Nontraumatic Cervical Myelopathy

Pathologies, Surgical Techniques, and Nuances

Buch | Hardcover

713 Seiten

2020
Nova Science Publishers Inc (Verlag)
978-1-5361-7251-5 (ISBN)

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The earliest human known to have the capability of walking erect on two legs is Sahelanphropus, who lived 6 million years ago. The ability to stand erect led to required extensive changes in the human skeleton, including significant changes in the cervical spine. In modern humans, the cervical spine holds the head upright and gives it great mobility. The combination of great mobility in this spinal segment combined with the requirement that it carry significant weight makes the cervical spine susceptible to a wide variety of pathologies. The cervical spine not only supports the head upright, but acts as a channel for the full set of neural elements connecting the brain with all near and distant parts of the body; thus, pathologies involving the spinal column in this segment directly affect the cervical spinal cord and exiting nerve roots. Today, excellence in spine surgery requires a thorough understanding of spinal anatomy, relevant neurology, and biomechanics, as well as skilled use of a variety of surgical techniques. The surgeon must master the ability to effectively select from a wide and constantly changing variety of alternative instrumentations and surgical approaches. In addition, the trend towards reducing the invasiveness of surgical procedures has led to the use of smaller and smaller tools and smaller surgical incisions with more limited views of the relevant anatomy. As a result of the rapid pace of change, the choice of an optimal technique in any given situation is increasingly complex. In this book, we begin with a basic review of anatomy, neurology, neurophysiology, and biomechanics. We also discuss clinical and radiological assessment required for a differential diagnosis, and present a thorough discussion of the importance of sagittal alignment of the spine and the utility of gait analysis. We proceed with a thorough discussion of nontraumatic pathologies causing cervical myelopathy, beginning with the craniocervical junction down through the subaxial spine, in pediatric and adult populations. This discussion includes steps in the differential diagnosis for specific pathologies, surgical techniques and nuances, radiation-based treatment alternatives, and special topics ranging from the use of stem cells to robotics and endoscopic surgery. We have attempted to provide both fundamental and state-of-the-art knowledge and to share the rich experience of some of the leading spine surgeons worldwide, with the aim of enabling surgeons at all levels to advance their own capabilities for performing safe and successful procedures in this area of complex anatomy.

Preface; Acknowledgements; Descriptive Anatomy and Embryology of the Cervical Spine; Biomechanics of the Cervical Spine; Differential Diagnosis of the Cervical Spine: Clinical Evaluation; Electrophysiological Assessment in Cervical Spine Disorders; Radiological Evaluation of the Non-Traumatic Cervical Spine; Sagittal Alignment of the Cervical Spine; Utility of Gait Analysis in Patients with Cervical Myelopathy; Timing of the Diagnosis in Degenerative Cervical Myelopathy; Indications and Timing of Surgery in Degenerative Cervical Myelopathy; Stem Cell Therapy in the Management of Cervical Degenerative Disease; C1-2 Instability and Degenerative Cervical Myelopathy; Cervical Decompression and Fusion through an Anterior Approach; Posterior Cervical Decompression with Cervical Laminoplasty; Posterior Approaches to the Cervical Spine Cervical Decompression and Fusion through an Anterior Approach; Tumors of the Craniocervical Junction; Surgical Approaches to the Craniocervical Junction for Neoplastic Lesions; Surgical Approaches in Metastatic Disease Involving the Craniocervical Junction; Intradural Extramedullary Spinal Cord Tumors; Intradural Intramedullary Spinal Cord Tumors; En Bloc Resection of Primary Bone Tumors of the Cervical Spine: Surgical Considerations and Avoiding Complications; Surgical Management of Spinal Metastases Involving the Cervical Spine; Advanced Radiotherapy for the Primary Tumors in Cervical Spine; Advanced Radiotherapy for Metastatic Disease of the Cervical Spine; Stereotactic Radiosurgery for the Management of Intradural Neoplasms of the Cervical Spine; Cervical Kyphosis and Scoliosis; Vertebral Osteomyelitis, Discitis, and Epidural Abscess of the Cervical Spine in Intravenous Drug Users; Cervical Myelopathy of Vascular Origin; Cervical Myelopathy in Pediatric Patients; The Cervical Spine in Achondroplasia; Tuberculosis of the Cervical Spine; The Role of Sagittal Alignment in Surgery for Degenerative Cervical Myelopathy; Fusion Techniques for C1C2 Instability; Transoral Approach for the Lesions of the Dens; Endoscopic Endonasal Approach to the Craniocervical Junction; Full-Endoscopic Surgical Strategies with Anterior and Posterior Approaches; Anterior Cervical Discectomy and Fusion: The Controversy between Use of an Interbody Graft with Anterior Plating versus a Stand-Alone Cage; Cervical Disc Arthroplasty; Robotic and Image-Guided Surgery in the Cervical Spine; Operative Neurophysiology of the Cervical Spine; Surgical Complications with the Anterior Approach; Surgical Complications with the Posterior Approach; The Future of Cervical Myelopathy Management; Index.

Erscheinungsdatum	14.05.2020
Sprache	englisch
Gewicht	1420 g
Themenwelt	Medizinische Fachgebiete ► Chirurgie ► Neurochirurgie
	Medizinische Fachgebiete ► Chirurgie ► Unfallchirurgie / Orthopädie
	Naturwissenschaften ► Biologie ► Humanbiologie
	Naturwissenschaften ► Biologie ► Zoologie
ISBN-10	1-5361-7251-0 / 1536172510
ISBN-13	978-1-5361-7251-5 / 9781536172515
Zustand	Neuware