AOSpine Masters Series, Volume 6: Thoracolumbar Spine Trauma by Carlo Bellabarba, Frank Kandziora, Luiz Roberto Gomes Vialle

By Carlo Bellabarba, Frank Kandziora, Luiz Roberto Gomes Vialle

This
sixth quantity within the AOSpine Masters sequence offers professional information on
making a correct prognosis and class of accidents to the
thoracolumbar region of the backbone. Chapters contain: Radiographic
Assessment of Thoracolumbar Fractures, Posterior and Anterior MIS in TL
Fractures, and Thoracolumbar Fracture Fixation within the Osteoporotic
Patient.

Key Features:

  • Each bankruptcy presents historic
    literature in addition to a synthesized research of present literature and
    proposes an evidence-based remedy plan
  • Editors are overseas gurus on thoracolumbar backbone trauma
  • Expert information and pearls incorporated in each chapter

The
AOSpine Masters sequence, a copublication of Thieme and AOSpine, a
Clinical department of the AO beginning, addresses present clinical
issues wherein foreign masters of backbone proportion their services and
recommendations on a specific subject. The objective of the sequence is to
contribute to an evolving, dynamic version of an evidence-based medicine
approach to backbone care.

All backbone surgeons and orthopaedic
surgeons, in addition to citizens and fellows in those parts, will find
this booklet to be a superb reference that they are going to seek advice usually in
their therapy of sufferers with thoracolumbar backbone injuries.

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Additional info for AOSpine Masters Series, Volume 6: Thoracolumbar Spine Trauma

Sample text

A) Sagittal CT of a patient with an unstable burst fracture. (b) Sagittal T2 image shows thecal compression not affecting the conus. (c) Sagittal MRI of another patient with an injury at the same level showing a type B2 injury and significant cord compression. (d) T2 axial image at the same level shows contusion of the conus medullaris detected by central hyperintensity within the cord. (e) Sagittal CT of the same patient showing retropulsed bone fragments within the canal. d c e in patients with mild to moderate initial neurologic deficits who also subsequently showed neurologic improvement.

The MRI identification of hemorrhage in the spinal cord following trauma has significant clinical implications. Experimental and autopsy pathological studies of patients with spinal cord hemorrhage have shown that the underlying lesion most often was hemorrhagic necrosis of the spinal cord. It is considered that the detection of a sizable focus of blood (> 10 mm) in the spinal cord is often indicative of a complete neurologic injury. The presence of frank hemorrhage implies a poor potential for neurologic recovery.

Schanz Screws After insertion of the Schanz screws, the fracture clamps are placed on the proximal and distal screws (Fig. 8). The rod is inserted through a b Fig. 6a,b (a) The medial pedicle margin has been reached, as demonstrated on a true AP view. (b) Lateral view indicates too much convergence, while the needle tip is still inside the pedicle. The needle should not be further advanced, and the convergence must be reduced. Posterior Minimally Invasive Surgery in Thoracolumbar Fractures a b c d Fig.

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