By Luiz Roberto Gomes Vialle, K. Riew, Manabu Ito

This 3rd quantity within the AOSpine Masters sequence covers the commonest operative options for treating degenerative cervical stipulations. The ebook offers professional counsel to assist clinicians make the perfect therapy judgements and supply the simplest deal with their sufferers. bankruptcy themes diversity from Laminectomy and Fusion for Cervical Spondylotic Myelopathy to issues on Anterior surgical procedure: VA damage, Esophageal Read more...

summary: This 3rd quantity within the AOSpine Masters sequence covers the most typical operative recommendations for treating degenerative cervical stipulations. The publication presents specialist information to assist clinicians make the ideal remedy judgements and supply the simplest take care of their sufferers. bankruptcy subject matters variety from Laminectomy and Fusion for Cervical Spondylotic Myelopathy to issues on Anterior surgical procedure: VA harm, Esophageal Perforation, and Dysphagia.Key Features:Synthesizes the easiest to be had facts and consensus specialist recommendation on every one operative strategy for degenerative cervical stipulations, prime

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Additional resources for AOSpine masters series. Volume 3, Cervical degenerative conditions

Example text

Precisely, the pedicles are located slightly below the lateral vertebral notch at C2, at C3 to C6, and at, or slightly above, the notch at C7 (Fig. 1). The points of the screw starting at the C3 through C7 pedicles are slightly laterally to the center of the articular mass and close to the inferior margin of the inferior articular process of the cranially adjacent vertebra. Confirmation of the screw starting point for C7 using lateral C-arm projection may be disturbed by the shoulder girdle in many patients.

Alternatively, one can place a small patty in this space to pro­ tect the artery. The advantage of the Penfield No. 2 is that the assistant can lever back to im­ prove the exposure. With the Penfield protecting the vertebral artery to enable the safe and judicious use of the bur, the decompression and uncinatectomy can be performed efficiently. The uncinate can Anterior Cervical Decompression and Fusion Techniques Fig. 2 The Penfield retractor is used lateral to the uncinate to protect the vertebral arteries.

A craniocaudal orientation of the screw insertion point can be confirmed by a lateral image intensifier. The authors usually create a funnel-­ shaped hole at the screw insertion point using a high-speed bur with a diamond tip. The direction of the pedicle’s anatomic axis in the transverse plane varies from a minimum at the C2 pedicle to a maximum at the C5 pedicle. However, after resection of the outer surface of the articular mass to create a hole with a funnel-like shape down to the entrance of the pedicle with a high-speed bur, surgeons can have a wider range of freedom for determining the screw insertion angle from the entrance of the pedicle cavity (Fig.

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