By Alexander R. Vaccaro, Todd J. Albert
ISBN-10: 1604068965
ISBN-13: 9781604068962
ISBN-10: 1626232954
ISBN-13: 9781626232952
Written via world-renowned masters in backbone surgical procedure, this improved 3rd version information the entire significant tactics and latest technical concepts within the box. specialists percentage scientific pearls gleaned from years of surgical adventure and ongoing refinement of thoughts. all through 21 good equipped sections, the basic parts of an entire spectrum of cervical, thoracic, lumbar, and sacroiliac joint techniques are distilled into 112 concise, effortless to appreciate chapters.
From deformities to spinal tumors, the textual content allows a better knowing of surgical nuances and strength problems encountered in ordinary to advanced situations. The authors proportion insights for making improvements to sufferer protection and end result equivalent to decreasing radiation publicity in the course of fluoroscopy, minimizing intraoperative blood loss, and usage of the surgical microscope. up to date soreness administration content material encompasses various recommendations together with injections, steroids, and nerve blocks.
Special Features:
- More than four hundred wonderful complete colour illustrations, diagrams, and images exchange black and white photographs from the former edition
- Online entry to forty video clips during which surgeon-authors proportion own assistance and show tips to deftly navigate hard, actual lifestyles instances. Highlights contain up shut and private pictures shot within the OR and cadaver simulations
- Greatly extended part on minimally invasive applied sciences covers AxiaLIF, Presacral Interbody Fusion, SI Joint Fusion, and using either Robotics and Endoscopy
Up thus far and finished, this publication is a phenomenal source for orthopedic and neurosurgical fellows and citizens, in addition to clinicians focusing on backbone surgery.
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Extra info for Spine surgery: tricks of the trade
Example text
Fig. 3 A modular addition to occipital plate allows for placement of lateral screws in case of poor midline screw purchase, or depending on the particular instrumentation system, suboptimal alignment with cervical instrumentation. Fig. 4 Suboccipital craniectomy with surrounding bur holes enables safe passage of a bent wire tip in cervical wiring. 9 Difficulties Encountered space exists between the rods and occipital bone, as this can result in the wire cutting through the bone. As this technique is generally considered only in the setting of a suboccipital craniotomy, the bent-tipped wire is passed from an adjacent bur hole into the craniotomy defect (▶ Fig.
As this technique is generally considered only in the setting of a suboccipital craniotomy, the bent-tipped wire is passed from an adjacent bur hole into the craniotomy defect (▶ Fig. 4). Durotomy and neurovascular injury can occur during drilling, screw placement, wire passage, or suboccipital craniotomy. Additionally, there is a risk of vigorous venous bleeding caused by transverse dural sinus injury if drill placement is too superior. When a durotomy occurs, resulting CSF leakage can usually 17 II Posterior Cervical Arthrodesis and Instrumentation Fig.
This bone graft can be carried up to a prepared occipital bony surface when occipitocervical fusion is desired. The occipital bone should be prepared sufficiently laterally from midline to accommodate the graft placement over the C1–C2 articulations. Brooks Technique Two individual bicortical corticocancellous grafts (iliac crest or rib) are fashioned to fit snugly between the C1 and C2 laminae. The cephalad and caudal edges can be shaped concavely to accept the convex laminar edges they approximate (▶ Fig.