Unique in the field, Comparative Management of Spine Pathology presents commonly encountered spinal cases with side-by-side, case-by-case comparisons that clearly show how various experts would handle the same case. This second volume in the Neurosurgery: Case Management Comparison Series offers multiple opinions from international experts in both neurosurgery and orthopaedics, each of whom explains their preferred approach and management style for the same case. This format allows for quick and helpful comparisons of different ways to approach a lesion, advantages and disadvantages of each approach, and what each expert is looking for in how they would manage a particular case.
Offers 4 expert opinions on each case in a templated format designed to help you quickly make side-by-side comparisons—an ideal learning tool for both trainee and practicing neurosurgeons and orthopaedic surgeons for board review and case preparation.
Helps you easily grasp different approaches to spine management with different expert approaches to the same case and summaries from the editors on the advantages and disadvantages to each approach.
Features a wide variety of management decisions, from preoperative studies to surgical approach, surgical adjuncts, and postoperative care, from experts in the field who specialize in different aspects of spine surgery.
Presents 70 cases in the areas of degenerative spine, traumatic spine, spinal deformity, spinal oncology, and miscellaneous topics such as epidural abscess, osteomyelitis, and post-instrumentation infection.
1. Cover image - p. iii 2. Title page - p. iii 3. Table of Contents - p. iii 4. Copyright - p. iv 5. Contributors - p. vi 6. Expert Case Reviewers - p. vi 7. Preface - p. x 8. Section 1: Degenerative Spine - p. xi 9. 1. Grade 1 spondylolisthesis without instability on flexion/extension and claudication - p. 1 10. 2. Lumbar degenerative spondylolisthesis - p. 7 11. 3. Recurrent herniated disc at the same level in a young patient - p. 13 12. 4. Adjacent segment disease after anterior cervical decompression and fusion - p. 19 13. 5. Lumbar adjacent segment disease - p. 24 14. 6. Recurrent stenosis after laminectomy - p. 30 15. 7. Multilevel cervical stenosis from ossified posterior longitudinal ligaments - p. 36 16. 8. Thoracic disc herniation - p. 42 17. 9. Cervical spondylotic radiculopathy and myelopathy from facet and uncovertebral hypertrophy - p. 48 18. 10. One level cervical radiculopathy from a herniated disc - p. 55 19. 11. Lumbar pseudoarthrosis - p. 60 20. 12. Anterior C1-C2 pannus - p. 66 21. 13. High lumbar stenosis (thoracolumbar junction) - p. 72 22. 14. Cervical stenosis with preservation of lordosis - p. 78 23. 15. Single level disc disease with back pain - p. 83 24. 16. Radiculopathy from foraminal stenosis - p. 88 25. 17. Thoracic ligamentous hypertrophy causing stenosis - p. 94 26. 18. C1-C2 facet arthropathy - p. 99 27. 19. Migrated interbody - p. 104 28. 20. Cervical myelopathy - p. 110 29. 21. Failed back surgery syndrome - p. 117 30. 22. Osteoporotic compression fracture - p. 124 31. Section 2: Traumatic Spine - p. 128 32. 23. Hangman’s fracture - p. 129 33. 24. Compression fracture with back pain - p. 134 34. 25. Burst fracture without PLC injury - p. 140 35. 26. Fracture after kyphoplasty - p. 146 36. 27. Pure bone thoracolumbar chance fracture - p. 151 37. 28. Central cord syndrome without instability - p. 157 38. 29. Penetrating spine trauma - p. 163 39. 30. C1 fracture - p. 168 40. 31. Acute spinal cord injury - p. 174 41. 32. Chronic L5 pars fractures with back pain and spondylolisthesis - p. 180 42. 33. Cervical jumped facets - p. 185 43. Section 3: Spinal Deformity - p. 190 44. 34. Proximal junctional kyphosis after deformity surgery - p. 191 45. 35. Coronal deformity - p. 198 46. 36. Coronal and sagittal deformity with back pain (adult idiopathic) - p. 204 47. 37. Adolescent idiopathic deformity - p. 211 48. 38. Flat back after fusion - p. 217 49. 39. Cervical kyphosis - p. 223 50. 40. Degenerative scoliosis with radiculopathy - p. 229 51. 41. Iatrogenic deformity after Harrington rod - p. 235 52. 42. Iatrogenic kyphoscoliosis - p. 242 53. 43. Broken rod after scoliosis correction with back pain - p. 249 54. Section 4: Spinal Oncology - p. 253 55. 44. Spine metastasis - p. 255 56. 45. Diffuse mets to spine with lumbar stenosis - p. 260 57. 46. Spinal chondrosarcoma - p. 265 58. 47. Intradural extramedullary tumor - p. 273 59. 48. Spinal metastasis with kyphotic deformity - p. 279 60. 49. Multiple spine metastasis with one level symptomatic - p. 285 61. 50. Sacral schwannoma - p. 290 62. 51. Thoracic spine metastasis with acute myelopathy - p. 295 63. 52. Thoracic intramedullary lesions - p. 302 64. 53. Thoracolumbar intradural lesion - p. 308 65. 54. Cervico-medullary junction lesion - p. 313 66. 55. Metastatic lesion to the cervico-thoracic junction - p. 318 67. 56. Glioblastoma - p. 324 68. 57. Foramen magnum meningioma - p. 329 69. 58. Thoracic intradural extramedullary lesion - p. 334 70. 59. Cervical chordoma - p. 339 71. 60. Sacral chordoma - p. 345 72. Section 5: Other - p. 352 73. 61. Spontaneous CSF leak - p. 353 74. 62. Lumbar osteomyelitis and discitis - p. 357 75. 63. Adult basilar invagination - p. 362 76. 64. Spinal type I AVF - p. 368 77. 65. Cavernous malformation - p. 373 78. 66. Spinal hemangioblastoma - p. 378 79. 67. Chiari malformation - p. 383 80. 68. Chiari malformation with recurrent symptoms - p. 388 81. 69. Tethered cord - p. 393 82. 70. Chronic adhesive arachnoiditis with spinal cord dysfunction - p. 398 83. Index - p. 403
Unique in the field, Comparative Management of Spine Pathology presents commonly encountered spinal cases with side-by-side, case-by-case comparisons that clearly show how various experts would handle the same case. This second volume in the Neurosurgery: Case Management Comparison Series offers multiple opinions from international experts in both neurosurgery and orthopaedics, each of whom explains their preferred approach and management style for the same case. This format allows for quick and helpful comparisons of different ways to approach a lesion, advantages and disadvantages of each approach, and what each expert is looking for in how they would manage a particular case.
Offers 4 expert opinions on each case in a templated format designed to help you quickly make side-by-side comparisons—an ideal learning tool for both trainee and practicing neurosurgeons and orthopaedic surgeons for board review and case preparation.
Helps you easily grasp different approaches to spine management with different expert approaches to the same case and summaries from the editors on the advantages and disadvantages to each approach.
Features a wide variety of management decisions, from preoperative studies to surgical approach, surgical adjuncts, and postoperative care, from experts in the field who specialize in different aspects of spine surgery.
Presents 70 cases in the areas of degenerative spine, traumatic spine, spinal deformity, spinal oncology, and miscellaneous topics such as epidural abscess, osteomyelitis, and post-instrumentation infection.
1. Cover image - p. iii 2. Title page - p. iii 3. Table of Contents - p. iii 4. Copyright - p. iv 5. Contributors - p. vi 6. Expert Case Reviewers - p. vi 7. Preface - p. x 8. Section 1: Degenerative Spine - p. xi 9. 1. Grade 1 spondylolisthesis without instability on flexion/extension and claudication - p. 1 10. 2. Lumbar degenerative spondylolisthesis - p. 7 11. 3. Recurrent herniated disc at the same level in a young patient - p. 13 12. 4. Adjacent segment disease after anterior cervical decompression and fusion - p. 19 13. 5. Lumbar adjacent segment disease - p. 24 14. 6. Recurrent stenosis after laminectomy - p. 30 15. 7. Multilevel cervical stenosis from ossified posterior longitudinal ligaments - p. 36 16. 8. Thoracic disc herniation - p. 42 17. 9. Cervical spondylotic radiculopathy and myelopathy from facet and uncovertebral hypertrophy - p. 48 18. 10. One level cervical radiculopathy from a herniated disc - p. 55 19. 11. Lumbar pseudoarthrosis - p. 60 20. 12. Anterior C1-C2 pannus - p. 66 21. 13. High lumbar stenosis (thoracolumbar junction) - p. 72 22. 14. Cervical stenosis with preservation of lordosis - p. 78 23. 15. Single level disc disease with back pain - p. 83 24. 16. Radiculopathy from foraminal stenosis - p. 88 25. 17. Thoracic ligamentous hypertrophy causing stenosis - p. 94 26. 18. C1-C2 facet arthropathy - p. 99 27. 19. Migrated interbody - p. 104 28. 20. Cervical myelopathy - p. 110 29. 21. Failed back surgery syndrome - p. 117 30. 22. Osteoporotic compression fracture - p. 124 31. Section 2: Traumatic Spine - p. 128 32. 23. Hangman’s fracture - p. 129 33. 24. Compression fracture with back pain - p. 134 34. 25. Burst fracture without PLC injury - p. 140 35. 26. Fracture after kyphoplasty - p. 146 36. 27. Pure bone thoracolumbar chance fracture - p. 151 37. 28. Central cord syndrome without instability - p. 157 38. 29. Penetrating spine trauma - p. 163 39. 30. C1 fracture - p. 168 40. 31. Acute spinal cord injury - p. 174 41. 32. Chronic L5 pars fractures with back pain and spondylolisthesis - p. 180 42. 33. Cervical jumped facets - p. 185 43. Section 3: Spinal Deformity - p. 190 44. 34. Proximal junctional kyphosis after deformity surgery - p. 191 45. 35. Coronal deformity - p. 198 46. 36. Coronal and sagittal deformity with back pain (adult idiopathic) - p. 204 47. 37. Adolescent idiopathic deformity - p. 211 48. 38. Flat back after fusion - p. 217 49. 39. Cervical kyphosis - p. 223 50. 40. Degenerative scoliosis with radiculopathy - p. 229 51. 41. Iatrogenic deformity after Harrington rod - p. 235 52. 42. Iatrogenic kyphoscoliosis - p. 242 53. 43. Broken rod after scoliosis correction with back pain - p. 249 54. Section 4: Spinal Oncology - p. 253 55. 44. Spine metastasis - p. 255 56. 45. Diffuse mets to spine with lumbar stenosis - p. 260 57. 46. Spinal chondrosarcoma - p. 265 58. 47. Intradural extramedullary tumor - p. 273 59. 48. Spinal metastasis with kyphotic deformity - p. 279 60. 49. Multiple spine metastasis with one level symptomatic - p. 285 61. 50. Sacral schwannoma - p. 290 62. 51. Thoracic spine metastasis with acute myelopathy - p. 295 63. 52. Thoracic intramedullary lesions - p. 302 64. 53. Thoracolumbar intradural lesion - p. 308 65. 54. Cervico-medullary junction lesion - p. 313 66. 55. Metastatic lesion to the cervico-thoracic junction - p. 318 67. 56. Glioblastoma - p. 324 68. 57. Foramen magnum meningioma - p. 329 69. 58. Thoracic intradural extramedullary lesion - p. 334 70. 59. Cervical chordoma - p. 339 71. 60. Sacral chordoma - p. 345 72. Section 5: Other - p. 352 73. 61. Spontaneous CSF leak - p. 353 74. 62. Lumbar osteomyelitis and discitis - p. 357 75. 63. Adult basilar invagination - p. 362 76. 64. Spinal type I AVF - p. 368 77. 65. Cavernous malformation - p. 373 78. 66. Spinal hemangioblastoma - p. 378 79. 67. Chiari malformation - p. 383 80. 68. Chiari malformation with recurrent symptoms - p. 388 81. 69. Tethered cord - p. 393 82. 70. Chronic adhesive arachnoiditis with spinal cord dysfunction - p. 398 83. Index - p. 403
