By Alexander R. Vaccaro, Todd J. Albert
Written via world-renowned masters in backbone surgical procedure, this accelerated 3rd variation info all of the significant approaches and most recent technical suggestions within the box. specialists percentage scientific pearls gleaned from years of surgical event and ongoing refinement of thoughts. all through 21 good equipped sections, the basic components of an entire spectrum of cervical, thoracic, lumbar, and sacroiliac joint tactics are distilled into 112 concise, effortless to appreciate chapters.
From deformities to spinal tumors, the textual content enables a better knowing of surgical nuances and power issues encountered in regular to advanced instances. The authors proportion insights for bettering sufferer defense and final result akin to lowering radiation publicity in the course of fluoroscopy, minimizing intraoperative blood loss, and usage of the surgical microscope. up-to-date soreness administration content material encompasses assorted suggestions together with injections, steroids, and nerve blocks.
- More than four hundred gorgeous complete colour illustrations, diagrams, and images exchange black and white photos from the former edition
- Online entry to forty video clips during which surgeon-authors percentage own information and show the best way to deftly navigate not easy, actual existence circumstances. Highlights comprise up shut and private photos shot within the OR and cadaver simulations
- Greatly increased part on minimally invasive applied sciences covers AxiaLIF, Presacral Interbody Fusion, SI Joint Fusion, and using either Robotics and Endoscopy
Up so far and complete, this e-book is a phenomenal source for orthopedic and neurosurgical fellows and citizens, in addition to clinicians focusing on backbone surgery.
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Additional info for Spine surgery: tricks of the trade
If placing bicortical screws, a safe technique is to begin drilling at relatively shorter depths, around 6 to 8 mm, and increase at 2-mm increments if bone can still be felt at the base of the hole with a probe (▶ Fig. 2). Once bone can no longer be felt, the bicortical screw can then be inserted. It should be noted, however, that unicortical midline occipital screws have been shown to have equivalent pull-out strength as lateral bicortical screws, although less than bicortical midline screws. If encountered, cerebrospinal fluid (CSF) leakage at this stage can generally be stopped by placing a screw into the hole.
2 Use of a probe to feel for bone between increasing the drill depth at 2-mm increments will help to safely achieve bicortical screw purchase in the occiput. Fig. 3 A modular addition to occipital plate allows for placement of lateral screws in case of poor midline screw purchase, or depending on the particular instrumentation system, suboptimal alignment with cervical instrumentation. Fig. 4 Suboccipital craniectomy with surrounding bur holes enables safe passage of a bent wire tip in cervical wiring.
B) Double-door allograft. (c) Singledoor allograft. (d) Single-door plate fixation. Fig. 2 Cross sectional view of (a) bilateral troughs being created; (b) sublaminar soft tissue structures cut. commonly missed on the first pass include the cephalad portion of the lower level laminas that remain covered because of the shingling eﬀect. The most cephalad and caudal levels of the laminoplasty commonly block the doors of the laminoplasty from opening. One must be careful to not unnecessarily resect interspinous attachments that are preserving stability.