Essential Behavioral Neuroanatomy
The interpretation of the mental status examination depends on an understanding of behavioral neuroanatomy. As in the rest of neurology, the examination leads to localization, followed by a differential diagnosis…
Common Clinical Disorders Affecting Mental Status Testing
It is helpful to understand how the extended mental status evaluation is altered by the commonest mental status conditions seen in the clinical setting. These can be grouped into delirium,…
Principles of Mental Status Testing
This chapter aims to provide the foundation for mental status testing. The first step is to establish the goal or purpose for assessing cognition. This guides the decision on what…
Advances in Spinal Cord Stimulation
Introduction Chronic low back pain represents a significant burden to the United States. Approximately 37% of the general adult population suffers from low back pain with an estimated cost of…
Iatrogenic Spinal Instability: Causes, Evaluation, Treatment, and Prevention
Introduction Instability in the lumbar spine is a well-recognized entity for both degenerative and traumatic processes. Less well defined is instability following an index decompressive or fusion procedure. This complex…
Pseudarthrosis/Nonunion
Introduction Degenerative disease of the lumbar spine is a common cause of disability and pain, with lumbar spondylolisthesis affecting 11.5% of the US population and lumbar stenosis affecting more than…
Adjacent Segment Disease After Fusion
Definitions Adjacent segment disease (ASD) has been broadly and inconsistently defined in the literature. Other terms that have been used to describe ASD include junctional disease, junctional stenosis, or a…
Postoperative Considerations
Introduction Revision lumbar spine surgery comes with unique challenges and special considerations in the postoperative setting. In this chapter, we will cover some topics pertinent to postoperative care. Specifically, we…
Vertebral Column Resection
Introduction Vertebral column resection (VCR) is a challenging and lengthy procedure that is generally used as a last resort for the correction of severe rigid spinal deformities. Given VCR’s unique…
Revision Lumbar Deformity Surgery
Introduction The term “adult spinal deformity” generally refers to any major coronal, sagittal, or biplane malalignment of the spine in a patient over the age of 18. The revision rate…
