Lumbar Disc Herniation

ISBN-13: 9783709173220 / Angielski / Miękka / 2012 / 626 str.

Franco Postacchini

Opis

This monograph analyses all aspects related to the etiopathogenesis, pathomorphology, diagnosis and treatment of lumbar disc herniation. It includes 24 chapters, over 500 illustrations, partly in colour, and 2800 bibliographic entries, going from the historical to the most recent ones. Five chapters are dedicated to biological and pathomorphologic aspects both of lumbar disc herniation and the conditions most often associated with herniation. The etiopathogenesis is analysed in the light of the most significant and recent studies. Five chapters deal with the clinical presentation and diagnostic tests in an extremely wide and detailed way. Large space is reserved to conservative management. The chapters on invasive treatments and on the results and complications of surgery define the advantages and limitations of the old and new percutaneous or surgical treatments. Two chapters are dedicated to surgical management of patients with spinal conditions associated with herniation, and two other deal with the surgical failure. This monograph is aimed at satisfying the requirements of both experts and young doctors. Some chapters are of particular interest to the spine specialist, whilst others are useful to the novice to acquire a general knowledge of the subject.

Recenzje

"... This ambitious book will be an valuable asset to a departmental library. It is extensively referenced and contains much useful information. Selected chapters would be of interest not only to neurological and orthopaedic surgeons but also to paramedical practitioners." British Journal of Neurosurgery, 2000/14 (6) "... The book is conceptually well organized and extremely comprehensive. It provides information that would assist anyone, from a medical student to a practicing neurosurgeon or orthopedic surgeon, as a reference text ... this book should be in the personal library of any surgeon who is interested in a comprehensive approach to the treatment of lumbar disc disease ... For residents, it is a helpful reference text, primarily for nonoperativ information ..." Neurosurgery, Vol. 47, No. 1 "Professor Franco Postacchini ... is to be congratulated on the production of this book which is wide ranging, comprehensive, and beautifully illustrated ... I would have no hesitation in recommending the text to trainees as the book is very readable and makes a good introduction to the management of lumbar disc disease ... surgeons who manage lumbar disc disorders will want to have a copy of this book either on their own or their departmental library's shelf." Journal of Neurology, Neurosurgery, and Psychiatry "This book contains everything that one would ever want to know about herniation of the lumbar disc and a great deal more besides. Its expansive style provides in-depth information and sound clinical perspective based on the experience of Professor Postacchini and his fellow contributors, mostly from the University of La Sapienza in Rome ... Readers should not be put off by the size of this book. With a bibliography of over 2000 references, it is a fully illustrated account of all that is currently known about the lumbar disc. It will be an indispensable reference book in every department of spinal surgery and the ideal starting point for anyone involved in a research project on the lumbar spine. In an era of increasing medical litigation, advisers will find all the information which they need as well as the wisdom and clinical perspective gained from many years of making difficult value judgements in the management of this perfidious condition." The Journal of Bone and Joint Surgery "... 'Lumbar disc herniation' by Franco Postacchini is to be considered as one of teh most complete books on lumbar disc herniation ..." Acta Neurologica Belgica 9/1999 "... The book is extremely complete, taking us through all aspects of the topic. a diagnostic algorithm is presented in a comprehensive way... It can be read at one go from the first page to the last, but each chapter stands on its own and can be enjoyed separately. It should appeal to everybody starting to learn to diagnose and treat disc herniation, to all of us involved in treatment and research on the disease, and also serve as a good source of references..." Acta Orthopaedica Scandinavica 2001, 72/205-207

Spis treści

1. Historical perspective.- The Egyptian-Hebrew period.- The Greek-Roman period.- The Byzantine and Islamic civilizations.- The Middle Ages and the Renaissance.- The 17th and 18th centuries.- The 19th century.- The modern period.- Lumbar spinal stenosis.- References.- 2. Anatom.- Lumbosacral spine.- Neural structures.- Vertebral and meningo-radicular dynamics.- Blood supply.- Lumbosacral anomalies.- References.- 3. Biochemistry, nutrition and metabolism.- Biochemistry.- Nutrition.- Metabolism.- References.- 4. Biomechanics.- Intervertebral disc.- Disc degeneration.- Effects of disc excision.- Effects of laminoarthrectomy.- References.- 5. Pathomorpholog.- Disc degeneration.- Bulging of annulus fibrosus.- Types of herniation.- Site of herniation.- Cartilaginous and osteocartilaginous avulsion fractures of vertebral end-plate.- Processes of herniation of the disc.- Degenerative changes of herniated disc.- Microscopic characteristics of herniated tissue.- Resorption of disc herniation.- Effects of disc herniation on the motion segment.- Disc herniation and morphometric features of spinal canal.- References.- 6. Physiopathology of lumboradicular pain.- Neuroanatomy.- Physiopathology of low back and radicular pain.- Nerve-root compression.- Chemical radiculitis.- Sympathetic system and low back pain.- Hypothesis on pathomechanisms of lumboradicular pain.- References.- 7. Etiopathogenesis.- Epidemiology.- Risk factors.- Etiopathogenetic factors.- Pathogenetic hypotheses.- References.- 8. Clinical features.- Principles of radicular anatomophysiology.- Symptoms.- Clinical history.- Physical examination.- Clinical syndromes.- Clinical features in adolescents.- Clinical features in the elderly.- Radicular syndromes.- Syndromes due to herniation of the three lowest lumbar discs.- References.- 9. Imaging studies.- Radiography.- Myelography.- Computerized tomography (CT).- Magnetic resonance imaging (MRI).- Myelo-CT.- Discography.- Radiculography and anesthetic nerve-root block.- Bone scanning.- Echography.- Thermography.- Lumbosacral ascending flebography.- References.- 10. Electrophysiologic investigation.- Electromyography.- Conduction velocity studies.- Diagnostic ability.- Indications.- References.- 11. Differential diagnosis. I. Organic disease.- Premise.- Vertebral conditions.- Extravertebral diseases.- References.- 12. Differential diagnosis. II. Psychogenic pai.- Psychologic disorders related to low back pain.- Psychosocial factors.- Psychometric tests.- Psychiatric evaluation.- Nomogenic disorders.- References.- 13. Diagnostic algorith.- Role of clinical evaluation.- Limitations of diagnostic tests.- Usefulness of diagnostic algorithm.- Diagnostic algorithms for lumbar disc herniation.- Computerized algorithms.- References.- 14. Conservative treatment.- Natural history of lumbar disc herniation.- Modalities of conservative treatment.- Results of conservative treatments.- Treatment regimens.- References.- 15. Percutaneous treatment.- Chemonucleolysis.- Percutaneous automated nucleotomy (PAN).- Manual percutaneous discectomy and laser discectomy.- References.- 16. Surgical treatments F. Postacchini, G. Cinott.- Indications and contraindications.- Preparation for surgery.- Identification of pathologic level.- Definition of terms.- Conventional discectomy.- Microdiscectomy.- Anterior discectomy.- References.- 17. Postoperative functional recover.- Surgical treatment.- Percutaneous procedures.- Chronic postoperative pain.- Work disability.- References.- 18. Complications of surger.- Morbidity and mortality.- Cardiovascular complications.- Superficial infections.- Spondylodiscitis.- Dural tears.- Nerve-root injuries.- Injuries to abdominal structures.- Complications due to patient’s wrong positioning.- Retention of foreign bodies.- Intraoperative hemorrhage.- Urinary retention.- Gastroenteric disturbances.- Miscellanea.- References.- 19. Results of surger.- Evaluation of the results.- Definition of terms.- Immediate postoperative period.- Immediate results.- Results in the longer run.- Predictive factors of the outcome.- Conclusions.- References.- 20. Spinal fusion and disc prosthesis at primary surger.- Spinal fusion.- Disc prosthesis.- References.- 21. Disc herniation associated to other condition.- Lumbar stenosis.- Degenerative spondylolisthesis.- Spondylolysis.- Isthmic spondylolisthesis.- Lumbar scoliosis.- Cervical and thoracic disc herniations.- Intradural tumors.- Extradural meningeal cysts.- Periarticular cysts.- Chondral and osteochondral avulsion of vertebral end-plate.- References.- 22. Surgical failure.- Definition and classification.- Persistent radiculopathy.- Recurrent radicular pain after a pain-free interval.- Postoperative low back pain.- Results of reoperation after failed back surgery.- References.- 23. Recurrent and new herniation.- Terminology.- Incidence.- Recurrent herniation.- Contralateral herniation at the operated level.- Herniation at a new level.- References.- 24. Professional liability in treatmen.- Principles of legal medicine.- Diagnostic evaluation.- Conservative treatment.- Surgical treatment.- Professional liability of the consultant physician.- References.