The AIIMS Neurosurgery Casebook: Degenerative Diseases of Cervical Spine, Second Edition is an essential resource for medical professionals, students, and anyone interested in the complexities of the degenerative cervical spine. Whether you are a seasoned practitioner or new to the field, this book will equip you with the knowledge and tools necessary to navigate the challenges posed by these diseases.
• A collection of real-life cases and complications faced by surgeons working at AIIMS, New Delhi.
• Each chapter presents a carefully selected case that illustrates key aspects from initial presentation to diagnosis and management.
• Learn how to effectively assess symptoms and utilize diagnostic tools through detailed case evaluations.
• Alternative treatment options with their pros and cons are also discussed.
• Each treatment modality is evaluated for effectiveness, complications, and recovery outcomes, providing a balanced view for clinical decision-making.
Sachin Anil Borkar, MCh, DNB, FACS, is working as a Professor of Neurosurgery at the All India Institute of Medical Sciences and its associated Jai Prakash Narayan Apex Trauma Center in New Delhi, India. He has done advanced training in complex and minimally invasive spine surgery in USA and UK. He has several publications and awards to his credit. He is a trained AO Spine faculty and currently serving in the AO Spine Asia Pacific Indian Subcontinent Council as Education Officer. He has a vast experience in managing various spinal pathologies including degenerative
cervical spine.
Kanwaljeet Garg, MCh, DNB, FACS, is serving as an Additional Professor in the Department of Neurosurgery at the All India Institute of Medical Sciences, New Delhi, India. He completed a 1-year clinical fellowship in Complex Spine Surgery at the University of Calgary, Canada, following his MBBS and MCh degrees from the esteemed All India Institute of Medical Sciences, New Delhi. Dr. Garg has authored numerous publications in spine surgery and is actively engaged in various research projects related to this specialty. He has a special interest in managing patients with cervical degenerative pathologies.
Shashank Sharad Kale, MCh, is a respected senior spine surgeon who is a Professor and Head of the Department of Neurosurgery at the All India Institute of Medical Sciences and its associated Jai
Prakash Narayan Apex Trauma Center in New Delhi, India. He completed his spine fellowship in Tampa, USA. He is a trained AO Spine faculty and has a rich experience managing degenerative cervical spine cases.
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Section 1: Management of Cervical Spondylotic Myelopathy/Radiculopathy
1. Conservative Management in a Patient with Neck Pain and C6 Radiculopathy
2. Approach to a Patient Presenting with Neck Pain and Paresthesia with Reversal of Cervical Lordosis
(Conservative Management)
3. Cervical Spondylotic Myelopathy Due to C5–C6 PIVD (ACDF)
4. Cervical Spondylotic Myelopathy Due to Multilevel Cervical PIVD (Multilevel ACDF)
5. High Cervical Prolapsed Intervertebral Disc (C2–C3 PIVD): Anterior Cervical Diskectomy and Fusion
6. Cervical Disc Replacement (CDR) in a Case of C5-C6 PIVD
7. Posterior Cervical Foraminotomy in a Case of C6 Radiculopathy
8. Cervical Spondylotic Myelopathy with Focal C6 OPLL (Corpectomy and Fusion)
9. Cervical Spondylotic Myelopathy with Multilevel Ossification of the Posterior Longitudinal Ligament
(OPLL): Posterior Decompression and Fusion
10. Cervical Spondylotic Myelopathy Due to Multilevel PIVD (Cervical Laminoplasty)
11. Cervical Spondylotic Myelopathy Due to Multi-Segmental Degeneration Involving C2–C3 Disc (C2
Dome Laminoplasty)
Section 2: Complications
12. Management of Intraoperative Dural Tear in Anterior Cervical Surgery
13. Management of Pseudoarthrosis Following Anterior Cervical Fusion Surgery (ACDF)
14. Management of Subsidence Following Anterior Cervical Fusion Surgery
15. Management of Adjacent Segment Disease Following ACDF
16. Management of Pharyngeal/Oesophageal Fistula Following Anterior Cervical Surgery
17. Role of Assessment Scales in Cervical Spondylotic Myelopathy