<p>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. <cite>Neuromuscular Spine Deformity</cite> by Amer F. Samdani et al is the most comprehensive book 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.</p><p>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.</p><p><strong>Key Highlights</strong></p><ul><li>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</li><li>Guidance on assessing the sagittal profile preoperatively and executing it intraoperatively in patients with spinal cord injury</li><li>Multiple options for fixation including the new sacral alar iliac screw approach for sacropelvic fixation and correction of pelvic obliquity</li><li>Postoperative issues including ICU management, incidence and management of early and late wound infection, instrumentation failure, junctional kyphosis, and cervical extension</li><li>Health-related quality of life outcomes in pediatric patients with cerebral palsy who have undergone scoliosis surgery</li></ul><p>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.</p>
Spis treści
<p><strong>I. Surgical and Medical Considerations</strong><br>1. Preoperative Evaluation and Optimization<br>2. Nonoperative Management<br>3. Surgical Indications in Neuromuscular Scoliosis<br>4. Intraoperative Issues: Anesthesia, Neuromonitoring, Estimated Blood Loss<br>5. Unique Challenges with Scoliosis and Dislocated Hips<br>6. Predicting Complications: When to Operate or Not<br><strong>II. Diagnosis Specific</strong><br>7. Scoliosis in Cerebral Palsy<br>8. Surgical Treatment of Spinal Deformity in Myelomeningocele<br>9. The Patient with Spinal Cord Injury: Surgical Considerations<br>10. The Spine in Duchenne Muscular Dystrophy<br>11. Spinal Muscular Atrophy<br>12. Other Neuromuscular Conditions: Rett Syndrome, Charcot–Marie–Tooth Disease, and Friedreich’s Ataxia<br>13. Neurosurgical Causes of Scoliosis<br>14. Sagittal Plane Spinal Deformity in Patients with Neuromuscular Disease<br>15. Spinal Deformity Associated with Neurodegenerative Disease in Adults<br><strong>III. Surgical Techniques</strong><br>16. Sacropelvic Fixation Techniques<br>17. Comparison of Unit Rods with Modular Constructs in Cerebral Palsy<br>18. Halo-Gravity Traction: An Adjunctive Treatment for Severe Spinal Deformity<br>19. Osteotomies: Ponte and Vertebral Column Resection<br>20. Growing Spine Options for Neuromuscular Scoliosis<br>21. Anterior Approaches to the Spine for Neuromuscular Spinal Deformity<br><strong>IV. Postoperative Management and Complications</strong><br>22. Incidence of Major Complications in Surgery for Neuromuscular Spine Deformity<br>23. Management of Early and Late Infection<br>24. Postoperative Intensive Care Unit Management<br>25. Reoperations: Instrumentation Failure, Junctional Kyphosis, and Cervical Extension<br>26. Health-Related Quality of Life in Neuromuscular Scoliosis<br>27. Baclofen Pump: Preoperative, Intraoperative, and Postoperative Management</p>