By The Cervical Spine Research Society Editorial Committee, Harry N. Herkowitz MD
Prepared through the Cervical backbone study Society, this finished surgical atlas demonstrates the whole variety of operative ideas for treating cervical backbone issues. the world over well known specialists offer completely illustrated step by step directions on sufferer practise, techniques to the cervical backbone, and all present decompression, graft, fixation, and stereotactic techniques.
The constant bankruptcy association permits quick access to details. Chapters on methods disguise limits of publicity; anatomy; risks; perioperative concerns; working room setup; tools; positioning; pores and skin incisions; deep dissection; closure; and postoperative administration. Chapters on strategies disguise indications/contraindications; benefits/limitations; urged strategy; perioperative issues; working room setup; tools; biomechanical issues; process; and postoperative management.
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Extra info for Cervical Spine Surgery Atlas, The
If previous compromise to the nerve or vocal cord function is confirmed, then the surgical approach must be from the same side of the neck as the previous scar. A contralateral surgical exposure is associated with the possibility of injury to the other recurrent laryngeal nerve. This may result in complete vocal cord paralysis with devastating life-threatening implications due to airway obstruction (14). Exposure involving the upper cervical spine (C2 to C4) in obese patients may be quite difficult.
Slide the posterior vest underneath the patent and logroll the patient onto the vest (Fig. 46). 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.
40). Straps around the chin, occiput, and lower cervical spine provide for tightening. The padding around the chin can be trimmed. The average cost for a Malibu collar is between $160 and $200. The Aspen collar is made of polyethylene with a soft foam liner and Velcro straps (Fig. 41). Both collars limit ■ ■ ■ Flexion and extension by 55% to 60% Rotation by 60% Lateral bending by 60% The indications for a Malibu or Aspen collar are similar to those for the Miami J and Philadelphia collars. 9-kg force resulted in a 58-degree arc of coronal motion in an unconstrained specimen.