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ویرایش: 7
نویسندگان: Alfredo Quiñones-Hinojosa
سری:
ISBN (شابک) : 0323414796, 9780323414791
ناشر: Elsevier
سال نشر: 2021
تعداد صفحات: 1418
زبان: English
فرمت فایل : PDF (درصورت درخواست کاربر به PDF، EPUB یا AZW3 تبدیل می شود)
حجم فایل: 351 مگابایت
در صورت تبدیل فایل کتاب Schmidek and Sweet: Operative Neurosurgical Techniques به فرمت های PDF، EPUB، AZW3، MOBI و یا DJVU می توانید به پشتیبان اطلاع دهید تا فایل مورد نظر را تبدیل نمایند.
توجه داشته باشید کتاب اشمیدک و سویت: تکنیک های جراحی مغز و اعصاب نسخه زبان اصلی می باشد و کتاب ترجمه شده به فارسی نمی باشد. وبسایت اینترنشنال لایبرری ارائه دهنده کتاب های زبان اصلی می باشد و هیچ گونه کتاب ترجمه شده یا نوشته شده به فارسی را ارائه نمی دهد.
i - 0 i. - Front Matter SCHMIDEK & SWEET Operative Neurosurgical Techniques: Indications, Methods, and Results ii. - Copyright Copyright iii. - Dedication DEDICATION ix - Section Editors SECTION EDITORS v - In Memoriam IN MEMORIAM vii. - About The Author_Editor ABOUT THE AUTHOR/EDITOR viii. - Video and Content Associate Editor VIDEO AND CONTENT ASSOCIATE EDITOR xi - Contributors CONTRIBUTORS Xl - Content id=2MsqEAAAQBAJ&pg=PR40&img=1&zoom=3&hl=en&sig=ACfU3U3YspOPWlgy id=2MsqEAAAQBAJ&pg=PR41&img=1&zoom=3&hl=en&sig=ACfU3U2G-7-_gLFW id=2MsqEAAAQBAJ&pg=PR42&img=1&zoom=3&hl=en&sig=ACfU3U2XGfxh9K1A id=2MsqEAAAQBAJ&pg=PR43&img=1&zoom=3&hl=en&sig=ACfU3U1CRAz2vPL- id=2MsqEAAAQBAJ&pg=PR44&img=1&zoom=3&hl=en&sig=ACfU3U27SvLf3bWG id=2MsqEAAAQBAJ&pg=PR45&img=1&zoom=3&hl=en&sig=ACfU3U2WofBl7Sqq id=2MsqEAAAQBAJ&pg=PR46&img=1&zoom=3&hl=en&sig=ACfU3U1FinEe_LSD xlvii - Video Contents VIDEO CONTENTS xxxix. - Preface PREFACE 1149 - Section 6 1149 - Chapter 98 - Laser Interstitial Thermal Therapy for Epilepsy 98 - Laser Interstitial Thermal Therapy for Epilepsy Introduction The Science of Laser Interstitial Thermal Therapy Surgical Procedure Temporal Lobe Epilepsy Illustrative Case Nodular Heterotopias Illustrative Case Hypothalamic Hamartomas Illustrative Case Corpus Callosotomy Summary Key References References 1160 - Chapter 99 - Multidisciplinary Presurgical Evaluation for Epilepsy Surgery 99 - Multidisciplinary Presurgical Evaluation for Epilepsy Surgery Introduction Clinical Diagnosis: Seizure Description Surface Electroencephalogram Continuous Video/Electroencephalogram Monitoring Neuropsychological Assessment in Surgical Candidates Hemispheric Dominance for Language Lateralization of Memory Deficits Imaging Studies Magnetic Resonance Spectroscopy Functional Magnetic Resonance Imaging Diffusion Tensor Imaging Tractography Positron Emission Tomography Single Photon Emission Computed Tomography Invasive Studies Sphenoidal Electrodes Intracranial Electrodes Intracranial Electrodes and Brain Mapping Transoperative Versus Extraoperative Electrocorticography (ECO) and Brain Mapping Surgical Technique for Subdural Electrode Placement Surgical Technique for Intracerebral Electrodes Focal Epilepsy Detected Near Eloquent Areas Complications Paradigm of Surgical Treatment References 1173 - Chapter 100 - Temporal Lobe Operations in Intractable Epilepsy 100 - Temporal Lobe Operations in Intractable Epilepsy Indications and Patient Selection Temporal Lobe Operations in Intractable Epilepsy ANTERIOR TEMPORAL LOBECTOMY Resection of the Uncus and Amygdala Resection of the Hippocampus Selective Amygdalohippocampectomy Trans-Sylvian Approach to Amygdalohippocampectomy Seizure Reduction Complications Neuropsychological Morbidity Extent of Resection Tailored Resections Selective Mesial Resection Key References References 1183 - CHAPTER 101 - Surgical Management of Extratemporal Lobe Epilepsy 101 - Surgical Management of Extratemporal Lobe Epilepsy History Hippocrates of Kos (460–370 BC) Surgical Management of Extratemporal Lobe Epilepsy Anterior Thalamic Nucleus Stimulation Centromedian Thalamic Stimulation Subthalamic Nucleus Stimulation Other Deep Brain Targets Patient Selection Operative Technique Complications Closed-Loop Stimulation Conclusions Key References References 1192 - Chapter 102 - Multilobar Resection and Hemispherectomy in Epilepsy Surgery 102 - Multilobar Resection and Hemispherectomy in Epilepsy Surgery Multilobar Resections Noninvasive Investigations Invasive Investigations Presurgical Planning Anesthetic Considerations Surgical Technique Outcome on Seizures Illustrative Case Hemispherectomy and Hemispheric Disconnection Indications Etiologies Acquired Conditions Congenital Conditions Electroclinical Features Neurologic Functions Preoperative Evaluation Peri-Insular Hemispherotomy Technical Variations of Peri-Insular Hemispherotomy Vertical Hemispherotomy Technique Selection Outcome on Seizures Functional Outcome Surgical Complications In Memoriam Key References References 1210 - Chapter 103 - Corpus Callosotomy_ Indications and Techniques 103 - Corpus Callosotomy: Indications and Techniques Modern Indications Preoperative Evaluation Rationale Techniques Postoperative Complications Disconnection Syndrome Language Impairment Outcomes Conclusions Key References References 1215 - Chapter 104 - Extratemporal Epilepsy and Neuromodulation 104 - Extratemporal Epilepsy and Neuromodulation Vagal Nerve Stimulation Extratemporal Epilepsy and Neuromodulation Mechanism of Action Patient Selection Surgical Technique Outcomes Responsive Neurostimulation Patient Selection Surgical Technique Outcomes Deep Brain Stimulation Patient Selection Surgical Technique Outcomes Conclusions Key References References 1223 - Chapter 105 - Implantation of Deep Brain Stimulation Electrodes Under General Anesthesia for Parkinson Disease and Essential Tremor 105 - Implantation of Deep Brain Stimulation Electrodes Under General Anesthesia for Parkinson Disease and Essential Tremor Awake Versus Asleep Deep Brain Stimulation implantation Implantation of Deep Brain Stimulation Electrodes Under General Anesthesia for Parkinson Disease and Essential Tremor Safety of Asleep Deep Brain Stimulation Accuracy of Asleep Deep Brain Stimulation Outcomes of Asleep Deep Brain Stimulation Patient Satisfaction With Asleep Deep Brain Stimulation Technique of Asleep Deep Brain Stimulation Conclusions Key References References 1229 - Chapter 106 - Cervical Dystonia and Spasmodic Torticollis_ Indications and Techniques 106 - Cervical Dystonia and Spasmodic Torticollis: Indications and Techniques Epidemiology Classification and Etiology Classification of Dystonic Conditions Cervical Dystonia and Spasmodic Torticollis: Indications and Techniques Age at Onset Distribution of Affected Body Regions Temporal Pattern Associated Features Structural Pathology Inherited Dystonia Acquired Dystonia Idiopathic Dystonia Other Dystonia-like Conditions Cervical Dystonia Treatment Strategies Surgery for Dystonic Conditions Deep Brain Stimulation for Dystonic Conditions Development Preoperative Assessment Surgical Considerations and Techniques Postoperative DBS Programming and Patient Management Clinical Overview of Globus Pallidus Internus Deep Brain Stimulation for Cervical Dystonia Conclusion Key References References 1236 - Chapter 107 - Novel Targets and Techniques in Deep Brain Stimulation for Movement Disorders 107 - Novel Targets and Techniques in Deep Brain Stimulation for Movement Disorders Introduction Physiology of the Motor System Adaptive Deep Brain Stimulation Zona Incerta Rostral Zona Incerta Posterior Subthalamic Area/Caudal Zona Incerta Pedunculopontine Nucleus Substantia Nigra Pars Reticulata Centromedian—Parafascicular Complex Conclusions References 1244 - Chapter 108 - Molecular Therapies for Movement Disorders 108 - Molecular Therapies for Movement Disorders Drug/Chemical Infusions Growth Factors/Recombinant Proteins Gene Therapy Basic Science of Gene Therapy Viral Vectors Gene Therapy in Parkinson Disease Future Key References References 1253 - Chapter 109 - Lesion Procedures for Psychiatric Disorders 109 - Lesion Procedures for Psychiatric Disorders Historical Background Lesion Procedures for Psychiatric Disorders Development of Psychiatric Lesion Procedures Obsessive-Compulsive Disorder Capsulotomy for Obsessive-Compulsive Disorder Cingulotomy for Obsessive-Compulsive Disorder Limbic Leucotomy for Obsessive-Compulsive Disorder Major Depressive Disorder Capsulotomy for Major Depressive Disorder Cingulotomy for Major Depressive Disorder Limbic Leucotomy for Major Depressive Disorder Subcaudate Tractotomy for Major Depressive Disorder Other Psychiatric Indications Conclusion Key References References 1262 - Chapter 110 - Deep Brain Stimulation for Intractable Psychiatric Illness 110 - Deep Brain Stimulation for Intractable Psychiatric Illness Introduction Obsessive-Compulsive Disorder Depression Tourette Syndrome Issues and Future Directions Key References References 1272 - Chapter 111 - Brain-Computer Interfacing_ Prospects andTechnical Aspects of Functional CranialImplants 111 - Brain-Computer Interfacing: Prospects and Technical Aspects of Functional Cranial Implants Background Introduction Implantable Neurotechnologies Neuroprosthetics Neuroplastic and Reconstructive Surgery Neuro-Biohacking Conclusion Key References References 1283 - Chapter 112 - Thoracoscopic Sympathectomy for Hyperhidrosis 112 - Thoracoscopic Sympathectomy for Hyperhidrosis Anatomy and Physiology Thoracoscopic Sympathectomy for Hyperhidrosis Patient Selection Anesthesia Instruments Positioning Procedure Outcomes Complications Conclusions Key References References 1288 - Chapter 113 - Surgery for Intractable Spasticity 113 - Surgery for Intractable Spasticity 1307 - Chapter 114 - Retrogasserian Glycerol Rhizolysis in Trigeminal Neuralgia 114 - Retrogasserian Glycerol Rhizolysis in Trigeminal Neuralgia Probable Mechanisms of Action of Glycerol Retrogasserian Glycerol Rhizolysis in Trigeminal Neuralgia Morphologic Effects of Glycerol Indications Preoperative Evaluation Technique Anesthesia and Sedation Positioning Anatomic Landmarks and Important Structures Trigeminal Cisternography Specific Difficulties Contrast Evacuation Glycerol Injection Branch Selectivity Permanent Marking of the Cistern Special Considerations for Repeated Injection Postoperative Management Results Evaluation of Different Series Short- and Long-Term Results Side Effects and Complications Postoperative Facial Sensory Disturbance Hypesthesia Dysesthesia Infectious Side Effects Herpes Activation Aseptic Meningitis Bacterial Meningitis Special Considerations in Patients With Multiple Sclerosis Glycerol Rhizolysis in the Treatment of Other Types of Facial Pain Retrogasserian Glycerol Rhizolysis Versus Other Operative Treatments for Trigeminal Neuralgia Conclusion Key References References 1323 - Chapter 115 - Percutaneous Stereotactic Rhizotomy in the Treatment of Intractable Facial Pain 115 - Percutaneous Stereotactic Rhizotomy in the Treatment of Intractable Facial Pain Cannulation, Stimulation, and Lesion Production Percutaneous Stereotactic Rhizotomy in the Treatment of Intractable Facial Pain Step 1: Cannulation of the Foramen Ovale Step 2: Stimulation of the Trigeminal Nerve Step 3: Lesion Production Results Recurrence of Trigeminal Neuralgia Sensory Ocular Motor Paresis Herpes Simplex Discussion Technique Refinement of Percutaneous Radiofrequency Rhizotomy Considerations for Other Approaches Summary Key References References 1333 - Chapter 116 - Neurovascular Decompression in Cranial Nerves V, VII, IX, and X 116 - Neurovascular Decompression in Cranial Nerves V, VII, IX, and X Clinical Features General Clinical Presentation Multiple Sclerosis Other Diagnoses Neurovascular Decompression in Cranial Nerves V, VII, IX, and X Imaging First-Line Medications Surgical Indications Positioning Operative Technique Postoperative Care Operative Findings Outcomes Factors Associated with Outcome Repeat Microvascular Decompression for Trigeminal Neuralgia Surgical Complications Conclusions Clinical Features General Clinical Presentation Electromyographic Findings Differential Diagnosis Imaging Botulinum Toxin Other Medications Surgical Indications Preoperative Considerations Operative Technique Operative Findings Outcomes Factors Associated With Outcomes Repeat Microvascular Decompression for Hemifacial Spasm Surgical Complications Conclusion Trigeminal Neuralgia and Hemifacial Spasm Clinical Features General Clinical Presentation Diagnosis Differential Diagnosis Imaging Medical Management Surgical Indications Preoperative Considerations Operative Technique Outcomes Surgical Complications Conclusion Conclusions Key References References 1344 - Chapter 117 - Deep Brain Stimulation for Chronic Pain 117 - Deep Brain Stimulation for Chronic Pain Introduction and History Deep Brain Stimulation Targets Patient Selection Operative Technique Efficacy Phantom Limb Pain Brachial Plexus Avulsion Poststroke Pain Neuropathic Facial Pain and Anesthesia Dolorosa Failed-Back-Surgery-Syndrome Anterior Cingulate Cortex Stimulation Cluster Headache Definitions of Success Conclusion References 1348 - Chapter 118 - Mesencephalic Tractotomy and Anterolateral Cordotomy for Intractable Pain 118 - Mesencephalic Tractotomy and Anterolateral Cordotomy for Intractable Pain Anatomic Background Current Indications for Stereotactic Mesencephalic Tractotomy Preoperative Preparation Operative Procedure Results and Complications Anatomic Background Historical Evolution Current Indications for Stereotactic Percutaneous Cordotomy Surgical Technique Preoperative Preparation Operative Procedure Results and Complications Future of Neuroablative Stereotactic Pain Procedures Conclusions Acknowledgments Key References References 1359 - Chapter 119 - Spinal Cord Stimulation for Chronic Pain 119 - Spinal Cord Stimulation for Chronic Pain New Spinal Cord Stimulation Algorithms Spinal Cord Stimulation for Chronic Pain Conventional Spinal Cord Stimulation for Neuropathic Pain Peripheral Vascular Disease (Peripheral Arterial Occlusive Disease) Conventional Spinal Cord Stimulation for Complex Regional Pain Syndrome Conventional Spinal Cord Stimulation for Angina Pectoris High-Frequency Spinal Cord Stimulation for Neuropathic/Nociceptive Pain Burst Spinal Cord Stimulation for Neuropathic/Nociceptive Pain Moderate Adaptation of Spinal Cord Stimulation Parameters Electrode Placement and Design Pulse Generators Computerized Methods Screening Protocols Indications for Spinal Cord Stimulation for Pain Neuropathic Pain Failed Back Surgery Syndrome Peripheral Nerve Injury Peripheral Arterial Occlusive Disease Angina Pectoris Neuropathic Pain Failed Back Surgery Syndrome Peripheral Nerve Injury High-Frequency Spinal Cord Stimulation Clinical Outcomes With Burst Spinal Cord Stimulation Intermediate Spinal Cord Stimulation Frequencies Peripheral Vascular Disease Angina Pectoris Cost Effectiveness Failed Back Surgery Syndrome Peripheral Nerve Injury Peripheral Vascular Disease Angina Miscellaneous Cost Studies Conclusion References 1378 - Chapter 120 - Spinal Cord Stimulation and Intraspinal Infusions for Pain 120 - Spinal Cord Stimulation and Intraspinal Infusions for Pain Mechanism of Action and Device Characteristics Indications and Specific Selection Criteria Description of Technique Complications and Troubleshooting Summary Introduction and General Selection Criteria Drug Selection and Systems Trial, Implantation, and Complications Summary Key References References 1391 - Section 7 1391 - Chapter 121 - Surgical Management of Severe Closed Head Injury in Adults 121 - Surgical Management of Severe Closed Head Injury in Adults Epidemiology Classification Schemes for Traumatic Brain Injury Traumatic Brain Injury Classification Systems for Targeted Therapies Classification Schemes According to Injury Severity Classification Schemes by Pathophysiology Classification Schemes by Prognostic Modeling Biomechanics of Traumatic Brain Injury Neuropathology of Traumatic Brain Injury Specific Features of Traumatic Brain Injury in Elderly People Traumatic Intracranial Hemorrhages Cerebral Contusions: Major Gray Matter Focal Lesions After Traumatic Brain Injury Surgical Treatment of Cerebral Contusions Diffuse Axonal Injury: Basic Concepts Diagnosis of Diffuse Axonal Injury Neuroradiologic Diagnostic Methods in Traumatic Brain Injury Computed Tomography Scanning Magnetic Resonance Imaging Advanced MRI Techniques Non-Radiologic Diagnostic Methods in Traumatic Brain Injury Serum Biomarkers of Diffuse Axonal Injury Microdialysis in Traumatic Brain Injury Traumatic Brain Injury Monitoring Intracranial Pressure Monitoring: Indications and Methods Surgical Treatment of Traumatic Brain Injury Surgical Treatment of Depressed Skull Fractures Posttraumatic Intracranial Hematomas: Surgical Versus Nonoperative Management Surgical Timing in Posttraumatic Lesions Acute Epidural Hematomas Surgical Technique for Evacuation of Epidural Hematomas Acute Subdural Hematomas Surgical Technique for Evacuation of Acute Subdural Hematomas Traumatic Parenchymal Lesions Hemorrhagic Progression of Contusion/Traumatic Intracerebral Hematoma Surgical Technique for Evacuation of Traumatic Hemorrhagic Parenchymal Lesions Posterior Fossa Hematomas Surgical Technique for Evacuation of Posterior Fossa Hematomas Decompressive Craniectomy Prognosis of Severe Head Injury Predictive Outcome Factors After Severe Head Injury Key References Neuroscience of Traumatic Brain Injury: Structural and Functional Properties of Brain Tissue Determining the Mechanisms of Traum... Cerebral Metabolism and Local Blood Flow Coupling Consciousness Impairment in Traumatic Brain Injury Neurophysiologic Systems Supporting Consciousness Ascending Arousal System Mechanisms of Structural Coma in Traumatic Brain Injury High Intracranial Pressure After Traumatic Brain Injury Brain Herniation Patterns Caused by Intracranial Mass Lesions Diffuse Axonal Injury: The Major White Matter Diffuse Lesion After TBI Axonal Transport: Physiologic Mechanisms Dynamic Process of Traumatic Axonal Injury Mechanisms of Traumatic Axonal Injury: The New Concept of Mechanoporation Axonal Membrane Repair as a Therapeutic Strategy for Diffuse Axonal Injury Traumatic Brain Edema: The Major Gray Matter Diffuse Lesion After Traumatic Brain Injury Types of Brain Edema Cellular Edema in Traumatic Brain Injury: The Role of Astroglia Roles of Aquaporins in The Development of Traumatic Brain Edema Treatment of Traumatic Brain Edema Secondary Brain Damage Caused by Cerebral Ischemia Molecular Cell Pathophysiology of Traumatic Brain Injury Neuronal Dysfunction in Traumatic Brain Injury Glial Dysfunction in Traumatic Brain Injury Reactive Astrogliosis After Traumatic Brain Injury Beneficial Roles of Glial Scar in Central Nervous System Repair Axonal Regeneration After Traumatic Brain Injury Axonal Regeneration Through Well-Structured White Matter References 1419 - Chapter 122 - Perioperative Management of Severe Traumatic Brain Injury in Adults 122 - Perioperative Management of Severe Traumatic Brain Injury in Adults Perioperative Management of Severe Traumatic Brain Injury in Adults Pupillary Examination Motor Examination Primary Brain Injury Secondary Brain Injury Pathophysiology Cerebral Blood Flow and Cerebral Perfusion Pressure Systemic Contributors to Ischemia: Hypotension and Hypoxia Monitoring Brain Oxygen Monitoring Assessment of Cerebral Blood Flow via Other Modalities Management Principles Pathophysiology Monitoring Intracranial Pressure Monitoring Devices, Indications, and Techniques of Usage Management Principles Positioning Cervical Collar Removal Maintenance of Normocapnia Sedation Hyperosmolar Therapy Osmotic Diuretics Hypertonic Saline Intracranial Hypertension Refractory to First-Line Treatment Modalities: Second-Line Treatments Neuromuscular Paralysis Hyperventilation Barbiturate-Induced Burst Suppression Decompressive Craniectomy Surgical intervention is often performed to reduce ICP in the setting of severe TBI and medically refractory intracranial hypert... Adjunctive Therapy: Lumbar Cerebrospinal Fluid Drainage Therapies to Avoid Steroids Prophylactic Hypothermia Management Paradigms The Use of a Brain-Tissue Oxygen-Directed Paradigm in Severe Traumatic Brain Injury Patients Systemic Medical Management Electrolytes and Fluid Balance Glycemic Control Hyperpyrexia Altered Endocrine Function Nutrition Infections Pharmacologic Prophylaxis Prevention of Venous Thromboembolism Traumatic Brain Injury and the Elderly Neuroprotective Interventions in Traumatic Brain Injury Key References References 1438 - Chapter 123 - Decompressive Craniectomy for Traumatic Brain Injury 123 - Decompressive Craniectomy for Traumatic Brain Injury Introduction Historical Perspective Current Evidence Indications and Timing Prognostic Factors Preoperative Evaluation Technique Decompressive Hemicraniectomy Bifrontal Craniectomy Dural Opening and Wound Closure Complications Cerebrospinal Fluid Absorption Disorders Expanding Hematomas Syndrome of the Trephined Future Directions Conclusions Key References References 1445 - Chapter 124 - Management of Skull Base Trauma 124 - Management of Skull Base Trauma Anesthesia and Perioperative Considerations Graft Repair Options Management of Skull Base Trauma Traumatic Skull Base Cerebrospinal Fluid Fistula Indications for Surgery Methods of Surgical Repair Perioperative Considerations Craniotomy for Open Repair of Traumatic Anterior Cranial Skull Base Cerebrospinal Fluid Fistula Skull Base Fractures: Types and Surgical Repair Options Anterior Skull Base Fractures Indications for Surgery Frontal Sinus Repair Options Details of Operative Technique and Surgical Pearls Extracranial Paranasal Repair of Traumatic Skull Base CSF Fistula Diagnosis and Clinical Signs/Symptoms Temporal Bone Surgical Repair Options Suboccipital Skull Base Fractures Suboccipital Decompression for Posterior Fossa Trauma Diagnosis and Clinical Signs and Symptoms Surgical Technique and Pearls Ancillary Cerebrospinal Fluid Diversion Procedures Conclusions Key References References 1458 - Chapter 125 - Surgical Management of Chronic Subdural Hematoma in Adults 125 - Surgical Management of Chronic Subdural Hematoma in Adults Introduction Epidemiology Pathogenesis Clinical Features Radiologic Evaluation Treatment Twist-Drill Craniostomy Technique Burr-Hole Craniostomy Technique Craniotomy Technique Comparison of Techniques Drains Irrigation Number of Burr Holes Postoperative Care Outcome Conclusion Key References References 1465 - Chapter 126 - Principles of Neuroplastic Surgery_ Management of Scalp Defects and Neurocranial Reconstruction 126 - Principles of Neuroplastic Surgery: Management of Scalp Defects and Neurocranial Reconstruction Scalp Anatomy Principles of Neuroplastic Surgery: Management of Scalp Defects and Neurocranial Reconstruction Soft Tissue Temporal Hollowing Neuroplastic Principles for Incision Planning Neurosurgical Scalp Closure Evaluation and Treatment Selection Neuroplastic Classification of Scalp Closure/Reconstruction Class 1: Small-Size Defects (<10 cm2) Class 2: Medium-Size Defects (10 to 50 cm2) Bi-Pedicle Advancement Flap Rotational/Transposition Flap Class 3: Large-Size Defects (50 to 200 cm2) Class 4: Denotes Scalp Closure in Combination With Skull Reconstruction Conclusion Key References References 1478 - Chapter 127 - Management of Penetrating and Blast Injuries ofthe Nervous System 127 - Management of Penetrating and Blast Injuries of the Nervous System Historical Overview Pathophysiology Primary Injury Ballistics Secondary Injury Initial Management: Basic Advanced Trauma Life Support Guidelines Classification Systems for Traumatic Brain Injury Penetrating Brain Injury: Specific Medical Management Initial Medical Management Intracranial Pressure Hyperventilation Seizure Prophylaxis Infection Prophylaxis Imaging and Endovascular Intervention Decision-Making in the Patient With Poor Prognosis Surgical Management Bone Fragments Intracranial Pressure Monitoring Dural Sinus Injuries Cranial Stab Wounds Postoperative Management Cerebrospinal Fluid Leakage Migration of Intracranial Fragments Post-Traumatic Cerebrovascular Lesions Cranioplasty Outcomes Key References References 1497 - Section 8 1497 - Chapter 128 - Management of Suppurative Intracranial and After Craniotomy Infections 128 - Management of Suppurative Intracranial and After Craniotomy Infections Introduction Pathogenesis of Brain Abscess Clinical Considerations Bacteriology Clinical Presentation Laboratory Findings Computed Tomography Magnetic Resonance Imaging Magnetic Resonance Spectroscopy Positron Emission Tomography Treatment Medical Management of Brain Abscess Surgical Management of Brain Abscess Postcraniotomy Infections Postoperative Bacterial Meningitis Postoperative Aseptic Meningitis Postoperative Subdural and Brain Abscess Postoperative Bone Flap Infection Superficial Postoperative Cranial Wound Infection Osteomyelitis of the Skull Cranial Epidural Abscess Subdural Empyema Prognosis Summary Key References References 1512 - CHAPTER 129 - Spinal Infections_ Vertebral Osteomyelitis and Spinal Epidural Abscess 129 - Spinal Infections: Vertebral Osteomyelitis and Spinal Epidural Abscess Introduction Epidemiology of Spinal Infection Pathogenesis And Pathophysiology Risk Factors for Vertebral Osteomyelitis and Spinal Epidural Abscess Microbiology Of Vertebral Osteomyelitis And Spinal Epidural Abscess Clinical Presentation Laboratory Findings Radiographic Studies Antibiotic Therapy Role Of Immobilization Surgery For Vertebral Osteomyelitis Surgery For Spinal Epidural Abscess Outcomes Key References References 1521 - Chapter 130 - Neurosurgical Management of HIV-Related Focal Brain Lesions 130 - Neurosurgical Management of HIV-Related Focal Brain Lesions Central Nervous System Involvement in HIV/AIDS Patients HIV Brain Lesions of an Infectious Etiology Toxoplasmosis Neurosurgical Management of HIV-Related Focal Brain Lesions Clinical Manifestations Neuroimaging Findings Cerebrospinal Fluid Examination Treatment Chagas-Mazza Disease Nocardiosis Progressive Multifocal Leukoencephalopathy Cryptococcosis Tuberculosis Miscellanea Related to Infections in HIV Affected Patients Aspergillosis Cytomegalovirus HIV Brain Lesions of a Noninfectious Etiology Primary Central Nervous System Lymphoma Miscellanea Related to Tumors in Patients With HIV Discussion and Conclusions Key References References 1534 - Chapter 131 - Management of Neurocysticercosis 131 - Management of Neurocysticercosis Introduction Historical Background Epidemiology Parasitic Life Cycle Pathogenesis and Microscopic Appearance Clinical Manifestations Diagnosis Laboratory Studies Neuroimaging Diagnosis Pharmacological Treatment Cysticidal Treatment Anti-Inflammatory Therapy Symptomatic Therapy Surgical Treatment Case Illustration Prevention and Sanitary Recommendations Conclusions References 1547 - Chapter 132 - Management of Tuberculous and Fungal Infections of the Nervous System 132 - Management of Tuberculous and Fungal Infections of the Nervous System Human Immunodeficiency Virus and Tuberculosis Coinfection Pathophysiology Management of Tuberculous and Fungal Infections of the Nervous System Tuberculous Meningitis Problems of Diagnosis Computed Tomography Magnetic Resonance Imaging Medical Treatment Surgery Results Incidence Location Pathologic Features Clinical Features Tuberculosis-Immune Reconstitution Inflammatory Syndrome Neuroimaging Computed Tomography and Magnetic Resonance Imaging Magnetic Resonance Imaging T2 Hyperintense Lesion T2 Hypointense Lesion T2 Hyperintense Center With Peripheral Hypointense Rim Lesion With Mixed/Heterogeneous Signal Intensity Therapeutic Response Assessment Antituberculous Drugs Drug Resistance Treatment of Drug-Resistant Tuberculosis Duration of Treatment Anticonvulsant Medications Surgery Results Tuberculous Spinal Arachnoiditis Clinical Features Imaging Treatment Management of Fungal Infections of the Central Nervous System Introduction Historical Perspective Classification and Epidemiology Routes of Dissemination Host Susceptibility and Fungal Virulence Pathogenesis Clinical Spectrum of Central Nervous System Fungal Infections Meningeal Syndrome Intracranial Mass Lesions Rhinocerebral Syndrome Skull-base Syndromes Stroke Syndromes Spinal Syndromes Radiology of Central Nervous System Mycoses Specific Central Nervous System Mycoses Pseudomycetes Causing Infections of the Nervous System Candidiasis Neuropathology Clinical Presentation Diagnosis Treatment Cryptococcosis (European Blastomycosis) Neuropathology Clinical Presentation Diagnosis Treatment Neurological Sequelae Septate Hyphae Causing Infections of the Nervous System Aspergillosis Neuropathology Clinical Presentation Diagnosis Treatment Chromoblastomycosis (Phaeohyphomycosis, Cladosporiosis) Risk Factors Neuropathology Clinical Presentation Diagnosis Phaeohyphomycosis in Transplant Patients Treatment Nonseptate Hyphae Causing Infections of the Nervous System (Phycomycosis, Zygomycosis, Mucormycosis) Clinical Presentation Diagnosis Treatment Management of Central Nervous System Fungal Infections Management of Clinical Syndromes Caused Due to Central Nervous System Fungal Infections Management of Meningeal Syndrome Management of Fungal Abscesses Management of Central Nervous System Fungal Granulomas Management of Intraparenchymal Cerebral Cysts Management of Orbitorhinocerebral Syndrome Management of Acute Cerebrovascular Events Secondary to Central Nervous System Mycoses Management of Spinal Fungal Infections Management of Fungal Infections Coexisting With Brain Tumors Surgical Management238 Stereotactic Procedures Craniotomy Cerebrospinal Fluid Diversion Surgery for PNS Disease Antifungal Chemotherapy Amphotericin-B Liposomal Amphotericin-B Flucytosine Azoles Echinocandins Antifungal Therapy in Intensive Care Units Novel Antifungal Therapies Summary Key References References for Management of Fungal Infections References 1593 - Section 9 1593 - Chapter 133 - Treatment Evolution in Management of Cervical Disc Disease 133 - Treatment Evolution in Management of Cervical Disc Disease Background Historical Development Laminectomy and Laminoplasty Posterior Foraminotomy Anterior Discectomy, Arthrodesis, and Arthroplasty Anterior Discectomy Without Graft Anterior Discectomy With Fusion Anterior Discectomy With Fusion and Plating Anterior Foraminotomy and Endoscopic Foraminotomy Cervical Arthroplasty Future Trends Conclusion Key References References 1605 - Chapter 134 - Anterior Cervical Foraminotomy (Jho Procedure)_ Microscopic or Endoscopic 134 - Anterior Cervical Foraminotomy (Jho Procedure): Microscopic or Endoscopic Anterior Cervical Foraminotomy (Jho Procedure): Microscopic or Endoscopic Surgical Indications and Preparation Surgical Instruments Endoscopes Endoscope Lens-Cleaner Endoscope Holder Endoscopic Surgical Instruments Surgical Technique Positioning Surgical Exposure of the Uncovertebral Juncture Original Description of Microsurgical Anterior Cervical Foraminotomy Transuncal Approach (Jho Procedure Type 1) Upper-Vertebral Transcorporeal Approach (Jho Procedure Type 2) Lower-Vertebral Transcorporeal Approach (Jho Procedure Type 3) Anterior Cervical Foraminoplasty (Jho Procedure Type 4) Spinal Cord Decompression via an Anterior Cervical Foraminotomy Postoperative Management Results Discussion Key References References 1618 - Chapter 135 - Anterior Approaches for Multilevel Cervical Spondylosis 135 - Anterior Approaches for Multilevel Cervical Spondylosis Diagnosis of Cervical Spondylotic Radiculopathy/Myelopathy Clinical Features Imaging Features Anterior Surgery for Multilevel Cervical Spondylosis Techniques for Anterior Decompression in the Treatment of Multilevel Cervical Spondylosis Exposure of the Anterior Cervical Spine Complications and Pitfalls with the Exposure of the Anterior Cervical Spine Multilevel Discectomy Plate-and-Screw Fixation Complications and Pitfalls in Multilevel Cervical Discectomy Corpectomy Complications and Pitfalls in Anterior Cervical Corpectomy Multilevel Discectomy Versus Corpectomy Limited Oblique Corpectomy According to Goel Oblique Partial Corpectomy According to George Conclusion Key References References 1631 - Chapter 136 - Minimally Invasive Posterior Cervical Foraminotomy and Microdiscectomy 136 - Minimally Invasive Posterior Cervical Foraminotomy and Microdiscectomy Patient Positioning Minimally Invasive Posterior Cervical Foraminotomy and Microdiscectomy Localization Minimally Invasive Posterior Cervical Approach Surgical Technique Closure Complications Conclusion References 1638 - Chapter 137 - Disc Replacement Technologies in the Cervical and Lumbar Spine 137 - Disc Replacement Technologies in the Cervical and Lumbar Spine Background Considerations Stage 1: Dysfunction Stage 2: Instability Stage 3: Stabilization Interbody Stabilization and Fusion Procedures General Considerations ProDisc-C ARTIFICIAL CERVICAL DISC PLACEMENT Milling for Keel Cut Preparation Inserting the Implant Postoperative Care Complications and Avoidance Lumbar Arthroplasty Estimating Size Exposing the Anterior Lumbar Spine Midline Approach for L5–S1 Midline Approach for L4–5 Pararectus Approach for L3–4 and L4–5 Marking the Approach Mobilizing Blood Vessels Discectomy and Preparing the End Plate Closure Postoperative Care Complications and Avoidance Key References References 1650 - Chapter 138 - Management of Cervical Spondylotic Myelopathy 138 - Management of Cervical Spondylotic Myelopathy Introduction Pathologic Anatomy and Cervical Spondylotic Myelopathy Patient Presentation and Physical Examination Radiologic Evaluation Somatosensory and Motor-Evoked Potential Monitoring Nonsurgical Treatment Ventral Approach Ventral Approach Options: Discectomy, Corpectomy, and Arthroplasty Cervical Arthroplasty Autograft Versus Allograft Instrumentation Versus Noninstrumentation Techniques of Ventral Approach to the Cervical Spine Discectomy Corpectomy Complications Associated With Ventral Approach to the Cervical Spine Neurologic Injury Vascular Injury Visceral Injury Infection Pseudarthrosis Instrumentation Failure Dorsal Approach to the Cervical Spine Contraindications Techniques of the Dorsal Approach to the Cervical Spine Laminectomy Laminoplasty Laminectomy Laminoplasty Complications Associated With Dorsal Approach to the Cervical Spine Combined Approach (Ventral And Dorsal) to the Cervical Spine Conclusions Key References References 1664 - Chapter 139 - Cervical Laminoplasty_ Indications and Techniques 139 - Cervical Laminoplasty: Indications and Techniques Historical Background Indications and Contraindications Preoperative Planning and Patient Positioning Dissection Laminoplasty Techniques Z-Plasty Technique Open-Door (Hirabayashi) Technique Double-Door Or French-Door Technique Muscle-Sparing Techniques En Bloc Laminoplasty Maintaining the Final Laminar Position Pearls and Pitfalls Postoperative Care Surgical and Radiographic Outcomes Complications Conclusions Key References References 1672 - Chapter 140 – Circumferential Cervical Spinal Fusion 140 - Circumferential Cervical Spinal Fusion Pathophysiology The Rationale for Circumferential Surgery History Technique Imaging Anesthesia Neuromonitoring Patient Positioning Anterior Approach Repositioning the Patient Posterior Approach Complications Conclusions Key References References 1681 - Chapter 141 - Surgical Techniques in the Management of Thoracic Disc Herniations 141 - Surgical Techniques in the Management of Thoracic Disc Herniations 1691 - Chapter 142 - Video-Assisted Thoracoscopic Discectomy_ Indications and Techniques 142 - Video-Assisted Thoracoscopic Discectomy: Indications and Techniques Video-Assisted Thoracoscopic Discectomy: Indications and Techniques Spinal Endoscopy Thoracic Cavity Anatomy Thoracic Spinal Anatomy Preoperative Evaluation Surgical Indications Anesthesia Positioning Operating Room Setup Endoscopic Instruments Description of Procedure Outcomes and Complications Conclusions Key References References 1700 - Chapter 143 - Posterior and Posterior Lateral Techniques for Thoracic Disc Herniations 143 - Posterior and Posterior Lateral Techniques for Thoracic Disc Herniations Background Clinical Presentation and Diagnosis Conservative and Surgical Management Historical Evolution of Surgical Technique Minimally Invasive Surgery Era Laminectomy With Facetectomy Transpedicular Approach Costotransversectomy Fusion Surgical Outcomes Transpedicular Approach Costotransversectomy Minimally Invasive Techniques Complications Posterior and Posterolateral Approaches Versus Anterior Approaches Conclusion Key References References 1705 - Chapter 144 - Anterior and Lateral Approaches for Thoracic Discectomy_ Endoscopic and Mini-Open Techniques 144 - Anterior and Lateral Approaches for Thoracic Discectomy: Endoscopic and Mini-Open Techniques 1717 - Chapter 145 - Lumbar Microdiscectomy_ Indications and Techniques 145 - Lumbar Microdiscectomy: Indications and Techniques History Pathophysiology Lumbar Microdiscectomy: Indications and Techniques Patient Evaluation Imaging Plain Radiographs Computed Tomography Magnetic Resonance Imaging Myelography Indications and Timing Principles of Surgery Positioning Localization Posterolateral Disc Herniation Central Disc Herniation Far-Lateral Disc Herniation Postoperative Care Outcomes Complications Conclusions Key References References 1730 - Chapter 146 - Minimally Invasive Lumbar Discectomy_ Indications and Techniques 146 - Minimally Invasive Lumbar Discectomy: Indications and Techniques Introduction Indications Surgical Technique Postoperative care Pitfalls and Avoidance of Complications Indications Surgical Technique Postoperative Care Pitfalls and Avoidance of Complications Conclusion Key References References 1735 - Chapter 147 - Management of Far Lateral Lumbar Disc Herniations 147 - Management of Far Lateral Lumbar Disc Herniations Definition of the Far Lateral Compartment Incidence and Location of Far Lateral Discs Management of Far Lateral Lumbar Disc Herniations Clinical and Neurologic Parameters Other Pathology Contributing to Far Lateral Root Compromise Limbus Vertebral Fractures Stenosis and Spondylosis Degenerative Spondylolisthesis Spondylolisthesis With Spondylolysis Degenerative Scoliosis Magnetic Resonance Scans Computed Tomography and Myelo-Computed Tomography Scans Conservative Management Critical Adjuncts to Far Lateral Disc Surgery Medial Facetectomy Full Facetectomy Trans-Pars Technique Isolated Extraforaminal (Extreme Lateral) Approach Intertransverse Technique: Medial Facetectomy and Extraforaminal Exposure Endoscopic Techniques Anterolateral Retroperitoneal Approach Fusion Requirements Pedicle Fixation Percutaneous Pedicle Screw Fixation Techniques Resorbable Posterior Interbody Fusion Devices Interbody Fusion Cages Resorbable Anterior Interbody Fusion Devices Beta Tricalcium Phosphate for Posterolateral Fusions Preoperative Psychometric Testing Used for Patient Selection Outcomes of Far Lateral Disc Surgery Clinical Data Preoperative Magnetic Resonance Imaging and Computed Tomography Studies FLEXION AND EXTENSION X-Rays DEFINED Instability and THE NEED FOR Secondary Fusions Surgical Procedures Outcomes Common Errors in Far Lateral Disc Surgery Outcome Study of Far Lateral Disc Surgery Using SF-36 Key References References 1747 - Chapter 148 - Lumbar Spinal Arthroplasty_ Clinical Experiences of Motion Preservation 148 - Lumbar Spinal Arthroplasty: Clinical Experiences of Motion Preservation General Clinical Outcome Results Lumbar Spinal Arthroplasty: Clinical Experiences of Motion Preservation Radiographic Analyses: Range of Motion, Heterotopic Ossification, and Sagittal Balance Analyses Facets and Adjacent-Level Degeneration Revision and Revision Strategies Surgical Technique Complications Special Patient Population Analyses Health Economics Evaluations Discussion Total Disc Replacement Surgery Revision Techniques Long-Term Follow-Up of Lumbar Total Disc Replacement Patients Conclusion Key References References 1757 - Chapter 149 - Management of Degenerative Lumbar Stenosis and Spondylolisthesis 149 - Management of Degenerative Lumbar Stenosis and Spondylolisthesis Decision Making in Surgical Intervention Surgical Intervention Management of Degenerative Lumbar Stenosis and Spondylolisthesis Surgical outcome for Spinal Stenosis Spinal Stenosis With Degenerative Spondylolisthesis Case Illustrations and Operative Procedures Case 1 Case 2 Operative Procedure Conclusions Key References References 1765 - Chapter 150 - Posterior Lumbar Fusion by Open Technique_ Indications and Techniques 150 - Posterior Lumbar Fusion by Open Technique: Indications and Techniques Indications for a Fusion Spondylolisthesis Posterior Lumbar Fusion by Open Technique: Indications and Techniques Instrumented Fusion Spondylolysis and Isthmic Spondylolisthesis Spinal Stenosis Without Spondylolisthesis Herniated Lumbar Disc Chronic Low Back Pain Assessment Before a Fusion Operation Smoking and Fusion Diabetes and Obesity End-Stage Renal Disease Perioperative Antibiotic Prophylaxis Instrumented Cases Techniques Intraoperative Electrophysiologic Monitoring and Lumbar Fusion Mechanism of Spinal Arthrodesis Adjuvant Osteoinductive Biological Agents: Bone Morphogenetic Protein Adjunct External Bone Stimulation Complications After Fusion Surgery Mortality Perioperative Complications Long-Term Complications From Fusion Operations Adjacent Segment Disease Pseudoarthrosis Chronic Donor Site Pain Sexual Dysfunction Heterotopic Ossification From Bone Morphogenetic Proteins Bracing Following Fusion Radiologic Assessment of Successful Fusion Conclusions Key References References 1788 - Chapter 151 - Percutaneous Placement of Lumbar Pedicle Screws_ Indications and Techniques 151 - Percutaneous Placement of Lumbar Pedicle Screws: Indications and Techniques Introduction Indications and Preoperative Assessment Patient Positioning and Operating Room Setup Initial Incision and Pedicle Identification Pedicle Screw Placement Rod Placement Study Design Outcome Assessment Surgical Technique Results Meta-Analysis and Systematic Review of the Literature Case Discussion Key References References 1795 - Chapter 152 - Dynamic Stabilization of the Lumbar Spine_ Indications and Techniques 152 - Dynamic Stabilization of the Lumbar Spine: Indications and Techniques Biomechanical Rationale Dynamic Stabilization of the Lumbar Spine: Indications and Techniques System Designs Dynesys Isobar Polyethylethylketone Rods Interspinous Devices Surgical Techniques and Complication Management Conclusions Key References References 1804 - Chapter 153 - Posterior Lumbar Interbody Fusion 153 - Posterior Lumbar Interbody Fusion Patient Selection Open Posterior Lumbar Interbody Fusion Minimally Invasive Spine Posterior Lumbar Interbody Fusion Complications of Posterior Lumbar Interbody Fusion Conclusion References 1809 - Chapter 154 - Transforaminal Lumbar Interbody Fusion_ Indications and Techniques 154 - Transforaminal Lumbar Interbody Fusion: Indications and Techniques Surgical Technique Positioning Exposure Decompression Pedicle Screw Placement and Disc Preparation Transforaminal Lumbar Interbody Fusion: Indications and Techniques Interbody Fusion Minimally Incisional Transforaminal Lumbar Interbody Fusion Postoperative Care Outcomes Key References References 1813 - Chapter 155 - Minimally Invasive Transforaminal Lumbar Interbody Fusion 155 - Minimally Invasive Transforaminal Lumbar Interbody Fusion Patient Selection and Surgical Indications Minimally Invasive Transforaminal Lumbar Interbody Fusion Preoperative Planning Decompression Alone Versus Decompression With MI-TLIF Patient Positioning Incision Lumbar Exposure and Decompression Interbody Fusion Percutaneous Pedicle Screw Instrumentation Postoperative Care Management Of Complications Illustrative Cases Conclusion References 1828 - Chapter 156 - Anterior Lumbar Interbody Fusion_ Indications and Techniques 156 - Anterior Lumbar Interbody Fusion: Indications and Techniques Overview Advantages Indications Contraindications Preoperative Evaluation Operative Technique Complications Conclusion Key References References 1835 - Chapter 157 - Lateral Transpsoas and Anteropsoas Interbody Fusion Indications and Techniques 157 - Lateral Transpsoas and Anteropsoas Interbody Fusion Indications and Techniques 1847 - Chapter 158 - Vertebroplasty and Kyphoplasty 158 - Vertebroplasty and Kyphoplasty 1859 - Chapter 159 - Management of Injuries of the Cervical Spine and Spinal Cord 159 - Management of Injuries of the Cervical Spine and Spinal Cord 1868 - Chapter 160 - Transoral Approaches to the Cervical Spine 160 - Transoral Approaches to the Cervical Spine Introduction Pathology Anatomy Preoperative Considerations Transoral-Transpharyngeal Approach With or Without Palatotomy Technique Endoscopy in Transoral Surgery Transoral-Transpharyngeal Plus Maxillary Osteotomy Technique Transoral-Transpharyngeal Plus Transmandibular Circumglossal Approach Technique Transcervical Endoscopic Odontoidectomy Technique Discussion Key References References 1877 - Chapter 161 - Atlantoaxial Instability and Stabilization 161 - Atlantoaxial Instability and Stabilization Atlantoaxial Instability and Stabilization Indications for Fixation Trauma Classification Traumatic Spondylolisthesis of the Axis (Hangman’s Fracture) Fractures of the Atlas Isolated Transverse Ligament Injury Ligamentous Injury Rheumatoid Arthritis Congenital Abnormalities Os Odontoideum Gallie Fusion Brooks-Jenkins Fusion Sonntag’s Modified Gallie Fusion Interlaminar Clamp Technique (Halifax Clamps) Screw Fixation Techniques Magerl Transarticular Screw Technique C1-C2 Rod Cantilever Technique C2 Laminar Screw Placement––Wright’s Technique Odontoid Screw Technique Conclusion Key References References 1887 - Chapter 162 - Stabilization of the Subaxial Cervical Spine 162 - Stabilization of the Subaxial Cervical Spine Biomechanics of Cervical Plates Stabilization of the Subaxial Cervical Spine Nonconstrained Plates Static Plates Dynamic Plates Advantages Disadvantages Indications Plate Placement Complications Interbody Cages Vertebral Body Cages Posterior Stabilization Techniques Indications Wiring Techniques Spinous Process Wiring (Rodgers) Technique Sublaminar Wiring Technique Bohlman Triple Wiring Technique Dewar Wiring Technique Facet–Spinous Process Wiring Technique Luque Rectangle Fixation Technique Laminar Hooks Lateral Mass Screw Fixation Connection with Plates or Rods Lateral Mass Plates Posterior Cervical Rods Complications Cervical Pedicle Screw Fixation Cervical Sagittal Balance and Fixation Key References References 1901 - Chapter 163 - Thoracolumbar Anterolateral and Posterior Stabilization 163 - Thoracolumbar Anterolateral and Posterior Stabilization Clinical Evaluation Surgical Treatment Posterior Stabilization Thoracolumbar Anterolateral and Posterior Stabilization Anterolateral Approach Discussion Key References References 1910 - Chapter 164 - Management of Sacral Fractures 164 - Management of Sacral Fractures Anatomic and Biomechanical Considerations Classification Denis Classification Transverse Sacral Fractures and the Roy-Camille Classification Isler Classification Lumbosacral Injury Classification System Aospine Sacral Fracture Classification System Evaluation Sacral Insufficiency Fractures Stress Fractures of the Sacrum General Treatment Principles Nonoperative Treatment Operative Treatment Neural Decompression Reduction Techniques Fixation Techniques Direct Osteosynthesis Percutaneous Posterior Pelvic Ring Fixation Lumbopelvic Fixation Outcomes Conclusions Key References References 1925 - Chapter 165 - Management of Penetrating Injuries to the Spine 165 - Management of Penetrating Injuries to the Spine Ballistics and Pathophysiology Management of Penetrating Injuries to the Spine Clinical Evaluation Radiological Evaluation Antibiotic and Steroid Use Clinical Management Neurologic Deficit Cerebrospinal Fluid Leak Spinal Stability Surgical Approach Prognosis Late Complications Summary Key References References 1935 - Chapter 166 - Craniovertebral Abnormalities and Their Neurosurgical Management 166 - Craniovertebral Abnormalities and Their Neurosurgical Management Embryology and Anatomy With Clinical Implications Craniovertebral Abnormalities and Their Neurosurgical Management Signs and Symptoms Diagnostic Investigations Treatment Algorithm for Craniovertebral Abnormalities Reducible Pathologic Conditions Requiring External Immobilization Only Reducible Lesions Requiring Internal Fixation Occipitoatlantoaxial Posterior Fusion With Autograft and Wiring Craniocervical Posterior Fusion With Polyaxial Screw and Occipital Plate Instrumentation Suboccipital Craniectomy and Upper Cervical Laminectomy Posterolateral Transcondylar Approach Transoral-Transpharyngeal Approach Median Labiomandibular Glossotomy Approach Transcervical Extrapharyngeal Approach Key References References 1953 - Chapter 167 - Management of Chiari Malformations and Syringomyelia 167 - Management of Chiari Malformations and Syringomyelia Management of Chiari Malformations and Syringomyelia Development Clinical Characteristics Diagnostic Evaluation Operative Treatment of Chiari I Malformation With and Without Syringomyelia Operative Treatment of Syringomyelia Associated With Spinal Conditions Avoiding Complications Postoperative Care Summary Key References References 1963 - Chapter 168 - Management of Occult Spinal Dysraphism in Adults 168 - Management of Occult Spinal Dysraphism in Adults Presentation and Physical Examination Management of Occult Spinal Dysraphism in Adults Plain Radiographs Computed Tomography Magnetic Resonance Imaging Urodynamics Pathologic Subtypes of Occult Spinal Dysraphism Tight and Fatty Filum Terminale Split Cord Malformation Lipomyelomeningocele Neurenteric Cyst Dermal Sinus Tract/Dermoid Meningocele Manqué Terminal Syrinx Conus in “Normal” Position With Symptoms of a Tethered Cord Surgical Decision Making in Adult Tethered Cord Syndrome Surgical Outcome Conclusion Key References References 1973 - CHAPTER 169 - Neurologic Problems of the Spine in Achondroplasia 169 - Neurologic Problems of the Spine in Achondroplasia Neurologic Problems of the Spine in Achondroplasia Cervicomedullary Compression Thoracolumbar Kyphosis Spinal Stenosis Referral Criteria Cervicomedullary Compression Clinical Pathology and Presentation Evaluation Indication for Surgery Operative Management Outcome Spinal Stenosis Clinical Pathology and Presentation Evaluation Indication for Surgery Operative Management Outcome Conclusion Key References References 1983 - Chapter 170 - Management of Degenerative Scoliosis 170 - Management of Degenerative Scoliosis 1994 - CHAPTER 171 - Cervical Spinal Deformity 171 - Cervical Spinal Deformity 2004 - Chapter 172 - Adult Thoracic and Lumbar Deformity 172 - Adult Thoracic and Lumbar Deformity 2015 - Chapter 173 - Surgical Management of Intramedullary Spinal Cord Tumors in Adults 173 - Surgical Management of Intramedullary Spinal Cord Tumors in Adults 2031 - Chapter 174 – Surgical Management of Intradural Extramedullary Tumors 174 - Surgical Management of Intradural Extramedullary Tumors 2038 - Chapter 175 - Management of Spinal Cord Tumors and Arteriovenous Malformations 175 - Management of Spinal Cord Tumors and Arteriovenous Malformations 2055 - Chapter 176 - Management of Cauda Equina Tumors 176 - Management of Cauda Equina Tumors 2064 - Chapter 177 - Management of Primary Malignant Tumors of the Osseous Spine 177 - Management of Primary Malignant Tumors of the Osseous Spine 2072 - Chapter 178 - Surgical Approaches to the Cervicothoracic Junction 178 - Surgical Approaches to the Cervicothoracic Junction 2087 - Chapter 179 - Surgery for Metastatic Spine Disease 179 - Surgery for Metastatic Spine Disease 2097 - Chapter 180 - Surgical Resection of Sacral Tumors 180 - Surgical Resection of Sacral Tumors 2113 - Chapter 181 - Surgical Management of Cerebrospinal Fluid Leakage After Spinal Surgery 181 - Surgical Management of Cerebrospinal Fluid Leakage After Spinal Surgery 2119 - Section 10 2119 - Chapter 182 - Peripheral Nerve Injury 182 - Peripheral Nerve Injury Introduction Nerve Anatomy Classification Systems of Peripheral Nerve Injury Neurapraxia Axonotmesis Neurotmesis Grade I Grade II Grade III Grade IV Grade V History and Physical Clinical Neurophysiologic Studies Electromyography Nerve Conduction Studies Radiology Magnetic Resonance Imaging Ultrasound Surgical Decision-Making General Considerations and Surgical Adjuncts Recordings of Nerve Action Potentials Intraoperative Ultrasound Operative Microscope External Neurolysis Internal Neurolysis End-to-End Repair Graft Repair Conduit Repair Allograft Repair Nerve Transfer (Neurotization) Mechanisms and Treatment of Specific Nerve Injuries Description Diagnostic Nuances Treatment Outcome Description Diagnostic Nuances Treatment Outcome Description Diagnostic Nuances Treatment Outcome Description Diagnostic Nuances Treatment Outcome Description Diagnostic Nuances Treatment Outcome Key References References 2131 - Chapter 183 - Imaging for Peripheral Nerve Disorders 183 - Imaging for Peripheral Nerve Disorders Diffusion and Diffusion Tensor Neurography Techniques Imaging for Peripheral Nerve Disorders T2-Based Neurography Classes of Image Findings Imaging in the Setting of Nerve Entrapment and Pain Thoracic Outlet Syndromes Brachial Plexus Neuritis Lumbar Foraminal Pathology Piriformis, Pudendal and Ilioinguinal Pelvic Entrapments Distal Entrapments Nerve Trauma Obstetric Brachial Plexus Injury Follow-Up of Nerve-Grafting Procedures Nerve Tumors Imaging of Denervated Muscle Open MR-Guided Injections for Diagnosis and Treatment Conclusions Key References References 2139 - Chapter 184 - Management of Adult Brachial Plexus Injuries 184 - Management of Adult Brachial Plexus Injuries Spinal Nerves Management of Adult Brachial Plexus Injuries Trunks Divisions Cords History and Physical Examination Patterns of Injury Case Illustration: Diagnosis Diagnosis: Electrical and Imaging Studies Special Electromyographic Studies Sensory Nerve Action Potential Recording Plain Radiographs Angiography and Venography Myelography and Computed Tomography Myelography Magnetic Resonance Imaging with Contrast Ultrasound New Imaging Techniques Initial Management, Indications, and Timing of Surgery Closed Injuries Open Injuries/Lacerations Gunshot and Missile Injuries of the Brachial Plexus Iatrogenic Plexus Injuries Pain Goals of Surgery Types of Procedures Operative Technique and Use of Intraoperative Electrophysiology Case Illustration: Operative Treatment of Stretch Injury Supraclavicular Plexus Infraclavicular Plexus Complications Future Directions Key References References 2152 - Chapter 185 - Nerve Transfers_ Indications and Techniques 185 - Nerve Transfers: Indications and Techniques 2163 - Chapter 186 - Management of Median Nerve Compression 186 - Management of Median Nerve Compression 2176 - Chapter 187 - Management of Ulnar Nerve Compression 187 - Management of Ulnar Nerve Compression 2187 - Chapter 188 - Management of Entrapment Neuropathies 188 - Management of Entrapment Neuropathies 2196 - Chapter 189 - Nerve Sheath Tumors Involving the Spine 189 - Nerve Sheath Tumors Involving the Spine 2205 - Chapter 190 - Peripheral Nerve Tumors of the Extremities 190 - Peripheral Nerve Tumors of the Extremities 2215 - Chapter 191 - Management of Cranial Nerve Injuries 191 - Management of Cranial Nerve Injuries 2225 - Chapter 192 - Management of Thoracic Outlet Syndrome 192 - Management of Thoracic Outlet Syndrome 2235 - Chapter 193 - Nerve Reconstruction in Brachial Plexus Birth Injuries 193 - Nerve Reconstruction in Brachial Plexus Birth Injuries 2249 - Chapter 194 - Robotics in Neurosurgery_ Applications, Techniques, and Clinical Benefits 194 - Robotics in Neurosurgery: Applications, Techniques, and Clinical Benefits Robotics in Neurosurgery: Applications, Techniques, and Clinical Benefits 2251 - Index id=2MsqEAAAQBAJ&pg=RA2-PA101&img=1&zoom=3&hl=en&sig=ACfU3U1qpez id=2MsqEAAAQBAJ&pg=RA2-PA102&img=1&zoom=3&hl=en&sig=ACfU3U2ltx_ id=2MsqEAAAQBAJ&pg=RA2-PA103&img=1&zoom=3&hl=en&sig=ACfU3U1OjiI id=2MsqEAAAQBAJ&pg=RA2-PA104&img=1&zoom=3&hl=en&sig=ACfU3U1Vc8M id=2MsqEAAAQBAJ&pg=RA2-PA105&img=1&zoom=3&hl=en&sig=ACfU3U0tLdZ id=2MsqEAAAQBAJ&pg=RA2-PA106&img=1&zoom=3&hl=en&sig=ACfU3U0lRzZ id=2MsqEAAAQBAJ&pg=RA2-PA107&img=1&zoom=3&hl=en&sig=ACfU3U0lOOG id=2MsqEAAAQBAJ&pg=RA2-PA108&img=1&zoom=3&hl=en&sig=ACfU3U2lzKy id=2MsqEAAAQBAJ&pg=RA2-PA109&img=1&zoom=3&hl=en&sig=ACfU3U1nfhH id=2MsqEAAAQBAJ&pg=RA2-PA110&img=1&zoom=3&hl=en&sig=ACfU3U1Vs1M id=2MsqEAAAQBAJ&pg=RA2-PA111&img=1&zoom=3&hl=en&sig=ACfU3U0ZrGD id=2MsqEAAAQBAJ&pg=RA2-PA112&img=1&zoom=3&hl=en&sig=ACfU3U1IeQ3 id=2MsqEAAAQBAJ&pg=RA2-PA113&img=1&zoom=3&hl=en&sig=ACfU3U2akUH id=2MsqEAAAQBAJ&pg=RA2-PA114&img=1&zoom=3&hl=en&sig=ACfU3U3LGxd id=2MsqEAAAQBAJ&pg=RA2-PA115&img=1&zoom=3&hl=en&sig=ACfU3U3emqm id=2MsqEAAAQBAJ&pg=RA2-PA116&img=1&zoom=3&hl=en&sig=ACfU3U3S0Xl id=2MsqEAAAQBAJ&pg=RA2-PA117&img=1&zoom=3&hl=en&sig=ACfU3U2jtjL id=2MsqEAAAQBAJ&pg=RA2-PA118&img=1&zoom=3&hl=en&sig=ACfU3U11-s0 id=2MsqEAAAQBAJ&pg=RA2-PA119&img=1&zoom=3&hl=en&sig=ACfU3U08nG4 id=2MsqEAAAQBAJ&pg=RA2-PA120&img=1&zoom=3&hl=en&sig=ACfU3U0wxaS id=2MsqEAAAQBAJ&pg=RA2-PA121&img=1&zoom=3&hl=en&sig=ACfU3U37ysj id=2MsqEAAAQBAJ&pg=RA2-PA122&img=1&zoom=3&hl=en&sig=ACfU3U1BSTC id=2MsqEAAAQBAJ&pg=RA2-PA123&img=1&zoom=3&hl=en&sig=ACfU3U0xGk0 id=2MsqEAAAQBAJ&pg=RA2-PA124&img=1&zoom=3&hl=en&sig=ACfU3U1_U_Z id=2MsqEAAAQBAJ&pg=RA2-PA125&img=1&zoom=3&hl=en&sig=ACfU3U29Hmb id=2MsqEAAAQBAJ&pg=RA2-PA126&img=1&zoom=3&hl=en&sig=ACfU3U1MRS7 id=2MsqEAAAQBAJ&pg=RA2-PA127&img=1&zoom=3&hl=en&sig=ACfU3U2Foev id=2MsqEAAAQBAJ&pg=RA2-PA128&img=1&zoom=3&hl=en&sig=ACfU3U27TWZ id=2MsqEAAAQBAJ&pg=RA2-PA129&img=1&zoom=3&hl=en&sig=ACfU3U0gzi6 id=2MsqEAAAQBAJ&pg=RA2-PA130&img=1&zoom=3&hl=en&sig=ACfU3U3VfXL id=2MsqEAAAQBAJ&pg=RA2-PA131&img=1&zoom=3&hl=en&sig=ACfU3U3WYSW id=2MsqEAAAQBAJ&pg=RA2-PA132&img=1&zoom=3&hl=en&sig=ACfU3U1fXNK id=2MsqEAAAQBAJ&pg=RA2-PA133&img=1&zoom=3&hl=en&sig=ACfU3U0h1OY id=2MsqEAAAQBAJ&pg=RA2-PA134&img=1&zoom=3&hl=en&sig=ACfU3U0ek3x id=2MsqEAAAQBAJ&pg=RA2-PA135&img=1&zoom=3&hl=en&sig=ACfU3U2STtb id=2MsqEAAAQBAJ&pg=RA2-PA136&img=1&zoom=3&hl=en&sig=ACfU3U3eXMF id=2MsqEAAAQBAJ&pg=RA2-PA137&img=1&zoom=3&hl=en&sig=ACfU3U00MMm id=2MsqEAAAQBAJ&pg=RA2-PA138&img=1&zoom=3&hl=en&sig=ACfU3U3lxy7 id=2MsqEAAAQBAJ&pg=RA2-PA139&img=1&zoom=3&hl=en&sig=ACfU3U2fE-- id=2MsqEAAAQBAJ&pg=RA2-PA140&img=1&zoom=3&hl=en&sig=ACfU3U14Oju id=2MsqEAAAQBAJ&pg=RA2-PA141&img=1&zoom=3&hl=en&sig=ACfU3U3KfC- id=2MsqEAAAQBAJ&pg=RA2-PA142&img=1&zoom=3&hl=en&sig=ACfU3U0H-01 id=2MsqEAAAQBAJ&pg=RA2-PA143&img=1&zoom=3&hl=en&sig=ACfU3U1W35B