Spine Surgery: Techniques, Complication Avoidance, and Management 2E 2004 PDF

Spine Surgery: Techniques, Complication Avoidance, and Management, 2-Volume Set, 2e  PDF Free Download

by Edward C. Benzel MD

This, the second edition, is bigger and (I think) better than the first. This preface is as appropriate for the second edition, as I feel it was for the first. Therefore, it is presented again with minimal modification.
The purpose of this book is to assist the spine surgeon with the avoidance, identification, and management of
complications. This differs little from a presentation of operative technique and medical management. There fore, this book in many respects is a techniquesbook. To achieve its purpose, an understanding of history, decision making,medical management, differential diagnosis, ethics, and even discussions of problems associated with related disorders (such as peripheral nerve injury and metabolic bone diseases) is mandatory. This process requires an understanding of the fundamental basic science components of spine surgery (e.g., anatomy, biomechanics, and physiology).
The book’s style was created by its authors, as well as their interactions with each other. In most cases, two or more senior authors were assigned to most chapters.
These senior authors were not necessarily chosen on the basis of their philosophical compatibility with their coauthor(s). In fact, coauthors with opposing viewpoints were chosen in many circumstances. Authors were also selected on the basis of experience, educational adeptness, and communication and writing skills. The greater-than-usual number of expert authors contributing to each chapter achieves continuity within the text itself that would not be possible otherwise.
Risk Taking
Surgery is a risk-taking process. The patient places himself or herself in the hands of the surgeon, and the ensuing decision-making process involves the resolution (or the attempts at such) of many technical and quality-oflife–related issues and dilemmas. A surgical procedure may be warranted if the sum of the costs (both financial and personal) and risks is less than the sum of the benefits.
This risk/benefit analysis should be of paramount concern and should be emphasized by the surgeon and realized by the patient. This book is designed to help surgeons achieve their goals, by minimizing the risk-takingcomponent of this “equation.” Opinion and Dogmatism

This book is intended to be used as a textbook, to serve as a reference, and to function as a resource for information. Much information is available in the pages that follow. Perspectives, pearls,conventional wisdom, and objective data are presented, as is opinion. Great care has been taken to identify opinion when presented, and to avoid its extreme dogmatism.
It is important to be objective, fair, and nonjudgmental when assessing complications, particularly those of others. There are clearly many ways to effectively and safely accomplish a task. Very infrequently, if ever, does a single method alwayswork. What works for one surgeon may not work for another, and vice versa.
Nomenclature
In this book, some standardization of nomenclature was thought to be important. For example, ventral(according to Dorland’s, pertaining to the belly or to any venter; denoting a position more toward the belly surface than some other object of reference) is used instead of anterior (according to Dorland’s, situated in front of or in the forward part of an organ toward the head end of the body; a term used in reference to the ventral or belly surface of the body).
Similarly, dorsalis used instead of posterior;rostralinstead of cephalad;and caudalinstead of caudad. Exceptions to this are situations in which the term designates a structure or concept that is clearly established
(e.g., anteriorlongitudinal ligament)

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