Curbside Consultation of the Spine (eBook, ePUB)

49 Clinical Questions
Redaktion: Singh, Ken

• Format: ePub

Produktbeschreibung

Are you looking for concise, practical answers to those questions that are often left unanswered by traditional spine references? Are you seeking brief, evidence-based advice for complicated cases or controversial decisions? Curbside Consultation of the Spine: 49 Clinical Questions provides quick answers to the tricky questions most commonly posed during a "curbside consultation" between spinal surgeons.

Dr. Kern Singh has designed this unique reference which offers expert advice, preferences, and opinions on tough clinical questions commonly associated with the spine. The unique Q&A format provides quick access to current information related to the spine with the simplicity of a conversation between two colleagues. Numerous images, diagrams, and references allow readers to browse large amounts of information in an expedited fashion.

Curbside Consultation of the Spine: 49 Clinical Questions provides information basic enough for residents while also incorporating expert advice that even high-volume clinicians will appreciate. Practicing orthopedic spine surgeons, neurosurgeons, orthopedic and neurosurgical residents, and medical students will benefit from the user-friendly, casual format and the expert advice contained within.

Some of the questions that are answered:

• How do I know intraoperatively that I have done a thorough lumbar decompression?
• When I see my patients pre-operatively, what risk factors should I warn them about that may increase their chance for a post-operative infection?
• I have a 65-year-old female who fell and suffered a central cord syndrome. What's her prognosis and are there other types of incomplete spinal cord syndromes?
• I have a 34-year-old patient with back pain and some buttock pain for two weeks. When should I get an MRI?
• Do I need to perform neuromonitoring for every spine surgery? The cost appears to be relatively high and I want to be selective about its use.
• I have a 64-year-old female who was fused posteriorly in the lumbar spine and I need to correct her lordosis. What's the difference between a Smith-Peterson and a pedicle subtraction osteotomy?

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Produktdetails

• Verlag: Taylor & Francis eBooks
• Erscheinungstermin: 1. Juni 2024
• Englisch
• ISBN-13: 9781040137000
• Artikelnr.: 70884981

Autorenporträt

Kern Singh, MD graduated from the Pennsylvania State University in 1995, Jefferson Medical College in 1999, and completed his Orthopaedic Surgery residency at Rush University Medical Center (1999 to 2004). He completed a Spine Surgery fellowship at Emory University in 2005 before returning to join the staff of the Department of Orthopedics, Section of Spine Surgery, at Rush University Medical Center as an assistant professor. Dr. Singh currently serves as an editor for the Journal of American Academy of Orthopedic Surgery, American Journal of Orthopedics, and the Journal of Contemporary Spine Surgery. He has co-authored multiple technique and review articles, book chapters, and peer-reviewed manuscripts in the field of spine surgery. Additionally, he has served as a faculty member for both national and international courses in Spine Surgery.

Inhaltsangabe

Contents Dedication Acknowledgements About the Editors Contributing Authors
Preface Foreward by John G. Heller, MD Section I Anatomy Question 1 How Do
I Know Intraoperatively That I Have Done a Thorough Lumbar Decompression?
Rick A. Davis, MD Question 2 When Performing a Lumbar Microdiscectomy, Is
It Better to Perform Only a Fragmentectomy or Should I Perform an
Annulotomy and be More Aggressive About the Disc Removal? Rick A. Davis, MD
Question 3 I Am Going to Perform an Anterior Thoracic Spinal Release. Are
There Any Intraoperative Precautions I Can Take to Minimize the Risk of
Spinal Cord Infarction? Rick A. Davis, MD Section II Diagnostic Imaging
Question 4 I Have a Patient With Degenerative Disc Disease at L5-S1 That Is
Clinically Symptomatic. What Is a Discogram and When Should I Order One?
Rick A. Davis, MD Question 5 I Have a 34-Year-Old Male With Recurrent Leg
Pain 4 Weeks After a Discectomy. What Imaging Study Should I Order? Rick A.
Davis, MD Question 6 I Have a Patient With a Small Disk Herniation But He
Continues to Complain of Right Lower Extremity Radiculopathy. Is There an
Imaging Study or Test I Can Order to Help Me Confirm My Diagnosis? Rick A.
Davis, MD Question 7 I Have a 34-Year-Old Female With a Discogram Positive
L5-S1 Degenerative Disc Who Wants to Avoid Surgery at All Costs. Is
Intradis cal Electrothermal Therapy a Reasonable Alternative? Rick A.
Davis, MD Question 8 I Have Patients With Spinal St enosis and Others With
Foraminal Stenosis and Facet Degeneration. What Types of Anesthetic
Injections Are Available and When Should I Order Them? Rick A. Davis, MD
Section III Surgical Approach Question 9 I Have a Lot of Patients with
L5-S1 Degenerative Di sc Disease. What Surgical Options Do I Have for
Accessing the Anterior L5-S1 Interspace? 25 Joseph D. Smucker, MD Question
10 I Have a Patient With Discogen ic Pain and a Symptomatic L3-4
Intervertebral Di sc. What Are My Options? Joseph D. Smucker, MD Section IV
Spinal Instrumentation Question 11 I Have Many Patients in My Office Who
Have Symptoma tic Spinal Stenosis. In the Setting of a Lumbar Laminectomy,
When Should I Perform a Fusion? Alpesh A. Patel, MD Question 12 What Is the
Difference Between a Posterior Lumbar Interbody Fusion Versus a
Transforaminal Interbody Fusion? Alpesh A. Patel, MD Question 13 I Have
Noticed That When I Do Long Segment Fusions to the Sacrum, My Screws Have
Pulled Out of the S1 Pedicle. I Am Not Familiar With Pelvic Fixation
Techniques. When Should I Fuse to the Pelvis and What Types of Fixation Are
Available? Alpesh A. Patel, MD Question 14 I Have a 34-Year-Old Male Who
Has Degenerative Disc Disease at L4-5 and Wants to Avoid a Fusion. What Are
the Advantages and Disadvantages of a Lumbar Disc Replacement in a Young
Individual? Alpesh A. Patel, MD Section V Tumor Question 15 I Have a
37-Year-Old Male With an Isolated Lytic Bone Lesion in His Thoracic
Vertebra. His Biopsy Indicated a Giant Cell Tumor. How Do I Manage This
Lesion? Alpesh A. Patel, MD Question 16 I Have an Elderly Patient With
Multiple Lesions in the Cervical/Thoracic and Lumbar Spine. Which
Laboratory and Imaging Studies Should I Obtain? Alpesh A. Patel, MD
Question 17 I Have a 67-Year-Old Female with Metastatic Breast Cancer and
Spinal Cord Compression in the Thoracic Spine. When Should I Perform
Surgery Instead of Irradiation? Alpesh A. Patel, MD Section VI Infection
Question 18 What Risk Factors Will Increase the Likelihood of Postoperative
Infection? Ahmad Nassr, MD and Joon Y. Lee, MD Question 19 I Have a Patient
Who Has a Draining Wound 2 Weeks After a Lumbar Laminectomy Fusion. How
Should I Manage This Patient? What if the Patient Had This Infection 9
Months Later? Ahmad Nassr, MD and Joon Y. Lee, MD Section VII Trauma
Question 20 I Have a 28-Year-Old Female With a T12 Burst Fracture. She Is
Neurologically Intact With 40 Degrees of Kyphosis and 50% Canal Compromise.
Can I Do an All-Posterior Fusion or Should I Plan on Going Anteriorly?
Ahmad Nassr, MD and Joon Y. Lee, MD Question 21 What Screening Radiographs
Should a Spinal Trauma Patient Get? Ahmad Nassr, MD and Joon Y. Lee, MD
Question 22 I Have a 27-Year-Old Male With a C5-6 Facet Dislocation Who Is
Awake and Alert. Do I Need to Get an MRI Before I Reduce the Facet
Dislocation? Ahmad Nassr, MD and Joon Y. Lee, MD Question 23 What Is Spinal
Shock? How Do I Know When It Is Over? Ahmad Nassr, MD and Joon Y. Lee, MD
Question 24 I Have a 65-Year-Old Female Who Fell and Suffered a Central
Cord Syndrome. What Is Her Prognosis and Are There Other Types of
Incomplete Spinal Cord Syndromes? Ahmad Nassr, MD and Joon Y. Lee, MD
Question 25 I Have 57-Year-Old Male Involved in a High Speed Motor Vehicle
Accident. He Is a C7 ASIA A Who Went to the Emergency Room 12 Hours After
His Accident. Should I Give Him Intravenous Steroids? Ahmad Nassr, MD and
Joon Y. Lee, MD Question 26 I Have a 34-Year-Old Patient Who Has Had Back
Pain and Some Buttock Pain for 2 Weeks. When Should I Get an MRI? Brian
Kwon, MD Question 27 I Have a 42-Year-Old Male With a Symptomatic Lumbar
Disc Herniation That Has Been Present for 6 Weeks. What Roles Do Therapy
and Epidural Injections Have? Brian Kwon, MD Question 28 I Have a
67-Year-Old Female With a T7 Compression Fracture. Are There Any Findings
That Can Help Me to Differentiate a Pathological Compression Fracture From
an Osteoporotic Fracture? Brian Kwon, MD Question 29 I Have a 72-Year-Old
Female With a Symptomatic T12 Vertebral Compression Fracture That Has
Failed a Course of Bracing. How Do I Decide Whether She Should Undergo a
Kyphoplasty or a Vertebroplasty? Brian Kwon, MD Question 30 I Have a
34-Year-Old Male With Cervical Myelopathy and Multiple-Level Cervical
Stenosis. I Am Concerned About Performing a Posterior Cervical Fusion on
Such a Young Patient. Are There Any Alternatives That Would Treat His
Myelopathy and Preserve His Neck Range of Motion? Brian Kwon, MD Question
31 I Have a 29-Year-Old Male With Right Arm Pain due to a C6 Disc
Herniation. Is There a Surgical Alternative to an Anterior Cervical
Discectomy and Fusion in This Patient? Brian Kwon, MD Question 32 What Is
the Difference Between Cervical Myelopathy and Radiculopathy? Brian Kwon,
MD Question 33 I Have a 29-Year-Old Male With a Large Central Disc
Herniation at L4-5. He States That He Has Had Difficulty With Urination.
How Do I Make Sure He Does Not Have Cauda Equina Syndrome? Brian Kwon, MD
Section IX Pediatrics Question 34 I Have a 12-Year-Old Male With a 3-Month
History of Back Pain That Does Not Appear to Be Resolving. How Should I
Work Up Back Pain in an Adolescent? Shay Bess, MD Question 35 A 9-Year-Old
Boy Came to the Emergency Room After Falling From a Tree. He Has a Lot of
Neck Pain and Some Motor Weakness in his Upper and Lower Extremities. Is it
Possible to Have Spinal Cord Injury Without Any Radiographic Abnormalities?
How Should This Patient Be Managed? Shay Bess, MD Section X Bone Grafts
Question 36 Some of My Patients Complain That the Iliac Crest Bone Graft
Site Is Tender Years After Surgery. What Types of Bone Graft Alternatives
Are Available for the Cervical and Thoracolumbar Spine? Shay Bess, MD
Section XI Intraoperative Question 37 Do I Need to Perform Neuromonitoring
for Every Spine Surgery? The Cost Is Relatively High and I Want to Be
Selective About Its Use Shay Bess, MD Section XII Postoperative Patients
Question 38 When Should I Brace My Thoracolumbar Fusions? Shay Bess, MD
Section XIII Sports Medicine Question 39 I Was at a High School Football
Game When I Saw a Football Player Attempt to Spear-Tackle Another Player;
His Arms and Legs Temporarily Became Numb. What Happened to That Player and
How Should He Be Followed? Shay Bess, MD Question 40 W