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Surgery for Low Back Pain

of: Marek Szpalski, Robert Gunzburg, Björn L. Rydevik, Jean-Charles Le Huec, Michael Mayer

Springer-Verlag, 2010

ISBN: 9783642045479 , 285 Pages

Format: PDF

Copy protection: DRM

Windows PC,Mac OSX,Windows PC,Mac OSX geeignet für alle DRM-fähigen eReader Apple iPad, Android Tablet PC's

Price: 139,09 EUR



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Surgery for Low Back Pain


 

Preface

5

Contents

6

Part I Basics

14

The Biology of Intervertebral Disc Degeneration

15

Low Back Pain: Where Does the Pain Come From?

23

The Role of Cytokines in the Degenerative Spine

28

Psychosocial Aspects of Low Back Pain

33

Instability and Low Back Pain

38

Part II Diagnosis

46

Dynamic MRI of the Spine

47

Assessment of Status of End Plate and Diffusion in Degenerative Disc Disease

54

The Role of Physician Extenders in a Low Back Pain Practice

63

Part III Conservative Treatment

68

Natural Evolution of Nonspecific Low- Back Pain

69

Prescribing Conservative Treatment for Low Back Pain

76

Comprehensive Rehabilitation for Low back Pain and Back Schools

82

The Place of Chiropractic Care in the Treatment of Low Back Pain

87

Efficacy of IDET and PIRFT for the Treatment of Discogenic Low Back Pain

97

Lumbar Orthoses to Prevent and Treat Low- Back Pain

103

Part IV Surgical Treatment: Fusion

109

Indication for Lumbar Spinal Fusion

110

Evidence for Efficacy of Pedicle- Based Systems

124

Low Back Pain Is Not an Indication for Stabilisation in Patients Operated for Lumbar Spinal Stenosis

127

Hybrid Construct for DDD in the Lumbar Spine: The Compromise Between Fusion and Nonfusion

131

The Management of Spondylolysis and Spondylolisthesis

136

Transpedicular-Transdiscal-Transcorporal ( TPDC)- Fixation

145

Facet Problems: A Surgical Indication?

153

Adjacent Level Disease: “Myth” or “Fact”

157

Pelvic Girdle Pain: Indication for Surgery?

163

Blood Loss Management in Major Spine Surgery

167

Part V Surgical Treatment: Other Technologies

172

How Disc Replacement Fits in the Treatment Algorithm for Degenerative Disc Disease: Refining Indications for Disc Replacement

173

Clinical Factors that May Affect Outcome in Lumbar Total Disc Replacement. What Is the Evidence?

178

A Prospective Randomized Comparison of Two Lumbar Total Disk Replacements

187

Limitations of Lumbar Disk Arthroplasty

192

Is Posterior Dynamic Stabilization an Option to Avoid Adjacent Segment Decompensation?

199

Immediate Biomechanical Effects of Lumbar Posterior Dynamic Stabilisation

204

Overview of Pedicle Screw-Based Posterior Dynamic Stabilization Systems

212

Semirigid Fixation System for the Lumbar Spine

218

Nonrigid Stabilization of the Spine – Problems Observed: Screw Loosening/ Breakage/ Implant Failure/ Adjacent Segment Degeneration

223

Interspinous Implants: State of the Art and Research of Evidence

230

NuBac Disc Arthroplasty System: Rationale and Clinical Results

238

Part VI Outcomes

246

Outcome Assessment for Cost-Utility Evaluations: SF- 6D vs. EQ- 5D

247

Review of the Medical Evidence Regarding the Surgical Treatment of Low Back Pain

255

Index

266