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Ординатура / Хирургия / Библиотека им академика М.И. Перельмана / Книга_6051_Библиотеки_им_академика_М_И_Перельмана

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☆
Lidocaine,asspinalcordischemiatreatment,75
Listhesis.SeealsoSpondylolisthesis
anteroposterior,3
lateral,3,16
Lordosis
fixed,osteotomyfor,40,42f,43
lumbar
adultdegenerativescoliosis-related,80f,82
adultidiopathicscoliosis-related,82
anteriorfusionapproachto,8
withflat-backsyndrome,8
asproximaljunctionalkyphosisriskfactor,107t,109,110,115
radiologicalmeasurementof,15
asspinalsurgeryoutcomemeasure,95–96
Lowerinstrumentedvertebrae(LIV)
inlong-segmentfusion,23–24,25–26
inproximaljunctionalkyphosis,109
Lumbarspine.SeealsoLordosis,lumbar
degenerativeadultscoliosisof,81
pediclescrewfixationin,60
Lumbosacralfixation,inosteoporoticspine,61
Lumbosacraljunction
biomechanicsof,45
sacral-pelvicfixationof,45–55
Lumbosacralpivotpoint,45
Luqueinstrumentation,91f
LuqueL-fixation,49
M
Magneticresonanceimaging(MRI)
ofdiskdegeneration,16
lumbar,forbackpainassessment,13
postoperative,74,76
preoperative,3,70
ofspinalstenosis,16
Meanarterialpressure(MAP),intraoperativemonitoringof,71,73,74,75
Metabolicbonedisease,asadultscoliosiscause,1,79
Metallicimplants,forspinaldeformitycorrection,120–129
foradolescentidiopathicscoliosis,123–127,125f,126f
finiteelementanalysisof,126–127
fracturesof,130,133
historyof,120,121t
implantdensity,133
relationshipwithcorrectionrate,127
infectionof,135
intraoperativemechanicalforceson,126–127,126f
materialsfor,133
mechanicalpropertiesof,120–121
aftermanualbending,122–123,122t
spinalviscoelasticityand,123,124f,128
stress-straincurvesof,120–121,121t
Methylprednisolone,75
Microdensitometry,preoperative,57
Motorevokedpotential(MEP)intraoperativemonitoring,29–30,43,71,72,73,74
N
Narcoticspainmedications,4,10
NeckDisabilityIndex(NDI),96
Nerverootcompression,symptomsof,16
Nerveroot/transforaminalinjections,diagnostic,3–4
Neurologiccomplications,ofadultspinaldeformitysurgery,68–77
delayedpostoperative,75–76
intraoperativemanagementof,71
intraoperativeneuromonitoringfor,29–30,43,71–73,74,75
mechanismsof,70
postoperativemanagementof,75
preoperativeriskassessmentfor,70
prevalenceof,68–70,68f
steroidprotocolfor,75
Neurologicdeficits,preoperativeevaluationof,2
Neuromonitoring,intraoperative,74,75
motorevokedpotential(MEP)monitoring,29–30,43,71,72,73,74
somatosensoryevokedpotential(SSEP)monitoring,71–72,73,74
Neurovascularexamination,preoperative,3
Nicotine.SeealsoSmokingcessation
effectonpatientoutcomes,131
Nonsteroidalanti-inflammatorydrugs(NSAIDs),4
Nonunion.SeealsoPseudoarthrosis
nicotine-related,131
ratesof,133,134
reoperationriskof,134
Nutritionalstatus,preoperativeassessmentof,5,10
Nutritionalsupport,inspinalsurgerypatients,5
O
Obesity
asproximaljunctionalkyphosisriskfactor,110
assurgical-siteinfectionriskfactor,136,138
Openanteriorsurgery,pulmonaryfunctioneffectsof,6
Osteopenia,56,111,114,132
Osteophytosis,preoperativeevaluationof,3
Osteoporosis,inadultspinaldeformitypatients,138.SeealsoOsteoporoticspine,
instrumentationstrategiesfor
bonemineraldensityin,56,58,132,138
diagnosisof,132
managementof,132,138
preoperativemedicaltreatmentfor,58
asproximaljunctionalkyphosisriskfactor,106,110–111
inspinalsurgerypatients,7,10
Osteoporoticspine,instrumentationstrategiesfor,56–67
adjacentsegmentfailurein,56–57,65–66
anchorpointsenhancement,61
anteriorfixation,63
bone-implantinterfaceprotection,63,65
fixationfailurein,56–57,65–66
fusion,132
forinstrumentationfailurepreventionintraoperativemeasures,58–65
postoperativemeasures,65
preoperativemeasures,57–58,66
interbodysupport,62–63,64f
nonunionand,57
pediclescrewfixation,58–61
insertiontechniqueandinsertiontorquein,60–61
tractaugmentationin,59–60
prophylacticvertebroplasty,61–62,66
pseudoarthrosisand,56–57,65–66
semi-rigidfixation,63
Osteotomy,8.SeealsoVertebralcolumnresection(VCR)
closureof,30,35–36,36f
forfixedlordosis,40,42f,43
withlong-segmentfusion,24
pediclesubtraction
closureof,35–36,36f
comparisonwithSmith-Petersenosteotomy,36f
complicationsof,34
forcoronalimbalancecorrection,88,91f
outcomes,100
withpreviousanteriorimplants,36–37,38f
revisionsurgeryof,131f
forrigidspinaldeformities,30,31–32,31f,33f,34–36,35f,36f
techniqueof,34–36,35f
fortypeAcoronalimbalancecorrection,87
posterior
outcomesof,100
inpseudoarthrosisrevisionsurgery,134
Smith-Petersen,36f,100
asspinalcordinfarctioncause,29–30
forproximaljunctionalkyphosis,115,116f,117
forrigidspinaldeformities,28–44
anteriorapproachin,28
closureof,30
fixationin,30
fusionacross,32
levelofosteotomy,30–31
multi-levelvertebrectomy,32,33f,40,41f
numberofosteotomiesrequired,30
pediclesubtractionosteotomy,30,31–32,31f,33f,34–36,35f,36f
planningof,28–32
posteriorapproachin,28
posteriorcolumnosteotomy,33–34,33f,34f
assingleprocedure,32
asstagedprocedure,32
transdiskalpediclesubtractionosteotomy,32,33f,36–37,37f
typesof,32–40
three-column,8–9,10
forcoronalimbalancecorrection,87–88,89f
deformityflexibilitydeterminationin,28–29
indicationsfor,28–29
levelof,31
versusmultipleposteriorcolumnreleases,28,29
forproximaljunctionalkyphosis,117f
reoperationratefor,101
spinalcordbloodflowin,29–30
spinalcordprotectionin,43
surgicalexposurein,29
thoracolumbar,29,29f
OswestryDisabilityIndex(ODI),8,96,98,101–102,111
Outcomemeasures,inspinaldeformitysurgery.SeeHealth-relatedqualityoflife
(HRQOL)measures
P
“Painfulcatch,”12–13
Painmanagement,inadultspinaldeformities,4,10
Parathyroidhormone,132
Patient-reportedoutcomemeasures(PROMs),96,98,103
Pediclerods,biomechanicalpropertiesof,120
Pediclescrewfixation
alternativesto,30,43
intraoperativeassessmentof,74
withlocalfusion,18
inosteoporoticspine,58–61,132–133
asproximaljunctionalkyphosisriskfactor,108
sacral,46–48,47f
medialinsertiontrajectoryfor,51,53,53f
Pediclescrews
biomechanicalpropertiesof,120
hydroxyapatite-coated,59–60,132
mechanicalforceson,126–127,126f
Pediculolaminarinstrumentation,forosteoporoticspine,61
Pelvicincidence(PI),asspinaldeformitysurgeryoutcomemeasure,95–96
Pelvicobliquity,2–3
Pelvis
fusionto,asproximaljunctionalkyphosisriskfactor,109
pediclescrewfixationin,60
Periapicalreductionscrews,30
Physicalexamination,preoperative,70
Physiologicaloutcomemeasures,95–96
Polymethylmethacrylate(PMMA)bonecement,59
Posteriorapproach,9.SeealsoCombinedanterior/posteriorapproach
inadultscoliosis,78
insevereadultspinaldeformities,6
Posteriorcolumnrelease,multipleperiapicalosteotomiesfor,30–31
Posteriorspinalligaments,surgery-relateddisruptionof,106–108,107t,115
Postmenopausalwomen,bonemineraldensityscreeningin,7
Posturalimbalance,asbackpaincause,13
Prealbuminlevels,preoperativeassessmentof,5
Preoperativeevaluation,ofadultdegenerativespinaldeformities,1–4
Preoperativeplanning,ofadultspinaldeformitysurgery,8–9
Processmeasures,95
Provocativetesting,preoperative,3–4
Proximaljunctionalangle,inproximaljunctionalkyphosis,107t,110
Pseudoarthrosis,130–134,131f,133f,134f
diagnosisof,133
Harringtonthreadedsacralrod-related,48–49
L5-S1,fusion-related,25
long-segmentfusion-related,24
managementof,133–134
rateof,130
asrevisionsurgerycause,130,133–134
riskfactorsfor,130–133
sacralhook-related,48
Psychologicaldisorders,inadultspinaldeformitypatients,7
Pulmonarydisorders,postoperative,8
Pulmonaryfunctiontesting,preoperative,6,9
Q
Quality-adjustedlifeyears(QALYs),98,99,103
R
Radicularpain,4,16,82,85
Radiculopathy,2,78
Radiographicmeasurements,ofspinaldeformity,95–96
Radiographicoutcomes,ofadultspinaldeformitysurgery,99–100
Radiologicalimaging,preoperative,3,9,70
Radiologicalinstability,13–14,13f
Recombinanthumanbonemorphogeneticprotein-2(rh-BMP2),133–134,138
Recombinanthumanerythropoietin(rEPO),6
Reoperation/revisionsurgery,101
forosteotomy,101
forpediclefixationosteotomy,131f
forpostoperativecoronalimbalance,88,90f–92f,93
forpseudoarthrosis,130,133–134
forsurgicalcomplicationscorrection,24
surgical-siteinfection-related,135
Rigidspinaldeformities
combinedanterior/posteriorapproachto,8–9
osteotomyfor.SeeOsteotomy,forrigidspinaldeformities
proximaljunctionalkyphosis-related,117f,118
Rodrotationmaneuvers,intraoperativemechanicalforcesin,126–127,126f
S
Sacral-pelvicfixation,45–55
adjunctiveanteriorinterbodysupportin,51
anatomicandbiomechanicalconsiderationsin,45–46
indicationsfor,46
instrumentationselectionandtechniquesfor,46–51
iliacfixation,48–51,50f,52f
sacralfixation,46–48,47f
operativetechniquesin,51,53,53f
patientpositioningfor,51
Sacralslope,95–96
Sacrum
bonemineraldensityof,58
fusionto,23–24,25,26,79
asproximaljunctionalkyphosisriskfactor,107t,109
pediclescrewfixationin,60
Sagittalalignment,global,107t,109–110,118
Sagittalbalance
preoperativeassessmentof,8
radiologicalassessmentof,14–15,15f
assurgicaloutcomepredictor,85
Sagittalimbalance
adultdegenerativescoliosis-related,83
withassociatedcoronalimbalance,87
correlationwithdiskdegeneration,80f,83
inosteoporoticspine,65
preoperativeevaluationof,10
proximaljunctionalkyphosis-related,111
surgicalcorrectionof,87
typesof,24
Sagittalplanedeformities,13
Sagittalplumbline,C7,14–15,15f,110
Sagittalverticalaxis(SVA),inproximaljunctionalkyphosis,107t,110,114,115
Sciaticnerve,iliacscrewfixation-relatedinjuryto,53,54
Scoliosis,1.SeealsoAdolescentidiopathicscoliosis;Adultscoliosis
neuromuscular,assurgical-siteinfectionriskfactor,135,137f
primarydegenerative,1
secondary,1
surgery-related,1
ScoliosisResearchSociety,84
MorbidityandMortalitydatabase,135
SRS-22questionnaire,8,11,96,98,101–102
Semi-rigidfixation,inosteoporoticspine,63
Severeadultspinaldeformities,surgicaldecisionmakingregarding,17–26
ShortForm6Domains(SF-6D),96,98
ShortForm-36(SF-36),96,98
Slipangle,radiologicalmeasurementof,13–14,13f,14f
Smokingcessation,preoperative,6,8,131,138
Somatosensoryevokedpotential(SSEP)intraoperativemonitoring,71–72,73,74
Speedtechnique,offibularstrutgrafting,48
Spinalcordinjury
acute,medicaltreatmentfor,75
delayedintraoperative,75–76
Spinalcordperfusion,intraoperative,73
Spinalcurves
compensatory,81–82
progressionof,16–17
Spinalinstability,diagnosisof,12–13
Spinalsurgery
decisionmakingfor,17–26
high-riskprotocolfor,5
indicationsfor,17
asscoliosiscause,1
Spine,viscoelasticityof,123,124f,128
Spinopelvicimbalance,radiographicdeterminationof,3
Spinopelvicparameters,asspinaldeformitysurgeryoutcomemeasures,95–96
Spondylolisthesis
degenerative,12
L5-S1
fusionsurgeryfor,25
slipanglemeasurementin,14
lateral,17
StagnaraWake-UpTest,71,73–74
Stenosis,spinal
imagingof,16
lumbar
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