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Advanced Pediatric Craniocervical Surgery -

Advanced Pediatric Craniocervical Surgery

Douglas L. Brockmeyer (Herausgeber)

Buch | Hardcover
152 Seiten
2005
Thieme Medical Publishers Inc (Verlag)
978-1-58890-396-9 (ISBN)
CHF 97,95 inkl. MwSt
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Covers state-of-the-art techniques!


This text presents state-of-the-art techniques for surgery of the craniovertebral junction and cervical spine. It provides concise explanations of the underlying principles of each technique and insights into the unique issues in pediatric surgery. With this complete resource, you will gain the solid foundation in surgical concepts necessary to make critical clinical decisions as well as the technical knowledge and confidence to carry them out.


Highlights include:




Detailed explanations illuminating the links between embryology and normal and abnormal development of the craniovertebral junction and cervical spine
In-depth discussion of the issues and techniques involved in both atlantoaxial and occipitocervical surgery in children
An entire chapter devoted to managing craniocervical conditions of patients with Down Syndrome
An examination of traumatic injuries of the craniocervical junction in children
More than 100 step-by-step illustrations demonstrating key surgical techniques

This readily accessible text will be a valuable asset in the library of physicians managing and treating craniocervical conditions, from the most experienced pediatric neurosurgeon to residents in the early stages of their careers.

Department of Neurosurgery, University of Utah, Primary Childrens Medical Center, Salt Lake City, Utah

1.Anatomy, Embryology, and Normal and Abnormal Development of the Craniovertebral Junction and Cervical Spine (Mark S. Dias and Douglas L. Brockmeyer)

Anatomy of the Subaxial Cervical Spine

Bony, Disk, and Ligamentous Anatomy

Vascular and Lymphatic Anatomy

Anatomy of the Craniovertebral Junction

Bony and Ligamentous Anatomy

Vascular and Lymphatic Anatomy

Embryology of the Cervical Spine

Gastrulation and Formation of Somites and Notochord

Condensation of the Somitic Mesoderm to Form the Somites

Formation of the Sclerotome and Dermomyotome

Formation of the Membranous Somite and Resegmentation

Chondrification Phase

Ossification Phase

Embryology of the Craniovertebral Junction

Malformations of the Spine

Disordered Gastrulation

Malalignment of Somitic Columns—Hemimetameric Shift

Disordered Vertebral Formation

Disordered Vertebral Segmentation

Disordered Vertebral Alignment

Failed Fusion of Sclerotome, Chondrification, or Ossification Centers

Isolated Failure of Ossification and Growth

Malformations of the Craniovertebral Junction

Conclusion

2. Clinical Biomechanics of the Pediatric Craniocervical Junction and Subaxial Spine (Marcus L. Ware, Nalin Gupta, Peter P. Sun, and Douglas L. Brockmeyer)

Review of Normal Biomechanics

Craniocervical Junction: Normal Kinematics

Subaxial Cervical Spine: Normal Kinematics

Determinants of Stability at the Craniocervical Junction

Determinants of Stability of the Subaxial Cervical Spine

Special Pediatric Considerations

Clinical Instability at the Craniocervical Junction

Clinical Instability of the Subaxial Cervical Spine

Conclusions

3. Common Pathological Conditions of the Pediatric Craniovertebral Junction and Cervical Spine

Down Syndrome (Douglas L. Brockmeyer)

Etiology

Natural History

Common Anatomical Idiosyncrasies

Surgical Considerations

Klippel-Feil Syndrome and Klippel-Feil Variant (Dan Fassett and Douglas L. Brockmeyer)

Etiology

Natural History

Common Anatomical Idiosyncrasies

Surgical Considerations

Neurofibromatosis Type 1 (Douglas L. Brockmeyer)

Etiology

Natural History

Common Anatomical Idiosyncrasies

Surgical Considerations

Os Odontoideum (Paul Grabb)

Etiology

Natural History

Common Anatomical Idiosyncrasies

Surgical Considerations

Common Skeletal Dysplasias (Jeff Atkinson and Douglas L. Brockmeyer

Etiology

Natural History

Common Anatomical Idiosyncrasies

Surgical Considerations

4. Traumatic Injuries of the Pediatric Craniocervical Junction (Marcus L. Ware, Kurtis I. Auguste, Nalin Gupta, Peter B. Sun, and Douglas L. Brockmeyer)

Craniovertebral Junction Injuries

Longitudinal Occiput–C2 Subluxation

Atlantoaxial Rotatory Subluxation

Translational Atlantoaxial Subluxation

Odontoid Fractures

C2 Pedicle Fractures

Subaxial Cervical Spine Injuries/

Ligamentous and Soft Tissue Injury

Bony Anterior Column Injuries

Bony Posterior Column Injures

Combined Anterior and Posterior Column Injuries

5. Advanced Atlantoaxial Surgery in Children (Douglas L. Brockmeyer)

Clinical Findings

Management of Atlantoaxial Lesions

Patient Evaluation

Conservative Management

Surgical Management and Decision Making

Surgical Approaches

Implants

Bone Graft Materials

External Orthoses

Postoperative Follow-Up

Radiographic Protocol

Failed Fusions

Postoperative Growth Potential

An Advanced Technique for Atlantoaxial Arthrodesis

Imaging and Image Analysis

Screw Placement Strategies

6. Advanced Occipitocervical Surgery in Children (Douglas L. Brockmeyer)

Clinical Findings

Management of Craniovertebral Junction Lesions

Conservative Management

Surgical Management and Decision Making

Surgical Approaches

Implants

Bone Graft Materials

External Orthoses

Postoperative Follow-Up

An Advanced Technique for Occipitocervical Fusion

7. Advanced Surgery for the Subaxial Cervical Spine in Children

Clinical Findings

Management of Subaxial Cervical Spine Lesions

Conservative Management

Surgical Management and Decision Making

Surgical Approaches

Anterior Cervical Approach

Cervical Anterolateral Approach

Posterior Midline Approach

Implants

Anterior Plates

Bone Graft Materials

External Orthoses

Postoperative Follow-Up

Advanced Subaxial Cervical Spine Fusion Techniques

Erscheint lt. Verlag 17.10.2005
Verlagsort New York
Sprache englisch
Maße 216 x 279 mm
Gewicht 772 g
Themenwelt Medizinische Fachgebiete Chirurgie Neurochirurgie
Medizinische Fachgebiete Chirurgie Unfallchirurgie / Orthopädie
Medizin / Pharmazie Medizinische Fachgebiete Pädiatrie
ISBN-10 1-58890-396-6 / 1588903966
ISBN-13 978-1-58890-396-9 / 9781588903969
Zustand Neuware
Informationen gemäß Produktsicherheitsverordnung (GPSR)
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