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This monograph analyses all aspects related to theetiopathogenesis, pathomorphology, diagnosis and treatment of lumbardisc herniation. Five chapters are dedicated to biological andpathomorphologic aspects, and five deal with the clinical presentationand diagnostic tests in an extremely wide and detailed way. Largespace is reserved to conservative, percutaneous and surgicaltreatments, as well as the causes and management of failed backsyndrome. This volume is the widest and most complete monograph so farpublished on the subject. ... Read more

Customer Reviews (1)

excellent book on this subject
I just took a look on this book when I was in Yokohama JOA 1999 Meeting.The author got all interesting aspects on the basic sciences and the best way for diagnosis and treatment with many excellent chapters. It is reallyvery helpful book for the residents, practicionners and spine specialists. I highly appreciate this great work. Thank you. ... Read more

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Centenary Clinic, Antwerp, Belgium. State-of-the-art review of the current knowledge on the topic. Sections include: basics, pathology, diagnosis, conservative treatment modalities, surgical treatment modalities, new treatment modalities and results, and economic and ethical considerations in the management of spinal stenosis. ... Read more

Customer Reviews (1)

An absolutely Essential Read
If you do back surgery, this book is a"must-read". It is brief but provides far more information than the multi-volumed spine text books. In simple and concise language, each chapter not only explains "how to", but also "why". No other book explains quite as well, the concepts of how various spinal diseases impact the various regions/segments and therefore, the appropriate method of decompression. Infact, when done correctly asdescribed, the "decompression" in effect becomes a "reconstruction". The techniques described are simple, elegant and respectful of maintaining normal anatomy. Despite its relative brevity, the book does not short change on appropriate figures and diagrams to reinforce the text.
Written by unquestioned masters (author list includes the likes of Yasargil, McCulloch and Young), every page is a gem. For its conciseness, clarity, simplicity and substance, this book should become a part of a surgeons library as early as second year of training. The information provided is timeless and very useful to peruse throughout one's career. If anyone is aspiring to become a "surgeon's surgeon", here is a place to start. In a way the reader is standing on the shoulders of those giants, who already are.

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University of Manchester, U.K. New edition of a text for practitioners on the etiology, assessment, and treatment of back pain. Includes psychological factors, and spinal structure and function. Illustrated. Previous editions 1987, 1980, 1976. 49 Contributors, 21 U.S. DNLM: Backache. ... Read more

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This complete, step-by-step guide covers all aspects of microsurgery of the spine, from preoperative evaluation of patients to choice of instruments, surgical techniques, and postoperative care. The clearly written text is complemented by more than 500 scans, photographs, and drawings that aid in interpreting preoperative radiologic findings and depict key surgical maneuvers.The book begins with reviews of information essential to diagnosis and treatment planning, including surgical anatomy of the lumbar spine; biology and pathology of lumbar disc disease; pathogenesis of sciatica; and the clinical syndrome of lumbar root compression caused by a herniated nucleus pulposus. A chapter on patient evaluation highlights the vital role of computed tomography and magnetic resonance imaging and contains numerous illustrative scans.The author thoroughly describes the instrumentation used in microsurgery and explains how to choose the appropriate microscope and instruments. Extensively illustrated chapters guide the reader through the actual surgical techniques and offer advice on control of bleeding, postoperative care, and prevention of complications. The author also assesses results of experimental microsurgery for microdiscectomy, microdecompression, spinal stenosis, unilateral and bilateral spinal fusions, and cystectomy. ... Read more

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surgeon
is it a electrinic book ... Read more

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The revised and updated Second Edition of this volume is for clinicians requiring a practical reference on the latest advances in lumbar disc disease management. The greatly expanded Second Edition aims to be the most current, complete, and authoritative clinical reference on the diagnosis and the operative and nonoperative management of lumbar disc disease and related conditions, including the failed back syndrome, osteomyelitis of the spine, and lumbar stenosis. The Second Edition's coverage of surgical treatment features: new chapters on spinal instrumentation and fusion and on newer disc excision techniques such as percutaneous discectomy; full consideration of the complications of lumbar spine surgery and the medicolegal issues arising from such complications; an updated chapter on spinal imaging providing essential information on MRI and other current technologies and a new chapter on spinal manipulation and expanded coverage of nonoperative management of chronic low back pain. ... Read more

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This digital document is an article from Internal Medicine News, published by International Medical News Group on July 1, 2004. The length of the article is 1010 words. The page length shown above is based on a typical 300-word page. The article is delivered in HTML format and is available in your Amazon.com Digital Locker immediately after purchase. You can view it with any web browser.

Citation Details
Title: FDA device panel backs artificial lumbar disk: success and satisfaction rates with the disk, long used in Europe, surpassed those with a fusion device.(Rx)
Publication: Internal Medicine News (Magazine/Journal)
Date: July 1, 2004
Publisher: International Medical News Group
Volume: 37Issue: 13Page: 43(1)

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This digital document is an article from Family Practice News, published by International Medical News Group on July 15, 2004. The length of the article is 938 words. The page length shown above is based on a typical 300-word page. The article is delivered in HTML format and is available in your Amazon.com Digital Locker immediately after purchase. You can view it with any web browser.

Citation Details
Title: FDA panel backs first artificial lumbar disk: unanimous, with conditions.(Clinical Rounds)
Author: Alicia Ault
Publication: Family Practice News (Magazine/Journal)
Date: July 15, 2004
Publisher: International Medical News Group
Volume: 34Issue: 14Page: 18(1)

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Abstract: Managing acute lumbar disk herniations in active patients can be challenging for physicians, especially when controversies surrounding treatment options make choosing the right care more difficult. The prognosis for lumbar disk herniations is generally favorable, and most patients will improve with conservative measures, such as early activity and avoiding bed rest. Minimally invasive techniques, such as percutaneous diskectomy, laser diskectomy, and epidural corticosteroid injection, may help control sciatic pain. Athletes who sustain late-season disk injuries should receive conservative treatment before considering surgery. Those who have early-season injuries may be able to return to competition sooner by having a microdiskectomy before a full course of conservative therapy is completed, but data supporting this approach are currently lacking.

The incidence of low-back pain in college athletes ranges from 6.9% to 64.8%,1-6 and, similar to findings in the general population, most back injuries do not involve herniated intervertebral disks.3,7,8 One 10-year study3 of college athletes reported that only 7.2% of back pain complaints were related to a disk injury.3 Although disk herniation is not a frequent cause of sports-related back pain, its treatment is often difficult because of the controversies surrounding nonoperative management versus surgery, particularly if the injury occurs during the competitive season. Current data on the management of lumbar disk herniations can help formulate a treatment plan for athletes who experience an acute disk herniation and, often, sciatica. ... Read more

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Percutaneous lumbar discectomy is a new surgical method for treating lumbar disc diseases. The goal of the procedure is decompression of the spinal nerve root by percutaneous removal of the nucleus pulposus under local anesthesia. Probably 20 % of all patients requiring lumbar disc surgery can be successfully treated by this method. During the past two years, percutaneous discectomy has spread rapidly, and it is now performed in most clinical departments engaged in spinal surgery. The first International Symposium on Percutaneous Lumbar Discectomy, held in Berlin in August 1988, covered all current procedures known as "percutaneous discectomy" and the entire range of percutaneous techniques, both clinical and experimental. Its publication is important because of the recency of this new surgical procedure, the outstanding experience of the speakers - including the Japanese, American, and European "pioneers" of the technique - and last but not least the gaps in the knowledge of physicians concerning this topic. This procedure opens up new perspectives in the surgical treatment of degenerative diseases of the lumbar spine. ... Read more

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This volume presents the indications and latest developmentsand techiquesin CT and MRI in the diagnosis andsymptomatology of discal herniations (cervical, thoracic,and lumbar). It is written for radiologists, neurosurgeons,and rheumatologists. ... Read more

Customer Reviews (4)

McKenzie Textbook Review
Lumbar spine mechanical diagnosis as described, classic textbook, every manual therapist should have one on the shelf. A bit outdated, but an easy to read textbook with much insight.

Landmark text
Brilliant presentation of years of observation of spine problems and their responce to simple ordinary movement strategies.Instructions for the therapist delivered in a concise simple style.A must read by all who see patients with back problems.

An absolute must for everybody that has patients with LBP!
For the first time in the (para)medical science-history of Low Back Pain, a book is written that is based on scientific evidence. The list of References includes no less then 47 articles, scientific papers and books.And more important even than that: McKenzie opens up a total new chapter onthe causes of the so-called (until now!) 'non-specific' LBP, which to thereader is not at all 'non-specific' anymore once you've read (and maybere-read) this book! "The Lumbar Spine" taught me things I neverlearned in college (PT and MT) and that are still not taught in general,unfortunately: specific disc behaviour: the mechanical principles thatdamage the disc and make it to heal (or to not heal!), and how theseprinciples cause LBP, even long before discs are herniated. One superbevidence-based book, especially since it describes a low-cost therapy! And:this book explains why manipulative therapy (MT) often does not give theresults we had hoped for. All physiotherapists, chiropracters, osteopaths,general practitioners and neuro- and orthopedic surgeons: this book willalmost certain bethe basis for the future treatment of 'non-specific'LBP. If there's one book you want to have read, this is it!

Excellent on the principles
The book provides excellent information on the principles of the techniques. It is limited on specific criteria of when to stop using the technique. ... Read more