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Spine Surgery in an Aging Population

Author : Nathaniel P. Brooks

Publisher : Thieme

Page : 714 pages

File Size : 23,6 MB

Release : 2019-10-28

Category : Medical

ISBN : 1638535795

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Book Description

An invaluable primer on the surgical and nonsurgical treatment of aging patients with spine conditions The growing population of people aged 65 and older has significant implications for health care systems and spine care providers. Older patients today demand interventions that enable them to return to a functional lifestyle. Treatment of degenerative spine disease in aging adults requires in-depth understanding of changes in physiology, biomechanics, function, and modifiable risk factors. Equally important, providers need to listen to patients, diagnose thoughtfully, learn about the person's goals, and teach them in plain language about the risks, alternatives, and expectations of treatment options. This foundation is critical to developing informed patient-centered treatment plans to improve outcomes. Spine Surgery in an Aging Population by Nathaniel Brooks, Andrea Strayer, and a cadre of global contributors reflects a rich array of expertise. With multidisciplinary contributions from renowned specialists in neurosurgery, orthopaedic surgery, geriatrics, and rehabilitation, the book provides invaluable insights on caring for aging adults with degenerative spine disease. Throughout 21 chapters, readers are provided with key concepts, expert knowledge, and effective management strategies to avoid complications and improve outcomes for older adult spine patients. Key Highlights Diagnosis and treatment of osteoporosis to help prevent fractures and optimize treatment approaches prior to elective surgery Management of common pathologies of the aging spine such as cervical spondylosis, lumbar stenosis, spondylolisthesis, degenerative scoliosis and trauma Special topics include value-based care, nonsurgical management of spinal pain, vertebral augmentation, minimally invasive surgery, and instrumentation considerations This one-stop compendium is essential reading for orthopaedic and neurosurgical residents and fellows, as well as veteran surgeons and allied health providers who care for older adults with spine conditions.



Treatment of Spine Disease in the Elderly

Author : Kai-Ming G. Fu

Publisher : Springer Nature

Page : 474 pages

File Size : 29,75 MB

Release : 2023-01-01

Category : Medical

ISBN : 3031126122

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Book Description

As the population continues to age worldwide, spinal disease will become more prevalent in the elderly population. The treatment of spinal disease requires an individual approach encorporating best practices. Optimal management in the elderly may differ from younger patients due to increased comorbidities, decreased bone health, and a higher risk of perioperative morbidity and mortality. While more and more elderly patients will require evaluation and management of their spinal disease, most modern books discuss operative and nonoperative management based upon disease process. Techniques and approaches are described for a specific pathology, and are usually tailored for a young or middle aged patient. Treatment of Spine Disease in the Elderly: Cutting Edge Techniques and Technologies is designed to address this gap in today’s literature by expressly addressing spinal conditions in the elderly and current advanced techniques and technologies for treating their spinal disease. It will be intended as a resource for the beginning to the advanced surgeon and practitioner whom undertakes treatment of patients in this age group.



Value-Based Approaches to Spine Care

Author : Rajiv K. Sethi

Publisher : Springer Nature

Page : 206 pages

File Size : 44,55 MB

Release : 2019-12-17

Category : Medical

ISBN : 3030319466

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Book Description

Unsustainable healthcare costs and sophisticated predictive modeling based on large-scale medical data is rapidly changing models of healthcare delivery. The shift towards a value-based, consumer-driven industry has created an urgent need for validated tools to increase cost efficiency, reduce rates of adverse events, and improve patient outcomes. Value-based approaches to spine care will be presented, highlighting models for the future. These approaches stress cost effectiveness and sustainable approaches to spinal disease, where quality and safety are paramount. Beginning with a review of current trends in health care delivery leading to more value-based platforms, the discussion then focuses on how modern spine care is being shaped by the aging population, scientific and technological advancements, and the economic impact of various treatment modalities, providing insight into the seminal efforts surrounding sustainable spine care guideline development. The over-utilization of spine fusion surgery and adult spinal deformity are presented as examples that have led to a decline in the value of care delivered, as well as how a multidisciplinary evaluation by the range of clinicians involved in spine surgery can revise recommendations for management. The benefits and risks of LEAN methodology for streamlining and standardizing spine care approaches are discussed, and the specific approach of the Seattle Spine Team is presented as an example of successful system-wide improvement. Similar changes to outcome measurement, specifically for adult spinal deformity, are described. Last, the future of technology in spine care is presented, including robotics, nanotechnology, 3D printing, and the use of biologics and biomaterials. Given the broad scope of topics covered in this book, the intended audience includes not only orthopedic and spinal surgeons, neurosurgeons, physiatrists, and medical students, residents and fellows, but also hospital CEOs, CMOs, administrators, health services researchers, and health care policymakers, consultants and strategists.



Value-based Approaches to Spine Care

Author :

Publisher :

Page : 206 pages

File Size : 10,80 MB

Release : 2020

Category : Spine

ISBN : 9783030319472

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Book Description

Beginning with a review of current trends in health care delivery leading to more value-based platforms, this unique and up-to-date book then focuses on how modern spine care is being shaped by the aging population, scientific and technological advancements, and the economic impact of various treatment modalities, providing insight into the seminal efforts surrounding sustainable spine care guideline development. The over-utilization of spine fusion surgery and adult spinal deformity are presented as examples that have led to a decline in the value of care delivered, as well as how a multidisciplinary evaluation by the range of clinicians involved in spine surgery can revise recommendations for management. The benefits and risks of LEAN methodology for streamlining and standardizing spine care approaches are discussed, and the specific approach of the Seattle Spine Team is presented as an example of successful system-wide improvement. Similar changes to outcome measurement, specifically for adult spinal deformity, are described. Last, the future of technology in spine care is presented, including robotics, nanotechnology, 3D printing, and the use of biologics and biomaterials. Given the broad scope of topics covered in this book, the intended audience includes not only orthopedic and spinal surgeons, neurosurgeons, physiatrists, and medical students, residents and fellows, but also hospital CEOs, CMOs, administrators, health services researchers, and health care policymakers, consultants and strategists.



Brain and Spine Surgery in the Elderly

Author : Moncef Berhouma

Publisher : Springer

Page : 529 pages

File Size : 36,63 MB

Release : 2017-03-01

Category : Medical

ISBN : 3319402323

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Book Description

This unique and richly illustrated volume presents the state of the art in the comprehensive management of major neurosurgical diseases in the elderly (aged 65 and over). It explores all of the common neurosurgical pathologies affecting elderly patients, and emphasizes the paramount importance of tailored management strategies for quality of life. It highlights updated techniques for anaesthesia and critical care, as well as minimally invasive neurosurgical methods intended for this specific group of patients. Radiosurgery treatment is also discussed, in particular for brain tumours. In western societies, the proportion of elderly citizens has nearly reached 20%, and shows no signs of slowing down. The management of neurosurgical conditions in this particular population requires specific multidisciplinary strategies. To address this situation, a team of internationally respected contributors accurately describe degenerative and traumatic spinal diseases, which account for the majority of admissions among the elderly, as well as brain tumours and intracranial haemorrhages, aspects that are raising new ethical issues. The book mainly addresses the needs of neurosurgeons and geriatric neurologists, but also neuro-oncologists and neuro-anaesthesists working with elderly patients, as well as students in these disciplines.



Older Peoples' Social Processes of Living with Degenerative Spine Disease

Author : Andrea Lynn Strayer

Publisher :

Page : pages

File Size : 33,40 MB

Release : 2021

Category :

ISBN :

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Book Description

Degenerative spine disease is a consequence of aging. Globally, 266 million persons are diagnosed withthis condition annually. As the population ages, the number of spinal surgeries will increase. Unknown is the experience of older people living with this debilitating condition who undergo spine surgery and develop a postoperative medical complication. To answer this gap in the knowledge, my dissertation is comprised of two studies presented in three manuscripts. The first study is a scoping review investigating in-hospital medical complications incurred by older people (9́Æ 65yrs) after spine surgery. The second is a qualitative study using grounded theory methodology. Traditional grounded theory guided this study of people 9́Æ 65yrs with degenerative spine disease who were hospitalized after undergoing spine surgery. Fourteen individuals were recruited for two in-depth interviews at two time-points: T1 during the hospitalization and T2, one to three months postdischarge. The purpose of this study was to investigate older peoples' understanding of living with degenerative spine disease. This was accomplished by the following specific aims: (1) To understand how older people assign meaning to having degenerative spine disease and how they define a complication, (2) What actions older people take based on their assigned meanings of degenerative spine disease, (3) Construct a conceptual model that details the social processes older people engage in living with degenerative spine disease and undergoing spine surgery . Our findings highlight a gap in knowledge and a limitation in how spine surgery researchers and healthcare providers conceptualize what are complications. Further, the findings can guide evidencebased development of person-centered interventions and inform patient education regarding preparation for surgery, recovery, and setting expectations.



The Aging Spine

Author : Max Aebi

Publisher : Springer Science & Business Media

Page : 154 pages

File Size : 21,44 MB

Release : 2005-02-23

Category : Medical

ISBN : 9783540244080

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Book Description

The "Bone and Joint Decade" draws our attention with increased intensity to the problem of the changes related to aging of our musculoskeletal system and the associated socioeconomic implications. In view of the increasing age of the worldwide population the impact seems to be tremendous. The editors of The Aging Spine pick up this interesting topic and engage opinion leaders to contribute their knowledge in this supplement. The various contributions cover most of the important problems, which are included in the vast specter of aging spine: osteoporosis, spinal stenosis, and tumors of the spine. The aging spine will be an everpresent issue in the life of a physician taking care of the different pathologies of the spine. This text will help to better understand the nature of the different changes in the spine of the elderly. It contributes to enabling us to diagnose and to treat this complex problem in an appropriate way.



The Comprehensive Treatment of the Aging Spine E-Book

Author : James J. Yue

Publisher : Elsevier Health Sciences

Page : 497 pages

File Size : 10,95 MB

Release : 2010-12-03

Category : Medical

ISBN : 1455700037

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Book Description

The Comprehensive Treatment of the Aging Spine provides all the state-of-the-art coverage you need on both operative and non-operative treatments for different clinical pathologies of the aging spine. Dr James Yue and a team of talented, pioneering orthopedic surgeons and neurosurgeons cover hot topics like minimally invasive fusion, dynamic stabilization, state-of-the-art intraspinous and biologic devices, and more...in print and online. Search the full text and access a video library online at expertconsult.com. Master the very latest techniques and technologies through detailed step-by-step surgical instructions, tips, and pearls. Stay current on the state-of-the-art in intraspinous and biologic devices—such as Stent (Alphatec) and Optimesh Spineology; thoracic techniques—kyphoplasty, vertebroplasty, and spacers; and conservative treatment modalities—including injection therapies, acupuncture, and yoga. Make expert-guided decisions on techniques and device selection using the collective clinical experience of pioneering editors and contributors. Identify the advantages and disadvantages for the full range of available microsurgical and endoscopic techniques for management of cervical, thoracic, and lumbar spine pathology—minimally invasive fusion, reconstruction, decompression, and dynamic stabilization.



Adult and Pediatric Spine Trauma, An Issue of Neurosurgery Clinics of North America, E-Book

Author : Douglas L. Brockmeyer

Publisher : Elsevier Health Sciences

Page : pages

File Size : 49,54 MB

Release : 2016-11-26

Category : Medical

ISBN : 0323482848

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Book Description

This issue will focus on both adult and pediatric spine trauma. Featured articles are as follows: Pharmacologic Treatment of SCI; Classification of Adult Subaxial Cervical Trauma; Classification and Management of Pediatric Craniocervical Injuries; Classification and Management of Pediatric Subaxial Injuries; Classification of Adult Thoracolumbar Injuries; Management of Pediatric Thoracolumber Injuries; Treatment of Odontoid Fractures in the Aging Population; Treatment of Facet Fractures in the Cervical Spine; and many more!



05 - TRENDS IN LUMBAR SPINE SURGERY IN NORWAY: A 15-YEAR STUDY

Author : Tore Kristian Solberg

Publisher :

Page : pages

File Size : 12,61 MB

Release : 2017

Category :

ISBN :

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Book Description

Background and aims. There are no previous studies of spinal surgery rates in Norway. The purpose of this study was to investigate trends in lumbar spine surgery in Norway over 15 years, including length of hospital stay, and rates of complications and reoperations.Methods. Hospital patient administrative data was linked with sociodemographic data from the National Registry in Norway. Annual rates of simple (microsurgical discectomy, decompression) and complex surgical procedures (fusion, disc prosthesis) in the lumbar spine were analyzed in all patients aged u2265 18 years discharged from Norwegian public hospitals between 1999 and 2013. Results. The rate of lumbar spine surgery increased by 54%, from 78 (95%CI [75-80]) to 120 [107-113] per 100,000, from 1999 to 2013. More men had simple surgery whereas more women had complex surgery. Among elderly people over 75 years, lumbar surgery increased by a factor of 4.5 during the 15-year period. The rates of complications were low, but increased from 0.9 in 1999 to 2.3 per 1000 in 2013. Conclusions. There was an increase in spinal surgery in Norway, similar to trends in other Western world countries. The rise in lumbar surgery among elderly people represents a challenge for health services, given our ageing population.