Unique in the field, Comparative Management of Spine Pathology presents commonly encountered spinal cases with side-by-side, case-by-case comparisons that clearly show how various experts would handle the same case. This second volume in the Neurosurgery: Case Management Comparison Series offers multiple opinions from international experts in both neurosurgery and orthopaedics, each of whom explains their preferred approach and management style for the same case. This format allows for quick and helpful comparisons of different ways to approach a lesion, advantages and disadvantages of each approach, and what each expert is looking for in how they would manage a particular case.

• Offers 4 expert opinions on each case in a templated format designed to help you quickly make side-by-side comparisons―an ideal learning tool for both trainee and practicing neurosurgeons and orthopaedic surgeons for board review and case preparation.
• Helps you easily grasp different approaches to spine management with different expert approaches to the same case and summaries from the editors on the advantages and disadvantages to each approach.
• Features a wide variety of management decisions, from preoperative studies to surgical approach, surgical adjuncts, and postoperative care, from experts in the field who specialize in different aspects of spine surgery.
• Presents 70 cases in the areas of degenerative spine, traumatic spine, spinal deformity, spinal oncology, and miscellaneous topics such as epidural abscess, osteomyelitis, and post-instrumentation infection.

Review

Side-by-side, case-by-case comparisons of different, expert management approaches

Contents

۱. Grade 1 spondylolisthesis without instability on flexion/extension and claudication
۲. Lumbar degenerative spondylolisthesis
۳. Recurrent herniated disc at the same level in a young patient
۴. Adjacent segment disease after anterior cervical decompression and fusion
۵. Lumbar adjacent segment disease
۶. Recurrent stenosis after laminectomy
۷. Multilevel cervical stenosis from ossified posterior longitudinal ligaments
۸. Thoracic disc herniation
۹. Cervical spondylotic radiculopathy and myelopathy from facet and uncovertebral hypertrophy
۱۰. One level cervical radiculopathy from a herniated disc
۱۱. Lumbar pseudoarthrosis
۱۲. Anterior C1-C2 pannus
۱۳. High lumbar stenosis (thoracolumbar junction)
۱۴. Cervical stenosis with preservation of lordosis
۱۵. Single level disc disease with back pain
۱۶. Radiculopathy from foraminal stenosis
۱۷. Thoracic ligamentous hypertrophy causing stenosis
۱۸. C1-C2 facet arthropathy
۱۹. Migrated interbody
۲۰. Cervical myelopathy
۲۱. Failed back surgery syndrome
۲۲. Osteoporotic compression fracture
۲۳. Hangman’s fracture
۲۴. Compression fracture with back pain
۲۵. Burst fracture without PLC injury
۲۶. Fracture after kyphoplasty
۲۷. Pure bone thoracolumbar chance fracture
۲۸. Central cord syndrome without instability
۲۹. Penetrating spine trauma
۳۰. C1 fracture
۳۱. Acute spinal cord injury
۳۲. Chronic L5 pars fractures with back pain and spondylolisthesis
۳۳. Cervical jumped facets
۳۴. Proximal junctional kyphosis after deformity surgery
۳۵. Coronal deformity
۳۶. Coronal and sagittal deformity with back pain (adult idiopathic)
۳۷. Adolescent idiopathic deformity
۳۸. Flat back after fusion
۳۹. Cervical kyphosis
۴۰. Degenerative scoliosis with radiculopathy
۴۱. Iatrogenic deformity after Harrington rod
۴۲. Iatrogenic kyphoscoliosis
۴۳. Broken rod after scoliosis correction with back pain
۴۴. Spine metastasis
۴۵. Diffuse mets to spine with lumbar stenosis
۴۶. Spinal chondrosarcoma
۴۷. Intradural extramedullary tumor
۴۸. Spinal metastasis with kyphotic deformity
۴۹. Multiple spine metastasis with one level symptomatic
۵۰. Sacral schwannoma
۵۱. Thoracic spine metastasis with acute myelopathy
۵۲. Thoracic intramedullary lesions
۵۳. Thoracolumbar intradural lesion
۵۴. Cervico-medullary junction lesion
۵۵. Metastatic lesion to the cervico-thoracic junction
۵۶. Glioblastoma
۵۷. Foramen magnum meningioma
۵۸. Thoracic intradural extramedullary lesion
۵۹. Cervical chordoma
۶۰. Sacral chordoma
۶۱. Spontaneous CSF leak
۶۲. Lumbar osteomyelitis and discitis
۶۳. Adult basilar invagination
۶۴. Spinal type I AVF
۶۵. Cavernous malformation
۶۶. Spinal hemangioblastoma
۶۷. Chiari malformation
۶۸. Chiari malformation with recurrent symptoms
۶۹. Tethered cord
۷۰. Chronic adhesive arachnoiditis with spinal cord dysfunction