Verfügbarkeit: Spinal deformities

Spinal deformities: the essentials

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Format:	Buch
Sprache:	English
Veröffentlicht:	New York, NY [u.a.] Thieme 2014
Ausgabe:	2. ed.
Schlagworte:	Spinal Curvatures Spinal Injuries Spine Chirurgie Skoliose Wirbelsäulendeformität
Online-Zugang:	Inhaltsverzeichnis
Beschreibung:	Includes bibliographical references
Beschreibung:	XX, 241 S. zahlr. Ill., graph. Darst.
ISBN:	1604064110 9781604064117

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245	1	0	\|a Spinal deformities \|b the essentials \|c Robert F. Heary ; Todd J. Albert
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Datensatz im Suchindex

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adam_text	Contents Acknowledgments Foreword ......... Preface ............................................... Contributors ......................................... Principles of Spinal Deformities ......................... 1 The History and Overview of Spinal Deformity Robert F. Heary ond Remon S. Bebawee 1.1 1.2 1.3 1.4 1.5 1.6 2 2.1 2.2 2.3 3.1 3.2 The History of Spinal Deformity ........... Overview of Spinal Deformity ............. Spinal Deformity Terms and Principles .... Evaluation of the Patient with a Spinal Deformity ........................... 2 1.7 Postoperative Considerations .......... 3 1.8 Results and Complications ............. 5 1.9 Future Developments .................. 1.10 Conclusion ............................ References .............................. 8 Indications for Adult Spinal Deformity Surgery ............................. Operative Treatments Measuring Value in Spinal Deformity Care . Paul C. Celestre, Leab Y. Correon, and Steven D. Glassmon The Importance of Health Care Economics .................... 14 Outcome Measures in Spinal Deformity Surgery .................................. 14 2.4 2.5 2.6 QALYs, ICER, and Value in Health Care Decision Making ..................... Minimum Clinically Important Difference and Substantial Clinical Benefit .......... 15 Value in Spinal Deformity Care Conclusion ................... References ..................... Intraoperative Neuromonitoring in Spinal Deformity Surgery Daniel M. Schwartz, Vidya M. Bhalodia, and Anthony K. Sestokas Introduction . 18 3.3 Neurophysiological Monitoring Techniques ............................... 18 3.4 vi XV xvi XVII ...1 2 10 10 11 12 12 14 15 16 17 17 18 22 The Role of I0NM in Monitoring Patient Positioning .............................. Pathophysiology of Evoked Potential and Electromyography Changes ............... 22 3.2.1 Somatosensory Evoked Potentials . 3.2.2 Transcranial Electric Motor Evoked Potentials ...................... 3.2.3 TherbReflex ................... 3.2.4 Electromyography ............... 3.2.5 Stimulated Electromyography ..... 3.2.6 The Transpsoas Approach ........ 18 3.5 19 19 20 3.6 21 21 Effects of Anesthetics on Neurophysiological Signals Conclusion ....... References ......... 24 27 27 vii Contents Anatomy and Evaluation of Spinal Alignment Chorieš Kuníz IV 4.1 4.2 4.2.1 Introduction ........ Clinical and Radiographic Evaluation of Deformity ............................ 29 29 Sagittal Alignment Angles and Displacements . . Regional Spinal Alignment ................. Pelvic Alignment ........................ Global Spinal Alignment .................. Coronal Alignment Angles and Displacements Regional Spinal Alignment .................... Pelvic Alignment ............................ Global Spinal Alignment ...................... 31 4.3 32 32 32 Conclusion. References. . . Anatomical Variants with Spinal Deformity. Christopher M. Bono and Andrew J. Schoenfeld 5.1 5.2 5.2.1 5.2.2 5.2.3 5.3 5.4 6 6.1 6.2 6.3 6.4 7 7.1 7.2 7.3 7.4 7.5 Introduction ......... Vertebral Body ...... Idiopathic Scoliosis ......................... Congenital/Dysplastic and Isthmic Spondylolysis and Spondylolisthesis ...................... Scheuermann Kyphosis..................... Ribs ...................................... Pedicles .................................. 36 5.5 Spinous Processes .................. 36 5.6 Facet Joints and Pars Interarticularis . 36 5.7 Spinal Cord ........................ Vascular Structures ................. 37 5.8 37 5.8.1 Aorta .............. 38 5.8.2 Segmental Vessels ... 38 References. The Importance of the Sacrum and Pelvis in Deformity Evaluation and Treatment ........................................................... Frank]. Schwab, Jeffrey H. Weinrëb, and Virginie Lafage Introduction ....................... Pelvic Radiographic Parameters and Compensation ..................... Evaluation ......................... Classification ...................... 43 6.5 6.6 43 44 45 Treatment ..................... Conclusion .................... Refeiences ...................... The Lenke Classification System for Adolescent Idiopathic Scoliosis .......................................................... Jeffrey Ĺ Cum, Lawrence C. Lenke, ond Shoy Bess Introduction .............................. 49 Radiographic Measurements .............. 49 Classification Schemes for Adolescent Idiopathic Scoliosis ....................... 49 Lenke AIS Classification System ............ 50 Operative Treatment of AIS According to Curve Types .............................. 54 7.5.1 Type 1 : Main Thoracic Curves ......... 7.5.2 Type 2: Double Thoracic Curves ........ 7.5.3 Type 3: Double Major Curves .......... 7.5.4 Type 4: Triple Major Curves ........... 7.5.5 Type 5: Thoracolumbar/Lumbar Curves . 7.5.6 Type 6: Thoracolumbar/Lumbar-Main Thoracic Curves ..................... 7.6 Conclusion. 29 32 34 34 34 ¡4 34 36 39 39 40 41 41 41 42 43 47 47 47 References. 49 54 55 56 56 56 56 56 58 VIII 8.1 8,1.1 8.2 9.1 9.2 9.3 9.4 9.5 9.5.1 9.5.2 9.5.3 10 10.2 10.3 10.4 11 11.1 11.2 11.3 11.4 Principles of Sagittal Plane Deformity ... Manish K. Singh, David M. Ibrahimi, Christopher Ames, Christopher t. Shaffrey, and Justin S. Smith Introduction .............................. 5 Assessment of Sagittal and Spinopelvic: Alignment ................................ 8.3 Sagittal Spinopelvic Alignment: Surgical Planning and Treatment ................ Clinical Correlations of Sagittal Spinopelvic Alignment ................................ 63 Principles of Coronal Plane Deformity ..... Conor Regan, Moe Ü. Lim, joon Y. Lee, and lodd¡. Alberi 60 8.4 Conclusion . References . . . Introduction .............................. Clinical Evaluation of Coronal Balance ...... Radiographie Evaluation of Coronal Balance Coronal Balance in Adolescent Idiopathic Scoliosis .................................. Coronal Balance in Adult Idiopathic Scoliosis .................................. Thoracic Major Curves ..................... Thoracolurnbar and Lumbar Major Curves I.umbosacral Fractional Curves .............. 67 67 67 68 70 70 70 70 Flexible versus Fixed Spinal Deformity ..... David M. Ibrahimi, Manish K. Singh, Justin 5. Smith, and Christopher t. Shaffrey Introduction .............................. 75 Structural Characteristics of Pediatrie and Adult Deformities ......................... 75 Radiographic Evaluation of the Deformity: Is It Fixed or Flexible? Spinopelvic Parameters 76 79 9.6 Coronal Balance in de Novo Degenerative Scoliosis ............................... 9.7 Coronal Balance in Congenital Scoliosis ............................... 9.8 Coronal Balance in Complex Severe Multiplanar Deformities ................. 9.8.1 Posterior Vertebral Osteotomies ............. 9.8.2 Anterior-Posterior Vertebral Osteotomies 9.8.3 Vertebral Column Resection ................ 9.9 Conclusion ....... References ......... 10.5 Smith-Petersen and Pedicle Subtraction Osteotomies and Vertebral Column Resection in the Treatment of Fixed Spinal Deformities ....................... 10.6 Alignment and Flexibility Issues Impacting Surgical Management of Pediatrie and Adult Spinal Deformity ................... 10.7 Conclusion . References 63 65 b 5 67 71 72 72 72 72 72 73 73 75 The Natural History of Spinal Deformity John E. Lonstein and Amir Mehbod Introduction ................... Juvenile Idiopathic Scoliosis The Natural History ........... Adolescent Idiopathic Scoliosis. 87 87 87 87 11.4.1 Prevalence ..................... 11.4.2 The Natural History ............. 11.4.3 The Natural History of Preskeletal Maturity ....................... 11.4.4 The Natural History of Postskeletal Maturity Scholiosis .............. References ...................... 80 82 85 85 87 87 87 89 9! ix I Treatment of Spinal Deformities 12 Congenital Scoliosis Robert B. Winter 12.1 Classification and Terminology 12.2 Genetics ..................... 12.3 Patient Evaluation ............ 12.4 The Natural History ........... 12.5 Nonoperative Treatment ...... 12.5.1 Periodic Observation 12.5.2 Orthoses ........... 12.6 Surgical Treatment 94 94 94 95 96 96 97 97 12.6.1 Posterior Spinal Arthrodesjs ................. 12.6.2 Combined Anterior and Posterior Arthrodesis . 12.6.3 Combined Anterior and Posterior Hemiepiphy- seodesis and Hemiarthrodesis ............... 12.6.4 Hemivertebra Excision and Fusion ........... 12.6.5 Thoracic Expansion Surgery ................. 12.6.6 Vertebral Column Resection ................. 12.7 Conclusion ............................... References. . .93 94 97 98 98 98 100 101 101 101 13 Early-Onset Scoliosis ......................... Nima Kabirian and Behrooz A. Akbarnio 13.1 Introduction .............................. 103 13.2 Classification of Early-Onset Scoliosis ...... 103 13.3 The Natural History ....................... 103 13.4 Growth of the Lungs and Spine ............ 104 13.5 Clinical Evaluation ........................ 105 13.6 Radiographic Evaluation .................. 105 13.7 Nonoperative Treatment .................. 106 13.8 Surgical Treatment ....................... 106 13.9 Vertical Expandable Prosthetic Titanium Rib 108 103 13.10 Guided-Growth Techniques ................ 108 13.11 Outcome Measures in Early-Onset Scoliosis . 108 13.12 Complications ............................. 109 13.12.1 How to Minimize Complications in Crowing Rod Surgery ................................... 109 13.13 Magnetically Controlled Growing Rods ..... 110 13.14 Conclusion ................................ 110 References .................................. 110 14.4.1 Duchenne Muscular Dystrophy . 14.4.2 Spinal Cord Injury ............ 14.4.3 Myelomeningocele ............ 14 Neuromuscular Scoliosis .................... John P. Lubicky 14.1 Introduction .............................. 112 14.2 Classification ............................. 114 14.3 Nonoperative Treatment .................. 116 14.4 Surgical Treatment ....................... 116 15 Anterior Surgery for Thoracic Scoliosis ........................................... Randal R. Setz, AmerF. Samdani, Joshua M. Pahys, Glenn J. Pelletier, Harsh Grewal, and Patrick]. Cahlil References. . . 15.1 Introduction. . 126 15.2 Anterior Fusion with or without Instrumentation .......................... 126 15.2.1 Classification of Thoracic Scoliosis .............................. 15.2.2 Indications for Anterior Surgical Approach for Thoracic Scoliosis ................... 112 121 121 121 124 126 126 126 Contents 15.2.3 Contraindications for Anterior Instrumentation 15.4.2 Pulmonary Function ........................ 129 and Fusion Approach for Thoracic Scoliosis .... 127 15.4.3 Progressive Sagittal Kyphosis ................ 129 15.3 Surgical Treatment ........................ 127 15.5 Fusionless Anterior Surgery for Spinal Deformity ................................ 129 15.3.1 Open Technique ............................ 127 Indications for the Open Techrvque ............... 127 15.5.1 The Natural History ........................ 129 Technique .................................. 127 15.5.2 Vertebral Body Stapling ..................... 129 Results of the Open Technique .................. 127 Indications for Vertebral Body Stapling ............ 130 15.3.2 Thoracoscopic Technique .................... 127 Surgical Technique for Vertebral Body Stapling ..... 130 Fusion Levels ................................ 127 Results of Vertebral Body Stapling .............. 130 Technique .................................. 127 15.5.3 Vertebra! Body Tethering .................... 131 Results of the Thoracoscopic Technique of Antenor Indications ................................. 131 Instrumentation and Fusion .................... 128 Surgical Technique ........................... 131 Preliminary Results of Vertebral Body Tethering ..... 132 15.4 Other Issues Associated with Anterior Spinal Fusion .................................... 128 15.6 Conclusion ............................... 133 15.4.1 Spontaneous Correction of the Lumbar Curve References ................................. 133 and Proximal Thoracic Curve ................. 128 16 Posterior Approach in Thoracic Deformity .................................................... Ш Robert W. Traccy, John P. Cody, Ronald Л. Lehman ¡г., and tawrence G, Lenke 16.1 Introduction .............................. 135 16.4.1 Results ................................... 141 16.4.2 Complications ............................. 141 16.2 Surgical Anatomy ......................... 136 16.5 Conclusion ............................... 141 16.3 Selection of Posterior versus Anterior Spinal Fusion ............................. 136 References ................................ 141 16.4 Surgical Technique ........................ 137 17 Lateral Interbody Fusion Approaches in Spinal Deformity ................................... 143 Joseph K. ! ее and Frank M. Phillips 17.1 Introduction .............................. 143 17.6 Lateral Approach: Surgical Technique and Outcomes ................................ 147 17.2 Patient Evaluation ......................... 143 17.7 Complications ............................ 148 17.3 Radiographic Assessment ................. 144 References ................................. 149 17.4 Indication ................................ 145 17.5 Treatment Options ............... і 45 18 Anterior-Posterior Surgery for Spinal Deformity ............................................. I5i Venu M. Nemam and Bemard A, Raw/ins 18.1 Introduction .............................. 151 18.5 Treatment Options ........................ 153 18.2 Patient Evaluation ......................... 151 18.5.1 Staging ................................... 153 Surgical Techniques .......................... 1 53 18.3 Radiographic Assessment ................. 151 Postoperative Care .......................... 155 18.4 Indications ............................... 151 18.6 Complications ............................ 155 18.7 Conclusion ............................... 155 18.4.1 Pediatrie Deformity ......................... ] 52 18.4.2 Adult Deformity ............................ ] 52 References ................................. 155 XI 19 19.1 19.2 19.3 19.3.1 20 20.1 20.2 20.2.1 20.3 20.3.1 20.3.2 20.3.3 21 Minimally Invasive Surgery for Adult Spinal Deformities Michael У. Wang Introduction. Lateral Interbody Fusion with Percutaneous Screw Fixation ............................ 157 19.4 Mini-Open Pedicle Subtraction Osteotomy . 19.4.1 Surgical Technique. . 158 19.4.2 Future Directions.... Multilevel MIS Transforaminal Lumbar Inter- body Fusion .............................. 159 19.5 Conflict of Interest Statement ..... References ........................ Surgical Technique ........... Scheuermann Kyphosis Suken A. Shah ond Ытап Shafo Introduction ......................... Normal Sagittal Alignment ............ Anatomy .............................. 159 Pathomechanics of Kyphotic Spinal Deformities ...................... 163 20.3.4 Radiographic. Findings ..................... 20.3.5 Differential Diagnosis ...................... 163 20.4 Nonoperative Treatment ................. 163 20.5 Operative Treatment .................... Scheuermann Kyphosis................... Etiology and Pathogenesis ................. Clinical and Radiographic Findings and the Natural History .......................... 164 20.6 Conclusion 165 References . . 166 157 161 161 162 162 162 163 167 167 168 168 172 173 166 Technological Advances in Spinal Deformity Surgery. Kyle Fox, Мох С. Lee, and Domel H. Кіт 175 21.1 Introduction 175 21.4 Robotics for Spine Surgery ................ 182 21.2 Surgical Techniques ....................... 175 21.4.1 Robotic Spine Surgery ...................... . 182 CyberKnife ................................. . 183 21.2.1 Minimally Invasive Surgery .................. 175 21.4.2 Surgical-Assist Devices ................... 183 Thoracoscopic Approach for Deformity Correction. . . 175 AESOP .................................... . 183 Percutaneous Screws ......................... 178 21.4.3 Teleoperators ............................. . 183 Derotation: Minimally Invasive Surgery or Open ..... 179 The Da Vinci System ......................... . 183 Uniplanar versus Fixed versus Polyaxial Screws ...... 179 21.4.4 Application of Robotics to Endoscopie Spine Cobalt Chromium ............................ 179 Surgery .................................. . 184 21.2.2 Conclusion ................................ 179 21.5 Future Direction 184 21.3 Computer Assistance and Image Guidance . 179 References ................................ . 185 21.3.1 21.3.2 22 22.1 22.2 22.3 Fluoroscopy-Based Image-Guided Surgery ..... 180 Computed Tomography-Based Image-Guided Surgery ................................... 181 Surgery for Adult Spinal Deformity Homid Hossanzadeh and Kholed M. Kebaish Introduction ........................ Incidence and Function .............. Patient Evaluation ................. 186 22.3.1 History .................... 22.3.2 Physical Examination ....... 186 22.3.3 Radiographic Assessment. ... 22.3.4 Diskography and Facet Blocks 187 22.3.5 Cosmesis .................. 186 187 187 188 189 189 XII Contents 22.4 Treatment and Indications . 22.4J 22.4.2 Nonsurgical Treatment .......... Surgical Treatment ............. I he Asymptomatic Adult .......... [he Symptomatic Adult .......... Neural Decompression ........... Fusion Levels ................... Fusions to the Sacrum ............. Revision Surgery ................ 189 Minimally Invasive Surgery ......... 22.4.3 Intraoperative Management ..... 189 22.4.4 Postoperative Care ............. 189 189 22.5 Complications ................ 189 191 22.6 Conclusion ................... 191 ¡gì References ..................... 192 23 23.1 23.2 Osteotomies and Vertebral Column Resections for Complex Spinal Deformities. £/(05 C. Papadopoulos and Oheneba Boocbie-Adjei Introduction Preoperative Planning and Patient Evaluation ....................... 195 23.4.1 Surgical Techniques ............ Multiple Osteotomies of the Spine . . . Vertebral Column Resection ........ 195 Posterior Vertebral Column Resection 23.3 Sagittal Malalignment ..................... 196 23.5 General Considerations ....... 23.3.1 23.3.2 23.3.3 23.4 24 24.1 24.2 24.3 24.4 24.5 24.5.1 24.5.2 25 25.1 25.2 25.3 25.4 25.5 Etiology of Sagittal Malalignment ...... Indications ......................... Surgical Techniques ................. Smith-Petersen Osteotomy .............. f-ggshell Osteotomy and Pedicle Subtraction Osteotomy .......................... Coronal and Multiplanar Imbalance 196 23.6 Potential Complications of Osteotomies 196 197 23.7 Reported Outcomes ................... 197 198 199 References ...... Adult Spinal Deformity Revision Surgery Brion j. Neuman and Keith H. Bridwell Introduction ...................... Patient Evaluation ................. Radiographie Assessment ......... Indications ....................... Treatment Options ................ Perioperative Management........... Surgical Managament............... Infection ........................... 205 205 205 206 206 206 206 206 Pseudarthrosis ....................... Implant Failure or Pullout (Especially at L5 or the Sacrum) ......................... Sagittal Imbalance .................... Coronal Imbalance .................... Combined Imbalance .................. Distal Adjacent Segment Disease ......... Proximal Adjacent Segment Disease ....... 24.6 Complications . References ...... 192 192 192 19.3 193 193 195 199 199 199 200 201 202 202 203 Surgical Treatment of Spondylolisthesis .... Joseph K. lee, Christopher DeWald, and Ronald L. DeWald Introduction ............... Classification .............. Progression ................ Patient Evaluation .......... Radiographic Assessment 213 25.6 Indications for Surgery ................... 213 25.7 Treatment Options ....................... 214 25.7.1 Pars Repair ............................... 25.7.2 Spinal Fusion: Low -Grade Lytic and Degenera- 214 tive Spondylolisthesis ..................... 25.7.3 Minimally Invasive Techniques for Low-Grade 214 Spondylolisthesis ......................... 205 207 207 207 209 209 210 210 211 211 213 215 215 216 217 218 XIII 25.7.4 25.8 26 26.1 26.2 26.3 26.4 26.5 26.6 26.6.1 26.6.2 Spinal Fusion: High-Grade Spondylolisthesis ........ Complications .......... 25.9 218 220 Conclusion. .. References ..... Prevention and Treatment of Posttraumatic Deformity of the Thoracolumbar Spine Alexander Richter, David Α. Essig, Jeff Silber, and Alexander R. Vaccaro Introduction ................ Epidemiology ............. Anatomy and Biomechanics Clinical Presentation ........ Radiographic Evaluation ___ Classification ............... 26.7.1 Instability ........... 26.7.2 I seudarthrosis ....... 26.7.3 Hardware Failure ..... 26.7.4 Charcot Spine ........ 26.8 Surgical Treatment 26.7 27 27.1 27.2 27.3 27.4 27.4.1 27.4.2 27.4.3 27.4.4 27.5 27.5.1 Deformity in the Sagittal Plane ....... Kyphotic: Deformity .................. Lordotic Deformity ................... Deformity in the Coronal Plane ...... Scoliotic Deformity ................... Translational Deformity ............... Combined Deformity ................. Causes of Posttraumatic Deformity 222 222 222 223 26.8.1 Kyphotic Deformity .......... 223 26.8.2 Scoliotic Deformity .......... 26.8.3 Lordotic Deformity ........... 26.8.4 Translational Deformity ...... 26.8.5 Outcomes ................. 223 26.8.6 Complications ............... 223 224 26.9 224 224 224 224 224 223 Conclusion. References. . . Bracing and Nonoperative Treatment of Spinal Deformity Christopher M. Bono and Andrew j. Schoenfeld Introduction .............................. 230 Patient Evaluation ........................ 230 Radiographic Assessment ................. 231 Indications for Nonoperative Management . 231 Adolescent Idiopathic Scoliosis ............... 231 Scheuermann Kyphosis..................... 231 Isthmic Spondylolysis and Spondylolisthesis ... 231 Neuromuscular Scoliosis .................... 231 Treatment Options and Published Outcomes 231 Treatment Options . Charleston Brace . . . Providence Brace . . Index .......... 231 232 232 Wilmington Brace ...................... Milwaukee Brace ........................ Boston Brace .......................... Suspension Irunk Othosis ................ Jewett Hyperextension Brace ............... DuPont Kyphosis Brace ................... Antilordotic Lumbosacral Brace ............ 27.5.2 Outcomes ............................ Adolescent Idiopathic Scoliosis ............ Scheuermann Kyphosis .................. Isthmic Spondylolysis and Spondylolisthesis. . . Neuromuscuiar Scoliosis ................. 27.6 Complications. References ....... 220 220 222 224 225 225 225 225 22 j 227 227 227 227 228 228 22S 230 232 232 232 233 233 233 233 233 233 234 234 235 235 235 237 XIV
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id	DE-604.BV041992850
illustrated	Illustrated
indexdate	2024-07-10T01:10:05Z
institution	BVB
isbn	1604064110 9781604064117
language	English
lccn	014002450
oai_aleph_id	oai:aleph.bib-bvb.de:BVB01-027435049
oclc_num	891059317
open_access_boolean
owner	DE-355 DE-BY-UBR
owner_facet	DE-355 DE-BY-UBR
physical	XX, 241 S. zahlr. Ill., graph. Darst.
publishDate	2014
publishDateSearch	2014
publishDateSort	2014
publisher	Thieme
record_format	marc
spelling	Spinal deformities the essentials Robert F. Heary ; Todd J. Albert 2. ed. New York, NY [u.a.] Thieme 2014 XX, 241 S. zahlr. Ill., graph. Darst. txt rdacontent n rdamedia nc rdacarrier Includes bibliographical references Spinal Curvatures Spinal Injuries Spine Chirurgie (DE-588)4009987-8 gnd rswk-swf Skoliose (DE-588)4055267-6 gnd rswk-swf Wirbelsäulendeformität (DE-588)4193783-1 gnd rswk-swf Wirbelsäulendeformität (DE-588)4193783-1 s Chirurgie (DE-588)4009987-8 s DE-604 Skoliose (DE-588)4055267-6 s Heary, Robert F. Sonstige (DE-588)132685361 oth Albert, Todd J. 1961- Sonstige (DE-588)129647462 oth Erscheint auch als Online-Ausgabe 978-1-60406-412-4 Digitalisierung UB Regensburg - ADAM Catalogue Enrichment application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=027435049&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis
spellingShingle	Spinal deformities the essentials Spinal Curvatures Spinal Injuries Spine Chirurgie (DE-588)4009987-8 gnd Skoliose (DE-588)4055267-6 gnd Wirbelsäulendeformität (DE-588)4193783-1 gnd
subject_GND	(DE-588)4009987-8 (DE-588)4055267-6 (DE-588)4193783-1
title	Spinal deformities the essentials
title_auth	Spinal deformities the essentials
title_exact_search	Spinal deformities the essentials
title_full	Spinal deformities the essentials Robert F. Heary ; Todd J. Albert
title_fullStr	Spinal deformities the essentials Robert F. Heary ; Todd J. Albert
title_full_unstemmed	Spinal deformities the essentials Robert F. Heary ; Todd J. Albert
title_short	Spinal deformities
title_sort	spinal deformities the essentials
title_sub	the essentials
topic	Spinal Curvatures Spinal Injuries Spine Chirurgie (DE-588)4009987-8 gnd Skoliose (DE-588)4055267-6 gnd Wirbelsäulendeformität (DE-588)4193783-1 gnd
topic_facet	Spinal Curvatures Spinal Injuries Spine Chirurgie Skoliose Wirbelsäulendeformität
url	http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=027435049&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA
work_keys_str_mv	AT hearyrobertf spinaldeformitiestheessentials AT alberttoddj spinaldeformitiestheessentials

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