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Essentials of Spinal Stabilization.

By: Contributor(s): Material type: TextTextPublisher: Cham : Springer International Publishing AG, 2017Copyright date: ©2017Edition: 1st edDescription: 1 online resource (562 pages)Content type:
  • text
Media type:
  • computer
Carrier type:
  • online resource
ISBN:
  • 9783319597133
Subject(s): Genre/Form: Additional physical formats: Print version:: Essentials of Spinal StabilizationDDC classification:
  • 617.471
LOC classification:
  • RD592.5-596
Online resources:
Contents:
Intro -- Contents -- Contributors -- 1: Cervical Traction and Reduction Techniques -- Introduction -- Indications and Patient Selection -- Pre-procedure Considerations -- Technique -- Gardner-Wells Traction -- Halo Traction -- Head-Halter Traction -- Illustrative Case -- Technical Pearls -- Complications and Strategies for Avoidance -- Conclusion -- References -- 2: Halo Vest Immobilization -- Introduction -- Indications and Patient Selection -- Preoperative Considerations -- Surgical Technique -- Illustrative Case -- History and Examination -- Imaging -- Treatment -- Outcome -- Technical Pearls -- Complications and Strategies for Avoidance -- Conclusion -- References -- 3: Occipitocervical Fusion -- Introduction -- Indications and Patient Selection -- Causes of Cranial-Cervical Instability -- Traumatic Cranial-Cervical Instability -- Systemic Causes of Cranial-Cervical Instability -- Preoperative Considerations -- Radiographic Measurements -- Transoral Decompression (Odontoidectomy) -- Surgical Management of Cranial-­Cervical Instability -- Occipitocervical Fixation -- Surgical Technique: Occipital Plate -- C2 Fixation -- Allograft Versus Autograft -- Postoperative Management and Care -- Illustrative Case -- Technical Pearls -- Complications and Strategies for Avoidance -- Conclusion -- References -- 4: Anterior Atlantoaxial Fusion -- Introduction -- Indications and Patient Selection -- Preoperative Considerations -- Surgical Technique -- Case Illustration -- Technical Pearls -- Complications and Strategies for Avoidance -- Conclusion -- References -- 5: Posterior Atlantoaxial Fusion -- Introduction -- Indications -- Preoperative Considerations -- Surgical Technique -- Instrumentation -- Illustrative Case -- History -- Physical Examination -- Imaging -- Treatment -- Postoperative Course -- Technical Pearls.
Complications and Strategies for Avoidance -- Vertebral Artery Injury (VAI) -- Internal Carotid Artery (ICA) Injury -- Conclusion -- References -- 6: Odontoid Screw Fixation -- Introduction -- Indications and Patient Selection -- Preoperative Considerations -- Surgical Technique -- Anesthesia Considerations -- Patient Positioning -- Instrumentation System -- Exposure -- Retraction -- Screw Insertion -- Closure -- Postoperative Care -- Illustrative Case -- Technical Pearls -- Complications and Strategies for Avoidance -- References -- 7: Anterior Cervical Decompression and Fusion -- Introduction -- Indications and Patient Selection -- Preoperative Considerations -- Surgical Technique -- Positioning and Approach -- ACDF and Instrumentation -- Corpectomy -- Hybrid ACDF and Corpectomy -- Illustrative Case -- Technical Pearls -- Complications and Strategies for Avoidance -- Conclusion -- References -- 8: Cervical Arthroplasty -- Introduction -- Indications and Patient Selection -- Preoperative Considerations -- Surgical Technique -- Illustrative Case -- Technical Pearls -- Decompression -- Placement -- Sagittal Alignment -- Complications and Strategies for Avoidance -- Hardware Failure -- Adjacent Segment Degeneration -- Keys to Success -- Conclusion -- References -- 9: Subaxial Posterior Cervical Fusion with Instrumentation -- Introduction -- Indications -- Indications for Posterior Surgery in Trauma -- Additional Indications for Subaxial Posterior Fusion -- Preoperative Considerations -- Surgical Anatomy -- Lateral Mass Anatomy -- Pedicle Anatomy -- Vertebral Artery -- Nerve Root -- Bony Anomalies -- Biomechanics -- Surgical Technique -- Anesthesia and Positioning -- Exposure -- Reduction -- Fixation -- Interspinous Wire Fixation -- Lateral Mass Fixation -- Pedicle Screw -- C7 Fixation -- Extending to Thoracic Spine -- Bone Grafting -- Wound Closure.
Postoperative Care -- Illustrative Case -- Technical Pearls -- Complications -- Surgical Site Infection -- Screw Malposition -- Neurologic Injury -- Fixation Failure -- Poor Screw Purchase -- Broken Hardware -- Vertebral Artery Injury -- Conclusion -- References -- 10: Posterior Cervical Subaxial Spine Fixation: Facet Fusion Techniques -- Introduction -- Indications and Patient Selection -- Preoperative Considerations -- Surgical Technique -- Clinical Case -- Technical Pearls -- Complications and Strategies for Avoidance -- Conclusion -- References -- 11: Cervical Laminoplasty -- Introduction -- Indications and Patient Selection -- Preoperative Considerations -- Surgical Technique -- Positioning -- Anesthesia -- Neurologic Monitoring -- Exposure -- Creating the Opening Trough -- Creating the Hinge Trough -- Opening the Laminae and Application of Fixation -- Foraminotomy -- French-Door Laminoplasty -- Open-Door Laminoplasty with Unilateral Muscle-Ligament Complex Preservation -- Closure -- Postoperative Care -- Illustrative Case -- Technical Pearls -- Complications and Strategies for Avoidance -- Axial Neck Pain -- Loss of Cervical Lordosis -- Wound Complications -- Neurologic Injury -- Conclusion -- References -- 12: Minimally Invasive Posterior Cervical Fusion Techniques -- Introduction -- Indications and Patient Selection -- Patient Selection -- Radiographic Imaging -- Preoperative Considerations -- Patient Counseling -- Anesthesia and Positioning -- Neurophysiologic Monitoring -- Surgical Technique -- MIS Atlantoaxial Fixation -- Subaxial Fixation -- Postoperative Management -- Technical Pearls -- Complications and Strategies for Avoidance -- Conclusion -- References -- 13: Correction of Post-laminectomy Kyphosis and Cervical Deformity -- Introduction -- Indications and Patient Selection -- Preoperative Considerations -- Post-laminectomy Kyphosis.
Overview -- Surgical Technique -- Rigid Flexion Deformity -- Overview -- Anterior Osteotomy -- Pedicle Subtraction Osteotomy Surgical Technique -- Positioning -- Operative Technique -- Closure -- Illustrative Case -- Technical Pearls -- Complications and Strategies for Avoidance -- References -- 14: Considerations for Approaches Crossing the Cervicothoracic Junction -- Introduction -- Biomechanics -- Surgical Anatomy -- Indications and Patient Selection -- Trauma -- Tumor -- Infection -- Degenerative Disease -- Rheumatologic Diseases -- Postsurgical Instability -- Preoperative Considerations -- Surgical Technique -- Anterior Approaches -- Modified Anterior Approach -- Transthoracic Approach -- Sternal Splitting (Transsternal) Approach -- Posterior Approach -- Illustrative Case -- Technical Pearls -- Complications and Strategies for Avoidance -- Conclusion -- References -- 15: Open Anterior and Lateral Thoracic Interbody Approaches and Techniques -- Introduction -- Specific Pathologies -- Indications for Surgery -- Degenerative Disc Disease -- Neoplastic -- Trauma -- Deformity -- Infectious -- Imaging -- Medical Optimization -- Neuromonitoring -- T1-T3: Transmanubrial (Possibly with Clavicular Resection) -- T4-T12: Transthoracic (Possibly with Scapula Mobilization) -- T10-L2: Thoracoabdominal Approach -- Choice of Interbody Device -- Minimally Invasive Anterior Thoracic Approaches -- Illustrative Case -- Technical Pearls -- Complications and Strategies for Avoidance -- Conclusion -- References -- 16: Thoracic Lateral Extracavitary Decompression and Fusion -- Introduction -- Indications and Patient Selection -- Preoperative Considerations -- Surgical Technique -- Open Lateral Extracavitary Approach -- Surgical Exposure -- Ventral Decompression -- Spinal Reconstruction -- Minimally Invasive Lateral Extracavitary Approach.
Transpedicular or Costotransversectomy Approaches -- Lateral Parascapular Extrapleural Approach -- Illustrative Case -- Technical Pearls -- Exposure Stage -- Ventral Decompression Stage -- Ventral Instrumentation Stage -- Posterior Instrumentation Stage -- Complications and Strategies for Avoidance -- Pulmonary Complications -- Excessive Bleeding -- Wound Infections -- Cutaneous Cerebrospinal Fluid Leaks -- Conclusion -- References -- 17: Posterior Thoracic Spinal Fixation -- Introduction -- Indications and Patient Selection -- Preoperative Considerations -- Anatomy -- Biomechanics -- Surgical Technique -- Illustrative Case -- History -- Physical Exam -- Imaging -- Treatment -- Outcome -- Technical Pearls -- Complications and Strategies for Avoidance -- Conclusion -- References -- 18: Anterior Spinal Column Augmentation Techniques -- Introduction -- History -- Patient Evaluation and Indications -- Patient Selection -- Tumor and Metastatic Disease -- An Adjunct to Open Surgery -- Timing -- Preoperative Considerations -- Surgical Technique -- Vertebroplasty -- Kyphoplasty -- Kiva -- Using Navigation -- Illustrative Case -- History of Present Illness -- Physical Examination -- Radiographic Evaluation -- Initial Management -- Procedure and Outcome -- Technical Pearls -- Complications and Avoidance -- Conclusion -- References -- 19: Anterior Lumbar Interbody Fusion of the Lumbosacral Spine: L3 Through the Sacrum -- Introduction -- Indications and Patient Selection -- Preoperative Considerations -- Surgical Technique -- Patient Positioning -- Open Retroperitoneal Exposure of the Lumbosacral Spine -- Exposure of the L3-L4 and L4-L5 Disc Spaces -- Exposure of the L5-S1 Disc Space -- Superior Hypogastric Plexus and Retrograde Ejaculation -- The Bulldog Discectomy -- Interbody Implants -- Cage Choices -- Bone Graft/Substitute -- Supplemental Fixation.
Closure.
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Intro -- Contents -- Contributors -- 1: Cervical Traction and Reduction Techniques -- Introduction -- Indications and Patient Selection -- Pre-procedure Considerations -- Technique -- Gardner-Wells Traction -- Halo Traction -- Head-Halter Traction -- Illustrative Case -- Technical Pearls -- Complications and Strategies for Avoidance -- Conclusion -- References -- 2: Halo Vest Immobilization -- Introduction -- Indications and Patient Selection -- Preoperative Considerations -- Surgical Technique -- Illustrative Case -- History and Examination -- Imaging -- Treatment -- Outcome -- Technical Pearls -- Complications and Strategies for Avoidance -- Conclusion -- References -- 3: Occipitocervical Fusion -- Introduction -- Indications and Patient Selection -- Causes of Cranial-Cervical Instability -- Traumatic Cranial-Cervical Instability -- Systemic Causes of Cranial-Cervical Instability -- Preoperative Considerations -- Radiographic Measurements -- Transoral Decompression (Odontoidectomy) -- Surgical Management of Cranial-­Cervical Instability -- Occipitocervical Fixation -- Surgical Technique: Occipital Plate -- C2 Fixation -- Allograft Versus Autograft -- Postoperative Management and Care -- Illustrative Case -- Technical Pearls -- Complications and Strategies for Avoidance -- Conclusion -- References -- 4: Anterior Atlantoaxial Fusion -- Introduction -- Indications and Patient Selection -- Preoperative Considerations -- Surgical Technique -- Case Illustration -- Technical Pearls -- Complications and Strategies for Avoidance -- Conclusion -- References -- 5: Posterior Atlantoaxial Fusion -- Introduction -- Indications -- Preoperative Considerations -- Surgical Technique -- Instrumentation -- Illustrative Case -- History -- Physical Examination -- Imaging -- Treatment -- Postoperative Course -- Technical Pearls.

Complications and Strategies for Avoidance -- Vertebral Artery Injury (VAI) -- Internal Carotid Artery (ICA) Injury -- Conclusion -- References -- 6: Odontoid Screw Fixation -- Introduction -- Indications and Patient Selection -- Preoperative Considerations -- Surgical Technique -- Anesthesia Considerations -- Patient Positioning -- Instrumentation System -- Exposure -- Retraction -- Screw Insertion -- Closure -- Postoperative Care -- Illustrative Case -- Technical Pearls -- Complications and Strategies for Avoidance -- References -- 7: Anterior Cervical Decompression and Fusion -- Introduction -- Indications and Patient Selection -- Preoperative Considerations -- Surgical Technique -- Positioning and Approach -- ACDF and Instrumentation -- Corpectomy -- Hybrid ACDF and Corpectomy -- Illustrative Case -- Technical Pearls -- Complications and Strategies for Avoidance -- Conclusion -- References -- 8: Cervical Arthroplasty -- Introduction -- Indications and Patient Selection -- Preoperative Considerations -- Surgical Technique -- Illustrative Case -- Technical Pearls -- Decompression -- Placement -- Sagittal Alignment -- Complications and Strategies for Avoidance -- Hardware Failure -- Adjacent Segment Degeneration -- Keys to Success -- Conclusion -- References -- 9: Subaxial Posterior Cervical Fusion with Instrumentation -- Introduction -- Indications -- Indications for Posterior Surgery in Trauma -- Additional Indications for Subaxial Posterior Fusion -- Preoperative Considerations -- Surgical Anatomy -- Lateral Mass Anatomy -- Pedicle Anatomy -- Vertebral Artery -- Nerve Root -- Bony Anomalies -- Biomechanics -- Surgical Technique -- Anesthesia and Positioning -- Exposure -- Reduction -- Fixation -- Interspinous Wire Fixation -- Lateral Mass Fixation -- Pedicle Screw -- C7 Fixation -- Extending to Thoracic Spine -- Bone Grafting -- Wound Closure.

Postoperative Care -- Illustrative Case -- Technical Pearls -- Complications -- Surgical Site Infection -- Screw Malposition -- Neurologic Injury -- Fixation Failure -- Poor Screw Purchase -- Broken Hardware -- Vertebral Artery Injury -- Conclusion -- References -- 10: Posterior Cervical Subaxial Spine Fixation: Facet Fusion Techniques -- Introduction -- Indications and Patient Selection -- Preoperative Considerations -- Surgical Technique -- Clinical Case -- Technical Pearls -- Complications and Strategies for Avoidance -- Conclusion -- References -- 11: Cervical Laminoplasty -- Introduction -- Indications and Patient Selection -- Preoperative Considerations -- Surgical Technique -- Positioning -- Anesthesia -- Neurologic Monitoring -- Exposure -- Creating the Opening Trough -- Creating the Hinge Trough -- Opening the Laminae and Application of Fixation -- Foraminotomy -- French-Door Laminoplasty -- Open-Door Laminoplasty with Unilateral Muscle-Ligament Complex Preservation -- Closure -- Postoperative Care -- Illustrative Case -- Technical Pearls -- Complications and Strategies for Avoidance -- Axial Neck Pain -- Loss of Cervical Lordosis -- Wound Complications -- Neurologic Injury -- Conclusion -- References -- 12: Minimally Invasive Posterior Cervical Fusion Techniques -- Introduction -- Indications and Patient Selection -- Patient Selection -- Radiographic Imaging -- Preoperative Considerations -- Patient Counseling -- Anesthesia and Positioning -- Neurophysiologic Monitoring -- Surgical Technique -- MIS Atlantoaxial Fixation -- Subaxial Fixation -- Postoperative Management -- Technical Pearls -- Complications and Strategies for Avoidance -- Conclusion -- References -- 13: Correction of Post-laminectomy Kyphosis and Cervical Deformity -- Introduction -- Indications and Patient Selection -- Preoperative Considerations -- Post-laminectomy Kyphosis.

Overview -- Surgical Technique -- Rigid Flexion Deformity -- Overview -- Anterior Osteotomy -- Pedicle Subtraction Osteotomy Surgical Technique -- Positioning -- Operative Technique -- Closure -- Illustrative Case -- Technical Pearls -- Complications and Strategies for Avoidance -- References -- 14: Considerations for Approaches Crossing the Cervicothoracic Junction -- Introduction -- Biomechanics -- Surgical Anatomy -- Indications and Patient Selection -- Trauma -- Tumor -- Infection -- Degenerative Disease -- Rheumatologic Diseases -- Postsurgical Instability -- Preoperative Considerations -- Surgical Technique -- Anterior Approaches -- Modified Anterior Approach -- Transthoracic Approach -- Sternal Splitting (Transsternal) Approach -- Posterior Approach -- Illustrative Case -- Technical Pearls -- Complications and Strategies for Avoidance -- Conclusion -- References -- 15: Open Anterior and Lateral Thoracic Interbody Approaches and Techniques -- Introduction -- Specific Pathologies -- Indications for Surgery -- Degenerative Disc Disease -- Neoplastic -- Trauma -- Deformity -- Infectious -- Imaging -- Medical Optimization -- Neuromonitoring -- T1-T3: Transmanubrial (Possibly with Clavicular Resection) -- T4-T12: Transthoracic (Possibly with Scapula Mobilization) -- T10-L2: Thoracoabdominal Approach -- Choice of Interbody Device -- Minimally Invasive Anterior Thoracic Approaches -- Illustrative Case -- Technical Pearls -- Complications and Strategies for Avoidance -- Conclusion -- References -- 16: Thoracic Lateral Extracavitary Decompression and Fusion -- Introduction -- Indications and Patient Selection -- Preoperative Considerations -- Surgical Technique -- Open Lateral Extracavitary Approach -- Surgical Exposure -- Ventral Decompression -- Spinal Reconstruction -- Minimally Invasive Lateral Extracavitary Approach.

Transpedicular or Costotransversectomy Approaches -- Lateral Parascapular Extrapleural Approach -- Illustrative Case -- Technical Pearls -- Exposure Stage -- Ventral Decompression Stage -- Ventral Instrumentation Stage -- Posterior Instrumentation Stage -- Complications and Strategies for Avoidance -- Pulmonary Complications -- Excessive Bleeding -- Wound Infections -- Cutaneous Cerebrospinal Fluid Leaks -- Conclusion -- References -- 17: Posterior Thoracic Spinal Fixation -- Introduction -- Indications and Patient Selection -- Preoperative Considerations -- Anatomy -- Biomechanics -- Surgical Technique -- Illustrative Case -- History -- Physical Exam -- Imaging -- Treatment -- Outcome -- Technical Pearls -- Complications and Strategies for Avoidance -- Conclusion -- References -- 18: Anterior Spinal Column Augmentation Techniques -- Introduction -- History -- Patient Evaluation and Indications -- Patient Selection -- Tumor and Metastatic Disease -- An Adjunct to Open Surgery -- Timing -- Preoperative Considerations -- Surgical Technique -- Vertebroplasty -- Kyphoplasty -- Kiva -- Using Navigation -- Illustrative Case -- History of Present Illness -- Physical Examination -- Radiographic Evaluation -- Initial Management -- Procedure and Outcome -- Technical Pearls -- Complications and Avoidance -- Conclusion -- References -- 19: Anterior Lumbar Interbody Fusion of the Lumbosacral Spine: L3 Through the Sacrum -- Introduction -- Indications and Patient Selection -- Preoperative Considerations -- Surgical Technique -- Patient Positioning -- Open Retroperitoneal Exposure of the Lumbosacral Spine -- Exposure of the L3-L4 and L4-L5 Disc Spaces -- Exposure of the L5-S1 Disc Space -- Superior Hypogastric Plexus and Retrograde Ejaculation -- The Bulldog Discectomy -- Interbody Implants -- Cage Choices -- Bone Graft/Substitute -- Supplemental Fixation.

Closure.

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Electronic reproduction. Ann Arbor, Michigan : ProQuest Ebook Central, 2024. Available via World Wide Web. Access may be limited to ProQuest Ebook Central affiliated libraries.

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