DESCRIPTION:
The difference between an average surgeon and a master surgeon is often an ability to navigate and resolve surgical complications. Complications in Orthopaedics: Spine Surgery provides expert guidance and offers real solutions to improve patient outcomes, for both the trainee and the experienced surgeon. This brand-new volume in the Complications in Orthopaedics series from series editor Dr. Stephen R. Thompson, along with expert spinal surgeons Drs. Vikas Patel and Christopher J. Kleck, focuses on how to recognize and avoid errors during spine surgery, with thorough coverage of preoperative errors, intraoperative issues, and postoperative complications.
- Helps you navigate a wide variety of inevitable difficult situations in spine surgery, whether errors in judgment, technical mistakes, or unavoidable outcomes.
- Covers key topics such as Avoiding Complications in Pain Management Before and After Spine Surgery, Managing Spinal Cord Injuries, Complications Associated with Congenital and Neuromuscular Scoliosis, Osteotomy and Surgical Correction Related Complications, and more.
- Features a full-color design with numerous photographs, radiographs, and illustrations.
- Includes clinical images and MRI and CT scans to enhance and reinforce the material.
- Follows a templated, reader-friendly format throughout.
- Includes introductory material on relevant anatomy and necessary background information.
- An eBook version is included with purchase. The eBook allows you to access all of the text, figures and references, with the ability to search, customize your content, make notes and highlights, and have content read aloud. Additional digital ancillary content may publish up to 6 weeks following the publication date.
CONTENTS:
1. Introduction
Section 1: General Spine
2. Optimization to Avoid Complications
Chapter Outline
Introduction
Preoperative Hemoglobin
Bone Mineral Density
Body Mass Index
Albumin/Prealbumin
Smoking
Mental Health Disorders
Frailty
Vitamin D Deficiency
Hemoglobin A1c
Conclusion
References
3. Managing Medical Complications
Abstract
Chapter Outline
Cardiovascular Complications
Infectious Complications
GI Complications
Pulmonary Complications
Neurologic Complications
Genitourinary Complications
Endocrine Complications
Hematologic Complications
References
4. Avoiding Complications in Pain Management Before and After Spine Surgery
Abstract
Chapter Outline
Introduction
Preoperative
Multimodal Pain Therapy
Regional Anesthesia
Chronic Opioid Use and Weaning
Psychological Issues
Postoperative
Conclusion
References
5. Avoiding Complications in Outpatient Spine Surgery
Abstract
Chapter Outline
Introduction
Complication Risk Factors
Cervical Spine Complications
Posterior Cervical Approaches
Lumbar Spine Complications
Lateral Approaches to the Lumbar Spine
Posterior Approaches to the Lumbar Spine
Conclusion
References
6. Managing Spinal Cord Injuries
Abstract
Chapter Outline
Introduction
Neuroanatomy Overview
SCI Overview
SCI Classification
Acute and Chronic
Paraplegia and Tetraplegia
Complete and Incomplete
Upper Motor Neuron Signs and Lower Motor Neuron Signs
Management
Rehabilitation
Navigating Prognosis, Function, and Uncertainty
Conclusion
References
7. Managing Nerve Root Injuries
Abstract
Chapter Outline
Introduction
Nonoperative management
Operative Management
Conclusions
References
8. Prevention, Diagnosis, and Management of Postoperative Spine Infections
Abstract
Chapter Outline
Introduction
Conclusions
References
Section 2: Cervical Spine
9. When to Operate on the Cervical Spine?
Abstract
Chapter Outline
Introduction
Standard Indications
Controversial Considerations for Operative Intervention
Traumatic Cervical Spine
Degenerative Cervical Spine
Classification
Historical Indications
Controversy
Summary
Oncology
Classification
Controversy_Evolution of the Timing of Surgical Intervention
Controversy_Radiation and Surgery in the Cervical Spine
Conclusion
References
10. General Complications of Cervical Spine Surgery
Abstract
Chapter Outline
Preoperative considerations
Intraoperative complications
Postoperative Complications
Conclusion
References
11. Anterior Approach Related Complications
Abstract
Chapter Outline
Introduction
Postoperative Dysphagia
Esophageal Injury
Recurrent Laryngeal Nerve Injury/Vocal Cord Injury
Thoracic Duct Injury
Horner Syndrome
Hypoglossal Injury
Hematomas/Airway Compromise
Instrumentation Related Complications
Conclusion
References
12. Posterior Approach Related Complications
Abstract
Chapter Outline
Introduction
Positioning Complications
Intraoperative Complications
Intraoperative Dural Injury and Cerebral Spinal Fluid Leakage
Postoperative Wound Complications
Postoperative C5 Palsy
Conclusion
References
13. Long-Term Complications following Cervical Spine Surgery
Abstract
Chapter Outline
Introduction
Adjacent Segment Degeneration/Disease
Adjacent Level Ossification Development
Heterotopic Ossification after Cervical Disc Replacement
Distal Junctional Kyphosis
Pseudoarthrosis
Postdecompression Kyphosis after Posterior Cervical Decompression
Conclusions
References
14. Complications of Posterior Minimally Invasive Surgery of the Cervical Spine
Abstract
Chapter Outline
Introduction
MIS Posterior Cervical Procedures
Conclusion
References
Section 3: Thoracic Spine
15. When to Operate on the Thoracic Spine
Abstract
Chapter Outline
Metastatic Spine Tumors
Trauma
Thoracic Stenosis
Spinal Deformity
Infection
Conclusion
References
16. Minimally Invasive Lateral Approach Related Complications
Abstract
Chapter Outline
Introduction
Brief Considerations
Complications Overview
Future Directions
Conclusions
References
17. Complications of the Posterior Approach in Thoracic Spine Surgery
Abstract
Chapter Outline
Introduction
Pathology-Specific Complications from Posterior Approaches
Conclusion
References
18. Long-term Complications of Thoracic Spine Surgery
Chapter Outline
Overview
Post-laminectomy Thoracic Kyphosis
Thoracic Pseudoarthrosis
Adjacent Segment Pathology
Chronic Sequalae of Acute Complications
Global Mitigation of Long-Term Thoracic Complications
Conclusion
References
Section 4: Lumbar Spine
19. When to Operate on the Lumbar Spine
Abstract
Chapter Outline
Low Back Pain and Lumbar Surgery Indications
Deformity
Conclusions
References
20. General Complication in Lumbar Spine Surgery
Abstract
Chapter Outline
Introduction
Neurovascular Injuries
Infection
Spinal Fluid Leaks
Pseudarthrosis
Medical Complications
Conclusion
References
21. Avoiding Complications Associated With Anterior Lumbar Surgery
Abstract
Chapter Outline
Introduction
Preoperative Factors
Previous Surgery
Vessel Anatomy
Intraoperative Complications
Postoperative Complications
Conclusion
References
22. Lateral Approach Related Complications
Abstract
Chapter Outline
Background
General Complications
Lateral transpsoas complications
Lateral antepsoas complications
Major complications
Conclusions
References
23. Posterior Approach Related Complications
Abstract
Chapter Outline
Introduction
Surgical site infections
Wound dehiscence
Symptomatic postoperative epidural hematoma
Muscle flap reconstruction in complex spine surgery
Prevention
Conclusion
References
24. Long-Term Complications of Lumbar Spine Surgery
Abstract
Chapter Outline
Introduction
Pseudarthrosis
Diagnosis of Pseudarthrosis
Complication Avoidance
Management
Adjacent Segment Disease
Failed Back Surgery Syndrome
References
25. Complications of Minimally Invasive Surgery of the Lumbar Spine
Abstract
Chapter Outline
Introduction
MISS Decompression and Discectomy
Lateral Interbody Fusion
Oblique Lumbar Interbody Fusion
Minimally Invasive Transforaminal Lumbar Interbody Fusion
Spinal Endoscopy
Minimally Invasive Deformity Correction
Conclusion
References
Section 5: Pediatric Spinal Deformity
26. When to Operate on Pediatric Spine Deformity
Abstract
Chapter Outline
When to Operate on Early Onset Scoliosis
When to Operate on Congenital Scoliosis
When to Operate on Adolescent Idiopathic Scoliosis
When to Operate on Neuromuscular Scoliosis
When to Operate on Scheuermann""s Kyphosis
Conclusion
References
27. General Complications in Pediatric Spinal Deformity
Abstract
Chapter Outline
Introduction
References
28. Complications Associated with Congenital and Neuromuscular Scoliosis
Abstract
Chapter Outline
Congenital Scoliosis
Neuromuscular Scoliosis
Complications in the Treatment of Congenital and Neuromuscular Scoliosis
Conclusion
References
29. Long-Term Complications in Pediatric Spine Surgery
Abstract
Chapter Outline
Delayed Postoperative Neurologic Deficit
Delayed Infections
Adding on Phenomena
Sagittal Malalignment and JunctionalProblems
Rod Fractures and Pseudoarthrosis
Conclusion
References
Section 6: Adult Spinal Deformity
30. When to Operate on Adult Spine Deformity
Abstract
Chapter Outline
Introduction
Treatment of Adult Spinal Deformity: Nonoperative Management
Treatment of Adult Spinal Deformity: Operative Management
Intraoperative Considerations
Operative Technique
Vascular Complications
Proximal Junctional Kyphosis
Pseudarthrosis
Mortality
Case 1
Conclusion
References
31. Complications of Adult Deformity Surgery
Abstract
Chapter Outline
Introduction
Challenges in Classifying Complications and Current Classification Systems
Medical Complications
Surgical Complications
Neural Complications
Case Example
Conclusion
References
32. Osteotomy and Surgical Correction Related Complications
Abstract
Chapter Outline
Introduction
Neurologic Deficit
Dural Tear
Intraoperative Bleeding
Medical Complications
Pearls and Pitfalls
Conclusion
Disclosures
References
33. Long-Term Complications
Abstract
Chapter Outline
Introduction
Biological Failure
Instrumentation Failure
Adjacent Segment Disease, Proximal and Distal Junctional Failure
Poor Patient-Reported Outcomes
Conclusions
References
Index
Confidence is ClinicalKey
