Synopsis
Basics: Biology of intervertebral disc degeneration.- Low back pain: where does the pain come from?- Role of Cytokynes in the degenerative spine.- Psychosocial aspects of LBP.- Instability and LBP. Diagnosis: Dynamic MRI of the spine.- Assessment of end plate and diffusion in degenerative disc disease.- The role of physician extender in a low back pain practice. Conservative Treatment: Natural evolution of non specific LBP.- Prescribing Conservative treatment for LBP.- Comprehensive rehab for LBP and back schools.- The place of chiropractic care in the treatment of low back pain.- The place of IDET.- Lumbar orthosis to prevent and treat low back pain. Surgical Treatment (Fusion): Indications for lumbar spinal fusion.- Evidence for efficacy of pedicle based systems.- Low back pain is not an indication for stabilization in patients operated for lumbar spinal stenosis.- Hybrid Construct for DDD in the Lumbar Spine: The compromise between fusion and non fusion.- The Management of Spondylolysis and Spondylolisthesis.- TPDC fixation for spondylolisthesis.- Facet problems: a surgical indication?- Adjacent Level Disease: 'Myth' or 'Fact'.- Pelvic girdle pain: Indication for surgery?- Blood loss management in major spine surgery. Surgical Treatment (Other Technologies): How Disc Replacement Fits in the Treatment Algorithm for Degenerative Disc Disease: Refining Indications for Disc Replacement.- Clinical factors that may affect outcome in lumbar total disc replacement. What is the evidence?- A Prospective Randomized Comparison of Two Lumbar Total Disc Replacements.- Limitations of total disc arthroplasty.- Is posterior dynamic stabilization an option to avoid adjacent segment decompression.- Immediate biomechanical effect of lumbar posterior dynamic stabilization.- Overview of Pedicle Screw Based Posterior Dynamic Stabilization Systems.- Semirigid Fixation System for the Lumbar Spine.- Non rigid stabilization of the spine - problems observed: screw loosening, breakage, implant failure, adajacent segment degeneration.- Interspinous devices.- NuBac Disc Arthroplasty System, rationale and clinical results.- Outcomes: Outcome assessment.- Review of the medical evidence regarding the surgical treatment of low back pain.
Les informations fournies dans la section « Synopsis » peuvent faire référence à une autre édition de ce titre.
