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Thorough knowledge of the lumbar plexus and its branches is crucial to achieving positive patient outcomes, especially with newer surgical approaches. Many of the nerve branches are formed within the psoas major muscle and careful dissection is necessary to free them during surgery to prevent damage. Moreover, the iliac vessels are medial to some of the larger branches of the plexus, such as the femoral and obturator nerves. In the retroperitoneal space, the kidney and ureter are nearby. In addition, due to the overlying peritoneal cavity and its contents, accessing the lumbar plexus presents considerable challenges. Surgical Anatomy of the Lumbar Plexus is the only book on the market devoted to the lumbar plexus and its branches, focusing on anatomy and clinical applications, pathology, surgery, and imaging. Internationally known authors R. Shane Tubbs, Marios Loukas, Amgad Hanna, Rod Oskouian and a cadre of esteemed specialists provide unique insights, clinical pearls, knowledge based on thousands of spine surgeries, and a well-rounded multidisciplinary perspective. Key highlights: Nine separate chapters dedicated to impacted nerves: subcostal, iliohypogastric, ilioinguinal, lateral femoral cutaneous, genitofemoral, femoral, obturator, furcal, and accessory obturator -- History and overview of dermatomal anatomy of branches derived from the lumbar plexus -- Anesthetic blockade of the femoral, lateral femoral cutaneous, iliohypogastric, ilioinguinal, and genitofemoral nerves -- Tips for preventing complications and achieving positive outcomes for lateral transpsoas approaches to the lumbar spine and other procedures -- More than 100 novel illustrations provide clarity and understanding of a complex anatomical area as it relates to surgery involving the lumbar plexus and branches. This one-of-a-kind resource provides crucial surgical and anatomical information on the lumbar plexus. It is a must-have reference for neurosurgeons, orthopaedic surgeons, and general surgeons. Reading it cover-to-cover will ultimately benefit patients undergoing lumbar spine surgery.
Lumbar vertebrae --- Lumbar spine --- Vertebrae, Lumbar --- Lumbosacral region --- Vertebrae --- Anatomy. --- Surgery. --- surgery --- Lumbosacral Plexus --- anatomy & histology. --- surgery. --- diagnostic imaging. --- anatomy & histology --- diagnostic imaging --- Lumbosacral Plexus - anatomy & histology --- Lumbosacral Plexus - surgery --- Lumbosacral Plexus - diagnostic imaging
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Nerves, Sacral --- Anatomy, Surgical and topographical. --- Lumbosacral Plexus --- Anatomy --- Anatomy.
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There is general agreement that lumbosacral nerve root compression is a prime factor in the pathogenesis of sciatica and neurogenic claudication, although humoral and vascular factors certainly play a role as well. This book focuses on imaging of the various ways in which nerve root compression can come about, and assessing which anatomic features are reliably associated with the occurrence of radicular pain, as opposed to morphologic findings which are probably coincidental. After a discussion of the nature of radicular pain and related symptoms, spinal imaging techniques and options are reviewed, with emphasis on the role of MR myelography in assessing the condition of the intradural nerve roots. A chapter on normal topographic, sectional, and functional (dynamic) radiologic anatomy is followed by a presentation on pathologic anatomy, addressing the various mechanisms of nerve root compression. In the chapter on pre- and postoperative imaging, features which may help to predict the evolution of the symptoms are discussed, with an eye to selecting candidates for surgical treatment. This is followed by a discussion of the role and limitations of imaging studies in various adverse postoperative conditions. In illustrations involving patient studies, imaging features are linked where possible to the clinical symptoms and history of the individuals involved. .
Lumbar vertebrae -- Imaging. --- Lumbar vertebrae --- Lumbosacral Plexus --- Pain --- Pathology --- Diagnosis --- Lumbar Vertebrae --- Sensation --- Neurologic Manifestations --- Analytical, Diagnostic and Therapeutic Techniques and Equipment --- Spine --- Spinal Nerves --- Medicine --- Signs and Symptoms --- Nervous System Diseases --- Bone and Bones --- Nervous System Physiological Processes --- Pathological Conditions, Signs and Symptoms --- Psychophysiology --- Health Occupations --- Peripheral Nerves --- Skeleton --- Psychological Phenomena and Processes --- Diseases --- Disciplines and Occupations --- Nervous System Physiological Phenomena --- Peripheral Nervous System --- Nervous System --- Musculoskeletal and Neural Physiological Phenomena --- Musculoskeletal System --- Psychiatry and Psychology --- Phenomena and Processes --- Anatomy --- Surgery - General and By Type --- Radiology, MRI, Ultrasonography & Medical Physics --- Surgery & Anesthesiology --- Health & Biological Sciences --- Imaging --- Vertebrae --- Imaging. --- Lumbar spine --- Vertebrae, Lumbar --- Medicine. --- Radiology. --- Neuroradiology. --- Neurology. --- Neurosurgery. --- Medicine & Public Health. --- Imaging / Radiology. --- Lumbosacral region --- Radiology, Medical. --- Clinical radiology --- Radiology, Medical --- Radiology (Medicine) --- Medical physics --- Nerves --- Neurosurgery --- Nervous system --- Neuropsychiatry --- Surgery --- Neurology . --- Neuroradiography --- Neuroradiology --- Radiological physics --- Physics --- Radiation
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