Chapters authored
Spontaneous Spinal Epidural Haematomas
Spinal epidural haematomas (SEH) occur from extra-dural bleeding, most commonly after trauma, epidural anaesthesia or operative intervention. However, these also occur in arterio-vascular malformations or spontaneously without an obvious inciting event. Spontaneous spinal epidural haematomas (SSEH) are rare, with a quoted incidence of 0.1 cases per 100,000 population annually. However, these haematomas carry a significant risk of spinal cord or nerve root compression potentially resulting in permanent neurological dysfunction or death. This chapter reviews the presentation, diagnosis and treatment of SSEH in adults, pregnancy and children in order to provide clinicians with an understanding of their typical presentation, required investigations and treatment algorithms.
Part of the book: Vascular Malformations of the Central Nervous System
The Functional Effects of Adult Spinal Deformity and the Effectiveness of Surgery
The prevalence of adult spinal deformity (ASD) is increasing worldwide, driven by changing patient demographics, as well as an increased capacity to diagnose and treat this condition. ASD carries the worst healthcare burden of all chronic conditions including arthritis, chronic lung disease, congestive heart failure, diabetes and ischaemic heart disease. Recent advances in diagnostic and treatment modalities have resulted in an increase in surgical intervention for this condition. To be successful, however, a comprehensive understanding of the functional deficits caused by ASD must be recognised by those clinicians managing such patients. This chapter provides an overview of the functional deficits caused by ASD and its treatment.
Part of the book: Spinal Deformities in Adolescents, Adults and Older Adults