Main description:

Revision spine surgery requires a unique skill set different from performing a primary operation. Understanding when a simple revision is sufficient, when a more complex approach is needed, or when a non-surgical option should be considered is critical to good patient care and outcomes. In this first book to focus exclusively on the complex topic of revision spine surgery, world-renowned Dr. Alex Vaccaro and leading neuro and orthopaedic spine surgeons, navigate physicians through the initial evaluative process and the potential pitfalls and complications encountered in revision surgery.

Contents:

GENERAL. The approach to revision procedures. How to dissect the plane between the scar of a laminectomy defect in the posterior cervical spine. How to dissect the plane between the scar of a laminectomy defect in the posterior thoracic and lumbar spine. Local muscle flaps in the setting of revision spine surgery: Indications, operative planning, principles, and postoperative management. Revision and reimplantation of a spinal cord stimulator device. ANTERIOR CERVICAL. Revision ACDF at the same level. Revision ACDF: Adjacent level. Converting a total disc replacement to an ACDF. Treatment of adjacent segment disease after total disc replacement (TDR). POSTERIOR CERVICAL. Revision suboccipital decompression for complex Chiari malformation. How to revise a failed occipital cervical fusion. How to revise a failed C1-C2. fusion. Treatment of postlaminectomy kyphosis. Revision of failed posterior cervical fusions. Complications necessitating surgical intervention following cervical laminoplasty. THORACIC/THORACOLUMBAR SPINE. Revision surgery for proximal junctional kyphosis following thoracolumbar fusion. Pedicle subtraction osteotomy (PSO) nonunion revision. Treatment of a nonunion of a thoracolumbar deformity, not at the site of a three-column osteotomy. How to safely remove a pedicle screw abutting the aorta. LUMBAR SPINE. Revision of an anterior lumbar interbody fusion (ALIF) nonunion. How to revise nonunion of a lateral lambar interbody fusion (LLIF) through a lateral approach. How to surgically manage a recurrent lumbar herniated nucleus pulposus (HNP). How to perform revision lumbar decompression. How to perform revision lumbar decompression at the index level through a minimally invasive (MIS) approach. How to revise a transforaminal lumbar interbody fusion (TLIF) nonunion with recurrent stenosis at the index level (open). How to revise a minimally invasive transforaminal lumbar interbody fusion (MIS TLIF) nonunion with recurrent stenosis at the index level through an MIS approach. How to revise a posterior lateral decompression and fusion at the index level. How to revise a posterior lumbar fusion that has developed adjacent-level stenosis with or without instability. Flat back deformity revision surgery. Revision high-grade spondylolisthesis surgery. Management of a ventrally displaced graft following ALIF, TLIF or DLIF. SPECIAL CASES. Treatment of symptomatic cervical and lumbar pseudomeningocoeles. Treatment of a persistent cervical dural tear. Treatment of a ventral thoracic dural defect. Treatment of a persistent lumbar dural tear. Treatment of a chronic postoperative cervical and lumbar spine infection.