38 Biomechanical Testing
10.1055/b-0035-106413 38 Biomechanical Testing Up to this point in the book, armchair biomechanics have in a sense been applied to the clinical arena—that is, physical, kinematic, and biomechanical principles have…
24 Lumbosacral–Pelvic Constructs
10.1055/b-0035-106399 24 Lumbosacral–Pelvic Constructs The region of the lumbosacral junction is exposed to significant axial, translational, and rotational loads; bending moments; and stresses. An appreciation of the sacral anatomy that…
25 Regional Nuances
10.1055/b-0035-106400 25 Regional Nuances Multiple factors affect the efficacy of a spinal implant. These include the following: (1) length of the construct; (2) spinal access for decompression, fusion, and instrumentation;…
35 Bed Rest and Traction
10.1055/b-0035-106410 35 Bed Rest and Traction Bed rest and traction are infrequently considered from a biomechanical perspective. This is indeed unfortunate. Problems including pulmonary and integument complications, as well as…
37 Exercises, Conditioning, and Other Nonoperative Strategies
10.1055/b-0035-106412 37 Exercises, Conditioning, and Other Nonoperative Strategies Pain of spinal origin is multifactorial. 1 Exercises for the management of spinal disorders are designed to diminish pain and to increase…
36 Spinal Bracing
10.1055/b-0035-106411 36 Spinal Bracing The achievement of spinal stability is optimized by (1) appropriate and not excessive decompression, (2) appropriate bone graft or spacer placement (fusion), (3) appropriately placed internal…
34 Construct Failure and Failure Prevention: The Decision Making Process
10.1055/b-0035-106409 34 Construct Failure and Failure Prevention: The Decision Making Process In this chapter, focus is placed on construct failure and failure prevention. Seven scenarios have been defined as worthy…
18 Construct Design
10.1055/b-0035-106393 18 Construct Design For the purposes of the discussion presented in this chapter, four terms require definition: (1) construct, (2) implant, (3) assembly, and (4) construct design. Construct is…
17 Quantitative Attributes of Spinal Implants
10.1055/b-0035-106392 17 Quantitative Attributes of Spinal Implants A thorough understanding of the forces applied to the spine and, in turn, resisted by spinal implants is essential. These applied forces are…
33 Minimally Invasive Spine Surgery
10.1055/b-0035-106408 33 Minimally Invasive Spine Surgery Minimally invasive spine surgery (MISS) is a relatively new and emerging segment of the spine surgery arena. MISS publications are on an exponential rise….
