Editors: Kai-Uwe Lewandrowski, Alexander Richard Vaccaro, Morgan P. Lorio, Paul Park, Rossano Kepler Alvim Fiorelli, Benedikt W. Burkhardt

Real World Evidence in Spine Surgery-2026 Update

Special Offer (PDF + Printed Copy): US $142
Printed Copy: US $142
ISBN: 979-8-89881-577-6 (Print)
ISBN: 979-8-89881-576-9 (Online)
Year of Publication: 2026
DOI: 10.2174/97988988157691260101

Introduction

Real World Evidence in Spine Surgery: 2026 Update provides real-world evidence that complements and refines findings from randomised controlled trials, systematic reviews, and meta-analyses in spine care. The book bridges evidence-based medicine with everyday clinical practice, highlighting how patient complexity, surgeon experience, and long-term outcomes influence treatment decisions beyond controlled study settings.

Using published literature, structured surgeon survey data, and Rasch-based analysis, the book provides a practical framework for understanding clinical effectiveness across diverse spine conditions and procedures. It covers key areas such as spinal biomechanics, degenerative disorders, neuromonitoring, implants, robotics, minimally invasive techniques, deformity, trauma, and outcome assessment, while comparing formal evidence with real-world surgical experience.


Key Features

  • - Integrates real-world evidence with clinical trial data.
  • - Covers major spine surgery domains and technologies.
  • - Comparative analysis of evidence vs. surgeon experience.
  • - Uses structured survey data and Rasch-based methodology to provide practical insights for clinical decision-making and research.

Target Readership :

Surgical fellows, residents, clinical researchers, healthcare administrators, and other professionals involved in spine care.

Preface

- Pp. i-ii (2)
Kai-Uwe Lewandrowski, Alexander Richard Vaccaro, Morgan P. Lorio, Paul Park, Rossano Kepler Alvim Fiorelli, Benedikt W. Burkhardt
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Endorsements

- Pp. iii-xvii (15)
Malcolm Darayes Pestonji
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List of Contributors

- Pp. xviii-xix (2)

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Objectives, Methodology, and Book Layout

- Pp. 1-28 (28)
Kai-Uwe Lewandrowski*, Alexander R. Vaccaro, Morgan P. Lorio, Paul Park, Rossano Kepler Alvim Fiorelli, Benedikt W. Burkhardt, Sergio Luis Schmidt, Jorge Felipe Ramirez
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Do Wound Drains Improve Surgical Outcomes in Routine ACDF Procedures?

- Pp. 29-70 (42)
Benedikt W. Burkhardt, Oliver D. Fabrig, Hansjörg Leu, Alexander R. Vaccaro, Morgan P. Lorio, Kai-Uwe Lewandrowski*
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Obesity and Spine Surgery

- Pp. 71-112 (42)
Kai-Uwe Lewandrowski*, Paul Park, Alexander R. Vaccaro, Óscar Luis Alves, Morgan P. Lorio, Rossano Kepler Alvim Fiorelli, Benedikt W. Burkhardt, Sergio Luis Schmidt, Jorge Felipe Ramirez
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The Role of Intraoperative Neuromonitoring (IONM) in Spinal Surgery

- Pp. 113-150 (38)
Paul Park, Kai-Uwe Lewandrowski*, Alexander R. Vaccaro, Óscar Luis Alves, Morgan P. Lorio, Benedikt W. Burkhardt, Avelino Parajón, Matthew Scott-Young
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3D-Printed Personalized vs. Off-The-Shelf Spinal Implants: Is it Worth it?

- Pp. 151-194 (44)
Kai-Uwe Lewandrowski*, Emmanouil Liodakis, Avelino Parajón, Matthew Scott-Young, Paul Park, Óscar Luis Alves, Morgan P. Lorio, Benedikt W. Burkhardt, Alexander R. Vaccaro
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Precision Redefined: Robotics and Navigation in Spine Surgery – A Leap Forward or a Technology in Search of Purpose?

- Pp. 195-230 (36)
Óscar Luis Alves, Emmanouil Liodakis, Kai-Uwe Lewandrowski*, Avelino Parajón, Matthew Scott-Young, Paul Park, Morgan P. Lorio, Benedikt W. Burkhardt, Alexander R. Vaccaro
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The Better Bet for Lumbar Stenosis: Real World Evidence on Tubular vs. Endoscopic Decompression

- Pp. 231-280 (50)
Avelino Parajón, Kai-Uwe Lewandrowski*, Óscar Luis Alves, Morgan P. Lorio, Benedikt W. Burkhardt, Jorge Felipe Ramirez Leon, Nicola Montemurro, Jun Ho Lee, Alexander R. Vaccaro
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Transforaminal Endoscopic Lumbar Decompression: Defining its Scope and Limitations

- Pp. 281-319 (39)
Álvaro Dowling, Jun Ho Lee, Kai-Uwe Lewandrowski*, Benedikt W. Burkhardt, Óscar Luis Alves, Avelino Parajón, Morgan P. Lorio, Jorge Felipe Ramirez Leon, Nicola Montemurro, Alexander R. Vaccaro
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Redefining Cervical Spinal Surgery: Endoscopic Techniques and Real-World Applications

- Pp. 320-369 (50)
Jun Ho Lee, Kai-Uwe Lewandrowski*, Óscar Luis Alves, Alexander R. Vaccaro, Morgan P. Lorio, Benedikt W. Burkhardt, João Paulo Machado Bergamaschi, Hyeun-Sung Kim
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Anterior and Endoscopic Cervical Spine Surgery: A Comprehensive Survey-Based Review of Current Indications and Practice Patterns

- Pp. 370-421 (52)
Kai-Uwe Lewandrowski*, Álvaro Dowling, Malcolm Pestonji, Óscar Luis Alves, Christian Morgenstern, Zhong-Liang Deng, Morgan P. Lorio, Benedikt W. Burkhardt, Alexander R. Vaccaro
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Subject Index

- Pp. 422-426 (5)
Kai-Uwe Lewandrowski, Alexander Richard Vaccaro, Morgan P. Lorio, Paul Park, Rossano Kepler Alvim Fiorelli, Benedikt W. Burkhardt
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