Advanced Pediatric Craniocervical Surgery by Douglas L. Brockmeyer

By Douglas L. Brockmeyer

This article provides cutting-edge recommendations for surgical procedure of the
craniovertebral junction and cervical backbone. It presents concise motives of
the underlying ideas of every method and insights into the original concerns
in pediatric surgical procedure. With this entire source, you'll achieve the forged
foundation in surgical innovations essential to make serious medical judgements as
well because the technical wisdom and self belief to hold them out.

Highlights include:

  • special causes illuminating the hyperlinks among
    embryology and basic and irregular improvement of the craniovertebral junction
    and cervical backbone
  • In-depth dialogue of the problems and methods
    taken with either atlantoaxial and occipitocervical surgical procedure in young children
  • a whole bankruptcy dedicated to handling craniocervical
    stipulations of sufferers with Down Syndrome
  • An exam of worrying accidents of the
    craniocervical junction in teenagers
  • greater than a hundred step by step illustrations demonstrating
    key surgical recommendations

This easily available textual content can be a beneficial asset in
the library of physicians handling and treating craniocervical stipulations, from
the such a lot skilled pediatric neurosurgeon to citizens within the early phases in their careers.

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Extra resources for Advanced Pediatric Craniocervical Surgery

Example text

22 The strength of the transverse ligament is clinically illustrated by the occurrence of dens fractures in adults and synchondrosis failure in young children while the ligament itself remains intact. Although the transverse ligament holds the C1 ring against the dens, a unique aspect of the O–C2 region is that, unlike the remainder of the spine, stability is otherwise not primarily provided by the segmental structures (Fig. 2–3). 2 In addition, there is no correlate of the segmental interspinous ligament in the O–C2 region.

Dias has proposed that A Figure 1–12 Congenital vertebral dislocation. (A) T2-weighted sagittal magnetic resonance imaging scan demonstrates a complete and abrupt spondyloptosis of T11 on T12. Note the alignment of the T12 body with the more caudal vertebral column. (B) Axial computed tomographic myelogram in another case shows the spinal cord and thecal sac transposed B dorsally to the extreme dorsal portion of the spinal canal . The pedicles are abnormally elongated and the canal very widened in the anteroposterior dimension.

Com 28 Advanced Pediatric Craniocervical Surgery stability of the O–C2 complex. Also reviewed are the anatomy of the subaxial spine and the elements involved in maintaining stability of the subaxial spine. ◆ Review of Normal Biomechanics Craniocervical Junction: Normal Kinematics The biomechanical unit of the craniocervical junction is the occipitoatlantoaxial (O–C2) complex. The occipitoatlantal (O–C1) joint and the atlantoaxial (C1–C2) joint of the O–C2 complex function together as a single unit that controls the movement of the head in relation to the spine.

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