The Spine: Medical & Surgical Management

Alexander Vaccaro Professor, Thomas Jefferson University Hospital Pennsylvania, USA Brian W Su MD Spine Surgeon, Mt. Tam Orthopaedics and Spine Centre, Marin General Hospital, Greenbrae, CA, United States Yan Wang MD Prof. & Director, Department of Orthopaedics, The General Hospital of Chinese People’s Liberation Army, Beijing, China Marcel F. Dvorak MD, FRCSC Professor of Orthopaedics, University of British Columbia, Canada H Michael Mayer MD Professor of Neurosurgery & Head of Department and Co-Director, Spine Centre and Schoen Klinik Back Institute, Munich, Germany Kazuhiro Chiba MD PhD Director, Kitasato University, Kitasato Institute Hospital, Minato, Tokyo, Japan Luiz Vialle MD Professor of Orthopaedics, Head Spine Unit, Catholic University, Curitiba, Brazil Magdy Gamal Youssef MD Professor of Spine Surgery, Ain Shams University, Khalifa El-Maamon St Cairo, Cairo Governorate, Egypt S Rajasekaran MS, DNB,FRCS (Ed), M.Ch (Liv), FACS, FRCS(Eng),Ph.D. Chairman, Department of Orthopaedics and Spine Surgery, Ganga Hospital, Coimbatore, Tamil Nadu, India, University of British Columbia, Canada

General



1 The Aging Lumbar Spine:  Normal, Pathologic, and the Pain Generators



2 Anatomy of the Cervical, Thoracic, and Lumbar Spine



3 Clinical Biomechanics of the Spine



4 Biomechanics of Internal Fixation



5 Physical and Neurological Examination of the Spine



6 Electro Diagnostic Studies of the Spine



7 Interventional Spinal Diagnostics and Therapeutics (Discography, MBB, Rhizotomy, etc)



8 Surgical Considerations in the Obese Patient



9 Surgical Considerations in the Geriatric Patient



10 Surgery of the Sympathetic Nervous System



11 Stereotactic Radiosurgery of the Spine



12 Spinal Cord and Nerve Root Monitoring (neurophysiologic monitoring)



13 Anesthesia in Spinal Surgery



14 Spinal Orthoses



15 Outcomes Assessment in Spine Surgery 



16 Outpatient Rehabilitation of the Spine Patient



Developmental



17 Embryologic Development of the Spine



18 Anatomy and Physiology of Congenital Spinal Lesions



19 Congenital Anomalies of the Cervical Spine



20 Congenital Anomalies of the Spinal Cord



21 Occult Spinal Dysraphism and Tethered Spinal Cord



22 Surgical and Non-Surgical Treatment of Myelomeningocele and Associated Anomalies



23 Chiari Malformation and Syringomyelia



24 The Spine in Osteogenesis Imperfecta



25 Scheuermann's Kyphosis



26 Spinal Deformity in Familial Dysautonomia



Metabolic Disorders



27 Nonoperative and Operative Management of Paget's Disease



28 Spinal Disorders Associated with Skeletal Dysplasias and Metabolic Diseases



29 Operative and Non Operative Management of Rheumatoid Arthritis



30 Operative and Non Operative Management of Ankylosing Spondylitis



Bone Grafting



31 Techniques and Complications of Bone Graft Harvesting



32 Bone Graft Substitutes



33 Vascularized Bone Grafts in Spine Surgery



34 BMP's and their Role in Spinal Fusion



Cervical



35 Transoral and Jaw-Splitting Approaches to the Upper Cervical Spine



36 Anterior Cervical Approaches



37 Anterior Approaches to the Cervicothoracic Junction



38 Evaluation and Treatment of Axial Neck Pain



39 Cervical Spondylotic Radiculopathy: Clinical Evaluation and Nonoperative Treatment



40 Surgical Treatment of Cervical Spondylotic Radiculopathy including Anterioly and Posteriorly Based Procedures



41 Cervical Spondylotic Myelopathy: Clinical Evaluation and Nonoperative Treatment



42 Anteriorly Based Surgical Treatment of Cervical Spondylotic Myelopathy Excluding OPLL



43 Posteriorly Based Surgical Treatment of Cervical Spondylotic Myelopathy including Laminoplasty, Laminectomy, Laminectomy/Fusion



44 Natural History and Surgical Treatment for Ossification of the Posterior Longitudinal Ligament



45 Occipitocervical and Atlantoaxial Fusion



46 Instrumentation of the Subaxial Spine



47 Lesions of the Foramen Magnum (Transoral and Foramen Magnum Decompression)



48 Kyphotic Cervical Deformity Correction including Post Traumatic and Post Laminectomy Kyphosis



49 Osteotomies in the Cervical Spine



50 Management of Soft Tissue Injuries of the Cervical Spine: Whiplash 



51 Closed Treatment of Cervical Spine Injuries



52 Cervical Spine Injuries in the Athlete: Return-to-Play Criteria



53 Nonoperative and operative Treatment of Upper Cervical Spine Trauma



54 Nonoperative and operative Treatment of Subaxial Cervical Spine Trauma including Dislocations



55 Revision Anterior and Posterior Cervical Spine Surgery



56 Acute Management of Spinal Cord Injury



Spinal Cord Injury



57 Pharmacology and Timing of Surgical Intervention for Spinal Cord Injury



58 Pediatric Spine Trauma and Spinal Cord Injury



59 Penetrating Spinal Cord Injuries



60 Novel Approaches to Neural Repair and Regeneration after Spinal Cord Injury



61 Nutritional Care of the Spinal Cord Injured Patient



62 Rehabilitation of the Spinal Cord Injury Patient



Lumbar Spine Part 1



63 Anterior and Lateral Exposures to the Lumbosacral Spine



64 Posterior Approaches to the Lumbosacral Spine



65 Surgical Approaches and Reconstruction of the Sacrum



66 Fixation Techniques of the Sacropelvic Junction



67 Lumbar Pedicle Screw Fixation



68 Transfacet, Translaminar, Cortical Screw Fixation of the Lumbar Spine



69 Anterior Lumbar Interbody Fusion (including stand along anterior interbody devices)



70 Posterior Lumbar Interbody Fusion



71 Transforaminal Lumbar Interbody Fusion



72 Lateral Lumbar Interbody Fusion Techniques (Degenerative and Scoliotic)



73 Non Operative Treatment of Lumbar Disk Herniation



74 Open Operative Treatment of Lumbar Disk Herniations



75 Cauda Equina and Conus Medullaris Syndrome



76 Lumbar Nucleus Pulposus Replacement



77 Anular Repair



78 Surgical Treatment of Lumbar Degenerative Disk Disease: Axial Low Back Pain



Lumar Spine Part 2



79 Non Operative treatment of Lumbar Stenosis



80 Lumbar Spinal Stenosis: Open Operative Treatment



81 Interspinous Process Decompressive Devices



82 Operative Treatment of Low Grade Lumbar Degenerative Spondylolisthesis



83 Operative Treatment of High-Grade Lumbar Spondylolisthesis



84 Nonoperative Treatment of Fractures of the Thoracolumbar Spine 



85 Surgical Indications and Management of Thoracolumbar Fractures



86 Thoracolumbar Trauma: Lower Lumbar Fractures



87 Surgical and Non Surgical Treatment of Sacral Fractures



88 Non Operative and Operative Treatment of SI Joint Dysfuction



89 Tarlov Cysts



90 Failed Back Surgery Syndrome



Motion Preservation



91 Biomechanics of Motion Preservation Strategies



92 Posterior Dynamic Stabilization



93 Total Facet Replacement



94 Lumbar Disk Replacement



95 Cervical Disk Replacement



Thoracic



96 Thoracic Spine: Surgical Approaches for Decompression



97 Thoracoscopic Approach for Spinal Conditions



98 Thoracic Discectomy and Corpectomy



99 Thoracic Pedicle Screw Fixation



100 Direct Lateral Thoracic Interbody Fusion



Pediatrics (Including Pediatric Deformity)



101 Back Pain in Children and Adolescents



102 Congenital Scoliosis (including hemivertebrae resection)



103 Neuromuscular Scoliosis



104 Role of Halo /Halo-Femoral Traction in Paralytic Neuromuscular Scoliosis



105 Spinal Deformity in Skeletal Dysplasia Conditions



106 Non Operative Treatment of Adolescent Idiopathic Scoliosis



107 Operative Treatment of Adolescent Idiopathic Scoliosis



108 Anterior Lumbar and Thoracolumbar Correction and Fusion for AIS



109 Short Segment “Bone-on-Bone” Fusion for Adolescent Idiopathic Scoliosis



110 Pediatric Spondylolysis and Spondylolisthesis (including pars repair)



111 The Immature Spine and Athletic Injuries



112 Sacro-Pelvic Morphology and Spino-Pelvic Alignment



Adult Deformity



113 Non Operative Treatment of Adult Deformity



114 Preoperative considerations for the Adult Deformity Patient



115 Surgical Treatment of Adult Thoracolumabar Idiopathic  Scoliosis



116 Surgical Management of Adult lumbar Degenerative Scoliosis



117 Osteotomy Techniques for Coronal and Sagital Plane Thoracolumbar Deformities



118 Surgical Treatment of Spinal Deformities in the Setting of Osteoporosis



Tumor, Vascular Malformations and Infections



119 Primary Bony Spinal Lesions (benign and malignant)



120 Tumors of the Sacrum



121 Metastatic Tumors of the Spine



122 Intradural Intramedullary and Extramedullary Tumors



123 Spinal Intradural Vascular Malformations



124 Spinal Infections, Pyogenic Osteomyelitis, and Epidural Acscess



125 Tuberculosis Infections of the Spine



Complications



126 Medical Complications in the Adult Spinal Patient



127 Management of Cerebral Spinal Fluid Leaks



128 Complications of Lumbosacral Spine Surgery



129 Management of latrogenic Neurologic Loss Due to Spinal Instrumentation 



130 Complications of Anterior and Posterior Cervical Spine Surgery



131 Complications of Anterior and Posterior Thoracic Spine Surgery



Minimally Invasive Surgery and Navigation



132 Minimally Invasive Techniques of the Cervical Spine



133 Minimally Invasive Techniques of the Thoracic Spine



134 Minimal Invasive Lumbar Surgery including Tubular Retractors for Disk Herniations and Stenosis



135 Minimally Invasive Instrumentation of the Lumbar Spine (TLIF, Pedicle Screws, Transfacet screws etc)



136 Minimally Invasive Deformity Surgery: Future Directions



137 Use of Navigation in Spinal Surgery