Chapter Preview Chapter Synopsis Although many different fixation techniques have been developed to manage atlantoaxial instability, C1 lateral mass–C2 pedicle screw fixation has emerged as a preferred treatment, based on its comparative biomechanical strength and modest risk of neurologic or…
Chapter Preview Chapter Synopsis Many techniques have been developed for the surgical management of compressive cervical myelopathy. Laminoplasty is a posterior canal expanding procedure that in selected patients allows for spinal cord decompression, avoids the loss of cervical range of…
Chapter Preview Chapter Synopsis Anterior cervical diskectomy and fusion (ACDF) comprises a common procedure used to treat cervical radiculopathy and cervical myelopathy. Excellent results can be achieved through careful patient selection and operative technique, which allows for reliable decompressiosn of…
Chapter Preview Chapter Synopsis Ankylosing spondylitis (AS) is a disease of unknown origin that is characterized by inflammation of the axial skeleton. It affects the cervical spine in many patients in the late stages of the disease. Cervical spine involvement…
Chapter Preview Chapter Synopsis Cervical disk degeneration becomes more prevalent with increasing age and can affect both male and female patients equally. Genes associated with disk degeneration include those coding for collagen I and IX, vitamin D receptor, and matrix…
Regional Anatomy and Surgical Intervals Regional Anatomy Osteology Occiput ( Fig. 5-1 ) Foramen magnum External occipital protuberance (inion) Thickest portion of bone (4-18 mm) Supreme, superior, and inferior nuchal lines Transverse sinus Cervical Vertebrae ( Fig. 5-2 ) C1 (Atlas)…
This book uses a bulleted text format and original color illustrations paired side by side with operative photographs to present orthopaedic anatomy and surgical approaches clearly. Regional Anatomy Regional anatomy for each section is presented in the following order: Osteology…
Key points Intimate relationships between osseous, nervous, vascular, and soft tissue structures of the spine are critical to normal function. A thorough understanding of these relationships is essential to the comprehension of spinal pathology and its surgical management as well…