By Douglas L. Brockmeyer
This article offers cutting-edge suggestions for surgical procedure of the
craniovertebral junction and cervical backbone. It offers concise reasons of
the underlying ideas of every procedure and insights into the original concerns
in pediatric surgical procedure. With this entire source, you'll achieve the forged
foundation in surgical ideas essential to make severe medical judgements as
well because the technical wisdom and self belief to hold them out.
- targeted causes illuminating the hyperlinks among
embryology and common and irregular improvement of the craniovertebral junction
and cervical backbone
- In-depth dialogue of the problems and methods
concerned about either atlantoaxial and occipitocervical surgical procedure in little ones
- a complete bankruptcy dedicated to coping with craniocervical
stipulations of sufferers with Down Syndrome
- An exam of demanding accidents of the
craniocervical junction in teenagers
- greater than a hundred step by step illustrations demonstrating
key surgical thoughts
This comfortably obtainable textual content can be a precious asset in
the library of physicians dealing with and treating craniocervical stipulations, from
the such a lot skilled pediatric neurosurgeon to citizens within the early levels in their careers.
Read or Download Advanced Pediatric Craniocervical Surgery PDF
Similar neurosurgery books
Problems as a result of trauma to the top, backbone, and peripheral nerves are one of the most typical visible by means of neurologists and neurosurgeons. This forty two bankruptcy ebook is the excellent, definitive paintings at the topic, delivering assurance on a variety of medical matters. the second one variation positive factors thoroughly new sections on activities and neurologic trauma and iatrogenic trauma to counterpoint current accomplished sections on head trauma, spinal trauma, plexus and peripheral nerve accidents, post-traumatic soreness syndromes, environmental trauma, and posttraumatic sequelae and medicolegal points.
This color atlas offers details on all significant acoustic neurinoma systems, and is designed to enhance physicians' abilities during this distinctiveness. With greater than 50,000 new instances in step with 12 months around the globe, acoustic neurinomas are one of the most ordinarily saw skull-base tumours. also they are one of the so much difficult for surgeons, because nice precision is required to protect the auditory nerve, the facial nerve and different serious constructions.
The sector of neural transplantation is at an important degree, with very important medical trials on transplantation in sufferers with Parkinson's affliction nearing of completion and novel, replacement techniques to fetal transplantation being constructed. This well timed publication brings jointly major neuroscientists, clinicians, and cellphone and developmental biologists to debate using neural transplants in neurodegenerative problems, akin to Parkinson's illness, Huntington's chorea, amyotrophic lateral sclerosis, a number of sclerosis and spinal wire damage.
Featured as a unmarried quantity, this can be a complete advisor to attainable nerve entrapment syndromes and their administration. each one bankruptcy covers a unmarried nerve, or crew of heavily comparable nerves, and is going over the scientific presentation, anatomy, actual examination, differential analysis, contributing elements, injection strategies, neurolytic/surgical ideas, remedies of perpetuating elements, and problems.
- The Legacy of Harvey Cushing: Profiles of Patient Care
- Fundamentals of operative techniques in neurosurgery
- Neural Stem Cells and Therapy
- Lumbar Disc Herniation
- Regulation of Cerebral Blood Flow and Metabolism Neurosurgical Treatment of Epilepsy Rehabilitation in Neurosurgery
Additional resources for Advanced Pediatric Craniocervical Surgery
21 These structures are the odontoid process and the transverse ligament. They provide the majority of stability at the C1–C2 joint, and their integrity is critical. The transverse ligament is a thick horizontal band of the cruciate ligament that attaches to the inner aspect of the C1 ring, and straps hold the dens against the anterior arch of C1. It is the pivotal stabilizer against horizontal translation of the dens into the spinal canal. 22 The strength of the transverse ligament is clinically illustrated by the occurrence of dens fractures in adults and synchondrosis failure in young children while the ligament itself remains intact.
Many Figure 2–4 Radiographic assessment of stability. This panel schematically shows the various distances and ratios used to assess plain radiographs for evidence of instability. ADI, atlantodental interval; BAI, basion–axial interval; B, basion;C, posterior arch of atlas; O, opisthion; A, anterior arch of atlas; C2, base of C2; C2L, C2 lamina. 57 Additional radiographic criteria have been devised to infer instability at the craniocervical junction. It is important to recognize that once the major stabilizing structures between the occiput and C2 are disrupted in the O–C2 complex and the critical threshold for instability is reached, various displacements between the occiput and C1, between C1 and C2, as well as between the occiput and C2 can be seen.
48 Abnormal fusion of adjacent ossification centers at the CVJ may produce several well-known malformations. Within the atlas or axis, a failure of anterior and posterior ossification centers to fuse properly will produce characteristic defects involving the predictable sites of normal fusion—anterolaterally and at the posterior midline. A failure of midline fusion between the paired odontoid ossification centers results in a bifid odontoid process. In an analogous manner, a failure of fusion between the ossiculum terminale (fourth cervical sclerotome) and the odontoid process (first cervical sclerotome) results in ossiculum terminale (or os avis); in some cases the ossiculum terminale fuses instead with the distal clivus.
Advanced Pediatric Craniocervical Surgery by Douglas L. Brockmeyer