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Osteomyelitis and Discitis of the Spine : A Guide for the Management of Infectious Etiology of the Vertebral Column and Neurological Components / edited by Dia R. Halalmeh and Marc Moisi.
- Format:
- Book
- Language:
- English
- Subjects (All):
- Spine--Diseases--Treatment.
- Spine.
- Osteomyelitis.
- Physical Description:
- 1 online resource (494 pages)
- Edition:
- First edition.
- Place of Publication:
- London, England : Academic Press, [2025]
- Summary:
- Osteomyelitis and Discitis of the Spine: A Guide for the Management of Infectious Etiology of the Vertebral Column and Neurological Components examines these spinal conditions and provides readers with the most appropriate management plans, including surgical treatment together with its indications.
- Contents:
- Front Cover
- Osteomyelitis and Discitis of the Spine
- Osteomyelitis and Discitis of the Spine: A Guide for the Management of Infectious Etiology of the Vertebral Column and Neurol ...
- Copyright
- Dedication
- Contents
- Contributors
- Preface
- One - Overview of spinal anatomy
- The vertebral column
- Embryology
- Gross anatomy
- Vertebra
- Cervical vertebra
- Thoracic vertebra
- Lumbar vertebra
- Sacrum
- Coccyx
- Intervertebral disc
- Supporting ligaments
- Blood supply
- The intervertebral discs
- Introduction
- Development
- Structure
- Innervation and vascularity
- The paraspinal musculature
- Paraspinal muscles in the neck
- Anterior cervical muscles
- Lateral cervical muscles
- Posterior cervical muscles
- Muscles of the trunk and back
- The superficial group of muscles
- The intermediate group of muscles
- The deep or intrinsic back muscles
- Lateral and anterior groups
- Adjacent structures and organs
- The spinal cord
- History
- Macroscopic anatomy
- Coverings of the cord
- Denticulate ligaments (ligamentum denticulatum)
- Segments of the cord
- Nerve roots and their relation to the cord
- Lamination of the spinal cord gray matter
- Major ascending tracts
- Dorsal column
- Spinothalamic tract
- Spinoreticular tract
- Spinocerebellar tracts
- Spinotectal tract
- Spinoolivary tract
- Major descending tracts
- Corticospinal (pyramidal) tract
- Upper motor neuron (UMN)
- Lower motor neuron (LMN)
- Extrapyramidal tracts
- Blood supply of the spinal cord
- Arteries of the spinal cord
- Extrinsic system
- Extraspinal arteries
- Spinal arteries
- Intrinsic system
- Venous system
- Intrinsic venous system
- Extrinsic venous system
- Figure acknowledgements
- References
- Two - Epidemiology, etiology, and pathogenesis.
- Introduction
- Classification
- Pathophysiology
- Epidemiology of vertebral osteomyelitis and discitis (incidence, demographics, risk factors)
- Microbiology overview
- The role of biofilm in spinal infections
- Bacterial infections of the spine
- Staphylococcus aureus
- Other staphylococci
- Streptococci
- Enterococci
- Gram negatives and anaerobes
- Spinal tuberculosis (Mycobacterium tuberculosis)
- Pathogenesis
- Clinical presentation
- Special considerations
- Diagnosis
- Nontuberculous Mycobacteria
- Spinal brucellosis
- Transmission
- Clinical features and diagnosis
- Treatment
- Fungal infections of the spinal cord
- Aspergillus spondylodiscitis
- Candida spondylodiscitis
- Endemic mycosis spondylodiscitis
- Cryptococcus spondylodiscitis
- Spinal hyalohyphomycosis (excluding Aspergillus)
- Spinal phaeohyphomycosis
- Parasitic infection of the spinal cord
- Neurocysticercosis
- Echinococcal infections of the spine
- Conclusion
- Three - Clinical, laboratory, and radiological assessment of acute and chronic spinal infections
- Spondylodiscitis
- General considerations
- Clinical and laboratory diagnosis
- Imaging
- Spinal epidural abscess
- Facet joint septic arthritis
- Spinal subdural abscess
- Intramedullary spinal cord abscess
- Spinal meningitis/myelitis
- Postoperative spine
- Spondylodiscitis follow up.
- Radiological follow up of spondylodiscitis by MRI
- Bone and bone marrow MRI follow up
- Soft tissue MRI followup
- Correlation between follow-up MRI findings and laboratory findings
- Other imaging modalities for spondylodiscitis follow up
- Spondylodiscitis prognosis-A radiological point of view
- Further reading
- Four - Management options: The decision is more important than the incision
- Management decision and planning
- Conservative treatment
- Antimicrobial therapy
- Empiric treatment
- Culture-guided treatment
- Special organisms
- Treatment duration
- Spine bracing
- Monitoring and follow-up
- Clinical monitoring
- Radiologic monitoring
- Treatment failure
- Surgical management
- Debridement±fusion and stabilization
- Surgical approaches
- Hardware-associated SOMD
- Five - Intraoperative neurophysiologic monitoring-General concepts and special considerations
- Introduction to neuromonitoring
- Somatosensory-evoked potentials
- Anesthesia for SSEP
- Considerations for SSEPs in pediatric patients
- Effects of neural injury on SSEPs
- Intervention for SSEP changes
- Introduction to electromyography
- Surgical monitoring technique
- Monitoring set up for spontaneous and triggered EMG
- Anesthetic considerations and train of four (TOF)
- Baseline assessment and troubleshooting
- Reportable activity in spontaneous EMG
- Pedicle screw stimulation (PDS)
- Considerations and intervention
- Motor-evoked potentials
- Motor monitoring technique
- Motor monitoring setup
- Motor anesthesia and TOF
- Safety considerations
- Interpretation of TcMEP changes
- Intervention with TcMEP changes
- six - Surgical approaches I-Cervical spine
- Anterior approach.
- Historical perspective and evolution of surgical techniques
- Goals of the surgical intervention
- Initial anterior debridement and fusion techniques
- Management of localized and multilevel disease and role of instrumentation
- Supplementary rods and fixation
- High-cervical spinal osteomyelitis and discitis
- Cervical cages
- Minimally invasive anterior approaches
- The surgical technique
- Anterior cervical
- Patient positioning
- Planning and localization
- Opening and vertebral body exposure
- Corpectomy
- Anterior reconstruction and fusion
- Postoperative considerations
- Transoral
- Posterior approach
- Posterior approach and its indications
- Impact of cervical deformities in SOMD
- Neurological considerations and outcome
- Minimally invasive posterior approaches
- Minimally invasive posterior approach for anterior lesions
- Effectiveness and considerations for minimally invasive posterior approaches
- Posterior stabilization minimally invasive techniques
- Innovative irrigation techniques
- Suboccipital approach (for occipitocervical fusion)
- Atlantoaxial fusion (C1-C2 fusion)
- Transarticular screw placement
- Posterior atlantoaxial stabilization-The screw rod system
- Subaxial posterior cervical fixation (C3 -C7)
- Opening, exposure, and decompression
- Instrumentation
- Minimally invasive endoscopic
- Seven - Surgical approaches II-Thoracolumbar spine
- Indications for surgery
- Surgical techniques for thoracic spine osteomyelitis and discitis
- Positioning and preparations
- Surgical technique
- Posterior approach without debridement in debilitated patients
- Thoracolumbar junction
- Laminectomy
- Posterior-only approach
- Percutaneous endoscopic surgery.
- Anterior trans-sternal approach
- Historical evolution
- Patient positioning and initial incision
- Elevation and retraction
- Exposure of the sternum and clavicle
- Vascular and nerve management
- Vertebral exposure and decompression
- Bone grafting and closure
- Postoperative care
- Clinical outcomes
- Complications
- Thoracic transdiscal osteotomies
- Posterior transdiscal osteotomy with vertebral shortening
- Transpedicular osteotomy
- Transdiscal osteotomy
- Costo-transversectomy approach
- Video-assisted thoracoscopic surgery
- Video assisted thoracoscopic decompression
- Lateral retroperitoneal approach to lumbar spine
- Minimally invasive techniques
- Percutaneous endoscopic debridement with percutaneous pedicle screws
- Percutaneous endoscopic lavage and drainage
- Percutaneous lumbar discectomy and percutaneous suction aspiration and drainage
- Percutaneous transpedicular discectomy and drainage
- Percutaneous endoscopic debridement with dilute betadine solution irrigation
- Surgical site infections and dehiscence
- Venous thromboembolism
- Dural tears and CSF leakage
- Postoperative hematoma
- Neurological decline
- Fusion complications and outcomes
- Eight - Overview of bone graft materials
- Biology of bone formation
- Bone grafts
- Autografts
- Iliac crest bone graft
- Local bone autograft (LBA)
- Allografts
- Demineralized bone matrix
- Synthetic materials
- Calcium phosphate compounds
- Hydroxyapatite
- Coralline hydroxyapatite
- β-Tricalcium phosphate
- Silicated graft materials
- Bone morphogenetic proteins.
- Biological characteristics.
- Notes:
- Includes bibliographical references and index.
- Description based on publisher supplied metadata and other sources.
- Description based on print version record.
- ISBN:
- 9780443157066
- 0443157065
- 9780443191336
- 0443191336
- OCLC:
- 1472987488
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