Overview

This atlas deals with the surgery and the pathology of stenosis of the cervical spine and is directed primarily at neurosurgeons and orthopaedic surgeons. Following a short introduction describing the principles of stenosis, anatomy, biomechanics and imaging of the cervical spine, the book concentrates on current management of myelopathies and myeloradiculopathies in stenosing conditions arising from degenerative, neoplastic, inflammatory and traumatic diseases. The principal thrust is the detailed description, including illustrations and anatomical drawings of the various surgical techniques, with special emphasis on specific practical and technical steps developed from extensive personal experience in each of the methods described. This book underlines the risks of error in technique and the complications of each procedure, offering suggestions for practical ways for the surgeon to avoid them. The illustrations and the detailed description of the surgical techniques make this a valuable textbook in formal instruction as well as a reference for those who are about to undertake this type of surgery. This atlas on neurosurgery, orthopedics and neuroradiology is intended for neurosurgeons, orthopedists and neuroradiologists.

Full Product Details

Author:   Vincenzo Denaro ,  V. Fornasier ,  A. Sapuppo ,  Q. Mollica
Publisher:   Springer-Verlag Berlin and Heidelberg GmbH & Co. KG
Imprint:   Springer-Verlag Berlin and Heidelberg GmbH & Co. K
Weight:   1.140kg
ISBN:  

9783540533283

ISBN 10:   3540533281
Pages:   318
Publication Date:   25 October 1991
Audience:   Professional and scholarly ,  Professional & Vocational
Format:   Hardback
Publisher's Status:   Out of Print
Availability:   Out of stock  

Table of Contents

1 Introduction.- Definition.- References.- 2 Classification of Stenoses.- Functional Stenoses.- Organic Stenoses.- Congenital Stenoses.- Acquired Stenoses.- Combined Stenoses and Pathogenesis.- References.- 3 Anatomy and Anatomical Pathology.- The Cervical Vertebral Canal.- The Superior Cervical Unit.- The Inferior Cervical Unit.- The Nerve Root Canal.- The Vascular Supply of the Cervical Spine.- Dynamic Changes in the Cervical Vertebral Canal.- Pathological Anatomy.- 4 Biomechanics of Spondylotic Cervical Myelopathy.- Biomechanics of the Spinal Cord and Canal.- A Qualitatitve Biomechanical Analysis of Stresses in the Spinal Cord.- Discussion.- References.- 5 Imaging.- Traditional or Plain Radiography.- Computed Tomography.- Magnetic Resonance Imaging.- Myelography.- Arteriography.- Scintigraphy.- Conclusions.- References.- 6 Clinical Aspects of Cervical Stenosis.- Clinical Presentations.- Clinical Features.- Differential Diagnosis.- 7 Neurophysiological Studies in Cervical Stenosis.- EMG and NCV Findings.- Traditional EMG.- Reflex Response Studies.- Motor Conduction Studies.- Guidelines for Diagnosis.- Somatosensory Evoked Potentials.- Principles of Analysis.- Preoperative Assessment.- Intraoperative Monitoring.- Motor Evoked Potentials.- Conclusion.- References.- 8 Surgical Approaches.- Anterior Approaches.- Transoral Approach.- Mandible, Tongue, and Pharynx Splitting Approach.- Submandibular Approach.- Anterolateral Approaches.- High Presternocleidomastoid Approach (Retropharyngeal and Precarotid).- Low Presternocleidomastoid Approach (Retropharyngeal and Precarotid).- Presternocleidomastoid Approach (Retropharyngeal and Retrocarotid).- Retrosternocleidomastoid Approach.- Posterior Approach.- Combined Approaches.- Combined Unilateral Anterior Approaches.- Combined Bilateral Anterior Approaches.- Simultaneous Combined Anterior and Posterior Approaches.- References.- 9 Surgical Techniques.- Anterior Decompression.- Anterior Decompression Using Modified Cloward Instrumentation.- Transdiskal Anterior Decompression With Fusion.- Transdiskal Anterior Decompression Without Fusion.- Anterior Decompression with Multiple Subtotal Corpectomies.- Multiple Subtotal Corpectomies Without Massive Graft.- Anterior Decompression in Posttraumatic, Neoplastic, and Infectious Causes of Stenosis.- Anterolateral and Anteromedial Combined Approaches in the Surgical.- Management of Cervical Osteoarthritis P. H. Kehr.- and Pathogenesis.- Clinical Studies and Imaging.- Surgical Management.- Results and Conclusions.- Posterior Decompression V. Denaro.- Hemilaminectomy.- Laminectomy.- Techniques of Posterior Cervical Stabilization.- Expansive Open-Door Laminoplasty H. Hirabayashi and K. Satomi.- Bone Grafts V. Denaro.- Choice of Donor Site.- References.- 10 Causes of Poor Results.- Errors in Diagnosis.- Incorrect Level of Surgery.- Indications.- Incomplete or Inadequate Surgery.- Inadequate Postoperative Immobilization.- 11 Conclusion.

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