Principles of spine surgery

2013 ◽  
Author(s):  
Jeremy Fairbank ◽  
Nuno Batista
Keyword(s):  
Chronic Pain ◽  
Bone Strength ◽  
Spine Surgery ◽  
Spinal Deformity ◽  
Sagittal Balance ◽  
Loss Of Function ◽  
Limited Role ◽  
Disabled Patients ◽  
Spine Surgeon

Spine surgery addresses pain, loss of function and deformity of the spine. Earlier conceptions of chronic pain have changed, but there is still a limited role for surgery to manage painful spinal pathology. Loss of function is caused by tumours, fractures and infections, all of which can be helped by surgery. Deformity is called scoliosis and/or kyphosis, and be corrected by surgery. Spinal deformity is increasingly recognized in adults as an important cause of disability, especially when there is loss of sagittal balance. Advances in anaesthesia and implant technology have allowed the spine surgeon greater opportunities to help seriously disabled patients in ways not possible 20 years ago. Fractures occur following trauma, but are also associated with impaired bone strength, particularly through osteoporosis.

Principles of spine surgery

2013 ◽  
pp. 705-711
Author(s):  
Jeremy Fairbank ◽  
Nuno Batista
Keyword(s):  
Chronic Pain ◽  
Bone Strength ◽  
Spine Surgery ◽  
Spinal Deformity ◽  
Sagittal Balance ◽  
Loss Of Function ◽  
Limited Role ◽  
Disabled Patients ◽  
Spine Surgeon

Spine surgery addresses pain, loss of function and deformity of the spine. Earlier conceptions of chronic pain have changed, but there is still a limited role for surgery to manage painful spinal pathology. Loss of function is caused by tumours, fractures and infections, all of which can be helped by surgery. Deformity is called scoliosis and/or kyphosis, and be corrected by surgery. Spinal deformity is increasingly recognized in adults as an important cause of disability, especially when there is loss of sagittal balance. Advances in anaesthesia and implant technology have allowed the spine surgeon greater opportunities to help seriously disabled patients in ways not possible 20 years ago. Fractures occur following trauma, but are also associated with impaired bone strength, particularly through osteoporosis.

scholarly journals Ultrasound Imaging of the Spine for Central Neuraxial Blockade: a Technical Description and Evidence Update

2021 ◽  
Author(s):  
Hari Kalagara ◽  
Harsha Nair ◽  
Sree Kolli ◽  
Gopal Thota ◽  
Vishal Uppal
Keyword(s):  
Ultrasound Imaging ◽  
Spine Surgery ◽  
Postoperative Analgesia ◽  
Spinal Deformity ◽  
Ultrasound Examination ◽  
Technical Difficulty ◽  
Vertebral Level ◽  
Reliable Technique ◽  
Neuraxial Blockade ◽  
Preprocedural Imaging

Abstract Purpose of Review This article describes the anatomy of the spine, relevant ultrasonographic views, and the techniques used to perform the neuraxial blocks using ultrasound imaging. Finally, we review the available evidence for the use of ultrasound imaging to perform neuraxial blocks. Recent Findings Central neuraxial blockade using traditional landmark palpation is a reliable technique to provide surgical anesthesia and postoperative analgesia. However, factors like obesity, spinal deformity, and previous spine surgery can make the procedure challenging. The use of ultrasound imaging has been shown to assist in these scenarios. Summary Preprocedural imaging minimizes the technical difficulty of spinal and epidural placement with fewer needle passes and skin punctures. It helps to accurately identify the midline, vertebral level, interlaminar space, and can predict the depth to the epidural and intrathecal spaces. By providing information about the best angle and direction of approach, in addition to the depth, ultrasound imaging allows planning an ideal trajectory for a successful block. These benefits are most noticeable when expert operators carry out the ultrasound examination and for patients with predicted difficult spinal anatomy. Recent evidence suggests that pre-procedural neuraxial ultrasound imaging may reduce complications such as vascular puncture, headache, and backache. Neuraxial ultrasound imaging should be in the skill set of every anesthesiologist who routinely performs lumbar or thoracic neuraxial blockade. We recommend using preprocedural neuraxial imaging routinely to acquire and maintain the imaging skills to enable success for challenging neuraxial procedures.

scholarly journals Persistent Spinal Pain Syndrome: a proposal for Failed Back Surgery Syndrome and ICD-11

Pain Medicine ◽  
2021 ◽  
Author(s):  
Nick Christelis ◽  
Brian Simpson ◽  
Marc Russo ◽  
Michael Stanton-Hicks ◽  
Giancarlo Barolat ◽  
...  
Keyword(s):  
Chronic Pain ◽  
Spine Surgery ◽  
Pain Syndrome ◽  
Spinal Pain ◽  
Failed Back Surgery Syndrome ◽  
Medical Professionals ◽  
Failed Back Surgery ◽  
Back Surgery ◽  
Spinal Pain Syndrome

Abstract Objective For many medical professionals dealing with patients with persistent pain following spine surgery, the term failed back surgery syndrome (FBSS) as a diagnostic label is inadequate, misleading and potentially troublesome. It misrepresents causation. Alternative terms have been suggested but none has replaced FBSS. The International Association for the Study of Pain (IASP) published a revised classification of chronic pain, as part of the new International Classification of Diseases (ICD-11), which has been accepted by the World Health Organization (WHO). This includes the term Chronic pain after spinal surgery (CPSS), which is suggested as a replacement for FBSS. Methods This article provides arguments and rationale for a replacement definition. In order to propose a broadly applicable yet more precise and clinically informative term, an international group of experts was established. Results 14 candidate replacement terms were considered and ranked. The application of agreed criteria reduced this to a shortlist of four. A preferred option – Persistent spinal pain syndrome – was selected by a structured workshop and Delphi process. We provide rationale for using Persistent spinal pain syndrome and a schema for its incorporation into ICD-11. We propose the adoption of this term would strengthen the new ICD-11 classification. Conclusions This project is important to those in the fields of pain management, spine surgery and neuromodulation, as well as patients labelled with FBSS. Through a shift in perspective it could facilitate the application of the new ICD-11 classification and allow clearer discussion amongst medical professionals, industry, funding organisations, academia, and the legal profession.

Predictive model for major complications 2 years after corrective spine surgery for adult spinal deformity

2018 ◽  
Vol 28 (1) ◽  
pp. 180-187 ◽  
Author(s):  
Mitsuru Yagi ◽  
Naobumi Hosogane ◽  
Nobuyuki Fujita ◽  
Eijiro Okada ◽  
Osahiko Tsuji ◽  
...  
Keyword(s):  
Predictive Model ◽  
Spine Surgery ◽  
Spinal Deformity ◽  
Adult Spinal Deformity ◽  
Major Complications

Complication management with minimally invasive spine procedures

2011 ◽  
Vol 31 (4) ◽  
pp. E2 ◽  
Author(s):  
Namath S. Hussain ◽  
Mick J. Perez-Cruet
Keyword(s):  
Minimally Invasive ◽  
Spine Surgery ◽  
Management Options ◽  
Term Outcome ◽  
Long Term Outcome ◽  
Minimally Invasive Surgical ◽  
Minimally Invasive Spine ◽  
Spine Surgeon ◽  
Improve Patient

Spine surgery as we know it has changed dramatically over the past 2 decades. More patients are undergoing minimally invasive procedures. Surgeons are becoming more comfortable with these procedures, and changes in technology have led to several new approaches and products to make surgery safer for patients and improve patient outcomes. As more patients undergo minimally invasive spine surgery, more long-term outcome and complications data have been collected. The authors describe the common complications associated with these minimally invasive surgical procedures and delineate management options for the spine surgeon.

The Impact of Positive Sagittal Balance in Adult Spinal Deformity

Spine ◽  
2005 ◽  
Vol 30 (18) ◽  
pp. 2024-2029 ◽  
Author(s):  
Steven D. Glassman ◽  
Keith Bridwell ◽  
John R. Dimar ◽  
William Horton ◽  
Sigurd Berven ◽  
...  
Keyword(s):  
Spinal Deformity ◽  
Sagittal Balance ◽  
Adult Spinal Deformity ◽  
The Impact

Kyphosis

2011 ◽  
Author(s):  
Michael Grevitt ◽  
John K. Webb
Keyword(s):  
Lumbar Spine ◽  
Conservative Treatment ◽  
Sagittal Balance ◽  
Sagittal Alignment ◽  
Neurological Complications ◽  
Kyphotic Deformity ◽  
Global Problem ◽  
Limited Role ◽  
Spinal Segments

♦ Kyphosis may be a focal deformity limited to a few spinal segments or a more global problem involving the thoraco-lumbar spine♦ The causes are myriad and reflect all the disease processes that affect bone♦ As well as producing pain from disturbed sagittal balance, neurological complications can occur infrequently♦ Conservative treatment in established kyphotic deformity has a limited role♦ The aims of surgery are to correct the deformity, restore sagittal alignment and decompress the neural elements as required.

Sign in / Sign up

Export Citation Format

Share Document