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Файл:Ординатура / Хирургия / Библиотека им академика М.И. Перельмана / Книга_6034_Библиотеки_им_академика_М_И_Перельмана.pdf
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- •The Lumbar Spine
- •Contents
- •Contributing Authors
- •Preface
- •Acknowledgments
- •Epidemiology and the Economics of Low Back Pain
- •Pathophysiology of Nerve Root Pain in Disc Herniation and Spinal Stenosis
- •Biomechanical Considerations of Disc Degeneration
- •Clinical Spinal Instability Resulting from Injury and Degeneration
- •Morphologic Changes of End Plates in Degenerative Disc Disease
- •Spinal Instrumentation
- •Fracture and Repair of Lumbar Vertebrae
- •Genetic Transmission of Common Spinal Disorders
- •Genetic Applications to Lumbar Disc Disease
- •Clinical Neurophysiologic and Electrodiagnostic Testing in Disorders of the Lumbar Spine
- •Sensorimotor Control of the Lumbar Spine
- •Outcomes Assessment: Overview and Specific Tools
- •The Role of Outcomes and How to Integrate Them into Your Practice
- •Manual Therapy in Patients with Low Back Pain
- •Acupuncture and Reflexology
- •Returning Workers to Gainful Employment
- •Occupational Ergonomics
- •Preparation for Surgery
- •Surgical Approaches to the Thoracolumbar Spine
- •Surgical Approaches to the Lumbar Spine: Anterior and Posterior
- •Posterior and Anterior Surgical Approaches to the Lumbosacral Junction
- •Endoscopic Anterior Lumbar Procedures
- •Biology of Bone Grafting: Autograft and Allograft
- •Bone Graft Substitutes in Spinal Surgery
- •Spinal Instrumentation Overview in Lumbar Degenerative Disorders: Cages
- •Translaminar Screw Fixation
- •Lumbar Disc Disorders
- •Facet Joint Denervation: A Minimally Invasive Treatment for Low Back Pain in Selected Patients
- •Intradiscal Electrothermal Therapy
- •Operative Management of the Degenerative Disc: Posterior and Posterolateral Procedures
- •Posterior Lumbar Interbody Fusion
- •Operative Treatment of Anterior Procedures
- •Operative Treatment of Anterior and Posterior Fusion
- •Degenerative Disc Disease: Fusion Cages and Dowels
- •Minimally Invasive Procedures for Anterior Column Fusion and Reconstruction
- •Degenerative Disc Disease: Complications of Surgery
- •Dynamic Stabilization in the Treatment of Low Back Pain Due to Degenerative Disorders
- •Lumbar Artificial Disc Replacement: Rationale and Biomechanics
- •Lumbar Disc Replacement: Current Model, Results, and the Future
- •Disc Herniation: Definition and Types
- •Disc Herniation: Imaging
- •Disc Herniation: Nonoperative Treatment
- •Operative Treatment of Disc Herniation: Natural History and Indications for Surgery
- •Operative Treatment of Disc Herniation: Laminotomy
- •Chymopapain and Chemonucleolysis
- •Microscopic Lumbar Discectomy
- •Classification, Natural History, and Clinical Evaluation
- •Imaging of Spinal Stenosis and Degenerative Lumbar Spondylolisthesis with Stenosis

CONTRIBUTING AUTHORS / xxi
Paul Pagano, M.D.
Tulane University Health Sciences Center
New Orleans, Louisiana
Manohar M. Panjabi, Ph.D.
Professor and Director
Department of Orthopaedics and Rehabilitation
Biomechanics Research Laboratory
Yale University School of Medicine
New Haven, Connecticut
Frank M. Phillips, M.D.
Associate Professor and Co-Director Spine
Fellowship
Department of Orthopaedic Surgery
Rush University Medical Center
Chicago, Illinois
Malcolm H. Pope, Dr.Med.Sc., Ph.D., D.Sc.
Department of Environmental and
Occupational Medicine
Liberty Worksafe Research Centre
University of Aberdeen
Aberdeen, Scotland
Franco Postacchini, M.D.
Professor
Department of Orthopaedic Surgery
University La Sapienza
Chairman
Department of the Orthopaedics
Policlinico Umberto I
Rome, Italy
Christopher S. Raffo, M.D.
Instructor
Department of Orthopaedics
Georgetown University
Washington, D.C.
James Rainville, M.D.
Clinical Assistant Professor
Department of Physical Medicine and
Rehabilitation
Harvard Medical School
Chief
Department of Physical Medicine and
Rehabilitation
New England Baptist Hospital
Boston, Massachusetts
S. Rajasekaran, M.S., Ph.D.
Academic Director
Department of Orthopaedics
Ganga Institute of Orthopaedics
Department of Orthopaedics and Spine Surgery
Ganga Hospital
Coimbatore, India
Ralph F. Rashbaum, M.D.
Texas Health Research Institute
Texas Back Institute
Musculoskeletal Research
Foundation
Plano, Texas
Donald L. Renfrew, M.D.
Musculoskeletal Radiologist
Department of Radiology
Center for Diagnostic Imaging
Winter Park, Florida
Setti S. Rengachary, M.D.
Prof essor and Associate Academic
Chairman
Department of Neurosurgery
Wayne State University
Attending Neurological Surgeon
Department of Neurosurgery
Harper Hospital
Detroit, Michigan
Peter A. Robertson, M.D., F .R.A.C.S.
Orthopaedic and Spinal Surgeon
Department of Orthopaedic Surgery
Auckland City Hospital
Auckland, New Zealand
Stephen L. Gabriel Rothman, M.D.
Clinical Professor
Department of Radiology
University of Southern California School of
Medicine
Los Angeles, California
Spinal Injury Service
Rancho Los Amigos Hospital
Downey, California
Björn L. Rydevik, M.D., Ph.D.
Professor and Chairman
Institute for Surgical Sciences
Göteborg University
Professor
Department of Orthopaedics
Sahlgrenska University Hospital
Göteborg, Sweden
Jeffre y A. Saal, M.D., F .A.C.P.
Associate Clinical Professor
Department of Functional Restoration
Stanford University School of
Medicine
Stanford, California
SOAR, Physiatry Group
Redwood City, California

xxii /CONTRIBUTING AUTHORS
Joel S. Saal, M.D.
Associate Clinical Professor
Department of Functional Restoration
Stanford University School of Medicine
Stanford, California
SOAR, Physiatry Group
Redwood City, California
Srinath Samudrala, M.D.
Assistant Professor
Department of Neurological Surgery
Keck School of Medicine
University of Southern California
Los Angeles, California
Steven C. Scherping, Jr., M.D.
Assistant Professor
Department of Orthopaedic Surgery
Georgetown University Hospital
Washington, D.C.
Klaus-Peter Schulitz, M.D.
Professor Emeritus
Department of Orthopaedic Surgery
Heinrich-Heine Universitaet
Duesseldorf, Germany
Dilip K. Sengupta, M.B.B.S., M.S., Dip.
N.B.E., M.Ch.
Staff Spine Surgeon
Department of Orthopaedics
William Beaumont Hospital
Royal Oak, Michigan
William O. Shaffer, M.D.
Associate Professor and Surgery Residency
Program Director
Department of Surgery
Division of Orthopaedic Surgery
University of Kentucky Medical School
Attending Orthopaedic Surgeon
Department of Surgery
Division of Orthopaedic Surgery
Chandler Medical Center of the University
of Kentucky
Lexington, Kentucky
Osamu Shirado, M.D.
Associate Professor
Department of Orthopaedic Surgery
Saitama Medical School
Saitama, Japan
Vice President
Department of Orthopaedic Surgery
Sapporo Orthopaedic and Cardiovascular
Hospital
Sapporo, Japan
Jeff Scott Silber, M.D.
Assistant Professor
Department of Orthopedic Surgery
Albert Einstein College of
Medicine
Bronx, New Yor k
Assistant Professor
Department of Orthopedics
Chief, Orthopedic Spine Surgery
Long Island Jewish Medical Center
New Hyde Park, New York
Edward D. Simmons, M.D., C.M., M.Sc.,
F.R.C.S.(C.)
Associate Clinical Professor
Department of Orthopaedic Surgery
State University of New York at
Buffalo
Attending Orthopaedic Surgeon
Department of Orthopaedic Surgery
Buffalo General Hospital
Buffalo, New Yor k
Edward H. Simmons, M.D., B.Sc.(Med.),
F.R.C.S.(C.), M.S.(Tor.), F.A.C.S.
Emeritus Professor
Department of Orthopedic Surgery
State University of New York at
Buffalo
Emeritus Chief
Department of Orthopaedic Surgery
State University of New York at Buffalo
Buffalo, New Yor k
Francis H. Shen, M.D., F.A.C.S.
Assistant Professor
Department of Orthopaedic Surgery
University of Virginia School of Medicine
Assistant Professor
Department of Orthopaedic Surgery
Health Sciences Center
University of V irginia
Charlottesville, V irginia
Kevin P. Singer, Ph.D., P.T.
Associate Professor and Director
The Centre for Musculoskeletal
Studies
School of Surgery and Pathology
The University of Western Australia
Royal Perth Hospital
Perth, W estern A ustr alia

CONTRIBUTING AUTHORS / xxiii
Kevin F. Spratt, Ph.D.
Adjunct Assistant Professor
Department of Psychological and Quantitative
Foundations
College of Education
University of Iowa
Senior Project Leader
Department of Orthopaedic Surgery
University of Iowa Hospitals and
Clinics
Iowa City, Iowa
Thomas Steffen, M.D., Ph.D., M.B.A.
Associate Professor and Research
Director
Division of Orthopaedic Surgery
Orthopaedic Research Laboratory
McGill University
Montreal, Quebec, Canada
Björn Strömqvist, M.D., Ph.D.
Associate Professor
Department of Orthopedics
Head of Spine Unit
Lund University Hospital
Lund, Sweden
Marek Szpalski, M.D.
Associate Professor
School of Medicine
Free University of Brussels
Chairman
Department of Orthopedic and Trauma
Surgery
IRIS South Teaching Hospitals
Brussels, Belgium
Jayesh M.Trivedi, F.R.C.S.(Orth.)
Consultant Spinal Surgeon
Department of Orthopaedics
Robert Jones and Agnes Hunt
Hospital
Oswestry, United Kingdom
George M.Tsoukas, M.D.
Department of Endocrinology
McGill University
Montreal, Quebec, Canada
Michael N.Tzermiadianos, M.D.
Department of Orthopaedic Surgery and
Traumatology
University of Crete at Heraklion
Crete, Greece
Alexander R.Vaccaro, M.D.
Professor and Co-Director
Delaware Valley Regional Spinal
Cord Injury Center
Co-Chief
Spine Service
Co-Director
Spine Fellowship Program
Thomas Jefferson University and the Rothman
Institute
Philadelphia, Pennsylvania
Tapio Videman, M.D., Dr .Med.Sc.
Alberta Heritage Foundation for Medical
Research Scientist and Professor
Faculty of Rehabilitation Medicine
University of Alberta
Edmonton, Canada
Tetsuya Tamaki, M.D., Ph.D.
Professor Emeritus
Department of Orthopaedic Surgery,
Wakayama Medical University
Medical Director
Aitoku Medical Welfare Center
Wakayama, Japan
Naoki T ak eda, M.D.
Professor
Department of Health Sciences
Hokkaido University School of Medicine
Sapporo, Hokkaido, Japan
Ensor E. Transfeldt, M.D.
Associate Professor
University of Minnesota
Twin Cities Spine Center
Minneapolis, Minnesota
Robert G. Watkins IV, M.D.
Los Angeles Spine Surgery Institute
Los Angeles, California
Robert W atkins III, M.D.
Los Angeles Spine Surgery Institute
Los Angeles, California
Thomas S. Whitecloud III, M.D.
Ray J. Haddad Professor and Chairman
Tulane University of Health Sciences
Center
New Orleans, Louisiana
Sam W.Wiesel, M.D.
Professor and Chair
Department of Orthopedics
Georgetown University
Washington, D.C.

xxiv /CONTRIBUTING AUTHORS
Alexander Wild, M.D.
Orthopaedic University Hospital
Duesseldorf, Germany
Leon L. Wiltse, M.D.
Wiltse Spine Institute
Carmel Valley, California
Douglas S. Won, M.D.
Fellow, Spinal Surgery
Department of Orthopaedic Surgery
William Beaumont Hospital
Royal Oak, Michigan
Hansen A.Y uan, M.D.
Professor
Department of Orthopaedic and Neurological
Surgery
State University of New York, Upstate Medical
University
Syracuse, New Yor k
Yinggang Zheng, M.D.
Research Fellow
Department of Orthopaedic Surgery
State University of New York at Buffalo
Research Fellow
Simmons Orthopaedic and Spine Associates
Buffalo, New Yor k

Preface
This third edition of the International Society for the Study of the Lumbar Spine textbook represents a
complete revision of the prior edition. A significant amount of new information is included— from the
basic science of spine disease to surgical management of lumbar disorders. The members of this society who have contributed their excellent work are also the ones whose research has led to the many
advances in the care and management of spinal disorders. This is an inclusive textbook emphasizing the
basic science behind the clinical problems we face on a daily basis; it is comprehensive and covers all
facets of the diseases that affect the lumbar spine. We are grateful to all the members of this society who
have contributed chapters in order to make this the authoritative textbook on the lumbar spine.
This book is intended for all physicians and allied personnel who care for patients with low-back disorders. Hopefully, it will answer all the questions that the reader has to better understand the etiology,
pathophysiology, clinical diagnosis, and management of lumbar disease.
Harry N. Herkowitz, M.D.
Jiri Dvorak, M.D.
Gordon R. Bell, M.D.
Margareta Nordin, Dr.Sci., P.T., C.I.E.
Dieter Grob, M.D.
xxv


Acknowledgments
No textbook makes it to press without the dedication of those behind the scenes. The International Society for the Study of the Lumbar Spine (ISSLS) textbook is no different.
First, I would like to acknowledge Shirley Fitzgerald, our administrator, friend, and the one person
who keeps ISSLS on track making sure the business of the society is dealt with in a timely fashion.
Many of us have “grown up with her” over the years and her dedication to the well-being of the society cannot be overstated. She is a unique individual who we are lucky to have in ISSLS.
Second, each Editorial Board member has his/her administrative assistant who helps organize the
paperwork, correspondence, and chapter reviews. We would like to thank Christine Musich, Susana
Kuster, Katrin Knecht, Elisabeth Weiss, and Katherine Habler.
Without their dedication and organization, the fruition of this textbook would have been significantly
delayed. We wish to thank each of you for your outstanding effort.
Finally, we are grateful to Robert Hurley, Kerry Barrett, and Karina Mikhli at Lippincott Williams &
Wilkins and Ted Huff, the illustrator, for supporting our organization, for being so professional in
putting this textbook together, and for seeing it through to publication.
xxvii


SECTION I
Basic Science

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