By Todd J. Albert, Joon Yung Lee, Moe R. Lim
Offers a targeted and succinct assessment of surgical cervical backbone situations, representing mid to high-level complexity, with most popular administration equipment, together with a reason of execs and cons of other tools. a brief, transparent, and useful method of analysis and surgical administration of cervical difficulties of the backbone. The diagnosis-based structure proceeds logically to the explicit and most modern equipment of treatment. Read more...
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Additional resources for Cervical spine surgery challenges : diagnosis and management
Saunders RL, Pikus HJ, Ball P. Four-level cervical corpectomy. Spine 1998;23:2455-2461 44. Dai L, Ni B, Yuan W, Jia L Radiculopathy after laminectomy for cervical compression myelopathy. J Bone Joint Surg Br 1998;80: 846-849 45. Yonenobu K, Hosono N, Iwasaki M, Asano M, Ono K. Neurologic complications of surgery for cervical compression myelopathy. Spine 1991;16:1277-1282 46. Kato Y, Iwasaki M, Fuji T, Yonenobu K, Ochi T. Long-term followup results of laminectomy for cervical myelopathy caused by ossification of the posterior longitudinal ligament.
It is important to pull down the shoulders with tape to elongate the neck. Avoid excessive traction on the shoulders, which may cause a brachial plexus neuropathy. Depending on the length of graft needed to stabilize the cervical spine, either the ipsilateral iliac crest (one- to one-and-a-half-level corpectomy) or the ipsilateral fibula (two or more levels) is prepped and draped. If the fibula is harvested, a tourniquet is applied to the thigh prior to draping. The bed is placed in reverse Trendelenburg to help with blood loss and bring the operative field closer to the surgeon.
Results of skip laminectomy-minimum 2-year follow-up study compared with open-door laminoplasty. Spine 2003;28:2667-2672 Kaminsky SB, Clark CR, Traynelis VC. Operative treatment of cervical spondylotic myelopathy and radiculopathy: a comparison of laminectomy and laminoplasty at five-year average follow-up. Iowa Orthop J 2004;24:95-105 Kohno K, Kumon Y, Oka Y, Matsui S, Ohue S, Sakaki S. Evaluation of prognostic factors following expansive laminoplasty for cervical spinal stenotic myelopathy. Surg Neurol 1997;48:237-245 Seichi A, Takeshita K, Ohishi I, et al.