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Spinal Osteotomy Orthopaedics: Deformity Correction

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Spinal Osteotomy Orthopaedics is a monograph of introducing osteotomy for spinal deformity correction surgery. Its content is prominent and comprehensive. The unique arrangement with the combination of picture and text shows its concise, intuitive and vivid. It is a monograph for the needs of current clinical practice with quite reference value and teaching significance. The publication of Spinal Osteotomy Orthopaedics expands the scope of application of osteotomy and the combined treatment with osteotomy and internal fixation. It solved the difficult problems only by simple instruments in the past and made the spinal osteotomy further recognized by spinal surgeons in clinical application.

Spinal Osteotomy Orthopaedics is composed of 13 chapters, including: History of the Development of Spinal Osteotomy, Application of Tian's Spinal Osteotomes, Transverse Laminectomy for Ankylosing Spondylitis Kyphosis, V-shape Laminectomy for Ankylosing Kyphosis, Pedicle Subtraction Osteotomy for Ankylosing Kyphosis Deformity, Vertebral Column Resection for Ankylosing Spondylitis Kyphosis, Non-apex Osteotomy for ASK, Apex Osteotomy for AS Kyphosis, Spinal Osteotomy for Congenital Angular Kyphosis, Hemivertebra Osteotomy, Osteotomy for Tuberculosis Angular Kyphosis, Posterior Vertebral Column Resection (PVCR) Correction for Severe Rigid Spinal Deformity, Osteotomy for Traumatic Spinal Deformity. They are various surgical methods of spinal osteotomy with Tian’s Osteotomes, and also described in detail by pictures and text.

The feature of this book is to illustrate the method of surgical operation to achieve the purpose of enabling beginners to quickly grasp the surgical skills. A good book is a set of handy tools dedicated to the reader. We believed that readers will benefit from it and improve the ability and application level of spinal osteotomy and surgery.

Author(s): Huizhong Tian, Yuan Ma, Jingming Xie, Yingsong Wang
Publisher: Springer
Year: 2021

Language: English
Pages: 218
City: Singapore

Foreword
Foreword
Original Introduction in Chinese Version
Introduction
Contents
Chief Editor Introduction
Deputy Editor Chief
List of Contributors
1: History of the Development of Spinal Osteotomy
1.1 Ankylosing Spondylitis Osteotomy
1.2 History of Spinal Osteotomy in China
1.2.1 A Brief History of Spinal Osteotomy with Thin-Edged Osteotome
1.2.2 The Support and Praise from Chinese Spinal Experts
1.3 Surgical Skills and Qualities of Spine Surgeons
Suggested Reading
2: Application of Tian’s Spinal Osteotomes
2.1 Overview
2.2 Surgical Indications for Type VII Tian’s Spine Osteotomes
2.3 Usage of Type VII Tian’s Spine Osteotomes
2.4 Essentials and Notes
Suggested Reading
3: Transverse Laminectomy for Ankylosing Spondylitis Kyphosis
3.1 Overview
3.1.1 Modified Methods of Transverse Laminectomy
3.1.2 Location of Transverse Laminectomy
3.2 Surgical Procedure
3.3 Comparison of Transverse Laminectomy and V-Shape Laminectomy
Suggested Reading
4: V-Shape Laminectomy for Ankylosing Kyphosis
4.1 Overview
4.2 Surgical Procedure
4.3 Key Points and Precautions
4.4 Typical Case Presentation
4.4.1 Case Summary
4.4.2 Diagnosis
4.4.3 Surgical Plan and Postoperative Management
4.4.4 Outcome Evaluation
4.4.5 Expert Comments
Suggested Reading
5: Pedicle Subtraction Osteotomy for Ankylosing Kyphosis Deformity
5.1 Overview
5.1.1 Selection of Osteotomy Site
5.1.2 Instruments and Technique
5.2 Surgical Procedure
5.3 Key Points and Precautions
5.3.1 Key Points and Precautions
5.3.2 Complications and Prevention
Suggested Reading
6: Vertebral Column Resection for Ankylosing Spondylitis Kyphosis
6.1 Overview
6.2 Surgical Procedure
6.3 Highlights and Considerations
6.4 Typical Case
6.4.1 Case Summary
6.4.2 Clinical Characteristics
6.4.3 Surgical Plan and Postoperative Management
6.4.4 Outcome Evaluation
6.4.5 Expert Comments
Suggested Reading
7: Non-apex Osteotomy for ASK
7.1 Overview
7.1.1 Rationale of Non-apex Osteotomy
7.1.2 Selection of Osteotomy Site
7.2 Surgical Procedure
7.3 Essentials and Notes
Suggested Reading
8: Apex Osteotomy for AS Kyphosis
8.1 Overview
8.2 Surgical Procedure
8.3 Key Aspects and Cautions
Suggested Reading
9: Spinal Osteotomy for Congenital Angular Kyphosis
9.1 Overview
9.2 Surgical Indication
9.3 Total Spinal Osteotomy in Congenital Angular Kyphosis
9.4 Local Infiltration Anesthesia for Spinal Osteotomy
9.4.1 Overview
9.4.2 Fractional Local Infiltration Anesthesia by Layers
Suggested Reading
10: Hemivertebra Osteotomy
10.1 Overview
10.1.1 Formation of Hemivertebra Deformity
10.1.2 The Growth and Development of Hemivertebra Aggravates Angular Spinal Scoliosis
10.1.3 Congenital Lateral Hemivertebra and Congenital Posterior Hemivertebra
10.1.4 Inspection Method
10.2 Hemivertebra Osteotomy Under Halo-pelvic Traction
10.3 Hemivertebrae Osteotomy and Instrumentation with Extra-pedicle Screw and Rod System
10.3.1 Indications
10.3.2 Contraindications
10.3.3 Surgical Procedure
10.3.4 The Advantages and Disadvantages of Fixation with Extra-pedicle Screw and Rod System
10.3.5 Tactics to Prevent Complications
10.4 Preventive Osteotomy for Lateral Hemivertebra
10.4.1 Selection of Surgical Technique
10.4.2 Selection of Instrumentation
10.4.3 Indications
10.4.4 Contraindication
10.4.5 Surgical Technique
10.4.6 Advantages of Preventive Surgery and Instrumentation with Screw and Wiring
10.4.7 Prevention of Complications
10.4.8 Conclusion
10.5 Posterior Hemivertebral Osteotomy
10.5.1 How the Posterior Hemivertebra Is Formed
10.5.2 Examination Method
10.5.3 Osteotomy and Instrumentation
10.5.4 Surgical Procedure
10.5.5 Key Points for Prevention of Complications
10.6 Posterolateral Hemivertebral Osteotomy
10.6.1 Surgical Procedure
Suggested Reading
11: Osteotomy for Tuberculosis Angular Kyphosis
11.1 Overview
11.1.1 Objective and Clinical Relevance
11.1.2 Why Tuberculosis Kyphosis Was Seen as “Incurable” in the Past
11.1.3 The Pathological Evolution of Tuberculosis Kyphosis
11.2 Indications and Contraindications
11.2.1 Surgical Indications
11.2.2 Contraindications
11.3 Preoperative Preparation
11.4 Surgical Technique of PVCR
11.5 Typical Case Study
11.6 Precautions and Complications Prevention
11.6.1 Precautions
11.6.2 Complications Prevention
Suggested Reading
12: Posterior Vertebral Column Resection (PVCR) Correction for Severe Rigid Spinal Deformity
12.1 Objective and Clinical Relevance
12.2 Indications and Contraindications
12.3 Operation Technique
12.4 Introduction of Typical Cases (Figs. 12.1, 12.2, and 12.3)
12.5 Key Points and Caveats
12.6 Complication Prevention and Treatment
Suggested Reading
13: Osteotomy for Traumatic Spinal Deformity
13.1 Overview
13.1.1 Biomechanics of Traumatic Kyphosis
13.1.2 Effect of Traumatic Kyphosis on Cardiopulmonary Function
13.1.3 Imbalance and Compensation of Gravity Line
13.1.4 Neuro Symptoms
13.2 Surgical Approaches
13.2.1 Surgical Indication
13.2.2 Surgical Technique
13.2.3 Typical Cases
Suggested Reading