Surgical Atlas of Spinal Operations Alexander R Vaccaro, Jason C Eck
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fm1SURGICAL ATLAS OF SPINAL OPERATIONSfm2
fm3SURGICAL ATLAS OF SPINAL OPERATIONS
Editors Jason C Eck DO MS Assistant Professor Department of Orthopedic Surgery University of Massachusetts Worcester, Massachusetts, USA Alexander R Vaccaro MD PhD Professor of Orthopedics and Neurosurgery Thomas Jefferson University Philadelphia, Pennsylvania, USA
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© 2013, Jaypee Brothers Medical Publishers
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This book has been published in good faith that the contents provided by the contributors contained herein are original, and is intended for educational purposes only. While every effort is made to ensure accuracy of information, the publisher and the editors specifically disclaim any damage, liability, or loss incurred, directly or indirectly, from the use or application of any of the contents of this work. If not specifically stated, all figures and tables are courtesy of the editors. Where appropriate, the readers should consult with a specialist or contact the manufacturer of the drug or device.
Surgical Atlas of Spinal Operations
First Edition: 2013
9789350903261
Printed at:
fm5 Dedicated to
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My wife Laurie and daughters; Katherine and Caroline.
Without their continued love and support, this would not have been possible.
Jason C Eck
The three most important people in my life–Lauren and my two children
Alex and Juliana. Their inspiration, support and love is never ending.
Alexander R Vaccaro
fm7Contributors fm13Preface
The appropriate management of spinal disorders is based on a thorough knowledge of spinal anatomy, applied biomechanics, and pathophysiology combined with an understanding of both nonoperative and operative treatment options. Rapid advances in this field continue to make this a very challenging goal.
As with most complex endeavors, a team approach typically provides the best outcomes. The surgical management of spinal disorders is not limited to orthopedic spine surgeons and neurosurgeons, but instead benefits from collaboration with other surgical specialists including general, vascular, trauma, plastic, ENT and thoracic surgeons. This text benefits from the extensive knowledge of these other surgical fields as well as from leaders in the field of spinal surgery.
Surgical Atlas of Spinal Operations is divided into several sections in an attempt to provide the reader the best understanding of complex topics as well as to facilitate the search for specific information on any of these topics. The first section provides a comprehensive review of surgical anatomy through a step-by-step description of the most common surgical approaches to the spine. Each of these chapters consists of a discussion of the indications for using the approach, a review of the pertinent anatomy, a well-illustrated description of the surgical approach, a discussion of the postoperative care, and potential complications associated with the approach. A list of Key Points summarizes the most important information of each chapter. The second section of the text provides descriptions of specific surgical techniques based on the location in the spine from occiput to ileum. These chapters encompass the wide variety of techniques that must be mastered by the spine surgeon from the common lumbar decompression to complex sacrectomy and vertebral osteotomy. Chapters are also included on newer technologies including disk arthroplasty, interspinous spacers and minimally invasive techniques. The final section focuses on other associated techniques including graft harvesting, discography and cement augmentation techniques.
It is our hope that Surgical Atlas of Spinal Operations serves as a valuable resource for both the accomplished spine surgeon and those still in training. In a field with rapid new advances, it is crucial to have a resource to provide up-to-date information.
Jason C Eck
Alexander R Vaccaro
fm14Acknowledgments
There are always numerous people involved in bringing a project like this to completion. We would like to thank all of the chapter authors who have taken the time and effort to write such excellent chapters for this book. We would also like to acknowledge the publishing staff at Jaypee Brothers Medical Publishers (P) Ltd, New Delhi, India, and specifically Ms Chetna Malhotra Vohra (Senior Manager–Business Development) and Ms Payal Bharti (Development Editor), for their work in completing this book.