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Adult Degenerative Scoliosis–Coronal and Sagittal Deformities: Treatment and Management
Alexander R Vaccaro, James S Harrop, Ahmed J Awad
SECTION 1: LUMBAR DEGENERATIVE SCOLIOSIS
CHAPTER 1:
Thoracolumbar Spine Anatomy and Pathoetiology of Degenerative Scoliosis
INTRODUCTION
SPINAL ANATOMY
Basics of General Spinal Anatomy
THORACIC AND LUMBAR ANATOMY
Thoracic Region
Lumbar Region
DEMOGRAPHICS AND EPIDEMIOLOGY
PATHOETIOLOGY
General Features and Overview
The Role of Osteoporosis
The Role of IVDs and Facet Joints
INITIATION OF CURVATURE
Progression of Curvature
Associated Changes
GENETIC ETIOLOGIES
CONCLUSION
CHAPTER 2:
Imaging and Radiographic Measurement Techniques for Lumbar Degenerative Scoliosis
INTRODUCTION
CONVENTIONAL RADIOGRAPHY
Technique
Radiographic Assessment of DLS
COBB ANGLE TECHNIQUE
Segmental Scoliotic Wedging
Lumbar Lordosis in Degenerative Scoliosis
GLOBAL BALANCE
ROTATORY SUBLUXATION
Evaluation of Asymmetric Degenerative Changes of the Spine
THE SRS-SCHWAB CLASSIFICATION
ADVANCED IMAGING
Assessment of Spinal Stenosis
EOS Imaging System
SUMMARY
CHAPTER 3:
The Importance of Spinal Alignment in the Management of Lumbar Degenerative Scoliosis
DEGENERATIVE SCOLIOSIS
PATHOLOGY OF DDS VS AISA
CLINICAL PRESENTATION
Symptoms
Compensation
Clinical Implications of Symptomatology
RADIOLOGICAL EVALUATION
The Road to Classification
Development of Pelvic Parameters
SRS-Schwab Classification of Adult Spinal Deformity
TREATMENT
CONCLUSION
CHAPTER 4:
Natural History of Nonoperative Treatment for Lumbar Degenerative Scoliosis
INTRODUCTION
RADIOGRAPHIC PROGRESSION
CLINICAL PROGRESSION
CASE PRESENTATION
CONCLUSION
CHAPTER 5:
Clinical and Biomechanical Differences in the Treatment of Adult Degenerative and Idiopathic Scoliosis
INTRODUCTION
INITIAL PRESENTATION AND EVALUATION
Initial Presentation
Radiographic and Clinical Evaluation
Preoperative Optimization
GOALS OF TREATMENT AND SURGICAL CONSIDERATIONS
Goals of Treatment
Classification of Deformity and Surgical Considerations
CONCLUSION
SECTION 2: SURGICAL PLANNING
CHAPTER 6:
When is Posterior Decompression alone Adequate in the Setting of Lumbar Degenerative Scoliosis?
INTRODUCTION
CASE PRESENTATION (FIGS. 6.1A TO D)
DISCUSSION
Surgical Principles
Why Do It This Way
Things Not To Do
CHAPTER 7:
Determining Fusion Levels in Lumbar Degenerative Scoliosis
INTRODUCTION
CLINICAL AND RADIOGRAPHIC EVALUATION
CASE PRESENTATION
THE DISTAL FUSION LEVEL
Discussion
Fusion to L5
Fusion to the Sacrum
Complications
Key Points
THE PROXIMAL FUSION LEVEL
COMPLICATIONS
SUMMARY
CHAPTER 8:
Is an Interbody Fusion Always Necessary?
INTRODUCTION
CASE PRESENTATION
DISCUSSION
Why an Interbody Graft?
TYPES OF INTERBODY MATERIAL
Autograft
Allograft
Artificial
Interbody Cages
INDICATIONS AND CONTRAINDICATIONS
Indications
ALIF
PLIF/ TLIF
DLIF/XLIF
Contraindications
ALIF
TLIF/PLIF
DLIF/XLIF
THINGS NOT TO DO AND COMPLICATIONS
KEY CONCEPTS
CHAPTER 9:
Lateral Lumbar Interbody Fusion for Treatment of Degenerative Scoliosis
INTRODUCTION
CASE REPORT
DISCUSSION
COMPLICATIONS
CONCLUSION
CHAPTER 10:
When Does One Stop at L5 as a Distal Fusion Level Instead of the Sacrum in Multilevel Fusions for Lumbar Degenerative Scoliosis?
INTRODUCTION
CASE PRESENTATION
Case 1
Case 2
Case 3
DISCUSSION
Surgical Principles
CHOOSING L5 AS SITE OF DISTAL FUSION
Indications/Contraindications for L5 Fusion
Advantages of L5 Fusion
Disadvantages of L5 Fusion
COMPLICATIONS
General Concerns
Stopping at L5
Stopping at Sacrum
KEY CONCEPTS
SECTION 3: SURGICAL TECHNIQUES
CHAPTER 11:
Anterior Approaches to the Lumbar Spine
INTRODUCTION
INDICATIONS FOR ANTERIOR COLUMN SUPPORT, AND OUTCOMES FOLLOWING ANTERIOR SPINAL SURGERY FOR ADULT SPINAL DEFORMITY
CONTRAINDICATIONS TO ANTERIOR LUMBAR APPROACH
SURGICAL TECHNIQUE
CLINICAL AND BIOMECHANICAL EVALUATION OF ALIF VS TLIF
COMPLICATIONS ASSOCIATED WITH ANTERIOR LUMBAR APPROACHES
CONCLUSION
CHAPTER 12:
Posterior Fusion Techniques for Lumbar Degenerative Scoliosis
INTRODUCTION
CASE PRESENTATION
PREOPERATIVE WORKUP
SURGICAL PRINCIPLES
BONE AND BONE SUBSTITUTE OPTIONS
ADVANTAGES OF POSTERIOR-ONLY APPROACH
DISADVANTAGES OF POSTERIOR-ONLY APPROACH
COMPLICATIONS
CONCLUSION
KEY CONCEPTS
CHAPTER 13:
Ponte Osteotomy
INTRODUCTION
CASE PRESENTATION
SURGICAL TECHNIQUE
BENEFITS OF THE PONTE OSTEOTOMY
THINGS NOT TO DO
COMPLICATIONS
KEY CONCEPTS
CHAPTER 14:
Smith-Peterson Osteotomies
INTRODUCTION
ILLUSTRATIVE CASE PRESENTATION
Description of Procedure
COMPLICATION MANAGEMENT
KEY POINTS
CHAPTER 15:
Pedicle Subtraction Osteotomy
INTRODUCTION
CASE PRESENTATION
PSO INDICATIONS
PSO SURGICAL TECHNIQUE (BOX 15.1)
COMPLICATIONS (TABLE 15.1)
ACKNOWLEDGMENT
CHAPTER 16:
Vertebral Column Resection in Adult Degenerative Scoliosis
INTRODUCTION
CASE PRESENTATION
SURGICAL TECHNIQUE
DISCUSSION
Things To Do and Not To Do
COMPLICATIONS
KEY POINTS
CHAPTER 17:
The Lateral Approach
INTRODUCTION
KEY CONCEPTS
CASE PRESENTATION
SURGICAL PRINCIPLES
WHY DO IT THIS WAY
THINGS NOT TO DO
COMPLICATIONS AND MANAGEMENT
CHAPTER 18:
Spino-pelvic Fixation Strategies in the Setting of Lumbar Degenerative Scoliosis
INTRODUCTION
CASE PRESENTATION
DISCUSSION
Surgical Principles
Applied Anatomy
Applied Biomechanics
Clinical Application
Technique
WHY DO IT THIS WAY?
WHAT TO AVOID
COMPLICATIONS
CONCLUSION
KEY CONCEPTS
CHAPTER 19:
Circumferential Approaches
INTRODUCTION
CASE PRESENTATION (FIGS. 19.1A TO D)
SURGICAL PRINCIPLES (GOALS)
WHY DO IT THIS WAY
THINGS NOT TO DO
COMPLICATIONS
CONCLUSION
KEY POINTS
CHAPTER 20:
Less Invasive Surgery for Adult Degenerative Scoliosis
INTRODUCTION
CASE PRESENTATION
RATIONALE FOR THE CHOSEN SURGICAL APPROACH
DRAWBACKS OF THE CHOSEN APPROACH
COMPLICATIONS OF THE APPROACH
DISCUSSION
KEY POINTS
CONCLUSION
INDEX
TOC
Index
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