By Todd J. Albert, Joon Yung Lee, Moe R. Lim
Provides a concentrated and succinct overview of surgical cervical backbone instances, representing mid to high-level complexity, with hottest administration tools, together with a reason of execs and cons of different tools. a brief, transparent, and useful method of prognosis and surgical administration of cervical difficulties of the backbone. The diagnosis-based layout proceeds logically to the explicit and newest equipment of treatment. Read more...
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Extra resources for Cervical spine surgery challenges : diagnosis and management
J Spinal Disord Tech 2005;18:406-409 32. Fogel GR, McDonnell MF. Surgical treatment of dysphagia after anterior cervical interbody fusion. Spine J 2005;5:140-144 33. Wang JC, Hart RA, Emery SE, Bohlman HH. Graft migration or displacement after multilevel cervical corpectomy and strut grafting. Spine 2003;28:1016-1021 discussion 1021-1022 34. Vaccaro AR, Falatyn SP, Scuderi GJ, et al. Early failure of long segment anterior cervical plate fixation. J Spinal Disord 1998;11: 410-415 35. Wang JC, McDonough PW, Endow KK, Delamarter RB.
4,5 This recognition can help minimize the risk of dural injury and CSF leaks. If a dural erosion or tear is encountered that cannot be repaired, a fascial dural patch can be sutured over the deficiency. A lumbar drain is placed if a persistent dural leak is observed. Strict bed rest and the lumbar drain should be maintained for 4 to 5 days to ensure that the dura is sealed. Patients with dural injury should be monitored closely in the postoperative period for evidence of persistent CSF leaks, including increased swelling in the neck, dysphagia, respiratory distress, and the development of a CSF fistula.
18 Laminectomy without fusion is discouraged due to the increased risk of postoperative instability and progressive kyphosis. Only patients with preserved cervical lordosis should undergo posterior decompression for OPLL Lordosis allows the posteriorly decompressed spinal cord to migrate away from the anterior pathology. Recurrence is attributed to progression of the OPLL that is not directly addressed at the time of posterior decompression. Posterior decompression should be avoided in patients with kyphosis.
Cervical spine surgery challenges : diagnosis and management by Todd J. Albert, Joon Yung Lee, Moe R. Lim