Decision Making in Spinal Care by David Greg Anderson, Alexander R. Vaccaro, Frank M. Phillips

By David Greg Anderson, Alexander R. Vaccaro, Frank M. Phillips

Updated and multiplied to mirror present administration innovations and new applied sciences, Decision Making in Spinal Care, moment Edition offers readers with centred information to each significant subject in backbone, with an emphasis on scientific selection making. protecting the commonest backbone difficulties, this new version covers the spectrum of diagnoses noticeable in a standard spinal perform, from trauma accidents to metabolic and degenerative ailments to spinal deformities.

Highlights of the second one Edition:

  • Focuses on must-know info that considerably affects medical decisions
  • Includes new spinal applied sciences within the modern subject matters part to maintain readers current
  • Contains extra algorithms, figures, and diagrams to assist figuring out and facilitate fast administration guidance
  • Written by way of world-renowned spinal care experts

This convenient transportable reference will permit citizens, fellows, backbone surgeons, and linked clinicians in orthopedic surgical procedure and neurosurgery to fast entry the data they should make the proper judgements in treating standard spinal conditions.

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Follow-up study of conservative treatment for atlantoaxial rotatory displacement. J Spinal Disord 2001;14(6):494–499 PubMed A retrospective review of 35 children treated for AA rotatory instability. Treatment included halter traction for 2–3 weeks and a soft collar. The authors found that conservative treatment for these injuries generally resulted in satisfactory outcome. Rocha R, Sawa AG, Baek S, et al. Atlantoaxial rotatory subluxation with ligamentous disruption: a biomechanical comparison of current fusion methods.

Grauer JN, Shafi B, Hilibrand AS, et al. Proposal of a modified, treatment-oriented classification of odontoid fractures. Spine J 2005;5(2):123–129 PubMed ╇ 7. Maak TG, Grauer JN. The contemporary treatment of odontoid injuries. Spine (Phila Pa 1976) 2006;31(11, Suppl):S53–S60, discussion S61 PubMed ╇ 8. Heggeness MH, Doherty BJ. The trabecular anatomy of the axis. Spine (Phila Pa 1976) 1993;18(14):1945–1949 PubMed ╇ 9. Ryan MD, Taylor TK. Odontoid fractures in the elderly. J Spinal Disord 1993;6(5):397–401 PubMed 32â•…Iâ•…Cervical Trauma 10.

The degree of rotational instability can best be assessed using this technique. MR imaging may be employed as an adjunct, to evaluate for the presence of edema within the AA joints, or to visualize the transverse ligament directly. Treatment Injuries at the AA junction may be amenable to conservative management or may necessitate surgical intervention, depending on the type of injury and degree of instability. Transverse ligament injuries that involve an avulsion fracture of the C1 ring and that are not associated with neurological injury can be 3â•… Atlanto-Axial Instabilityâ•… 23 Fig.

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