By Marek Szpalski MD, Robert Gunzburg MD PhD, Jean Charles Le Huec MD PhD, Marco Brayda-Bruno MD
Written by way of a global staff of specialist backbone surgeons, this quantity completely examines new nonfusion applied sciences for treating spinal degenerative stipulations whereas holding movement. significant sections describe numerous surgical suggestions and units for nucleus pulposus alternative and overall lumbar and cervical disc arthroplasty, in addition to different stabilization innovations. insurance contains symptoms and contraindications, surgical techniques, and the most recent scientific trial effects. numerous chapters talk about nonsurgical and minimally invasive remedies, together with gene treatment, nucleus pulposus regeneration, and IDET. different chapters tackle monetary and moral concerns, together with use of registries, clinical equipment legislation, and consequence and value of lumbar disc substitute as opposed to lumbar fusion.
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Additional resources for Nonfusion Technologies in Spine Surgery
Spine 2000, 23, 3055–3064. 14. Haughton V. Medical imaging of intervertebral disc degeneration, current status of imaging. Spine 2004, 23, 2751–2756. 15. Heymans MW, Van Tulder MW, Esmail R et al. Back schools for non specific low-back pain. A systematic review within the framework of the Cochrane collaboration back review group. Spine 2005, 30, 2153–2163. 16. Ilharreborde B, Olivier E, Rillardon L et al. Efficiency of total disc replacement arthroplasty in the treatment of chronic low-back pain.
The fibrillar collagens form an elaborate network that provides the structural framework of the disc, and aggrecan has a high swelling pressure, imbibes water, and inflates the collagenous network; together these components form a load-bearing structure, allowing the disc to carry compressive load and to deform reversibly (36). Other macromolecules, although present in only low concentrations, also appear to have essential roles in regulating matrix organization. For instance, elastin, although present in only minor amounts, appears to have an important mechanical function in restoring disc organization after load-induced deformation.
A new clinical model for the treatment of low-back pain. Spine 1987, 12, 632–644. Weishaupt D, Zanetti M, Hodler J. Painful lumbar disc derangement: relevance of endplate abnormalities at MR imaging. Radiology 2001, 218, 420–427. 5539_Szpalski_Ch05pp039-048 8/31/06 11:44 AM Page 39 Dynamic MRI in the Seated Position Increases Insight into Diseases of the Lumbar Spine Francis W. Smith 5 For the past 25 years, the lumbar spine has been studied using magnetic resonance imaging (MRI) in the supine position.
Nonfusion Technologies in Spine Surgery by Marek Szpalski MD, Robert Gunzburg MD PhD, Jean Charles Le Huec MD PhD, Marco Brayda-Bruno MD