By The Cervical Spine Research Society Editorial Committee, Harry N. Herkowitz MD
Prepared by means of the Cervical backbone examine Society, this finished surgical atlas demonstrates the whole diversity of operative recommendations for treating cervical backbone problems. the world over well known specialists offer completely illustrated step by step directions on sufferer guidance, ways 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 conceal limits of publicity; anatomy; risks; perioperative issues; working room setup; tools; positioning; epidermis incisions; deep dissection; closure; and postoperative administration. Chapters on options conceal indications/contraindications; benefits/limitations; instructed process; perioperative issues; working room setup; tools; biomechanical concerns; strategy; and postoperative management.
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Extra info for Cervical Spine Surgery Atlas, The
37). These braces are compact and store easily in emergency vehicles. They are quickly transformed into sound cervical orthoses by twisting and snapping them into place. Various authors have found these braces to be as effective as Philadelphia collars. However, a short backboard and blocks remain a more effective form of emergency cervical spine immobilization than any collar device (Fig. 38). Head cervical orthotics (HCOs) include the occiput and chin to decrease cervical range of motion. Unfortunately, the supported chin and clavicle are common places for skin breakdown and hair ingrowth.
Also, inspect the skin under the vest, especially in paralyzed patients. Change the sheepskin lining as needed. Typically, after the expected period of healing (12 weeks for some injuries), the uprights of the halo are loosed. Flexion and extension radiographs are examined for evidence of continued instability. If the spine is stable, remove the halo and progress the patient into a CTO. Complications associated with halo immobilization include long-term neck pain and stiffness. In one group of 83 patients treated in a halo from 10 to 12 weeks, 80% reported neck pain and limitation of motion long term.
19. A: The Stryker turning frame is useful for both preoperative traction and intraoperative positioning. ) B: The Jackson frame, like the Stryker turning frame, may be used to reposition the patient while maintaining in-line traction. Fluoroscopy and intraoperative radiographs are more easily obtained with these frames than with a standard operating room table. 20. This patient is positioned supine for anterior cervical spine surgery. Slight reverse Trendelenburg position allows for better drainage.