By The Cervical Spine Research Society Editorial Committee, Harry N. Herkowitz MD
Prepared via the Cervical backbone examine Society, this accomplished surgical atlas demonstrates the whole diversity of operative options for treating cervical backbone problems. across the world well known specialists supply completely illustrated step by step directions on sufferer coaching, methods to the cervical backbone, and all present decompression, graft, fixation, and stereotactic techniques.
The constant bankruptcy association permits easy accessibility to info. Chapters on ways conceal limits of publicity; anatomy; hazards; perioperative issues; working room setup; tools; positioning; pores and skin incisions; deep dissection; closure; and postoperative administration. Chapters on options hide indications/contraindications; benefits/limitations; urged technique; perioperative issues; working room setup; tools; biomechanical concerns; strategy; and postoperative management.
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Extra resources for Cervical Spine Surgery Atlas, The
12) reported on 900 consecutive patients undergoing anterior cervical spine surgery during which ETT cuff pressures were monitored. After the first 250 patients, a modified technique was employed in which ETT cuff pressures were released after retractor placement or repositioning was employed. In addition, intubated cadavers were studied with videofluoroscopy following retractor placement. Thirty cases of vocal cord paralysis consistent with recurrent laryngeal nerve palsy were identified, with three patients having permanent paralysis.
These braces typically cost from $500 to $750. A four-poster design typically limits lateral bending and rotation better than a two-poster brace (Fig. 43). Additional straps often connect the occipital and mandibular support pieces. These posts leave the neck itself open, allowing heat to escape and assisting wound inspection. pgsIII 10/22/03 1:31 PM Page 37 1. 43. Examples of the Lerman Minerva brace both without (A) and with (B) a thoraciclumbar-sacral orthosis (TLSO) attachment. These orthotics are effectively four-poster braces.
B: This patient is positioned prone for posterior cervical spine surgery on a Jackson frame using a Mayfield horseshoe headrest and halo tong traction. C: These patients are positioned prone for posterior cervical spine surgery on a Jackson frame using Mayfield tongs. (All parts from Guanciale T. Positioning for posterior cervical spine surgery. In: Dillin WH, Simeone FA, eds. Posterior cervical spine surgery. pgsIII 10/22/03 1:31 PM Page 25 1. Cervical Traction, Positioning, and Braces improves venous drainage and allows more rapid access to and control of bleeding points.