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Devastating impact of spinal osteoporotic fractures revealed on World Osteoporosis Day
October 20, 2010
A new report issued by the International Osteoporosis Foundation (IOF) for World Osteoporosis Day puts the spotlight on the severe impact of spinal fractures and calls on health professionals to recognize the signs of these fractures in their patients. "The widespread under-diagnosis and lack of treatment of spinal fractures, leaves millions of people around the world with chronic pain, deformity, disability and at high risk of future fractures," says Professor John Kanis, President of the IOF. As many as two-thirds of spinal osteoporotic fractures are not recognized by doctors. Untreated, as many as one in five women with a spinal fracture will sustain another within twelve months. 'The Breaking Spine', authored by Professor Harry K. Genant of the University of California and Dr. Mary Bouxsein of Harvard Medical School, reveals the serious impact of these fractures and calls on health professionals to take action to diagnose patients and refer them for treatment. "Doctors must look out for evidence of spinal fractures, especially in their patients over 50 - stooped back, loss of height, and sudden, severe back pain are the three tell-tale signs, says Professor Genant. "It is essential that doctors refer these patients for further testing and that radiology reports clearly identify spinal fractures as 'FRACTURED' to avoid ambiguity." Currently, only about 40% of older women with spinal fractures visible on X-ray are tested for osteoporosis. The figure is even lower in men (less than 20%). The IOF urges health professionals and the public to recognize the signs of spinal fractures. The repercussions of these common fractures can be severe, resulting in stooped back, acute and chronic back pain, loss of height, immobility, depression, increased number of bed days, reduced pulmonary function and even premature death. Globally, spinal fractures represent a huge socio-economic burden. It is estimated that one spinal fracture occurs every 22 seconds worldwide. Studies have shown that as many as 20-25% of Caucasian women and men over 50 years of age have a current spinal fracture. Costs associated with all osteoporotic fractures are predicted to rise markedly over the next few decades as the population ages. International Osteoporosis Foundation

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Spinal Cord Injury: Rehabilitation Medicine Quick Reference
by Thomas Bryce MD (Author), Ralph Buschbacher MD (Series Editor)
A spinal cord injury (SCI) profoundly changes a person s life and can affect nearly all of the body s systems. Practitioners managing persons with SCI must treat the medical complications that arise, and be equipped to help their patients return to a productive integrated life within society. Spinal Cord Injury: Rehabilitation Medicine Quick Reference provides the necessary knowledge to help facilitate this process. Addressing over one hundred varied topics related to spinal cord injury, ranging from Treatment of Vocal Fold Paralysis or Post-Traumatic Stress Disorders to Intrathecal Pump Management and Paraplegia, this text is a handy reference for the busy practitioner. Presented in a consistent two-page format for maximum clinical utility, the book is organized into three sections. The...
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Moe's Textbook of Scoliosis and Other Spinal Deformities, 3e
by John E. Lonstein MD (Author), Robert B. Winter MD (Author), David S. Bradford MD (Author), James W. Ogilvie MD (Author)
The 3rd Edition of this classic text presents the latest procedures in the diagnosis and clinical management of spinal malformation. Surgical and non-surgical techniques for treating scoliosis and other spinal deformities are discussed in detail as well as instrumentations including the Cotrel-Dubousset instrumentation and the hook and hook-screw systems.
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Spinal Trauma: Imaging, Diagnosis, and Management
by Eric D. Schwartz (Editor), Adam E. Flanders (Editor)
Written by recognized experts, this volume is a comprehensive reference on the use of advanced imaging techniques in the diagnosis and management of spinal trauma. In one cohesive source, the book brings together information on state-of-the-art clinical imaging—including multidetector CT and high-field MRI techniques—and the pathophysiology, neurologic evaluation, medical management, surgical treatment, and postoperative assessment of spine trauma and spinal cord injury. Also included are cutting-edge reviews of experimental imaging techniques and their applications and experimental therapies such as neurotransplantation. More than 700 illustrations—including 180 in full color—complement the text.
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The Textbook of Spinal Surgery (2 Volume Set)
by Keith H. Bridwell (Editor), Ronald L. DeWald (Editor)
Recognized as one of the leading references on the spine, this comprehensive two-volume text brings together experts from around the world to discuss the full scope of spinal surgery. This edition has many new contributors, including both neurosurgeons and orthopaedic surgeons, and presents a broad survey of all aspects of spinal surgery, including degenerative disorders, deformities, tumors, fractures, infections, and more.Chapters describe current surgical techniques in detail and discuss indications, preoperative and postoperative care, and possible complications. More than 3,500 illustrations complement the text, and bulleted points, tables, and algorithms are used extensively throughout.
A companion Website with the fully searchable text and procedural video is included with...
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State of the Art Reviews, May 1993: Spine, Spinal Fracture-Dislocations
by Mark Lorenz (Author)
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Spine and Spinal Cord Trauma: Evidence-Based Management
by Alexander R. Vaccaro (Author), Michael G. Fehlings (Author), Marcel F. Dvorak (Author)
Representing the collective efforts of a multinational, multidisciplinary panel of spine and spinal cord trauma masters, this beautifully illustrated evidence-based textbook does more than provide multiple treatment options -- it offers unique access to insights from recognized spine experts and a thoughtful yet practical review of the most relevant literature and clinical evidence available in the field today. Each chapter centers on pertinent questions and objective reviews of state-of-the-art procedures that guide readers from an evaluation of the evidence through practical recommendations they can easily apply to their own practices.Features:Succinct outline format -- easy to read and reference 138 detailed evidentiary tables appear throughout the text An innovative new...
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ABC of Spinal Disorders (ABC Series)
by Andrew Clarke (Editor), Alwyn Jones (Editor), Michael O'Malley (Editor), Robert McLaren (Editor)
Spinal problems are one of the most common presentations confronting general practitioners. GPs see over 5 million patients per year in relation to back pain alone. It is one of the most common causes of absence from work and has an estimated treatment cost of £12 billion.Written by a multidisciplinary team of authors, including doctors, physiotherapists, and osteopaths, the ABC of Spinal Disorders is uniquely placed to address the causes and management of the different spinal conditions presenting in general practice. Providing practical guidance and advice on diagnosis, treatment, and when to refer the patient for further help, it is ideal for general practitioners, junior doctors, Foundation doctors, and all allied health professionals.
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Pocket Atlas of Spinal MRI (Radiology Pocket Atlas Series)
by Leo F. Czervionke (Author)
Featuring 97 sharp, new images obtained with state-of-the-art scanning technology, the Second Edition of this popular pocket atlas is a quick, handy guide to interpreting magnetic resonance images of the spine. The book shows readers how to recognize normal anatomic structures on MRI scans...and how to distinguish these structures from artifacts.Each page presents a high-resolution image, with anatomic landmarks clearly labeled. Directly above the image are a key to the labels and a thumbnail illustration that orients the reader to the plane of view (sagittal, axial, or coronal). This format--sharp images, orienting thumbnails, and clear keys--enables readers to identify features with unprecedented speed and accuracy.Chapters cover the cervical spine, craniocervical junction, thoracic...
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Handbook of Spinal Cord Medicine
by David C. Burke (Author), D.Duncan Murray (Author)
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Diseases of the Spine and Spinal Cord (Contemporary Neurology)
by Thomas N. Byrne (Author), Edward C. Benzel (Author), Stephen G. Waxman (Author)
Diseases of the Spine and Spinal Cord reviews the full spectrum of disorders affecting this region including primary spinal tumors and metastases, infection, degenerative diseases, and trauma. Presenting an inter-disciplinary perspective, the book includes up-to-date information on therapy [including neurosurgical], new information on developmental disorders of the spine, and a definitive chapter on trauma, including information on biomechanics. A separate chapter on pain syndromes also is included.
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