Spinal Evolution


Book Description

The vertebral spine is a key element of the human anatomy. Its main role is to protect the spinal cord and the main blood vessels. The axial skeleton, with its muscles and joints, provides stability for the attachment of the head, tail and limbs and, at the same time, enables the mobility required for breathing and for locomotion. Despite its great importance, the vertebral spine is often over looked by researchers because: a) vertebrae are fragile in nature, which makes their fossilization a rare event; b) they are metameric (seriated and repeated elements) that make their anatomical determination and, thus, their subsequent study difficult; and c) the plethora of bones and joints involved in every movement or function of the axial skeleton makes the reconstruction of posture, breathing mechanics and locomotion extremely difficult. It is well established that the spine has changed dramatically during human evolution. Spinal curvatures, spinal load transmission, and thoracic shape of bipedal humans are derived among hominoids. Yet, there are many debates as to how and when these changes occurred and to their phylogenetic, functional, and pathological implications. In recent years, renewed interest arose in the axial skeleton. New and exciting finds, mostly from Europe and Africa, as well as new methods for reconstructing the spine, have been introduced to the research community. New methodologies such as Finite Element Analysis, trabecular bone analysis, Geometric Morphometric analysis, and gait analysis have been applied to the spines of primates and humans. These provide a new and refreshing look into the evolution of the spine. Advanced biomechanical research regarding posture, range of motion, stability, and attenuation of the human spine has interesting evolutionary implications. Until now, no book that summarizes the updated research and knowledge regarding spinal evolution in hominoids has been available. The present book explores both these new methodologies and new data, including recent fossil, morphological, biomechanical, and theoretical advances regarding vertebral column evolution. In order to cover all of that data, we divide the book into four parts: 1) the spine of hominoids; 2) the vertebral spine of extinct hominins; 3) ontogeny, biomechanics and pathology of the human spine; and 4) new methodologies of spinal research. These parts complement each other and provide a wide and comprehensive examination of spinal evolution.




Spinal Catastrophism


Book Description

The historical continuity of spinal catastrophism, traced across multiform encounters between philosophy, psychology, biology, and geology. Drawing on cryptic intimations in the work of J. G. Ballard, Georges Bataille, William Burroughs, André Leroi-Gourhan, Elaine Morgan, and Friedrich Nietzsche, in the late twentieth century Daniel Barker formulated the axioms of spinal catastrophism: If human morphology, upright posture, and the possibility of language are the ramified accidents of natural history, then psychic ailments are ultimately afflictions of the spine, which itself is a scale model of biogenetic trauma, a portable map of the catastrophic events that shaped that atrocity exhibition of evolutionary traumata, the sick orthograde talking mammal. Tracing its provenance through the biological notions of phylogeny and “organic memory” that fueled early psychoanalysis, back into idealism, nature philosophy, and romanticism, and across multiform encounters between philosophy, psychology, biology, and geology, Thomas Moynihan reveals the historical continuity of spinal catastrophism. From psychoanalysis and myth to geology and neuroanatomy, from bioanalysis to chronopathy, from spinal colonies of proto-minds to the retroparasitism of the CNS, from “railway spine” to Elizabeth Taylor's lost gill-slits, this extravagantly comprehensive philosophical adventure uses the spinal cord as a guiding thread to rediscover forgotten pathways in modern thought. Moynihan demonstrates that, far from being an fanciful notion rendered obsolete by advances in biology, spinal catastrophism dramatizes fundamental philosophical problematics of time, identity, continuity, and the transcendental that remain central to any attempt to reconcile human experience with natural history.




Navigation and Robotics in Spine Surgery


Book Description

A unique how-to guide for spine surgeons on state-of-the-art computer-assisted navigation and robotic surgery techniques The past decade has seen major advances in image-guided spine surgery techniques, with robotically assisted approaches emerging in the last five years. While early adopters of this technology paved the way for more widespread use of navigated and robotic systems, barriers still exist. Navigation and Robotics in Spine Surgery by master spine surgeon Alexander Vaccaro and esteemed co-editors Jaykar Panchmatia, I. David Kaye, and Srinivas Prasad addresses existing issues such as the perception of increased upfront costs, intrusion on current workflow, and a lack of understanding about the potential ways these technologies can enhance the surgical experience and improve patient outcomes. Organized into six sections, the book starts with evidence-based fundamentals of navigated spine surgery and robotics including discussion of instrumentation and mechanics. Sections 2-5 serve as a surgical handbook for spine surgeons who wish to introduce these technologies into practice or augment their current repertoire with more complex techniques. Topics range from more routine procedures such as navigated and robotic minimally invasive TLIF to complex approaches like intraoperative ultrasound guided intradural spinal tumor resection. The final section looks at future directions and potential new applications for these technologies. Key Highlights An impressive group of international spine surgeons who pioneered navigation and robotic surgery techniques share invaluable tricks of the trade Discussion of fluoroscopy- and intraoperative CT-based platforms, applications for intraoperative sonography, and radiation exposure and minimization strategies Special topics include OR set-up and workflow, surmounting the learning curve, artificial intelligence, and lessons learned from other industries Procedural videos demonstrate the benefits of computer-assisted navigation and robotic techniques This book is essential reading for orthopaedic surgery and neurosurgery residents and spine fellows who wish to learn about and incorporate these technologies into practice. Seasoned spine surgeons seeking to expand the scope of their navigated/robotic practice will benefit from chapters detailing advanced approaches.




Discovering the Brain


Book Description

The brain ... There is no other part of the human anatomy that is so intriguing. How does it develop and function and why does it sometimes, tragically, degenerate? The answers are complex. In Discovering the Brain, science writer Sandra Ackerman cuts through the complexity to bring this vital topic to the public. The 1990s were declared the "Decade of the Brain" by former President Bush, and the neuroscience community responded with a host of new investigations and conferences. Discovering the Brain is based on the Institute of Medicine conference, Decade of the Brain: Frontiers in Neuroscience and Brain Research. Discovering the Brain is a "field guide" to the brainâ€"an easy-to-read discussion of the brain's physical structure and where functions such as language and music appreciation lie. Ackerman examines: How electrical and chemical signals are conveyed in the brain. The mechanisms by which we see, hear, think, and pay attentionâ€"and how a "gut feeling" actually originates in the brain. Learning and memory retention, including parallels to computer memory and what they might tell us about our own mental capacity. Development of the brain throughout the life span, with a look at the aging brain. Ackerman provides an enlightening chapter on the connection between the brain's physical condition and various mental disorders and notes what progress can realistically be made toward the prevention and treatment of stroke and other ailments. Finally, she explores the potential for major advances during the "Decade of the Brain," with a look at medical imaging techniquesâ€"what various technologies can and cannot tell usâ€"and how the public and private sectors can contribute to continued advances in neuroscience. This highly readable volume will provide the public and policymakersâ€"and many scientists as wellâ€"with a helpful guide to understanding the many discoveries that are sure to be announced throughout the "Decade of the Brain."




Comparative Vertebrate Neuroanatomy


Book Description

Comparative Vertebrate Neuroanatomy Evolution and Adaptation Second Edition Ann B. Butler and William Hodos The Second Edition of this landmark text presents a broad survey of comparative vertebrate neuroanatomy at the introductory level, representing a unique contribution to the field of evolutionary neurobiology. It has been extensively revised and updated, with substantially improved figures and diagrams that are used generously throughout the text. Through analysis of the variation in brain structure and function between major groups of vertebrates, readers can gain insight into the evolutionary history of the nervous system. The text is divided into three sections: * Introduction to evolution and variation, including a survey of cell structure, embryological development, and anatomical organization of the central nervous system; phylogeny and diversity of brain structures; and an overview of various theories of brain evolution * Systematic, comprehensive survey of comparative neuroanatomy across all major groups of vertebrates * Overview of vertebrate brain evolution, which integrates the complete text, highlights diversity and common themes, broadens perspective by a comparison with brain structure and evolution of invertebrate brains, and considers recent data and theories of the evolutionary origin of the brain in the earliest vertebrates, including a recently proposed model of the origin of the brain in the earliest vertebrates that has received strong support from newly discovered fossil evidence Ample material drawn from the latest research has been integrated into the text and highlighted in special feature boxes, including recent views on homology, cranial nerve organization and evolution, the relatively large and elaborate brains of birds in correlation with their complex cognitive abilities, and the current debate on forebrain evolution across reptiles, birds, and mammals. Comparative Vertebrate Neuroanatomy is geared to upper-level undergraduate and graduate students in neuroanatomy, but anyone interested in the anatomy of the nervous system and how it corresponds to the way that animals function in the world will find this text fascinating.




Spinal Anatomy


Book Description

This richly illustrated and comprehensive book covers a broad range of normal and pathologic conditions of the vertebral column, from its embryology to its development, its pathology, its dynamism and its degeneration. The dynamic anatomy of the living subject is viewed using the latest technologies, opening new perspectives to elucidate the pathology of the spine and improve spinal surgery. The respective chapters review in depth all sections of the vertebral column and offer new insights, e.g. the 3D study of vertebral movements using the “EOS system,” which makes it possible to define an equilibrium of posture and its limits. New histological and chemical findings on the intervertebral disc, as well as detailed descriptions of the aponeuroses and fasciae, are also provided. Bringing together the experience of several experts from the well-known French school, this book offers a valuable companion for skilled experts and postgraduate students in various fields: orthopedic surgery, neurosurgery, physiotherapy, rheumatology, musculoskeletal therapy, rehabilitation, and kinesiology.




Palaeopathology and Evolutionary Medicine


Book Description

"The volume aims to encourage more co-produced research addressing questions about human health, past and present by scholars working in evolutionary medicine (EM) and palaeopathology. It highlights future research that may promote that collaboration between palaeopathology and EM. This chapter starts with the premise that EM and palaeopathology have clear synergies in that they take a deep time perspective as they explore health in the past and in the present. It introduces the volume and first provides a background to evolutionary medicine from its first appearance in the early 1990s, including discussions about ultimate and proximate explanations for disease. It then highlights that the field of palaeopathology was initially established much earlier than EM and it is argued that practitioners before the 1990s, often physicians, were simply not exposed to evolutionary theory in relation to the diseases they were seeing both in the living and in the dead. However, the stage now looks set for more productive collaborations. A thematic overview of the volume and its individual chapters follows within the framework of the suggested categories for study within EM (Williams and Nesse 1990). The chapter finishes with some discussion about the One Health initiative, EM and palaeopathology, an initiative that is considered an essential area of study now and into the future"--




The Textbook of Spinal Surgery


Book Description

ecognized as one of the leading references on the spine, this comprehensive text brings together experts from around the world to discuss the full scope of spinal surgery. This edition presents expanded coverage of all aspects of spinal surgery including cervical, thoracic and lumbar spine; adult and pediatric; degenerative, deformity, tumors, fractures, infections and more. It also discusses indications, conditions, surgical technique, pre- and postoperative care and possible complications. Highly visual, this text contains 700 new illustrations




Biomechanics of the Spine


Book Description

Biomechanics of the Spine encompasses the basics of spine biomechanics, spinal tissues, spinal disorders and treatment methods. Organized into four parts, the first chapters explore the functional anatomy of the spine, with special emphasis on aspects which are biomechanically relevant and quite often neglected in clinical literature. The second part describes the mechanics of the individual spinal tissues, along with commonly used testing set-ups and the constitutive models used to represent them in mathematical studies. The third part covers in detail the current methods which are used in spine research: experimental testing, numerical simulation and in vivo studies (imaging and motion analysis). The last part covers the biomechanical aspects of spinal pathologies and their surgical treatment. This valuable reference is ideal for bioengineers who are involved in spine biomechanics, and spinal surgeons who are looking to broaden their biomechanical knowledge base. The contributors to this book are from the leading institutions in the world that are researching spine biomechanics. - Includes broad coverage of spine disorders and surgery with a biomechanical focus - Summarizes state-of-the-art and cutting-edge research in the field of spine biomechanics - Discusses a variety of methods, including In vivo and In vitro testing, and finite element and musculoskeletal modeling




Sagittal Balance of the Spine


Book Description

Unique resource from internationally renowned experts details the key role of sagittal spine balance Through evolution, human verticality became associated with a wide range of normal pelvic shapes and associated pelvic incidence angles (PIs). While all types of sagittal alignment generally provide adequate support to young adults, age, stress, and related degeneration can progressively lead to sagittal imbalance and contribute to various spinal pathologies. Sagittal Balance of the Spine by Pierre Roussouly, João Luiz Pinheiro-Franco, Hubert Labelle, Martin Gehrchen, and a cadre of esteemed international contributors focuses on the importance of sagittal alignment and spino-pelvic shape identification in clinical practice. Offering the most comprehensive text on sagittal balance to date, this state-of-the-art, richly illustrated book fills a void in the literature, offering clinical pearls throughout seven sections and 24 chapters. Key Highlights The biomechanics of sagittal balance including spine modeling, primary parameters, spinal curves segmentation, and lumbar lordosis classification The role of sagittal balance in low back pain and degeneration, with discussion of spinal orientation and the contact forces theory, spinal degeneration associated with spinopelvic morphotypes, and compensatory mechanisms Comprehensive analysis of the relationship between sagittal imbalance and isthmic lysis spondylolisthesis, degenerative spondylolisthesis, Scheuermann's kyphosis, adolescent idiopathic scoliosis, and adult scoliosis Posterior and anterior treatment approaches – from spinal fixation and spinal fusion – to spinal osteotomy techniques and management of surgical failure This text is essential reading for every neurosurgical and orthopaedic resident, as well as veteran surgeons who evaluate and treat patients with spine conditions. Clinicians will learn why incorporating sagittal balance evaluations into spinal exams is integral to devising more effective treatment strategies and achieving improved outcomes.