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Файл:Ординатура / Хирургия / Библиотека им академика М.И. Перельмана / Книга_6051_Библиотеки_им_академика_М_И_Перельмана
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Index
Note:Pagereferencesfollowedbyfortindicatepagesortables,respectively.
A
Acetabulum,iliacscrewfixation-relatedinjuryto,53,54
Adjacentsegmentdisease/failure,24,56–57,65–66
proximal,25
Adolescentidiopathicscoliosis
correctiveproceduresfor,123–127,125f,126f
fusionlevelsin,23
progressiontoadultscoliosis,78,79f
untreated,1
Adultdegenerativespinaldeformities,1.SeealsoAdultscoliosis,degenerative(denovo)
clinicalevaluationof,2–4
epidemiologyof,1–2
preoperativeevaluationof,2–4
progressionrateof,2
Adultscoliosis,1–11
classificationof,79,81
definitionof,78
degenerative(denovo),80f
apicaldiskheightin,80f,81
coronalimbalancein,81–82
definitionof,78
differentiatedfromadultidiopathicscoliosis,79,81–82,93
lumbarkyphosisassociatedwith,80f,83
pathologyof,83
spinalcurvepatternsin,81
stenosis-related,82
surgicaloptionsfor,78–79
trunkshiftingin,81–82
fusionlevelsfor,18
idiopathic
asbackpaincause,82
definitionof,78
differentiatedfromadultdegenerativescoliosis,79,81–82,93
proximaljunctionalkyphosisin,110
nonoperativemanagementof,78
surgicaltreatmentof,indicationsfor,78
treatmentdecisionmakingabout,12–27
Adultspinaldeformities.SeealsoAdultscoliosis
definitionof,1
nonoperativemanagementof,4,17,99
pathogenesisof,1
presentingageof,2,5
prevalenceof,99
progressionof,2,4,17
typesof,1
Adultspinaldeformitysurgery
indicationsfor,4–5,78,99
levelsof,8–9
outcomesmeasuresfor.SeeHealth-relatedqualityoflife(HRQOL)measures
Albuminlevels,preoperativeassessmentof,5
AmericanSpinalInjuryAssociation(ASIA)scoringsystem,forspinalcordinjury,68,69f,
70
Ankylosingspondylitis,osteotomyplanningfor,31–32,31f
Anteriorapproach.SeealsoCombinedanterior/posteriorapproach
inadultscoliosis,78
inrigidspinaldeformitysurgery,24
Anteriorcolumnsupport
effectonunionrates,130–131
inosteoporoticspine,62
inpseudoarthrosisrevisionsurgery,134
Anteriorfixation,inosteoporoticspine,63
Anteriorlumbarinterbodyfusion(ALIF),130–131,134
ArteryofAdamkiewicz,inosteotomy,29–30,29f,31
B
Backpain,adultspinaldeformity-related,2,9,78
axial,12,85
clinicalevaluationof,2
diagnosisof,12–16,13f,14f,15f,16f
asindicationforsurgery,17
mechanical,82
neurogenic,82
radiologicassessmentof,13–16,13f,14f,15f
Biomechanics,ofspinaldeformitycorrection,120–129
implantmaterials,133
intraoperativemechanicalforces,126–127,126f
mechanicalpropertiesofimplants,120–121
aftermanualbending,122–123,122t
spinalviscoelasticity,123,124f,128
stress-straincurves,120–121,121f
Bisphosphonates,132
Bloodmanagement,perioperative,5–6
Bloodtransfusions,complicationsandrisksof,6,135
Bonegrafts,133,134
Bonemineraldensity(BMD)
correlationwith
implantpulloutstrength,58,132
insertionaltorque,132
falselyelevated,132,132f
low,asspinalimplantfailurecause,56
inosteoporoticspine,56,58,132,138
preoperativemeasurementof,7,57
Bracing
contraindicationto,4
postoperative,ofosteoporoticspine,65,66
Buttockpain,13,16
C
Cages,forosteoporoticspine,63
Centralsacralverticalline(CSVL),14–15,15f,84
Claudication
neurogenic,2,78,82
differentiatedfromvascularclaudication,16
levelofsurgicaltreatmentfor,8
nerverootcompression-related,16
pharmacotherapyfor,4
relationshiptocoronalimbalance,85
vascular,differentiatedfromneurogenicclaudication,16
Cobbangle,inadultspinaldeformities,2,82
correlationwithapicaldiskdegeneration,83
discrepancywithrotatorysubluxation,82
lessthan30°,18,19f,25
preoperativemeasurementof,3
inproximaljunctionalkyphosis,106,107t,115
inspinalcurveprogression,17
assurgeryoutcomemeasure,95–96
Codman,ErnestA.,102
Combinedanterior/posteriorapproach
inadultscoliosis,78
asproximaljunctionalkyphosiscause,107t,108–109,114
asrespiratorysysteminjurycause,6
Comorbidities,inadultspinaldeformitypatients,5,7,56
Compensatoryspinalcurves,81–82
Complications,ofadultspinaldeformitysurgery,3,24–25,100–101.SeealsoNeurologic
complications,ofadultspinaldeformitysurgery;Pseudoarthrosis;Surgical-site
infections
causesof,24–25
preoperativeassessmentfor,5
preventionof,7–8
rateof,17,24
Computedtomography(CT)
postoperative,74,76
preoperative,3,57
ofpseudoarthrosis,133
Computedtomographymyelography
forbackpainassessment,13
intraoperative,74
“Coneofeconomy,”13
Contractures,ofhiporknee,3
Coronalbalance
inadultscoliosis,84,84f
assessmentof,14–15,15f,84
Coronalcompensation,definitionof,84
Coronaldecompensation.SeealsoCoronalimbalance
definitionof,84,85
postoperative,preventionof,87–88
Coronalimbalance
inadolescentidiopathicscoliosis,79f,81
inadultscoliosis
inadultdegenerativescoliosis,81–82
correlationwithqualityoflife,84–85
definitionof,85–86
withassociatedsagittalimbalance,87
effectsof,13
greaterthan4cm,8
postoperative,85
asinstrumentationfailurecause,88,90f–92f,93
revisionsurgeryfor,88,90f–92f,93
preoperative,85
typesof,24
typeA,84f,87,93
typeB,84f,87,93
typeC,84f,87,88,89f,93
Corticosteroidepiduralinjections,diagnostic,4
Cost,ofadultspinaldeformitysurgery,95,98–99
Cross-links
inosteoporoticspine,61,66
inpediclescrewfixation,127
C7plumbline,14–15,15f,110
D
Decompression,8
efficacyof,17
withfusion
anteriorandposteriorfusion,8,78
complicationrateof,100
limitedposteriorfusion,8,78
lumbarcurveinstrumentedfusion,8,78
withpediclesubtractionosteotomy,34–35
Decompression-onlysurgery
foradultdegenerativescoliosis,78
complicationrateof,100
indicationsfor,18,25
versusshortorlongfusion,26t
Degenerativecascade,ofadultspinaldeformities,12
Degreeofslip,radiologicmeasurementof,13–14,13f,14f
Denosumab,132
Diabetesmellitus,assurgical-siteinfectionriskfactor,135–136,138
Diskdegeneration
correlationwithspinalimbalance,83
imagingof,16
lumbar,17
Diskheight,measurementof,14
Dual-energyX-rayabsorptiometry(DEXA),preoperative,7,57–58,66,132
E
Elderlypatients
adultspinaldeformityonsetin,2,5
spinalsurgery-relatedcomplicationsin,24
Electromyography
spontaneous,72
triggered,72
EuroQOLFiveDimensions(EQ-5D)questionnaire,96,98
F
Facetnerveblocks,4
Fenestration,posterior,18
Fibularstrutgrafting,48
Flat-backsyndrome,withlumbarlordosis,8
Fractures
ofimplants,130,133
osteoporotic,7,56,65,81,82
asproximaljunctionalkyphosiscause,110–111114
Fusion.SeealsoInterbodyfusion/support
inadultdegenerativescoliosis,78–79
anterior,24
withdecompression,8,78,100
indicationsfor,18–19
limited,17
local,withpediclescrewfixation,18
long-segment,18–19,20f–22f,23
complicationsof,25,130
versusdecompression-onlysurgery,26t
indicationsfor,26,26t
withlowerinstrumentedvertebra(LIV),23–24,25–26
aspseudoarthrosisriskfactor,130
withupperinstrumentedvertebra(UIV),19,23
inosteoporoticspine,65,132
tothepelvis,asproximaljunctionalkyphosisriskfactor,109
tothesacrum,23–24,25,26,79
asproximaljunctionalkyphosisriskfactor,107t,109
short-segment,18,19f–20f
indicationsfor,26,26t
G
Gaitassessment,3,13
Galvestontechnique,49
Groinpain,13
H
Harrington,Paul,120,127
Harringtoninstrumentationsystem
developmentof,120,127
withsacralhooks,48
Harringtonthreadedsacralrods,48–49
Health-relatedqualityoflife(HRQOL)measures,95–105
commonlyusedmeasures,98
correlationwith
coronalimbalance,83,85
sagittalimbalance,83
costandvalue-relatedmeasures,95,98–99
definitionof,95
needforimprovementin,102
patient-reportedmeasures(PROMs),96,98,103
physiologicalmeasures,95–96
processmeasures,95
qualitymeasures,96
radiographicoutcomes,99–100
utilityscores,96,98,103
HealthUtilitiesIndex(HUI),96,98
Hemoglobinlevels,preoperative,5–6
Hemostasis,intraoperative,6
High-riskpatients
decompression-onlysurgeryfor,18
protocolfor,5
Hydroxyapatite,aspediclescrewcoating,59–60,132
Hyperglycemia,assurgical-siteinfectionriskfactor,135–136,138
HypovitaminosisD,6–7,9,131
I
Iliacscrewfixation,48–51,50f,53–54
asymptomatichaloingof,53f,54
complicationsof,53,54
implantationproblemswith,25,26
inpostoperativecoronalimbalancerevisionsurgery,88
S2-alar-iliac,51,52f,53,54
infusionstoS1,133,138
Ilium,fusionto,asproximaljunctionalkyphosisriskfactor,106,109
Infections.SeeSurgical-siteinfections
“Instabilitycatch,”12–13
Instrumentation,spinal.SeealsoOsteoporoticspine,instrumentationstrategiesfor
implicationformagneticresonanceimaging,3
levelsof,18
rigidityof,asproximaljunctionalkyphosisriskfactor,108
thoracic,withfusionextension,8
Interbodyfusion/support
anteriorlumbar(ALIF),130–131,134
complicationrateof,100–101
inosteoporoticspine,62–63,64f
insacral-pelvicfixation,51
transforaminallumbar(TLIF),130–131
Intraoperativemonitoring.SeeNeuromonitoring,intraoperative
Ischemia,spinal,75
J
Jacksonintrasacralrodtechnique,48
K
Kostuiktransiliacbar,49
Kyphosis
lumbar,adultdegenerativescoliosis-related,80f,83
osteotomyfor,30,34–36,35f
postlaminectomy,135
proximaljunctional,79,106–119
clinicaloutcomesafter,111,112t–113t
etiologyof,106–111,115
preventionof,114–115
revisionsurgeryfor,111,114–115,116f–117f,117,118
riskfactorsfor,106–111,107t,115
timingof,111
Scheuermann’s,108,114–115
thoracic
osteotomyfor,31–32,31f
posteriorspinalinstrumentation-related,123–124
postoperative,110,123–124
preoperative,107t,110
techniquesforcreationof,123–125
L
Laminectomy
indecompression-onlysurgery,18
askyphosiscause,135
Leg-lengthdiscrepancy,2–3,79,81
Legpain,16,18,82
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