
Websites 403
Bibliography 403
CHAPTER 59 SPINAL CORD INJURY 404
Key Points 409
Websites 409
Bibliography 410
CHAPTER 60 CERVICAL SPINE INJURIES IN ATHLETES 411
Key Points 416
Websites 416
Bibliography 416
CHAPTER 61 LUMBAR SPINE INJURIES IN ATHLETES 417
Key Points 421
Websites 421
Bibliography 421
PART X SYSTEMIC PROBLEMS AFFECTING THE SPINAL COLUMN 423
CHAPTER 62 DISORDERS OF THE SPINAL CORD AND RELATED STRUCTURES 424
SPINAL CORD TUMORS 424
SYRINGOHYDROMYELIA AND CHIARI MALFORMATION 428
SPINAL DYSRAPHISM 429
MISCELLANEOUS DISORDERS INVOLVING THE SPINAL CORD 432
Key Points 433
Websites 433
Bibliography 433
CHAPTER 63 PRIMARY SPINE TUMORS 434
Key Points 442
Websites 442
Bibliography 442
CHAPTER 64 METASTATIC SPINE TUMORS 443
Key Points 448
Websites 448
Bibliography 449
CHAPTER 65 METABOLIC BONE DISEASES OF THE SPINE 450
Key Points 455
Websites 455
Bibliography 455
CHAPTER 66 TREATMENT OPTIONS FOR OSTEOPOROTIC VERTEBRAL COMPRESSION FRACTURES 456
Key Points 465
Websites 465
Bibliography 465
CHAPTER 67 SPINAL INFECTIONS 466
PYOGENIC INFECTIONS 466
GRANULOMATOUS INFECTIONS 470
Key Points 471
Websites 472
Bibliography 472
CHAPTER 68 RHEUMATOID ARTHRITIS 473
Key Points 479
Websites 479
Bibliography 479
CHAPTER 69 ANKYLOSING SPONDYLITIS 480
Key Points 487
Websites 487
Bibliography 487
PART XI EMERGING TECHNOLOGY 489
CHAPTER 70 MINIMALLY INVASIVE SPINE SURGERY 490
MINIMALLY INVASIVE LUMBAR SPINE SURGERY 491
MINIMALLY INVASIVE THORACIC SPINE SURGERY 494
MINIMALLY INVASIVE CERVICAL SPINE SURGERY 495
Key Points 495
Websites 495
Bibliography 496
CHAPTER 71 ARTIFICIAL DISC REPLACEMENT 497
LUMBAR TOTAL DISC ARTHROPLASTY 497
CERVICAL DISC ARTHROPLASTY 500
Key Points 503
Websites 503
Bibliography 503
CHAPTER 72 BONE GRAFTS, BONE GRAFT SUBSTITUTES, AND BIOLOGICS 504
Key Points 508
Websites 508
Bibliography 508
INDEX 509