Revision Lumbar Spine Surgery

Offering in-depth coverage of an often-neglected topic, Revision Lumbar Spine Surgery identifies clinical problems and discusses recent major advances in this challenging area. Dr. Robert F. Heary and a team of international experts share their knowledge and experience with even the most difficult lumbar cases, helping you provide optimal outcomes for your patients. You’ll find authoritative guidance on indications, diagnosis, approaches, and follow-up, with a focus on the significant advances that have occurred over the past two decades in this fast-changing field.

Table of Contents:

1. Anatomy and Physiology/Biology of Bone

2. The Role of Osteoporosis and Bone Diseases in Revision Spine Surgery

3. Medical Fitness Evaluation

4. Indications

5. Imaging Considerations (Magnetic Resonance, Computed Tomography, Myelography, Plain)

6. Dural Scarring and Repair Issues

7. Decompression

8. Disc Herniation (Primary, Recurrent, Residual)

9. Instrumentation Options

10. Autograft/Allograft/Cage/Bone Morphogenetic Protein

11. Minimally Invasive Surgery and Navigation

12. Anterior Lumbar Fusion

13. Revision Transforaminal Lumbar Interbody Fusion

14. Lateral Lumbar Interbody Fusion

15. Anterior-Posterior Surgeries

16. Unilateral Versus Bilateral Strut Placement in Revision Spine Surgery

17. Robotics for Revision Spine Surgery

18. Pedicle Subtraction Osteotomy

19. Vertebral Column Resection

20. Revision Lumbar Deformity Surgery

21. Postoperative Considerations

22. Adjacent Segment Disease After Fusion

23. Pseudarthrosis/Nonunion

24. Iatrogenic Spinal Instability: Causes, Evaluation, Treatment, and Prevention

25. Advances in Spinal Cord Stimulation