By David Greg Anderson, Alexander R. Vaccaro, Frank M. Phillips
Updated and multiplied to mirror present administration innovations and new applied sciences, Decision Making in Spinal Care, moment Edition presents readers with concentrated information to each significant subject in backbone, with an emphasis on medical selection making. protecting the most typical backbone difficulties, this new version covers the spectrum of diagnoses obvious in a customary spinal perform, from trauma accidents to metabolic and degenerative ailments to spinal deformities.
Highlights of the second one Edition:
- Focuses on must-know info that considerably affects scientific decisions
- Includes new spinal applied sciences within the modern subject matters part to maintain readers current
- Contains extra algorithms, figures, and diagrams to assist figuring out and facilitate swift administration guidance
- Written by means of world-renowned spinal care experts
This convenient transportable reference will let citizens, fellows, backbone surgeons, and linked clinicians in orthopedic surgical procedure and neurosurgery to quick entry the data they should make the precise judgements in treating commonplace spinal conditions.
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Additional info for Decision Making in Spinal Care
Neurologic injuries are rare with isolated C1 ring fractures, because of the ample size of the spinal canal in relation to the spinal cord. Classification There are four basic types of C1 fractures. The most common type is an isolated fracture of the posterior arch (Fig. 1A), which accounts for almost two-thirds of all atlas fractures. This injury occurs after forced hyperextension of the skull and cervical spine. The relatively weak posterior arch is compressed between the occiput and the neural arch of the axis.
Because of the capacious nature of the spinal canal in the upper cervical spine, odontoid fractures are rarely associated with an acute neurological deficit. 3 Classification Anderson and D’Alonzo4 described the most commonly used classification system for odontoid fractures (Fig. Type I fractures represent a fracture of the tip of the odontoid, cephalad to the transverse ligament. Type II fractures denote a fracture through the base of the dens but not involving the body of C2, while Type III fractures extend into the body of C2.
Nonoperative management of type II odontoid fractures in the elderly. Spine (Phila Pa 1976) 2008;33(26): 2881–2886 PubMed 16. Müller EJ, Schwinnen I, Fischer K, Wick M, Muhr G. Non-rigid immobilisation of odontoid fractures. Eur Spine J 2003;12(5):522–525 PubMed 17. Harrop JS, Przybylski GJ, Vaccaro AR, Yalamanchili K. Efficacy of anterior odontoid screw fixation in elderly patients with Type II odontoid fractures. Neurosurg Focus 2000;8(6):e6 PubMed 18. Platzer P, Thalhammer G, Ostermann R, Wieland T, Vécsei V, Gaebler C.