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Low back pain is a very common problem. Various treatments are available, but surgery has acquired increasing importance. In the United States, low back pain is now the principal reason for spinal surgery, and the number of procedures performed for this reason is similar to the number of total hip replacements. Consequently there is a need for careful evaluation of the possible surgical approaches to low back pain, with detailed appraisal of the factors leading to their success or failure. This book aims to meet such a need. It explains the scientific basis for surgery and considers the different diagnostic techniques that may be employed, thereby providing a better understanding of the surgical rationale, indications, and contraindications. The value of conservative options is also assessed to help the reader weigh the need for surgery. The various surgical modalities, including the most recent, are then fully described and evaluated with the aid of numerous illustrations. The book concludes with a chapter devoted to evidence-based analysis of the outcome of surgery in patients with low back pain. This book will be invaluable to orthopaedic and neurosurgeons, rheumatologists, neurologists, and all who are concerned with the effective treatment of this often debilitating condition.

Backache -- Surgery. --- Evidence-based medicine. --- Backache --- Evidence-based medicine --- Evidence-Based Practice --- Back Pain --- Clinical Medicine --- Evidence-Based Medicine --- Low Back Pain --- Pain --- Health Occupations --- Medicine --- Neurologic Manifestations --- Signs and Symptoms --- Disciplines and Occupations --- Nervous System Diseases --- Pathological Conditions, Signs and Symptoms --- Diseases --- Surgery & Anesthesiology --- Surgery - General and By Type --- Health & Biological Sciences --- Surgery --- Surgery. --- EBM (Medicine) --- Evidence-based healthcare --- Back pain --- Low back pain --- Lower back pain --- Lumbago --- Medicine. --- Rheumatology. --- Neurology. --- Neurosurgery. --- Orthopedics. --- Medicine & Public Health. --- Surgical Orthopedics. --- Clinical medicine --- Systematic reviews (Medical research) --- Back --- Decision making --- Orthopedic surgery. --- Nervous system --- Neuropsychiatry --- Internal medicine --- Connective tissues --- Joints --- Operative orthopedics --- Orthopedics --- Surgery, Operative --- Nerves --- Neurosurgery --- Neurology . --- Orthopaedics --- Orthopedia

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Draws our attention with intensity to the problem of the changes related to aging of our musculoskeletal system and the associated socioeconomic implications. This book covers most of the important problems, which are included in the specter of aging spine: osteoporosis, spinal stenosis, and tumors of the spine.

Spine --- Geriatric orthopedics. --- Diseases --- Age factors. --- Aging. --- Backbone --- Columna vertebralis --- Spinal column --- Vertebral column --- Back --- Bones --- Skeleton --- Older people --- Orthopedics --- Musculoskeletal diseases in old age --- Surgery --- Geriatric orthopedics --- 612.6 --- 612.76 --- 615.8 --- 617 --- Aging --- Diseases&delete& --- Age factors --- Voortplanting. Groei. Ontwikkeling --- Locomotie. Beweging. Lichaamsmechanica. Biomedische ingenieurstechnieken --- Fysiotherapie. Fysische therapie. Radiotherapie. Andere niet-medicinale therapeutische behandelingen --- Surgery. Orthopaedics. Ophthalmology --- Orthopedic surgery. --- Orthopedics. --- Neurology. --- Surgical Orthopedics. --- Medicine --- Nervous system --- Neuropsychiatry --- Orthopaedics --- Orthopedia --- Operative orthopedics --- Surgery, Operative --- Neurology .

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Spine --- Spine --- Colonne vertébrale --- abnormalities. --- Abnormalities --- Malformations

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Dieter Grob It is the merit of the Bone and Joint in view of the generally reduced Decade  to draw our attention with health situation of the involved - increased intensity to the problem of tients. The important role of the the changes related to aging of our biphosphonates in the treatment, and musculoskeletal system and the asso- perhaps even more so in the prev- ciated socioeconomic implications. tion, of osteoporosis is emphasized In view of the increasing age of the by Fleisch. worldwide population the impact Any successful surgical treatment seems to be tremendous. I congratu- starts with accurate diagnostic pro- late the editors of the present supple- dures. The profound knowledge and ment of the European Spine Journal sophisticated diagnostic techniques in picking up this interesting topic of the complex pathoanatomical and engaging opinion leaders to con- changes in the spine including the tribute their knowledge in this sup- involvement of the neural structures plement. The various contributions (contribution by Dvorak) often go cover some of the important prob- beyond the capacity of a spine s- lems, which are included in the vast geon. Teamwork and adequate c- specter of aging spine: osteoporosis, munication is mandatory.