Keys to an Amazing Life: Secrets of the Cervical Spine  is written with the everyday person in mind and consists of cutting-edge descriptions of every option that is available and cost free for people. With 4 out of 5 people suffering at some point in their life, globally, spinal problems are one of the most common reasons to visit a physician. Cost of care in the United States is approximately 100 billion dollars a year. Intelligent people from all walks of life demand to know and want to know what makes up the spine, what problems could arise, and what lifestyle, conservative treatment, and surgical options are available.

Spinal Problems: Chapters 1–4 illustrate the parts of the spine, and discusses the global spinal problem and typical spinal problems. The illustrations are presented in 2.5D detail. Anatomy and motion of the neck is explained. Herniated discs, degenerated disks, spinal stenosis, spondylolisthesis, infections, and tumors are illustrated.

Lifestyle Options: Chapters 5–8 explore the power of a positive thought, the danger of a negative thought, the importance of neural plasticity, amygdala plasticity, general thinking, and physical action and responses. Deep belly breathing, meditation, brainwave entrainment, air, silence, solitude, stillness, thought, affirmations, and happiness are all free daily options that influence spinal health.

Good posture; planning; drinking water; napping; sleeping properly; getting up early; long, hot showers; avoidance of bending, lifting, twisting, and reaching are all examples of free everyday physical options that contributez to spinal health. Facet and nerve mobility are explained and correlated for overuse syndromes. The dangers of cigarette smoking, with permanent destruction of disc spacing, and cumulative risk for diseases is clearly shown. Wholesome food options are also discussed.

Traditional Treatments: Chapters 9–13 explain the modalities of aerobic activities and physical treatments such as massage, hot and cold packs, stimulation, ultrasound, and traction. The uncommon cervical stabilization, postural training, osteopathic manipulation techniques, and yoga techniques are demonstrated.

Surgical Treatments: Chapters 14–16 explain the most common pain management and surgical procedures.

Bloodless Spine Surgery: Pictures and Explanation: When a pitcher is training his shoulder, one would assume that the focus of the rehabilita- tion is the shoulder. However, time must also be spent on the abdominal muscles, back muscles, and lower extremity muscles, with special emphasis on the buttock muscles. Otherwise, there will be no foundation for performance.

Similarly, in preparing a patient for safe bloodless spine surgery, a comprehensive evaluation is recommended. This ensures “no surprises” in the operating room.

Bloodless_Spine_Surgery_by_Kenneth_HansrajWith the development of advanced decom- pression and instrumentation techniques with bone graft options, spine surgery is much more established and effective.

Safety remains the predominant concern. Blood transfusions have recognized risk factors. Bloodless is the goal, the destination, and quite possibly the dream. Realistically, however, blood will be lost in all surgeries. Nevertheless, surgeons will persist in rallying to lose the least amount of blood at every possible step. In this book, factors that govern blood loss and blood transfusion are discussed.

This book presents the comprehensive preparation of a patient for bloodless spine surgery, techniques for diminishing blood loss in the operating room, and postoperative considerations. It includes case reports of patients who have undergone surgery using the blood management methods outlined.

Considerations and choices for Jehovah’s Witnesses are discussed. Witnesses will not accept whole blood, or primary components (red cells, white cells, platelets or plasma). Fractions are elements extracted from the primary components of blood. This knowledge is important because many of the fractions are derivatives of blood and may not be acceptable to an individual Jehovah’s Witness.

Digital images and illustrations are incorpo- rated throughout the book to show important concepts, and a dictionary is provided to thoroughly explain the important factors in bloodless surgery.

An effort was made to ensure that the information is clear to readers who come from a nonmedical background.

Dr. Ken Hansraj Chief of Spine Surgery New York Spine Surgery & Rehabilitation Medicine