Decision making in spinal care by David Greg Anderson, Alexander R. Vaccaro, Frank M. Phillips

By David Greg Anderson, Alexander R. Vaccaro, Frank M. Phillips

Updated and elevated to mirror present administration
strategies and new applied sciences, Decision Making in Spinal Care, moment Edition
provides readers with concentrated tips to each significant subject in backbone, with an
emphasis on medical selection making. overlaying the commonest backbone
problems, this re-creation covers the spectrum of diagnoses visible in a standard
spinal perform, from trauma accidents to metabolic and degenerative illnesses to
spinal deformities.

Highlights of the second one

  • Focuses on "must-know" info that considerably
    affects scientific decisions
  • Includes new spinal applied sciences within the modern
    issues part to maintain readers current
  • Contains extra algorithms, figures, and diagrams to help
    realizing and facilitate quick administration guidance
  • Written via world-renowned spinal care

This convenient moveable reference will let citizens, fellows, backbone
surgeons, and linked clinicians in orthopedic surgical procedure and neurosurgery to
quickly entry the data they should make definitely the right judgements in treating
typical spinal conditions.

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Extra resources for Decision making in spinal care

Example text

Workup Physical Examination In all spinal injuries, the workup begins with advanced trauma life support (ATLS) protocol. High-dose steroids may be considered if an incomplete spinal cord injury is recognized in the first 8 hours following the trauma. Patients with AS or DISH and neck pain should be assumed to have a DE injury until proven otherwise following an injury. Medical comorbidities should be assessed and optimized. Spinal Imaging Radiographs of the entire spinal axis should be obtained due to the high rate of noncontiguous injuries.

Fractures of the odontoid process have been attributed to both hyperflexion and hyperextension injuries. ◆ Classification The classification system of Anderson and d’Alonzo is most commonly used, and it divides these fractures into types I, II, and III based on the level of the fracture line, relative to the C2 body–dens junction (Fig. 4–1). Type I fractures involve the tip of the odontoid process and make up about 2 to 4% of all odontoid fractures. These injuries are generally considered stable (as long they are not associated with an occipitocervical dislocation).

However, this article does not completely address the issue of instability. qxp 11/7/06 10:32 AM Page 35 Chapter 5 Traumatic Spondylolisthesis of the Axis 35 Schneider RC, Livingson KE, Cave AJE, et al. “Hangman’s fracture” of the cervical spine. J Neurosurg 1965;22:141–154 This article gives a historical introduction of the etiology, presentation, and treatment of hangman’s fractures. The author first coined the term hangman’s fractures for C2 fractures resulting from vehicular accidents, after noting the similarity with those sustained in judicial hangings.

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