000752106 000__ 06219cam\a2200565Ii\4500 000752106 001__ 752106 000752106 005__ 20230306141356.0 000752106 006__ m\\\\\o\\d\\\\\\\\ 000752106 007__ cr\cn\nnnunnun 000752106 008__ 151013s2016\\\\gw\\\\\\ob\\\\001\0\eng\d 000752106 019__ $$a930836877$$a931592784$$a932333490 000752106 020__ $$a9783662477564$$q(electronic book) 000752106 020__ $$a3662477564$$q(electronic book) 000752106 020__ $$z9783662477557 000752106 020__ $$z3662477556 000752106 0247_ $$a10.1007/978-3-662-47756-4$$2doi 000752106 035__ $$aSP(OCoLC)ocn923807931 000752106 035__ $$aSP(OCoLC)923807931$$z(OCoLC)930836877$$z(OCoLC)931592784$$z(OCoLC)932333490 000752106 040__ $$aN$T$$beng$$erda$$epn$$cN$T$$dN$T$$dOCLCO$$dIDEBK$$dOCLCF$$dOCLCO$$dYDXCP$$dEBLCP$$dOCLCO$$dAZU$$dCOO$$dGW5XE$$dOCLCO 000752106 049__ $$aISEA 000752106 050_4 $$aRD771.I6 000752106 08204 $$a616.7/3$$223 000752106 24500 $$aAdvanced concepts in lumbar degenerative disk disease$$h[electronic resource] /$$cJoão Luiz Pinheiro-Franco, Alexander R. Vaccaro, Edward C. Benzel and H. Michael Mayer, editors. 000752106 264_1 $$aHeidelberg :$$bSpringer,$$c2016. 000752106 264_4 $$c©2016 000752106 300__ $$a1 online resource. 000752106 336__ $$atext$$btxt$$2rdacontent 000752106 337__ $$acomputer$$bc$$2rdamedia 000752106 338__ $$aonline resource$$bcr$$2rdacarrier 000752106 504__ $$aIncludes bibliographical references and index. 000752106 5050_ $$aPreface; Contents; Contributors; Part I: Essentials in Lumbar Degenerative Disk Disease; 1: We've Been Standing Up for 10 Million Years; 1.1 Introduction; 1.2 How Did We Become Upright?; 1.2.1 Vertebral Column; 1.2.2 Pelvis; 1.2.3 Lower Limbs; 1.2.4 Upper Limbs; 1.3 Final Considerations; 2: A Historical Overview of Sciatica; 2.1 Introduction; 2.2 Sciatica: Historical Overview; 2.2.1 Final Considerations; References; 3: Lumbar Intervertebral Disk Injury, Herniation and Degeneration; 3.1 Introduction; 3.1.1 Intervertebral Disks; 3.1.2 Disk Injury or Degeneration? 000752106 5058_ $$a3.1.3 Purpose and Scope of This Chapter3.2 Forces Acting on the Lumbar Spine; 3.2.1 Compression, Shear, Bending and Torsion; 3.2.2 Gravitational Loading; 3.2.3 Inertial Forces During Rapid Movements and Falls; 3.2.4 Forces Arising from Muscle Tension; 3.3 Mechanisms of Disk Injury and Prolapse; 3.3.1 Compressive Injury Causes Endplate Fracture; 3.3.2 Torsion and Bending Injuries Tear the Annulus; 3.3.3 Complex Loading Can Cause Disk Herniation; 3.3.4 Endplate Involvement in Disk Prolapse; 3.3.5 Mechanical Consequences of Disk Injury and Herniation 000752106 5058_ $$a3.4 Lumbar Disk Ageing and Degeneration3.4.1 Inevitable Age-Related Changes in Human Lumbar Disks; 3.4.2 Features of Intervertebral Disk Degeneration; 3.4.3 What Is 'Disk Degeneration'?; 3.4.4 Two Disk Degeneration 'Phenotypes'?; 3.4.5 A 'Final Common Pathway' for Disk Degeneration?; 3.4.6 Disk Degeneration, Back Pain and Sciatica; 3.5 When Do Disk Injuries Occur In Vivo?; 3.5.1 Moderate Mechanical Loading Strengthens the Spine; 3.5.2 'Injury' Occurs When Loading In Excessive; 3.5.3 Repetitive Loading and 'Fatigue Failure'; 3.5.4 Why Are Some Intervertebral Disks so Weak? 000752106 5058_ $$a3.5.5 Medicolegal Considerations3.5.5.1 Disk Degeneration vs Herniation; 3.5.5.2 Must a Disk Degenerate Before It Can Herniate?; 3.5.5.3 Mechanical 'Acceleration' of Disk Degeneration?; 3.5.5.4 Who Is Prone to Injury?; 3.5.5.5 Summary of Recent Scientific Advances; References; 4: Advances in Lumbar Degenerative Disk Disease Pathophysiology Comprehension; 4.1 Chronic Back Pain and Disk Degeneration: Physiology and Pathophysiology of the Ageing Spine; 4.2 Structure and Function of the Normal Disk; 4.3 The Morphology of the Disk During Development and Ageing 000752106 5058_ $$a4.3.1 Embryonal and Foetal Development4.3.2 The Disk of Infants and Adolescents; 4.3.3 The Disks of Young and Medium-Aged Adults; 4.3.4 The Disks of Adults of Advanced Age; 4.3.5 Particular Morphologic Changes of the End Plate; 4.4 Aetiology of Disk Degeneration and Obvious Factors Influencing Disk Degeneration; 4.4.1 Genetic Predisposition of DDD; 4.4.2 Biomechanical Load; 4.4.3 Metabolic and Nutritional Effects; 4.5 Presumed Molecular Mechanisms of Degeneration; 4.5.1 Matrix-Degrading Enzymes; 4.5.2 Pro-inflammatory Mediators; 4.5.3 Growth Factors 000752106 506__ $$aAccess limited to authorized users. 000752106 520__ $$aIn this book, leading international specialists in the field join forces to discuss topics, issues, and approaches that are of key importance in the optimal treatment of lumbar degenerative disk disease. The coverage is wide ranging, from current understanding of physiopathology and genetics and modern imaging techniques through to the diverse minimally invasive, non-fusion, and fusion surgical techniques. Detailed attention is drawn to the most important aspects to be considered when approaching the patient and making treatment decisions. The role of conservative management is appraised, and surgical techniques and their indications are carefully described. Emphasis is placed on the importance of sagittal balance for treatment success. Among the various other subjects covered are psychosocial issues, legal aspects, outcome evaluation, and the relative merits of evidence-based medicine and individual experience. In the concluding section, some of the top specialists from across the world reflect on the lessons that they have learned during lifetimes in spinal surgery. Advanced Concepts in Lumbar Degenerative Disk Disease is intended as the definitive book on this important subject. It will be an instructive and fascinating source of information for all spine surgeons and other spine care providers. 000752106 588__ $$aOnline resource; title from PDF title page (viewed October 14, 2015). 000752106 650_0 $$aIntervertebral disk$$xDiseases. 000752106 650_0 $$aIntervertebral disk$$xSurgery. 000752106 650_0 $$aLumbar vertebrae$$xDiseases. 000752106 7001_ $$aPinheiro-Franco, João Luiz,$$eeditor. 000752106 7001_ $$aVaccaro, Alexander R.,$$eeditor. 000752106 7001_ $$aBenzel, Edward C.,$$eeditor. 000752106 7001_ $$aMayer, H. Michael.,$$eeditor. 000752106 77608 $$iPrint version:$$z3662477556$$z9783662477557$$w(OCoLC)910412641 000752106 852__ $$bebk 000752106 85640 $$3SpringerLink$$uhttps://univsouthin.idm.oclc.org/login?url=http://link.springer.com/10.1007/978-3-662-47756-4$$zOnline Access$$91397441.1 000752106 909CO $$ooai:library.usi.edu:752106$$pGLOBAL_SET 000752106 980__ $$aEBOOK 000752106 980__ $$aBIB 000752106 982__ $$aEbook 000752106 983__ $$aOnline 000752106 994__ $$a92$$bISE