The Hip - book

Section 10, Chapter 8: What Psychological Interventions Are Available for People with Spinal Pain, and What Is the Current Evidence on Them?

Tamar Pincus and Chris Main WHY ARE PSYCHOLOGICAL INTERVENTIONS RELEVANT TO PEOPLE WITH SPINAL PAIN? As technology and communication of scientific findings improve, so grows the consensus that the experience of pain needs to be understood and treated within the conceptual framework of the biopsychosocial model. This approach is supported by a plethora of studies … Read more

Section 11, Chapter 5: Lateral Approaches to the Lumbar Spine

Nicolas Plais, MD and Federico P. Girardi, MD INTRODUCTION/CONCEPTS In 2003,1 Bertagnoli et al. described the transpsoas approach to access the retroperitoneal lumbar spine. In 2006,2 Ozgur et al. described a minimally invasive technique for anterior lumbar interbody fusion with less morbidity than the classic retroperitoneal approach. Today, lateral lumbar interbody fusion (LLIF) is a … Read more

Section 11, Chapter 9: Pedicle Screw Fixation and Design

Helton Defino, Fabio Galbusera, Hans-Joachim Wilke HISTORICAL DEVELOPMENT Pedicle screw fixation represents a landmark in the field of spinal surgery. In view of the biomechanical advantages of pedicular fixation systems, which provide more tridimensional stability to the vertebral segment with a small area of instrumentation, even in the absence of posterior vertebral elements, and improves … Read more

Section 11, Chapter 14: Navigation in Spine Surgery

Rajasekaran, S. Dilip Chand Raja, and Ajoy Prasad Shetty INTRODUCTION Pedicle screws with its capability to achieve three-column fixations and higher fusion rates have revolutionized the use of instrumentation in spine surgery. They provide good biomechanical anchorage by achieving three-column fixations and, therefore,permits the surgeon to avoid long segment fixations.Theyare now used in a wide … Read more

Section 12, Chapter 2: Psychosocial Factors and Effects on Low Back Management

Xavier F. Jimenez and Sara Davin INTRODUCTION Pain is an experience that is perceived by the brain and is indisputably modifiable by psychological components, including but not limited to emotions and beliefs. Actual physical tissue or nerve damage is neither necessary nor sufficient for the perception of pain. Anger, depression, anxiety, fear and other psychological … Read more

Section 12, Chapter 3: Pain Management Procedures

Naresh Kumar, Shashidhar B. Kantharajanna, and Hee-Kit Wong FACET JOINT DENERVATION The facet joints, also known as apophyseal or zygapophyseal joints, are formed by the superior and inferior articular processes of two contiguous vertebrae. The nerves that innervate these joints can get inflamed or impinged leading to pain from the facet joints. Facet joint denervation … Read more

Section 12, Chapter 5: Motion Preservation for Lumbar Disc Degeneration

Prasanna K. Venkatesh, Catherine Moran, and Ciaran Bolger INTRODUCTION Low back pain is one of the most prevalent problems in industrialized countries, affecting nearly 80% of adults at some time in their lives.1 A variety of pathologies cause low back pain, most common among them degenerative disc disease. It has been postulated that annular tears, … Read more