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While most spine deformities such as scoliosis, kyphosis, and lordosis are idiopathic, muscular dystrophy, cerebral palsy, spinal cord tumors and lesions are associated with more severe curve progression. Bracing typically does not prevent progression of spinal curves, and surgery is necessary for these patients. Neuromuscular Spine Deformity by Amer F. Samdani et al is the most comprehensive Neuromuscular Spine Deformity 1st Edition PDF on this topic to date, detailing the latest surgical techniques for a wide range of common to rare neuromuscular pathologies, in 27 well-illustrated chapters.
The comprehensive content derives from the authors’ collective years of hands-on expertise, evidence-based knowledge from the literature, and multicenter scoliosis studies performed by the prestigious Harms Study Group, a worldwide research-based association of spine surgeons. The text begins with discussion of preoperative evaluation, nonoperative management, and surgical considerations such as anesthesia, neuromonitoring, and estimated blood loss. Section two highlights pathology-specific surgical interventions, while sections three and four provide clinical pearls on a wide array of surgical techniques, complications, and patient outcomes.
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Key Highlights
Disease-related challenges including dislocated hips, hyperlordotic/hyperkyphotic spine in cerebral palsy, myelomeningocele-related myelodysplasia and spine deformity, Duchenne’s muscular dystrophy, and spinal muscular atrophy
Guidance on assessing the sagittal profile preoperatively and executing it intraoperatively in patients with spinal cord injury
Multiple options for fixation including the new sacral alar iliac screw approach for sacropelvic fixation and correction of pelvic obliquity
Postoperative issues including ICU management, incidence and management of early and late wound infection, instrumentation failure, junctional kyphosis, and cervical extension
Health-related quality of life outcomes in pediatric patients with cerebral palsy who have undergone scoliosis surgery
This state-of-the-art resource is essential reading for orthopaedic surgeons, neurosurgeons, and trainees in these specialties. It is also a must-have reference for academic programs and institutional departments specializing in pediatric spine pathologies.
Description Neuromuscular Spine Deformity 1st Edition PDF
Neuromuscular scoliosis is a very common condition, but it presents the pediatric spine surgeon with many treatment challenges. The patient population is diverse, and the deformities can be complex. Most surgeons have developed their surgical treatment plans and intraoperative techniques through experience.While many different treatmentswork in a given surgeon’s hands, there is currently no one resource to which a younger, inexperienced surgeon or an experienced surgeon presented with a challenging deformity can go to gain knowledge from the vast experience of experts in the field.
The purpose of Neuromuscular Spine Deformity 1st Edition PDF is to present some of the experiences of master surgeons, including key aspects of their surgical technique,ways to avoid problems, and advice on dealing with complications. In addition, the authors will provide evidence-based knowledgefrom both the literature and from the studies performed by the Harms Study Group. The authors assume that the reader has a basic knowledge of neuromuscular disease and some experience treating paralytic spine deformities using basic instrumentation.
Section I: Surgical and Medical Considerations deals with nonoperative management and indications for surgery. Preoperative planning and intraoperative issues including anesthesia and neuromonitoring are addressed in this section. The managementof subluxed or dislocated hips, which may be very familiar to the pediatric orthopaedist but not to a spine-fellowship trained surgeon, are discussed. The presence of subluxed or dislocated hips in the patient with neuromuscular scoliosis presents particular challenges. The majority of neuromuscular disorders that include subluxed or dislocated hips usually fall into one of three diagnoses, which include 1) spinal cord injury; 2) myelomeningocele; and 3) cerebral palsy.
However, the highest prevalence of dislocation is probably caused by sepsis, and it is essential that any relatively acute, radiographically identified dislocated hip have an aspiration and adequate work-up to rule out sepsis.
Info Neuromuscular Spine Deformity 1st Edition PDF
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