By Alexander König, Uwe Spetzger
The authors current anatomical, biomechanical, and medical simple wisdom proper to degenerative illnesses of the surgical backbone and describe the best way to select the technique, implant, and surgical method intimately. various figures illustrate the decision-making approach and surgical options step by step. The booklet additionally comprises key issues approximately implant security and attainable issues in addition to an outlook to the way forward for cervical backbone surgery.
Degenerative illnesses of the Cervical Spine is geared toward spinal surgeons (neurosurgeons and orthopaedic surgeons), actual therapists, basic practitioners, and rehabilitation physicians, worldwide.
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Extra info for Degenerative Diseases of the Cervical Spine: Therapeutic Management in the Subaxial Section
Lateral X-ray image 1 day after surgery (a). Bony fusion around the PMMA 3 years after surgery in a sagittal CT scan (b) generation during the hardening of the PMMA, there is no necrosis in the surrounding soft tissue including the neural tissue. By using this technique with grouting of the intervertebral disc space, the surgeon creates an optimum, patient-individualised surface. Nowadays, PMMA is occasionally used when even the smallest cages are too high to fit in a very narrow disc space. Compared to cages and prostheses the use of PMMA is very low-priced.
In the subacute phase and during rehabilitation after surgery, active elements like isometric tension exercises or complex motion exercises with good axial alignment can strengthen the neck muscles. If a cervical disc herniation leads to weakness of a certain muscle of the upper limb due to compression of a motor nerve root, it is crucial to train especially this muscle since dysfunction of arm or hand muscles has significant functional consequences. Patients with cervical spondylotic myelopathy often suffer from coordination disorders of the lower limbs; thus, special gait training during rehabilitation is necessary.
Berlin/Heidelberg: Springer; 2011. Psychologische Mechanismen der Chronifizierung – Konsequenzen für die Prävention. In: Kröner-Herwig B Frettlöh J, Klinger R, et al. (Hrsg) Schmerzpsychotherapie: Grundlagen – Diagnostik – Krankheitsbilder – Behandlung. Berlin/ Heidelberg: Springer; 2011. Bädertherapie. In: Beer AM, Adler M (Hrsg) Leitfaden Naturheilverfahren für die ärztliche Praxis. München: Urban und Fischer; 2012. Das Vojta-Prinzip: Muskelspiele in Reflexfortbewegung und motorischer Ontogenese.