The Pediatric Spine I

Development and the Dysraphic State
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Contents: Comparative Anatomy of the Spine in the Newborn, Infant, and Toddler.- Intrauterine Development of the Vertebrae and Spinal Cord.- Growth of the Spine.- Neurophysiologic Basis for Diagnosis.- Embryologic and Developmental Dynamics of the Dysraphic State.- Epidemiology and Clues to the Etiology of Neural Tube Defects.- Neural Tube Defects: Prenatal Diagnosis and Genetic Counseling.- Meningomyelocele: Surgical Treatment and Results.- Hamartomas and the Dysraphic State.- Nursing Care of Children with Spinal Dysraphism.- The Orthopedic Aspects of Spinal Dysraphism.- Social, Psychologic, and Educational Problems.- Index. Contents: Malformations of the Vertebrae.- The Normal and Abnormal Aspects of the Cranio-Vertebral Junction.- Chiari Malformations.- Diastematomyelia and Diplomyelia.- Spondylolisthesis.- Neurenteric Cysts.- Sacral and Lumbo-Sacral Agenesis.- Teratomas.- The Tethered Spinal Cord.- Neuromuscular Scoliosis.- Current Concepts in Long-Term Care of the Deformed Spine.- Congenital Malformations of the Spine in Children: Neuro-Imaging.- Index. Contents: Spinal Meningeal Malformations.- Syringomyelia and Hydromyelia.- Intraspinal Tumors.- Nonoperative Treatment of Tumors of the Spinal Cord in Children.- Surgical Considerations for Access to the Spinal Canal.- Nonsurgical Diseases of the Spinal Cord Presenting as Surgical Diseases.- Infectious Diseases of the Spine in Childhood.- Parasitosis of the Spine.- Diagnostics and Management of Urinary Problems in Neurogenic Vesico-Sphincteric Dysfunction.- Index.
It is estimated that the functionally significant body of knowledge for a given medical specialty changes radically every 8 years. New specialties and "sub specialization" are occurring at approximately an equal rate. Historically, estab lished journals have not been able either to absorb this increase in publishable material or to extend their readership to the new specialists. International and national meetings, symposia and seminars, workshops and newsletters success fully bring to the attention of physicians within developing specialties what is occurring, but generally only in demonstration form without providing historical perspective, pathoanatomical correlates, or extensive discussion. Page and time limitations oblige the authors to present only the essence of their material. Pediatric neurosurgery is an example of a specialty that has developed during the past 15 years. Over this period, neurosurgeons have obtained special train ing in pediatric neurosurgery, and then dedicated themselves primarily to its practice. Centers, Chairs, and educational programs have been established as groups of neurosurgeons in different countries throughout the world organized themselves respectively into national and international societies for pediatric neurosurgery. These events were both preceded and followed by specialized courses, national and international journals, and ever-increasing clinical and investigative studies into all aspects of surgically treatable diseases of the child's nervous system.

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