Download e-book for iPad: Advanced Pediatric Craniocervical Surgery by Douglas L. Brockmeyer

By Douglas L. Brockmeyer

ISBN-10: 3131320818

ISBN-13: 9783131320810

This article provides state of the art concepts for surgical procedure of the
craniovertebral junction and cervical backbone. It offers concise causes of
the underlying ideas of every strategy and insights into the original matters
in pediatric surgical procedure. With this entire source, you'll achieve the cast
foundation in surgical recommendations essential to make severe scientific judgements as
well because the technical wisdom and self belief to hold them out.

Highlights include:

  • distinctive motives illuminating the hyperlinks among
    embryology and common and irregular improvement of the craniovertebral junction
    and cervical backbone
  • In-depth dialogue of the problems and strategies
    curious about either atlantoaxial and occipitocervical surgical procedure in teenagers
  • a complete bankruptcy dedicated to dealing with craniocervical
    stipulations of sufferers with Down Syndrome
  • An exam of irritating accidents of the
    craniocervical junction in teenagers
  • greater than a hundred step by step illustrations demonstrating
    key surgical ideas

This quite simply obtainable textual content could be a worthwhile asset in
the library of physicians dealing with and treating craniocervical stipulations, from
the so much skilled pediatric neurosurgeon to citizens within the early phases in their careers.

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Additional resources for Advanced Pediatric Craniocervical Surgery

Sample text

Spinal cord injury without radiographic abnormality (SCIWORA) is an injury type seen in children that is largely dependent on the flexibility of the pediatric spine. SCIWORA, first described as a syndrome by Pang and Wilberger,41 is most frequently seen in younger children and is associated with a high incidence of more serious neurological injury. 41–44 Once initiated, there may be evolution to severe and irreversible neurological injury. The concept of this problem is based on the premise that the elastic juvenile spine can accommodate considerable intersegmental displacement without fractures or ligamentous rupture, but this displacement is significant enough to precipitate significant spinal cord injury.

Six of these patients had various forms of skeletal dysplasia (diastrophic dysplasia, spondyloepiphyseal dysplasia, pseudoachondroplasia, and Larsen’s syndrome). 50 They instead proposed that OO arises because of an embryologically abnormal segmentation (complete or partial) of the midportion of the odontoid, between segments X and Y. 23 24 Advanced Pediatric Craniocervical Surgery ◆ Conclusion This chapter identifies and organizes the various congenital vertebral malformations that are seen clinically.

The anterior arch of the atlas is derived from a dense band of tissue, the hypochordal bow (an analogue of the holocentrus vertebra in more primitive species) derived from the fourth occipital sclerotome (somite 4). The posterior arch of the atlas is derived from contributions from the fourth occipital (somite 4) as well as the first cervical (somite 5) sclerotomes. 23 The apical, cruciate, and alar ligaments are also derived from the fourth occipital sclerotome. Figure 1–8 Development of the craniovertebral junction from the fourth occipital (C” O”) and first three cervical (C1,C2,C3).

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Advanced Pediatric Craniocervical Surgery by Douglas L. Brockmeyer


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