Although careful patient selection, accurate diagnosis, and appropriate choice of surgical procedure improve outcomes for patients undergoing spiral surgery, not all such surgeries are successful. This unique resource offers an organized and rational approach to the radiographic and surgical management of this challenging patient group. Particular emphasis is placed on new diagnostic techniques as gadolinium-enhanced MRI as well as more traditional modalities including myelography and CT. After outlining the selection process for patients who may benefit from additional surgery, the text proceeds to describe specific surgical options and techniques, pointing out the strengths and weaknesses of each. Extensive case illustrations help readers avoid the pitfalls unique to the postoperative patient. Management of postoperative complications and pain is also addressed.
