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Bridwell and DeWald's Textbook of Spinal Surgery

9781496386502
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9781496386502
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November 11, 2019
2019-11-11
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  • Description
    Written by experts from around the world, the latest edition of this leading reference features contributions from both neurosurgeons and orthopaedic surgeons. Presenting the full scope of spinal surgery, chapters discuss anatomy, biomechanics, complications, instrumentation, preoperative and postoperative care, and other core topics for surgeons. And numerous illustrations and clinical video clips provide critical visual context.
     
    • New chapters detail current surgical techniques for idiopathic scoliosis procedures.
    • Over half of the authors are new—bringing fresh perspectives and approaches to surgical preparation and techniques.
    • Technical procedures are written in an easy-to-follow, step-by-step format.
    • Covers a wide spectrum of spinal deformities, degenerative disorders, injuries, and traumatic conditions.
    • Now with more than 4,000 illustrations—including figures that accurately depict anatomy and procedures, and tables and algorithms for absorbing information quickly.

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  • Specs
    Edition
    4
    ISBN/ISSN
    9781496386502
    Product Format
    VST ePub3
    Edition
    4
    Publication Date
    November 11, 2019
  • Keith H. Bridwell MD
    Professor of Orthopaedic Surgery, Washington University School of Medicine, St. Louis, MO
    Munish Gupta MD
  • Table of contents
    Contents
    Contributing Authors vii
    Foreword xxi
    Preface xxiii
    Acknowledgments xxv
    Introduction A: The Evolution of Pediatric Spine Surgery
    Since the Third Edition of The Textbook of Spinal Surgery xxxix
    Introduction B: The Evolution of Adult Spine Surgery
    Since the Third Edition of The Textbook of Spinal Surgery xliii
    Volume 1
    SECTION I: General Considerations
    1. Evaluation and Optimization of the Adult and Pediatric Spine Patient
    Preoperatively and Perioperatively to Improve Outcome ................ 1
    RAJIV K. SETHI, ANDREW S. FRIEDMAN, ANNA K. WRIGHT, JEAN-CHRISTOPHE A. LEVEQUE,
    JENNIFER M. BAUER, AND QUINLAN D. BUCHLAK
    2. Normal Spinal Anatomy: Normal Sagittal Plane Alignment ............ 11
    MARK BERNHARDT AND DANIEL CHERIAN
    3. Spinal Cord and Nerve Root Monitoring .......................... 19
    SHELLY M. BOLON, JOSEPH D. BRIGHT, BARRY L. RAYNOR, EARL D. THUET,
    AND COLIN C. ZERTAN
    4. Bone Grafting and Biologics for Spine Fusion ...................... 50
    STEVEN M. PRESCIUTTI, JOHN LOUIS-UGBO, AND SCOTT D. BODEN
    SECTION II: Biomechanics
    5. General Considerations of Biomechanical Testing .................... 61
    ANTON E. DMITRIEV
    6. Clinical Biomechanics of the Cervical Spine ........................ 70
    HANS-JOACHIM WILKE, FABIO GALBUSERA, AND RENÉ JONAS
    7. Biomechanics of Three-Dimensional Scoliosis Correction .............. 78
    ANDREW G.S. KING AND MANISH P. LAMBAT
    Contents 8. Principles and Applications of Spinal Instrumentation:
    A Clinical Approach .......................................... 85
    KENNETH G.W. MACKINLAY, JOSEPH L. LARATTA, AND CHARLES H. CRAWFORD III
    9. Treatment Considerations and Biomechanics of the Lumbosacral Spine ... 96
    GEOFFREY CRONEN AND TIMOTHY R. KUKLO
    SECTION III: Anatomic Approaches
    10. Anterior Cervical Approaches .................................. 103
    PABLO J. DIAZ-COLLADO, ALEKOS A. THEOLOGIS, AND LUKAS P. ZEBALA
    11. Surgical Approach to the Posterior Cervical Spine .................. 113
    PAUL A. ANDERSON AND ANDREW J. PUGELY
    12. Jaw-Splitting Approaches to the Upper Cervical Spine ............... 122
    JONATHAN NAKHLA, RYAN HOLLAND, DANIEL M. SCIUBBA, AND ZIYA L. GOKASLAN
    13. The Modified Anterior Approach to the Cervicothoracic
    Junction .................................................. 137
    JASON PUI YIN CHEUNG AND KEITH DIP KEI LUK
    14. Transsternal Approaches to the Spine ............................ 146
    JONATHAN NAKHLA, MOUSA K. HAMAD, DANIEL M. SCIUBBA, AND ZIYA L. GOKASLAN
    15. “Microscopic” Approach to the Posterior Lumbar
    Spine for Decompression ..................................... 157
    PATRICK S. HILL, SHEERAZ QURESHI, AND STEVEN J. MCANANY
    16. Minimal Access Techniques Using Tubular Retractors for
    Disc Herniations and Stenosis ................................. 164
    R. NICK HERNANDEZ, CHRISTOPH WIPPLINGER, SERTAC KIRNAZ, AND ROGER HARTL
    17. Open Anterior Exposure of the Thoracic, Thoracolumbar, and
    Lumbar Spines ............................................. 178
    HENRY HALM AND CLARA BERLIN
    18. Anterior Approaches to the Distal Lumbar Spine and
    Sacrum ................................................... 187
    JOHN R. DIMAR II AND MIKHAIL LEW P. VER
    19. Direct Lateral Approach to the Lumbar Spine ..................... 205
    JOSHUA T. WEWEL AND JUAN S. URIBE
    SECTION IV: The Cervical Degenerative Spine
    20. Cervical: State of the Art ..................................... 211
    JOHN M. RHEE 21. Evaluation of Axial Neck Pain: Who Is a Surgical Candidate and
    Who Isn’t: How to Manage the Nonoperative Treatment,
    How to Work Up the Pathology ................................ 213
    CHASE BENNETT AND JOHN M. RHEE
    22. Nonoperative Management of Cervical Radiculopathy ............... 225
    GUANG-TING CONG, PHILIP SAVILLE, SHEERAZ QURESHI, AND STEVEN J. MCANANY
    23. Cervical Spondylosis and Radiculopathy .......................... 233
    ANDELLE L. TENG, COREY J. WALLACH, AND JEFFREY C. WANG
    24. Cervical Myelopathy ......................................... 243
    AMIT JAIN, K. DANIEL RIEW, AND JOHN M. RHEE
    25. Anterior Decompression, Instrumentation, Fusion Techniques:
    Discectomy, Foraminotomy, Disc Space Carpentry .................. 255
    ANDREW B. PHAM AND JAMES D. KANG
    26. Anterior Decompression, Instrumentation, Fusion Techniques:
    Corpectomy, Strut Grafting ................................... 263
    SHALIN S. PATEL AND JAMES D. KANG
    27. Anterior Cervical Plating ..................................... 280
    ALEKOS A. THEOLOGIS, PABLO J. DIAZ-COLLADO, AND LUKAS P. ZEBALA
    28. Indications and Techniques for Transoral and Foramen Magnum
    Decompression ............................................. 292
    ARNOLD H. MENEZES AND BRIAN J. DLOUHY
    29. Occipitocervical and Atlantoaxial Methods of Fusion:
    Rigid Fixation and Wiring .................................... 310
    HANI MALONE AND VINCENT C. TRAYNELIS
    30. Subaxial Posterior Foraminotomy .............................. 322
    ANDREW B. PHAM AND BOBBY TAY
    31. Cervical Laminoplasty ....................................... 331
    JOHN G. HELLER
    32. Subaxial Posterior Decompression and Fusion Techniques ............ 338
    VISHAL A. KHATRI AND STEVEN C. LUDWIG
    33. Subaxial Posterior Laminoplasty and Laminectomy With
    Lateral Mass Fixation ........................................ 347
    CHARLES M. GORDON, IMRAN S. YOUSAF, DOUGLAS D. NOWAK,
    KORNELIS A. POELSTRA, AND STEVEN C. LUDWIG
    34. Subaxial Posterior Lateral Mass Fixation ......................... 361
    ALFRED J. PISANO, MELVIN D. HELGESON, AND TODD J. ALBERT 35. Subaxial Cervical Pedicle Screw Fixation ......................... 369
    KUNIYOSHI ABUMI, HITOSHI HABA, AND TATSUTO TAKEUCHI
    36. Revision Cervical Spine Surgery ................................ 383
    SOHAIB Z. HASHMI AND ALPESH A. PATEL
    37. Combined Approaches (Anterior-Posterior, Posterior-Anterior-Posterior)
    to the Correction of Cervical Kyphosis ........................... 390
    FRANCIS C. LOVECCHIO, HAN JO KIM, AND TODD J. ALBERT
    38. Cervical Pedicle Subtraction Osteotomy .......................... 403
    LEE A. TAN AND K. DANIEL RIEW
    39. Cervical Disc Arthroplasty .................................... 409
    FRANCIS C. LOVECCHIO AND DARREN R. LEBL
    40. Complications of Surgical Treatment of the Cervical Spine ............ 421
    NICHOLAS STEKAS AND THEMISTOCLES S. PROTOPSALTIS
    SECTION V: The Thoracic and Lumbar Degenerative Spine
    41. Thoracic and Lumbar Degenerative Disorders: State of the Art. . . . . . . . . 425
    M. CRAIG MCMAINS AND IVAN CHENG
    42. Evaluation of Thoracic and Lumbar Axial Back Pain:
    Who Is a Surgical Candidate and Who Is Not? ..................... 428
    LI SUN AND SAMUEL K. CHO
    43. Surgical Treatment of Lumbar Disc Herniation .................... 438
    WILLIAM R. HOTCHKISS
    44. Surgical Treatment of Lumbar Spinal Stenosis ..................... 445
    PABLO J. DIAZ-COLLADO, GBOLAHAN O. OKUBADEJO, AND JACOB M. BUCHOWSKI
    45. Revision Laminectomy: Indications and Techniques ................. 456
    PETER D. ANGEVINE
    46. Minimally Invasive Posterior Surgery for the Lumbar Spine ........... 466
    DANIEL MICHAEL HAFEZ AND WILSON ZACHARY RAY
    47. When to Consider ALIF, TLIF, and PLIF With PSF ................. 476
    HONG JOO MOON AND MUNISH C. GUPTA
    48. Transforaminal Lumbar Interbody Fusion/Posterior Lumbar
    Interbody Fusion ........................................... 481
    NEEL ANAND AND CHRISTOPHER KONG
    49. Revision Lumbar Spine Surgery ................................ 490
    ALEKOS A. THEOLOGIS AND MUNISH C. GUPTA 50. Thoracic Disc Herniation: Diagnosis and Management ............... 503
    ADDISU MESFIN AND SHERIF M. SHERIF
    51. Thoracic Stenosis ........................................... 509
    TYLER KOSKI AND FADI NASR
    52. Treatment of Thoracic Myelopathy .............................. 516
    CATHERINE MILLER AND PRAVEEN V. MUMMANENI
    53. Current State of Lumbar Total Disc Replacement: Concepts/Design
    Strategy/Indications/Contraindications/Complications .............. 525
    JAMES J. YUE, BRANDON LAWRENCE, AND FRED MO
    54. Sacroiliac Joint Dysfunction ................................... 535
    VINKO ZLOMISLIC AND STEVEN R. GARFIN
    55. The Future: Disc Regeneration and Other Technologies .............. 549
    ANA V. CHEE AND HOWARD S. AN
    56. Complications of Lumbosacral Spine Surgery ...................... 556
    JOHN R. DIMAR II AND MIKHAIL LEW P. VER
    SECTION VI: Spondylolisthesis
    57. Wiltse and Marchetti–Bartolozzi Classifications of Spondylolisthesis:
    Guidelines for Treatment ..................................... 579
    JOSEPH PERRA
    58. Sagittal Alignment and the Spinal Deformity Study
    Group Classification ......................................... 586
    HUBERT LABELLE AND JEAN-MARC MAC-THIONG
    59. Natural History of Spondylolisthesis ............................ 597
    PIERRE ROUSSOULY, NISHANT NISHANT, AND KARIMAN ABELIN-GENEVOIS
    60. Pars Interarticularis Repair .................................... 604
    PURNENDU GUPTA AND MUNISH C. GUPTA
    61. Low-Grade Spondylolisthesis in Children and Adolescents ............ 612
    M. TIMOTHY HRESKO
    62. Adult Degenerative Spondylolisthesis ............................ 618
    MOSTAFA H. EL DAFRAWY, SACHIN GUPTA, S. MOHAMMED KARIM, AND THOMAS D. CHA
    63. High-Grade Spondylolisthesis: Decision Making and Fusion Reduction .. 638
    ROSS C. PUFFER AND JEREMY FOGELSON
    64. High-Grade Spondylolisthesis: Partial Reduction ................... 646
    HAI LE, HAROLD A. FOGEL, AND STUART HERSHMAN 65. High-Grade Spondylolisthesis: Posterior Decompression and
    Spanning/Dowel Fibula ...................................... 656
    BARRETT S. BOODY AND RICK C. SASSO
    66. High Dysplastic Spondylolisthesis: Anatomic Reduction
    Harms/Shufflebarger Technique ............................... 669
    HARRY L. SHUFFLEBARGER
    67. Reduction of High-Grade Spondylolisthesis: The Edwards Technique ... 677
    CHARLES C. EDWARDS, SR AND CHARLES C. EDWARDS II
    68. L5 Vertebrectomy for High-Grade Spondylolisthesis:
    Anterior–Posterior and Posterior-Only Approaches ................. 694
    JAY S. REIDLER AND KHALED M. KEBAISH
    69. Complications of Spondylolysis/Spondylolisthesis Surgery ............ 708
    JOHN P. LUBICKY
    Volume 2
    SECTION VII: Idiopathic Scoliosis
    70. Natural History Including Measures of Maturity ................... 717
    SUSAN E. NELSON AND JAMES O. SANDERS
    71. Clinical Assessment and Parent–Patient Expectations ................ 728
    SCOTT J. LUHMANN
    72. Spinal Deformity Outcomes Measurement ........................ 735
    JOSHUA T. BUNCH AND DOUGLAS C. BURTON
    73. Radiographic Classification Scheme: Lenke Classification ............. 741
    JAMES D. LIN AND LAWRENCE G. LENKE
    74. Fusionless Surgery and Growing-Rod Techniques for Idiopathic
    Early-Onset Scoliosis ........................................ 758
    BEHROOZ A. AKBARNIA, POORIA HOSSEINI, GEORGE H. THOMPSON, AND
    GREGORY M. MUNDIS, JR
    75. Anterior and Posterior Scoliosis Correction Techniques
    Without Fusion ............................................ 772
    JAMES T. BENNETT, AMER F. SAMDANI, M. DARRYL ANTONACCI, AND RANDAL R. BETZ
    76. Shilla Technique ............................................ 787
    DAVID B. BUMPASS AND RICHARD E. MCCARTHY
    77. Open and Thoracoscopic Anterior Thoracic Surgery ................. 795
    PETER O. NEWTON AND VIDYADHAR V. UPASANI 78. Thoracoplasty ............................................. 808
    DAVID H. CLEMENTS, AMER F. SAMDANI, AND RANDAL R. BETZ
    79. Evolution of Instrumentation for Adolescent Idiopathic Scoliosis ....... 816
    POORIA A. SALARI, GBOLAHAN O. OKUBADEJO, KEITH H. BRIDWELL,
    AND MUNISH C. GUPTA
    80. Posterior Spinal Deformity Correction Techniques .................. 825
    DAVIN D. CORDELL, LAWRENCE G. LENKE, AND MUNISH C. GUPTA
    81. Anterior Lumbar and Thoracolumbar Correction and Fusion for
    Adolescent Idiopathic Scoliosis ................................. 851
    UWE PLATZ AND HENRY HALM
    82. Strategies in the Management of Severe and Neglected Deformities ..... 864
    OHENEBA BOACHIE-ADJEI AND KWADWO POKU YANKEY
    83. Complications Associated With Adolescent Idiopathic
    Scoliosis Surgery ........................................... 874
    MARK C. LEE, B. STEPHENS RICHARDS, AND CHARLES E. JOHNSTON
    SECTION VIII: Adult Spinal Deformity
    84. Adult Spinal Deformity: Introduction/State of the Art .............. 889
    CHRISTOPHER L. HAMILL
    85. Adult Spinal Deformity Classification ............................ 892
    UWE PLATZ, FRANK J. SCHWAB, AND VIRGINIE LAFAGE
    86. De Novo Scoliosis .......................................... 900
    UWE PLATZ, FRANK J. SCHWAB, AND VIRGINIE LAFAGE
    87. Sagittal Imbalance .......................................... 911
    NICHOLAS STEKAS AND THEMISTOCLES S. PROTOPSALTIS
    88. Fixed Coronal Malalignment of the Spine: Clinical Significance and
    Operative Management. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 915
    BRIAN HSU AND SIGURD BERVEN
    89. Spinal Deformity in the Older Patient With Kyphosis ................ 929
    MARCUS D. MAZUR, THOMAS J. BUELL, JAMES H. NGUYEN, JUSTIN S. SMITH, AND
    CHRISTOPHER I. SHAFFREY
    90. Decision Making in Treatment of Adult Spinal Deformity ............ 937
    KEITH H. BRIDWELL, JACOB M. BUCHOWSKI, MUNISH C. GUPTA,
    MICHAEL P. KELLY, AND LUKAS P. ZEBALA
    91. Smith-Petersen Osteotomy of the Spine .......................... 952
    BRANDON B. CARLSON AND DOUGLAS C. BURTON 92. Pedicle Subtraction Procedures for Complex Spinal Deformity ......... 957
    ALEKOS A. THEOLOGIS AND MUNISH C. GUPTA
    93. Vertebral Column Resection for Complex Spinal Deformity:
    Posterior Approach ......................................... 964
    AZMI HAMZAOGLU AND MERIC ENERCAN
    94. Vertebral Column Resection for Complex Spinal Deformity:
    Combined Anterior and Posterior Approach ....................... 982
    SIGURD BERVEN AND ROMAN TRIMBA
    95. Fusion to the Sacrum and Fixation Techniques of the
    Sacropelvic Junction ......................................... 989
    RICHARD HOSTIN AND SHYAM KISHAN
    96. Structural Grafting for Adult Spinal Deformity ................... 1009
    PETER D. ANGEVINE
    97. Revision Surgeries for Adult Spinal Deformity .................... 1016
    NICHOLAS A. PALLOTTA AND MUNISH C. GUPTA
    98. Minimally Invasive Deformity Surgery: Future Directions ........... 1023
    NEEL ANAND AND CHRISTOPHER KONG
    99. ACR and Minimally Invasive Surgery for Sagittal Plane Deformities .... 1029
    RANDALL HLUBEK AND GREGORY M. MUNDIS, JR
    SECTION IX: Dysplastic and Congenital Deformities
    100. Introduction/State of the Art in the Care of Dysplastic and
    Congenital Spine Deformities ................................. 1037
    JOSEPH L. PETFIELD AND SUKEN A. SHAH
    101. Dysplastic Scoliosis: Neurofibromatosis Spinal Pathology ............ 1041
    ALVIN H. CRAWFORD, KEITH R. GABRIEL, AND ADAM SCHUMAIER
    102. Spinal Deformity in Skeletal Dysplasia Conditions:
    Diagnosis and Presentation .................................. 1061
    KLANE K. WHITE
    103. Surgical Management of Spinal Deformity in Skeletal Dysplasias ...... 1072
    ERIC D. SHIRLEY AND MICHAEL C. AIN
    104. The Spine in Osteogenesis Imperfecta ........................... 1083
    DEREK T. NHAN AND PAUL D. SPONSELLER
    105. Spinal Deformity in Familial Dysautonomia ...................... 1091
    DAVID S. FELDMAN, FULYA ÜSTÜNKAN, AND DEBRA A. SALA 106. Congenital Intraspinal Anomalies: Spinal Dysraphism—Embryology,
    Pathology, and Treatment ................................... 1100
    AYODAMOLA OTUN, JEFFREY R. LEONARD, BRUCE A. KAUFMAN,
    AND DAVID D. LIMBRICK, JR
    107. Congenital Scoliosis and Kyphosis ............................. 1131
    TODD J. BLUMBERG, DIDJA HILMARA, AND PATRICK J. CAHILL
    108. Hemivertebra Resection ..................................... 1156
    MICHAEL RUF AND JÜRGEN HARMS
    109. Thoracic Insufficiency Syndrome .............................. 1170
    ROBERT M. CAMPBELL, JR
    110. Congenital Anomalies of the Cervical Spine in Children: Management
    of Segmental Instability and Spinal Canal Encroachment ............ 1185
    VINCENT J. ALENTADO, JOHN P. DORMANS, ROD J. TURNER, JR, AND ANDREW JEA
    111. Complications of the Surgical Treatment of
    Congenital Spinal Deformities ................................ 1203
    JAYSSON T. BROOKS, LUKE C. DRAKE, AND BURT YASZAY
    SECTION X: Neuromuscular Spine Deformity
    112. Considerations in Neuromuscular Spine Deformity ....................1211
    DEREK T. NHAN AND PAUL D. SPONSELLER
    113. Preoperative Preparation for Neuromuscular Spine Surgery .......... 1215
    ERIC D. SHIRLEY AND NICHOLAS D. FLETCHER
    114. Surgical Techniques Unique to Neuromuscular Scoliosis. . . . . . . . . . . . . 1224
    TYLER C. MCDONALD AND JAYSSON T. BROOKS
    115. Pelvic Fixation in Neuromuscular Scoliosis ....................... 1237
    OUSSAMA ABOUSAMRA AND PAUL D. SPONSELLER
    116. Spinal Muscular Atrophy, Duchenne Muscular Dystrophy, and
    Other Neuromuscular Disorders ............................... 1244
    MATTHEW A. HALANSKI
    117. Spinal Deformity in Patients With Cerebral Palsy and
    Rett Syndrome ............................................ 1259
    STUART L. MITCHELL AND PAUL D. SPONSELLER
    118. Surgical Treatment of Spinal Deformity in Myelomeningocele ........ 1267
    PETER G. GABOSSECTION XI: Kyphosis and Postlaminectomy Deformities
    119. Introduction and Current State of the Art ....................... 1281
    PETER D. ANGEVINE
    120. Cervical Instability and Kyphosis (Rheumatoid, Dwarfism,
    Degenerative, Others). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1283
    WESLEY H. BRONSON, ANAND H. SEGAR. ERIC HARRIS, AND ALAN S. HILIBRAND
    121. Surgical Treatment of Scheuermann Kyphosis .................... 1295
    STEPHEN G. GEORGE AND HARRY L. SHUFFLEBARGER
    122. Delayed Posttraumatic Deformity: Presentation and Management ..... 1309
    OWOICHO ADOGWA AND JACOB M. BUCHOWSKI
    123. Ankylosing Spondylitis/Thoracolumbar Deformities ............... 1317
    YONG QIU
    124. Cervicothoracic Extension Osteotomy for Chin-on-Chest Deformity ... 1349
    YONG QIU
    125. The Role of Osteotomies in the Cervical Spine .................... 1360
    K. DANIEL RIEW, LEE A. TAN, AND PETER D. ANGEVINE
    126. Complications of Surgical Treatment of Kyphotic Deformities ........ 1382
    LORENA V. FLOCCARI AND DANIEL J. SUCATO
    SECTION XII: Trauma
    127. Classification of Cervical Spine Injury .......................... 1393
    JOSEPH P. MASLAK, ANAND H. SEGAR, GREGORY D. SCHROEDER, AND ALPESH A. PATEL
    128. Classification of Thoracic, Lumbar, and Sacral Fractures ............ 1401
    JAMES STENSON AND CHRISTOPHER K. KEPLER
    129. Surgical Management of Cervical Spine Fractures .................. 1409
    BARRETT S. BOODY AND RICK C. SASSO
    130. Anterior Decompression and Instrumentation Techniques for
    Thoracolumbar Fractures .................................... 1420
    KEITH W. MICHAEL, DALE N. SEGAL, AND JOHN M. RHEE
    131. Surgical Treatment of Thoracolumbar Spine Fractures: Posterior
    Decompression and Instrumentation Techniques .................. 1430
    TYLER J. JENKINS AND JEFF RIHN
    132. Minimal Access Techniques for Spine Trauma ..................... 1444
    M. AYODELE BURAIMOH, OMER YOUSAF, AND STEVEN C. LUDWIG 133. Management of Central Cord Syndrome. . . . . . . . . . . . . . . . . . . . . . . . . 1453
    MICHAEL H. MCCARTHY AND ALPESH A. PATEL
    134. Surgical Treatment of Sacral-Pelvic Fractures ..................... 1460
    ASHRAF N. EL NAGA, HAITAO ZHOU, CONOR P. KLEWENO, AND CARLO BELLABARBA
    135. Novel Approaches to Neural Repair and Regeneration
    After Spinal Cord Injury .................................... 1481
    GEOFFREY STRICSEK, GEORGE N. RYMARCZUK, ELENA OKON, BRIAN K. KWON,
    AND JAMES S. HARROP
    136. Outcomes Measures in Spinal Trauma .......................... 1489
    S. SADIQI AND F.C. ONER
    SECTION XIII: Tumor and Osteomyelitis
    137. Introduction and State-of-the-Art: Tumors and Osteomyelitis ........ 1495
    PETER D. ANGEVINE
    138. Benign Tumors of the Spine .................................. 1496
    STEFANO BORIANI AND RICCARDO CECCHINATO
    139. Primary Malignant Tumors of the Spine ......................... 1509
    STEFANO BORIANI
    140. The Surgical Treatment of Metastatic Spine Disease ................ 1524
    ILYA LAUFER, PETER S. ROSE, ORI BARZILAI, AND MARK H. BILSKY
    141. Intramedullary Spinal Cord Tumors ............................ 1534
    RICHARD L. PRICE, CHRISTOPHER F. DIBBLE, AND WILSON ZACHARY RAY
    142. Intradural Extramedullary Spinal Tumors ....................... 1548
    OWOICHO ADOGWA, ALFRED T. OGDEN, AND PAUL C. MCCORMICK
    143. Spinal Vascular Malformations ................................ 1561
    KENDALL A. SNYDER, LORENZO RINALDO, AND MICHELLE J. CLARKE
    144. Spinal Infection/Osteomyelitis ................................ 1572
    FRANCIS H. SHEN
    145. Sacral Tumors ............................................ 1581
    PETER S. ROSE
    146. Adjuvant Therapy of Spinal Tumors ............................ 1595
    JOHN BERRY-CANDELARIO, ILYA LAUFER, YOSHIYA YAMADA, AND MARK H. BILSKY
    147. Complications of Surgical Treatment of Tumor and Infection ......... 1602
    ALEKOS A. THEOLOGIS AND JACOB M. BUCHOWSKISECTION XIV: Complications
    148. Neurologic Complications in Spine Surgery ...................... 1615
    MARTIN H. PHAM, MEGHAN CERPA, EARL D. THUET, AND LAWRENCE G. LENKE
    149. Perioperative Spinal Cord Deficits and Myelopathy ................ 1621
    MUHAMMAD ALI AKBAR, JETAN H. BADHIWALA, AND MICHAEL G. FEHLINGS
    150. Reconstruction of Complex Spinal Wounds ...................... 1627
    DAVID M. BROGAN, STEVEN L. MORAN, AND MARTIN I. BOYER
    151. Vascular Complications ..................................... 1640
    GREGORY GEBAUER AND A. JAY KHANNA
    152. Postoperative Early and Late Wound/Implant Infections ............ 1652
    POORIA A. SALARI, SUMEET GARG, AND JACOB M. BUCHOWSKI
    153. Dural Lacerations, CSF Fistula, Pseudomeningoceles, and
    Strategies for Repair ........................................ 1662
    AFSHIN SALEHI, RICHARD L. PRICE, AND NEILL M. WRIGHT
    154. Pseudarthrosis in Spinal Deformity Surgery ...................... 1669
    JUN S. KIM AND SAMUEL K. CHO
    155. Legal Implications and Strategies .............................. 1679
    RA’KERRY K. RAHMAN
    156. Unresolved Postoperative Spine Pain ........................... 1699
    LESLEY K. RAO
    157. Medical Complications Associated With Spinal Surgery ............. 1708
    REMI M. AJIBOYE AND IVAN CHENG
    Index I-1
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