Get AOSpine masters series. Volume 3, Cervical degenerative PDF

By Luiz Roberto Gomes Vialle, K. Riew, Manabu Ito

ISBN-10: 1322427003

ISBN-13: 9781322427003

ISBN-10: 1626230501

ISBN-13: 9781626230507

ISBN-10: 162623051X

ISBN-13: 9781626230514

This 3rd quantity within the AOSpine Masters sequence covers the commonest operative ideas for treating degenerative cervical stipulations. The booklet offers specialist counsel to aid clinicians make definitely the right therapy judgements and supply the simplest take care of their sufferers. bankruptcy issues diversity from Laminectomy and Fusion for Cervical Spondylotic Myelopathy to problems on Anterior surgical procedure: VA harm, Esophageal Read more...

summary: This 3rd quantity within the AOSpine Masters sequence covers the most typical operative recommendations for treating degenerative cervical stipulations. The e-book presents specialist suggestions to assist clinicians make the fitting remedy judgements and supply the easiest take care of their sufferers. bankruptcy issues variety from Laminectomy and Fusion for Cervical Spondylotic Myelopathy to issues on Anterior surgical procedure: VA harm, Esophageal Perforation, and Dysphagia.Key Features:Synthesizes the easiest to be had proof and consensus specialist suggestion on each one operative procedure for degenerative cervical stipulations, major

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Extra info for AOSpine masters series. Volume 3, Cervical degenerative conditions

Example text

We use long screws, usually just shy of bicor­ tical purchase, although sometimes we do get bicortical purchase. The easiest way to size the screw length is to place a given length into the disk space before inserting the graft to see if the length is adequate (Fig. 6). We keep the plate as short as possible to prevent adja­ cent level ossification development (ALOD) (Fig. 4 To optimize plate symmetry and screw place­ ment, we pre-drill our holes in the proximal and distal vertebral bodies with the drill guide.

The paravertebral muscles are dissected laterally to expose the lateral margins of the articular masses completely for exact determination of the screw insertion point. Screw Placement The points of screw insertion at the lateral mass from C3 through C7 are slightly laterally to the center of the articular mass and close to the inferior margin of the inferior articular process of the cranially adjacent vertebra. Surgeons must carefully evaluate preoperative computed tomography (CT) images before screw insertion to check the shape and the size of the pedicle and lateral mass in each vertebra and in each individual.

Under these conditions, alternative fixation anchors, such as lateral mass screws or posterior wires, are recommended. 0-mm slice should be done for the accurate evaluation of pedicle dimensions and to measure the pedicle width, which helps surgeons choose the appropriate 31 32 Chapter 3 a b Fig. 7a,b Retrogression of the pedicle at the dominant side of the vertebral artery. (a) The left and right pedicles in the same vertebra differ significantly in diameter. The foramen transversarium enlarges on the side of the smaller pedicle.

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AOSpine masters series. Volume 3, Cervical degenerative conditions by Luiz Roberto Gomes Vialle, K. Riew, Manabu Ito


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