The Comprehensive Treatment of the Aging Spine

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The Comprehensive Treatment of the Aging Spine

Minimally Invasive and Advanced Techniques

Edition: 1

James Joseph Yue, MD

Associate Professor Yale University School of Medicine Department of Orthopaedic Surgery and

Rehabilitation

New Haven, Connecticut

Richard D. Guyer, MD

President, Texas Back Institute Plano, Texas Associate Clinical Professor Department of Orthopedics University of Texas, Southwestern Medical

School

Dallas, Texas

J. Patrick Johnson, MD, FACS

Neurosurgeon, Spine Specialist Director of Education, Spine Fellowship and

Academic Programs Co-Director, Spine Stem Cell Research Program Director, California Association of Neurological

Surgeons Los Angeles, California

Larry T. Khoo, MD

Director of Minimally Invasive Neurological

Spinal Surgery Los Angeles Spine Clinic Los Angeles, California

Stephen H. Hochschuler, MD

Chairman, Texas Back Institute Holdings Paradise Valley, Arizona

1600 John F. Kennedy Blvd. Ste 1800 Philadelphia, PA 19103-2899

ISBN: 978-1-4377-0373-3

THE COMPREHENSIVE TREATMENT OF THE AGING SPINE MINIMALLY INVASIVE AND ADVANCED TECHNIQUES

No part of this publication may be reproduced or transmitted in any form or by any means, electronic or mechanical, including photocopying, recording, or any information storage and retrieval system, without permission in writing from the publisher. Details on how to seek permission, further information about the Publisher’s permissions policies and our arrangements with organizations such as the Copyright Clearance Center and the Copyright Licensing Agency, can be found at our website: www.elsevier.com/permissions.

is book and the individual contributions contained in it are protected under copyright by the Publisher (other than as may be noted herein).

Notice

Knowledge and best practice in this ﬁeld are constantly changing. As new research and experience broaden our understanding, changes in research methods, professional practices, or medical treatment may become necessary.

Practitioners and researchers must always rely on their own experience and knowledge in evaluating and using any information, methods, compounds, or experiments described herein. In using such information or methods they should be mindful of their own safety and the safety of others, including parties for whom they have a professional responsibility.

With respect to any drug or pharmaceutical products identiﬁed, readers are advised to check the most current information provided (i) on procedures featured or (ii) by the manufacturer of each product to be administered, to verify the recommended dose or formula, the method and duration of administration, and contraindications. It is the responsibility of practitioners, relying on their own experience and knowledge of their patients, to make diagnoses, to determine dosages and the best treatment for each individual patient, and to take all appropriate safety precautions.

To the fullest extent of the law, neither the Publisher nor the authors, contributors, or editors, assume any liability for any injury and/or damage to persons or property as a matter of products liability, negligence or otherwise, or from any use or operation of any methods, products, instructions, or ideas contained in the material herein.

Library of Congress Cataloging-in-Publication Data

e comprehensive treatment of the aging spine : minimally invasive and advanced techniques / [edited by] James Joseph Yue ... [et al.]. — 1st ed. p. ; cm. Includes bibliographical references. ISBN 978-1-4377-0373-3

1. Spine—Diseases—Treatment. I. Yue, James J. [DNLM: 1. Spinal Diseases—diagnosis. 2. Spinal Diseases—therapy. 3. Aged. 4. Aging—physiology. 5. Physical erapy Modalities. 6. Spine—surgery. WE 725 C7378 2011] RD768.C645 2011

617.4'71--dc22 2010001778

Acquisitions Editor: Adrianne Brigido Developmental Editor: Anne Snyder Publishing Services Manager: Debbie Vogel/Anitha R aj Project Manager: Sruthi Viswam/Kiruthiga Kasthuri Design Direction: Ellen Zanolle

Printed in the United States of America

Last digit is the print number: 9 8 7 6 5 4 3 2 1

To my mother, Mary Jude, for her endless wisdom and encouragement and eternal motivaton.

James J. Yue

I dedicate this book to my wonderful wife, Shelly, whose inspiration and love has sustained me through my career and

taught me how to live life to its fullest. I also dedicate this endeavor to the thousands of patients who will hopefully beneﬁt

from the advances discussed in this book.

Richard D. Guyer

I dedicate the eﬀorts of this book to all my family, friends, mentors, and patients, who have taught me to be the best sur-

geon possible; and to my fellows and residents, whom I have taught to be a better surgeon than me.

J. Patrick Johnson

is book is dedicated to all whom endeavor to ease the pain and suﬀering of spinal disease. From therapist to surgeon and

from master to student, I pray that these pages will not only guide you in the labors of today, but also to the discoveries

of tomorrow. I give humble thanks to the devotion of my residents and fellows, both past and present, without whom this

volume and all other academia would not be possible. And at the end, I am the most grateful to Kristine, Miya and Taka,

whose boundless love and understanding is the beacon that lights my way every single day.

Larry T. Khoo

I would like to dedicate this book to Ralph Rashsbaum, MD, without whose friendship and guidance for more than forty

years, e Texas Back Institute would not have existed.

Stephen H. Hochschuler

Contributors

Khalid M. Abbed, MD

Assistant Professor of Neurosurgery Chief, Yale Spine Institute Director, Minimally Invasive Spine Surgery Director, Oncologic, Spine Surgery, Neurosurgery Yale School of Medicine New Haven, CT, USA

Kathleen Abbott, MD, RPT

Interventional Physiatrist Pioneer Spine and Sports Physicians, P.C. Glastonbury, CT, USA

Nduka Amankulor, MD

Resident Department of Neurosurgery Yale University School of Medicine New Haven, CT, USA

Carmina F. Angeles, MD, PhD

Clinical Instructor/Spine Fellow Neurosurgery Stanford University Medical Center Stanford, CA, USA

Ali Araghi, DO

Assistant Clinical Professor Texas Back Institute Phoenix, AZ, USA

Rajesh G. Arakal, MD

Orthopaedic Spine Surgeon Texas Back Institute Plano, TX, USA

Sean Armin, MD

Neurosurgeon Riverside Neurosurgical Associates Riverside, CA, USA

Farbod Asgarzadie, MD

Department of Neurosurgery Loma Linda University Medical Center Loma Linda, CA, USA

Darwono A. Bambang, MD, PhD

Division of Orthopaedic and Spine Gading-Pluit Hospital Senior Lecturer Orthopedic Department Faculty of Medicine, Taruma Negara University Jakarta Utara, Indonesia

Jose Carlos Sauri Barraza

Department of Orthopaedics Centro Médico ABC Mexico City, Mexico

John A. Bendo, MD

Director, Spine Services New York University Hospital for Joint Diseases Assistant Professor of Orthopedic Surgery New York University School of Medicine New York, NY, USA

Edward C. Benzel, MD

Chairman, Department of Neurosurgery Neurological Institute Cleveland Clinic Cleveland, OH, USA

Jason A. Berkley, DO

Staﬀ Physician, Department of Nanology Neurology/Interventional Spine Pain Management Institute for Spinal Disorders Cedars Sinai Medical Center Los Angeles, CA, USA

Rudolf Bertagnoli, MD

Chairman First European Center for Spine Arthroplasty and Associated Non Fusion Technologies St. Elisabeth Krankenhaus Straubing, KKH Bogen, Germany

Obeneba Boachie-Adjei, MD

Weill Medical College of Cornell University Professor of Orthopaedic Surgery Hospital for Special Surgery Attending Orthopaedics Surgeon Chief of Scoliosis Service New York Presbyterian Hospital Attending Orthopaedics Surgeon Memorial Sloan-Kettering Cancer Center Associate Attending Surgeon New York, NY, USA

vii

viii

Contributors

Alan C. Breen, DC, PhD, MIPEM

Professor of Musculoskeletal Health Care Institute for Musculoskeletal Research and Clinical Implementation Anglo-European College of Chiropractic Bournemouth, Dorset, UK

Courtney W. Brown, MD

Assistant Clinical Professor Department of Orthopedics University of Colorado Denver, CO, USA

Chunbo Cai, MD, MPH

Spine Clinic Department of Physical Medicine Kaiser Permanente Medical Center San Francisco, CA, USA

Charles S. Carrier

Clinical Research Coordinator Orthopaedic Spine Service Massachusetts General Hospital Boston, MA, USA

Thomas J. Cesarz, MD

Instructor Orthopaedics University of Rochester Medical Center Rochester, NY, USA

Boyle C. Cheng, PhD

Assistant Professor University of Pittsburgh Co-Director Spine Research Laboratory Pittsburgh, PA, USA

Kenneth M.C. Cheung, MBBS, MD, FRCS, FHKCOS,

FHKAM(Orth)

Clinical Professor Department of Orthoapedics and Traumatology University of Hong Kong Pokfulam, Hong Kong

Rob D. Dickerman, DO, PhD

Neurological and Spine Surgeon North Texas Neurosurgical Associates Adjunct Professor of Neurosurgery University of North Texas Health Science Center Fort Worth, Texas; Professor Texas Back Institute Plano, TX, USA

David A. Essig, MD

Department of Orthopaedic Surgery Yale University School of Medicine New Haven, CT, USA

Alice Fann, MD

Atlanata VA Medical Center Department of Rehabiliation Medicine Emory University School of Medicine Decatur, GA, USA

Michael Fehlings, MD, PhD

Neurosurgeon Toronto Western Hospital Toronto, Ontario, Canada

Lisa Ferrara, PhD

President OrthoKinetic Technologies, LLC and OrthoKinetic Testing Technologies, LLC Southport, NC, USA

Richard G. Fessler, MD, PhD

Professor Department of Neurosurgery Northwestern University Feinberg School of Medicine Chicago, IL, USA

Zair Fishkin, MD, PhD

Attending Surgeon Department of Orthopaedic Surgery Buﬀalo General Hospital Buﬀalo, NY , USA

Etevaldo Coutinho, MD

Instituto de Patologia da Coluna São Paulo, Brazil

Reginald J. Davis, MD, FACS

Chief of Neurosurgery Greater Baltimore Medical Center Towson, MD, USA

Adam K. Deitz

CEO Ortho Kinematics, Inc. Austin, TX, USA

Perry Dhaliwal, MD

Department of Clinical Neurosciences Division of Neurosurgery University of Calgary Calgary, Alberta, Canada

Amy Folta, PharmD

Kai-Ming Gregory Fu, MD, PhD

Spine Fellow Neurological Surgery University of Virginia Charlottesville, VA, USA

Shu Man Fu, MD, PhD, MACR

Professor of Medicine and Microbiology Margaret M. Trolinger Professor of Rheumatology Division of Clinical Rheumatology and Center for Immunity, Inﬂammation, and Regenerative Medicine University of Virginia School of Medicine Charlottesville, VA, USA

Anand A. Gandhi, MD

Interventional Pain Management Laser Spine Institute Scottsdale, AZ, USA

Contributors

Elizabeth Gardner, PhD

Resident Department of Orthopaedic Surgery Yale New Haven Hospital New Haven, CT, USA

Steven R. Garﬁn, MD

Professor and Chair Department of Orthopaedics University of California, San Diego San Diego, CA, USA

Hitesh Garg, MBBS, MS(Orth)

Fellowship in Spine Surgery Yale University School of Medicine, USA Associate Consultant Spine Surgery Artemis Health Institute Gurgaon, Haryana, India

Avrom Gart, MD

Assistant Clinical Professor Physical Medicine and Rehabilitation UCLA, Medical Center Medical Director Spine Center Cedars-Sinai Medical center Los Angeles, CA, USA

Samer Ghostine, MD

Department of Neurosurgery Loma Linda University Medical Center Loma Linda, CA, USA

Brian P. Gladnick, BA

Weill Cornell Medical College New York, NY, USA

Ziya L. Gokaslan, MD, FACS

Department of Neurosurgery e Johns Hopkins Hospital Baltimore, MD, USA

Jeffrey A. Goldstein, MD

Director of Spine Service New York University Hospital for Joint Diseases New York, NY, USA

Oren N. Gottfried, MD

Assistant Professor Department of Neurosurgery Duke University Medical Center Durham, NC, USA

Grahame C. D. Gould, MD

Resident Physician Neurosurgery Yale New Haven Hospital New Haven, Connecticut, USA

Jonathan N. Grauer, MD

Associate Professor Department of Orthopaedics and Rehabilitation Yale University School of Medicine New Haven, CT, USA

Richard D. Guyer, MD

President, Texas Back Institute Plano, Texas; Associate Clinical Professor Department of Orthopedics University of Texas, Southwestern Medical School Dallas, TX, USA

Eric B. Harris, MD

Director, Multidisciplinary Spine Center Director of Orthopaedic Spine Surgery Department of Orthopaedics Naval Medical Center San Diego San Diego, CA, USA

Christopher C. Harrod, MD

Resident Harvard Combined Orthopaedic Residency Program Boston, MA, USA

Paul F. Heini, MD

Associate Professor University of Bern Bern, Switzerland

Shawn F. Hermenau, MD

Spine Fellow Orthopaedic Surgery Yale University School of Medicine New Haven, CT, USA

Stephen H. Hochschuler, MD

Chairman Texas Back Institute Holdings Paradise Valley, AZ, USA

Daniel J. Hoh, MD

Assistant Professor Department of Neurosurgery University of Florida Gainesville, FL; Department of Neurological Surgery Keck School of Medicine University of Southern California Los Angeles, CA, USA

Wei Huang, MD, PhD

Assistant Professor Rehabilitation Medicine Emory University Atlanta, GA, USA

R. John Hurlbert, MD, PhD, FRCSC, FACS

Associate Professor Department of Clinical Neurosciences University of Calgary Calgary, Alberta, Canada

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