Complex Spine Surgery



Recent developments in surgical technique and technology have advanced the capabilities for surgical treatment of complex spinal pathology. Various surgical approaches allow for anterior, lateral, posterior, and circumferential exposure of the vertebral column, spinal cord, and nerves from the skull base to the pelvis. Contemporary spinal instrumentation provides optimal three-dimensional spinal fixation with improved biomechanical advantage for correction of spinal malalignment and long-term stabilization. The combination of these advances has resulted in broadened capabilities for treating traumatic, infectious, oncologic, and spinal deformity conditions in patients with complicated underlying primary disease as well as comorbidities. Optimal care includes a collaborative multidisciplinary effort including spine surgeons, neuro-anesthesiologists, and advanced neuro-critical care physicians. In this chapter, surgical approaches, techniques, and instrumentation are outlined with focus on specific anatomic and clinical considerations as well as potential complications.


Spine surgery Spinal instrumentation Spinal deformity Scoliosis Spine tumor Spine trauma 


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Copyright information

© Springer-Verlag London 2013

Authors and Affiliations

  1. 1.Department of Neurological SurgeryUniversity of Florida College of MedicineGainesvilleUSA

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