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Treatment of Complex Cervical Spine Disorders, An Issue of Orthopedic Clinics - E-Book

Treatment of Complex Cervical Spine Disorders, An Issue of Orthopedic Clinics - E-Book

Frank Phillips | Safdar N. Khan

(2012)

Additional Information

Book Details

Abstract

This issue will serve as a review of current ideas and surgical trends in the management of complex cervical spine disorders. Each chapter will discuss surgical techniques will illustrative cases and end on a very contemporary evidence-based review of the literature.

Table of Contents

Section Title Page Action Price
Front Cover Cover
Orthopedic Clinics of North America i
Copyright Page ii
Table of Contents vii
Contributors iii
Preface xiii
Chapter 1. Occipitocervical Fusion 1
SURGICAL INDICATIONS 2
ANATOMY 2
SURGICAL TECHNIQUE 4
POTENTIAL COMPLICATIONS 6
CASE 7
SUMMARY 8
REFERENCES 8
Chapter 2. C1-C2 Posterior Fixation: Indications, Technique, and Results 11
ANATOMIC CONSIDERATIONS 11
TECHNIQUE 13
SUMMARY 17
REFERENCES 17
Chapter 3. Subaxial Cervical and Cervicothoracic Fixation Techniques—Indications, Techniques, and Outcomes 19
SURGICAL ANATOMY 19
LATERAL MASS SCREWS 20
PEDICLE SCREWS 22
TRANSLAMINAR SCREWS 24
COMPLICATIONS 25
SUMMARY 26
REFERENCES 27
Chapter 4. Posterior Surgery for Cervical Myelopathy: Indications, Techniques, and Outcomes 29
INCIDENCE AND ETIOLOGY 29
PHYSICAL EXAMINATION AND IMAGING 30
RATIONALE AND OPTIONS FOR POSTERIOR DECOMPRESSION 31
POSTERIOR TECHNIQUES FOR CERVICAL MYELOPATHY 31
SUMMARY 38
REFERENCES 38
Chapter 5. Anterior Approach for Complex Cervical Spondylotic Myelopathy 41
SURGICAL RATIONALE AND DECISION MAKING 41
APPLIED SURGICAL ANATOMY 41
AT-RISK STRUCTURES 42
SURGICAL OPTIONS 44
TECHNICAL 46
CLINICAL OUTCOMES 48
SUMMARY 49
REFERENCES 49
Chapter 6. Management of Adjacent Segment Disease After Cervical Spinal Fusion 53
CLINICAL EVIDENCE OF ASD 54
PRINCIPLES OF MANAGEMENT OF ASD 56
OPERATING FOR ASD 57
SUMMARY 59
CLINICAL PEARLS 59
CASE HISTORY 60
REFERENCES 60
Chapter 7. Esophageal and Vertebral Artery Injuries During Complex Cervical Spine Surgery—Avoidance and Management 63
VERTEBRAL ARTERY ANATOMY 63
ANOMALOUS VERTEBRAL ARTERY ANATOMY 64
ANTERIOR SPINE SURGERY 65
SUBAXIAL POSTERIOR CERVICAL PROCEDURES 67
ATLANTOAXIAL FUSION 67
ILLUSTRATIVE CASE 68
OESPHOGEAL ANATOMY 69
CAUSES AND INCIDENCE 69
PRESENTATION AND DIAGNOSIS 70
TREATMENT 70
ILLUSTRATIVE CASE 71
REFERENCES 72
Chapter 8. Diagnosis and Management of Metastatic Cervical Spine Tumors 75
EPIDEMIOLOGY 75
PRESENTATION 76
DIAGNOSIS 76
MANAGEMENT 78
SURGICAL TECHNIQUES 81
OUTCOMES FOR THE SURGICAL MANAGEMENT OF METASTATIC CERVICAL SPINE TUMORS 82
MANAGING COMPLICATIONS 82
SUMMARY 84
REFERENCES 84
Chapter 9. Management of Cervical Spine Trauma: Can a Prognostic Classification of Injury Determine Clinical Outcomes? 89
TRADITIONAL CLASSIFICATION SYSTEMS 89
SUBAXIAL INJURY CLASSIFICATION SYSTEM 90
CURRENT EVIDENCE TO SUPPORT THE SLIC 92
SUMMARY 92
TIPS/PEARLS 92
CASE EXAMPLES 94
REFERENCES 96
Chapter 10. Cervical Total Disk Replacement: Complications and Avoidance 97
TOTAL DISK REPLACEMENT RATIONALE 98
SURGICAL APPROACH COMPLICATIONS 99
INDICATIONS AND CONTRAINDICATIONS 99
IMPLANT FAILURE—SURGICAL CASE COMPLICATIONS 100
SUMMARY 105
REFERENCES 105
Chapter 11. Surgical Management of Complex Spinal Deformity 109
PRESENTATION 109
CAUSES 109
EVALUATION 111
INDICATIONS, CONTRAINDICATIONS, AND GOALS OF SURGERY 114
PREOPERATIVE PLANNING 114
SELECTION OF LEVELS 116
STAGING 116
PREOPERATIVE TRACTION 117
OSTEOTOMIES 117
ANESTHESIA AND POSITIONING 117
SPINAL NAVIGATION 119
SURGICAL TECHNIQUE 120
POSTOPERATIVE MANAGEMENT 120
ADDITIONAL PEARLS 121
SUMMARY 121
REFERENCES 121
Chapter 12. Revision Cervical Spine Surgery 123
CONSIDERATIONS FOR REVISION SURGERY 123
SPINAL PATHOLOGY REQUIRING REVISION SURGERY 127
SUMMARY 134
REFERENCES 134
Chapter 13. Minimally Invasive Approaches to the Cervical Spine 137
INDICATIONS 138
CONTRAINDICATIONS 138
SURGICAL TECHNIQUE 138
CASE PRESENTATIONS 144
SUMMARY 146
TIPS AND PEARLS 146
REFERENCES 146
Erratum 149
Index 151