Jens R. Chapman Livres

In the course of evaluating the patient with spinal disease, a myriad of measurements need to be performed before determining the diagnosis and the severity of the disease process. This text explicitly outlines the measurement of the spine from a clinical, laboratory, and radiographic approach. A detailed description of the actual technique of measurement and the clinical implication are presented with accompanying illustrations. This amalgamation of measurement tools for the spine is a beneficial reference for a wide spectrum of healthcare providers: students, nurses, residents, fellows, and established surgeons. In addition to its detailed illustrated presentation, each measurement technique has been graded for scientific and clinical utility with a score that specifically grades: Interobserver reliability Intraobserver reliability Universality Disease specificity Ease of application Simplicity Patient tolerability Expense The detail presented in this text will not only serve as a reference, but will also allow the reader to accurately reproduce measurement techniques, thus enhancing inter-physician communication, research of the spine, and improvement of patient care.

Care of spinal conditions has become increasingly complex, with numerous classification systems emerging that can be overwhelming. This unique reference text summarizes over 185 spine classification or severity measures, providing standardized artwork, ratings, and critical evaluations of their strengths and weaknesses in a concise manner. It aids in studying spinal diseases, preparing informed treatment decisions, communicating patient disease severity, evaluating treatment results, formulating research projects, and serves as a scientific reference tool. The book is structured into two major systems: Disease severity, which includes general disease severity, instability, osteoporosis, stenosis, spinal deformity, degenerative disorders, infection, tumors, heterotopic ossification, and trauma severity; and trauma severity, encompassing general trauma scores, spinal cord injury, and fracture classifications. Each identified measure is formally reviewed and presented with high-quality diagrams, detailing its content and whether it includes essential components: anatomical, biomechanical, clinical, and severity aspects. Additionally, it summarizes the validity, reliability, and predictive ability of each measure, evaluates them based on methodological rigor and clinical utility, and provides an overall score rating the instrument's strength in methodology and clinical application.