By Luiz Roberto Gomes Vialle, K. Riew, Manabu Ito
This 3rd quantity within the AOSpine Masters sequence covers the most typical operative suggestions for treating degenerative cervical stipulations. The publication presents specialist advice to assist clinicians make the suitable remedy judgements and supply the simplest deal with their sufferers. bankruptcy issues diversity from Laminectomy and Fusion for Cervical Spondylotic Myelopathy to issues on Anterior surgical procedure: VA harm, Esophageal Perforation, and Dysphagia.Key Features:Synthesizes the simplest to be had facts and consensus professional recommendation on each one operative process for degenerative cervical stipulations, leading. �Read more...
summary: This 3rd quantity within the AOSpine Masters sequence covers the most typical operative strategies for treating degenerative cervical stipulations. The e-book offers professional counsel to aid clinicians make definitely the right therapy judgements and supply the simplest deal with their sufferers. bankruptcy themes diversity from Laminectomy and Fusion for Cervical Spondylotic Myelopathy to issues on Anterior surgical procedure: VA harm, Esophageal Perforation, and Dysphagia.Key Features:Synthesizes the easiest on hand facts and consensus specialist suggestion on each one operative process for degenerative cervical stipulations, best
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Extra info for AOSpine masters series. Volume 3, Cervical degenerative conditions
Indications and Techniques of Cervical Pedicle Screws a b c Fig. 3a–c Regulation of screw insertion using the C-arm. (a) The two broken lines indicate the cranial and caudal margin of the pedicle. The pedicle probe, tap, and screws must be advanced between the two broken lines. (b) Tapping of the screw insertion hole. (c) Confirming the proper creation of the screw insertion path after probing and tapping using the pedicle sounder. Simultaneous Decompression and Stabilization sion and fixation using a cervical pedicle screw system.
The omohyoid muscle belly should be identified, except for high cervical exposures. Novice surgeons often inadvertently dissect medial to the omohyoid, trapping themselves in the axilla of the muscle. This then necessi tates greater retraction force on the esophagus to expose the spine and limits cranial expo sure. The muscle can be divided if it appears to necessitate increased retraction force. We usually find that exposures of the C5 and below are more easily done by dividing the muscle. Care in performing generous mobilization of the multiple fascial planes encountered will di minish tension on the soft tissues of the neck.
For these patients, a small laminotomy at the cranial margin of the C7 lamina is helpful to see and touch the pedicle directly through the laminotomy portion. A craniocaudal orientation of the screw insertion point can be confirmed by a lateral image intensifier. The authors usually create a funnel- shaped hole at the screw insertion point using a high-speed bur with a diamond tip. The direction of the pedicle’s anatomic axis in the transverse plane varies from a minimum at the C2 pedicle to a maximum at the C5 pedicle.