By The Cervical Spine Research Society Editorial Committee, Harry N. Herkowitz MD
Prepared by way of the Cervical backbone examine Society, this entire surgical atlas demonstrates the whole diversity of operative thoughts for treating cervical backbone problems. across the world well known specialists offer completely illustrated step by step directions on sufferer training, methods to the cervical backbone, and all present decompression, graft, fixation, and stereotactic techniques.
The constant bankruptcy association permits easy accessibility to info. Chapters on methods disguise limits of publicity; anatomy; hazards; perioperative issues; working room setup; tools; positioning; dermis incisions; deep dissection; closure; and postoperative administration. Chapters on options disguise indications/contraindications; benefits/limitations; steered strategy; perioperative issues; working room setup; tools; biomechanical concerns; method; and postoperative management.
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Extra resources for Cervical Spine Surgery Atlas, The
St. Louis: Mosby, 1997, p. ) improve motion restrictions from simple soft and hard cervical collars and provide the following limitations: ■ ■ ■ Flexion and extension by 65% to 70% Rotation by 60% to 65% Lateral bending by 30% to 35% Philadelphia collars are indicated after anterior cervical fusion or halo removal. 38. A backboard and blocks offer significantly more control of cervical motion than a collar alone. pgsIII 10/22/03 1:31 PM Page 33 1. Cervical Traction, Positioning, and Braces after more significant cervical strains.
Attach posterior uprights, followed by the anterior vest and uprights. Obtain a lateral radiograph to assess cervical alignment. 46. A: Application of the halo vest is undertaken cautiously in the patient with an unstable cervical spine. B: Logroll the patient onto his or her side while maintaining in-line traction to the head. Then, place the posterior aspect of the vest, with uprights attached, under the patient. C: Roll the patient onto the posterior vest and attach the uprights to the halo ring.
30. A: This axial view demonstrates proper prone positioning using Mayfield tongs. Note that the patient is rigidly fixed to the regular operating room table through the tongs attachment. There is no pressure on the face. B: This patient is positioned prone for posterior cervical spine surgery on a regular operating room table. Here, a Hall frame is used to support the trunk. Mayfield tongs maintain the head and neck in a slightly flexed position. (From Bradford DS, ed. The spine. Philadelphia: Lippincott–Raven Publishers, 1997, p.