Revision spine surgery requires a unique skill set different from performing a primary operation. Understanding when a simple revision is sufficient, when a more complex approach is needed, or when a non-surgical option should be considered is critical to good patient care and outcomes. In this first book to focus exclusively on the complex topic of revision spine surgery, world-renowned Dr. Alex Vaccaro and leading neuro and orthopaedic spine surgeons, navigate physicians through the initial evaluative process and the potential pitfalls and complications encountered in revision surgery.
Section I: General. How to dissect the plane between the scar of a laminectomy defect in the posterior cervical spine. How to dissect the plane between the scar of a laminectomy defect in the posterior thoracic and lumbar spine. How to mobilize the posterior soft tissues for an adequate wound closure in the setting of a revision cervical, thoracic or lumbar posterior spinal procedure. How to revise a spinal cord stimulator. Section II: Anterior Cervical. Revision ACDF at the same level. Revision ACDF at an Adjacent Level. Converting a Total Disc Replacement to an ACDF. Treatment of Adjacent segment disease after a TDR. Section III: Posterior Cervical. How to revise a failed occiptal cervical fusion. How to revise a failed C1- C2 fusion. Treatment of post-laminectomy kyphosis. How to revise a failed posterior cervical fusion. How to revise a laminoplasty. Revision posterior cervical foraminotomy and laminectomy. Section IV: Thoracic/Thoracoulmbar Spine. Treatment of Proximal junctional kyphosis following a thoracolumbar fusion. Treatment of a PSO non-union. Treatment of a non-union of a thoracolumbar deformity not at the site of a three-column osteotomy. How to safely remove a pedicle screw that is abutting the aorta. How to treat a failed thoracic decompression. Section V: Lumbar Spine. How to revise a non-union of an ALIF. How to revise a non-union of a lateral interbody fusion through a lateral approach. How to surgically manage a recurrent lumbar disc herniation. How to perform a revision lumbar decompression at the index level (Open). How to perform a revision lumbar decompression at the index level through an MIS approach. How to revise a TLIF non union with recurrent stenosis at the index level (Open). How to revise an MIS TLIF non union with recurrent stenosis at the index level through an MIS approach. How to revise a posterior lateral decompression and fusion at the index level. How to revise a posterior lumbar fusion that has developed adjacent level stenosis with or without instability. Treatment of iatrogenic flat back deformity. How to revise a failed high grade isthmic spondylolisthesis. Section VI: Special Cases. Treatment of a lumbar pseudomengiocele. Treatment of a cervical pseudomenigiocele. Treatment of a persistent lumbar dural tear. Treatment of a persistent cervical dural tear. Treatment of an acute postoperative wound infection. Treatment of a chronic postoperative lumbar spine infection. Treatment of a chronic postoperative posterior cervical spine infection.