CRC Press, 2019. — 289 p. — ISBN: 9781498773829
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.
GeneralThe 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 CervicalRevision 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 CervicalRevision 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 SpineRevision 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 SpineRevision 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 CasesTreatment 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