Spine Disorders

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Product Description

An essential, one-stop reference guide to the evaluation and treatment of patients with cervical, thoracic and lumbar spine disease. Based on a course taught by these highly respected authors at the American Academy of Neurology �s Annual Meeting, this volume gives concise descriptions of the anatomy of spine conditions; neurologic and physical findings; advice on diagnostic tests and when to order them; and medical and surgical treatment options. Commonly performed spinal procedures are also described, including the rapidly changing field of minimally invasive surgery. Pitfalls of evaluating and treating spine patients are highlighted, along with advice on how to approach the patient who does not improve or worsens after spine surgery. Spine Disorders: Medical and Surgical Management is an essential purchase for all practitioners in this field.

Spine Disorders Review

This is the best book I have read regarding the medical and surgical treatment of spine problems for the non-surgical health care provider. This book grew out of a course provided by the Annual Meeting of the American Academy of Neurology. It describes the anatomy, physiology, and pathophysiology of the spine and how to evaluate clinically and with laboratory and imaging studies the patient with disease affecting the cervical, thoracic, and lumbar spine levels.

The introductory chapter provides beautiful, pertinent illustrations regarding anatomy to better understand the pathophysiology of the spine. Chapters 2, 3, and 4 are the best textbook descriptions that I have read on getting a pertinent history and neurologic exam on a patient with a spinal disorder. The differential diagnoses are outstanding.

The chapters on spinal imaging have good illustrations and are very easily followed.

Chapter 7 is an outstanding chapter on why many patients continue with symptoms despite surgery. This chapter is important because many non-surgeons are left to take care of chronic pain patients.

Chapters 9, 10, and 11 on preoperative assessment and surgical management are outstanding chapters filled with clinical pearls such as differentiating cervical myelopathy from ALS, or vascular claudication from neurogenic claudication. I have never read a book with this much pertinent clinical information. These pearls should be known by anyone who treats patients with spinal disorders. This chapter also tells the various complications that can occur with spinal surgery. The last couple of chapters summarize well newer technology available in spinal surgery.

I particularly enjoyed the appendix section titled "Please Don't Make My Mistakes" which is an honest look at various ways of being mislead down the wrong path in treating patients with spinal disorders.

Being a neurosurgeon, I see so many patients that have had operations on asymptomatic spinal disease which is one of the major reasons that many spinal surgery patients do poorly. If a surgeon can identify the symptomatic lesion and deal with it in the appropriate manner the patient will do well. This book is the best book I have found that can help a surgeon listen to and examine a patient and determine what lesions are symptomatic and which lesions are silent.

Some day this book may well be as much of a classic for treatment of spinal disorders as "Cope's Early Diagnosis of the Acute Abdomen" is for a general surgeon. This well-written book is filled with pertinent information for diagnosis and treatment of spinal disorders. It was written for non-surgeons such as family physicians, internists, physical therapists, chiropractors, physiatrists, and pain management doctors; however, in this day when an MRI shows every little crack and cranny of the spine, even neurosurgeons and orthopaedic spine surgeons would benefit by reading this to help determine symptomatic versus asymptomatic pathology and nonsurgical neurologic diseases masquerading as a spinal disorder.

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