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Degenerative disorders of the cervical spine are among the more common reasons why patients seek medical attention or consult with a spine specialist. These conditions can lead to neck pain and/or neurological deficit that can significantly compromise an individual’s quality of life. Despite the regularity of these conditions, there remains both uncertainty and controversy regarding optimal management. No standard of care exists, however there are nuances related to a patients history, clinical presentation, and imaging that may make one approach more conducive to clinical success. This text is intended to serve as a comprehensive, up-to-date resource for clinicians involved in the management of patients with cervical degenerative disease. The text is divided into sections, organized in a clinically strategic manner. The initial chapters address the basics of cervical spine anatomy and biomechanics as well as the pathophysiology leading to various cervical degenerative disorders and the possible neurological sequelae. Subsequent chapters outline characteristics of the clinical presentation and the various diagnostic modalities to evaluate these patients. Key elements involved in the surgical-decision making process are covered, providing the necessary elements to establish a solid foundation for treatment planning. The final sections discusses specific procedures; including traditional approaches as well as more recent developments such as motion preservation surgery and minimally invasive techniques. The last section focuses on challenging clinical scenarios that require advanced surgical consideration. Individual chapters are organized with an introductory outline containing key chapter elements. Chapters focusing on specific pathological entities include discussions regarding pathophysiology, genetics, and risk factors. Those describing surgical procedures include a discussion on indications/contraindications, pre-operative planning, surgical technique, post-operative care, and complication avoidance. Chapter authors present their personal experience enhancing the information from current, evidence-based, referenced material. When appropriate, case presentations are added to provide a practical application of chapter’s key points. This text, based on relevant, up-to-date clinical information and the cumulative experience of current spine experts, offers physicians the necessary tools involved in the decision-making process to formulate the optimal treatment plan for an individual patient. In addition, identification of knowledge gaps will hopefully stimulate future research and the evolution of cervical spondylotic treatments.
Edited by internationally recognized pain experts, this book offers 73 clinically relevant cases, accompanied by discussion in a question-and-answer format.
Cervical laminoplasty for the treatment of ossification of the posterior longitudinal ligament was developed and refined in Japan during the 1970s. Since that time, various cervical laminoplasty techniques have been further analyzed and modified, and have proven to be clinically successful. Until now cervical laminoplasty has been practiced primarily in Japan, and surgeons outside Japan had only limited access to the detailed English literature needed to make full use of the procedures. This book fills that gap in English information and provides a detailed, up-to-date guide to performing safe and effective cervical laminoplasty. Drawing on the latest knowledge from Japan, the book covers the history of cervical laminoplasty, surgical anatomy, basic procedures, modified procedures, possible complications, and perspectives on the future of expansive laminoplasty. This volume by leaders in the field is an excellent guide for all surgeons interested in laminoplasty.
Navigate the unique clinical issues involved in treating athletes who have spinal injuries. A team of peerless authorities in sports medicine share their unparalleled expertise in Spine Injuries in Athletes, published in partnership with the AAOS. This unique and practical clinical reference culls today’s best approaches for managing these injuries, optimizing function, and ensuring quick but safe return to play whenever possible.
Degenerative Cervical Myelopathy: From Basic Science to Clinical Practice lays the foundation for understanding DCM manifestation, pathophysiology, diagnosis and treatment strategies. The book covers the latest basic and clinical research, updates on patient management strategies, and discusses promising neuroprotective therapies for the future of DCM care. Written by international experts across a range of topics related to degenerative cervical myelopathy, the book helps readers understand the challenges and future directions of patient management. As degenerative cervical myelopathy (DCM) is the leading cause of spinal cord dysfunction and one of the most common indications for spinal surgery worldwide, the term DCM encompasses a group of chronic, non-traumatic spinal cord injuries that occur due to degenerative changes in the cervical spine (e.g. disc spondylosis or repetitive dynamic injury from hyper-mobility). Covers recent clinical trial advancements and the impact of trial findings Presents recent clinical guidelines for the management of degenerative cervical myelopathy, providing readers with insights regarding the translation of research from bench to bedside Provides readers with the skills needed to understand the translational pathway using real-life examples
This issue of Neurosurgery Clinics, edited by Dr. Michael G. Fehlings and Dr. Junichi Mizuno, focuses on Cervical Myelopathy. Topics include, but are not limited to, Epidemiology and overview of the clinical spectrum of degenerative cervical myelopathy; Pathobiology of degenerative cervical myelopathy; Natural history of degenerative cervical myelopathy; Imaging evaluation of degenerative cervical myelopathy: current state of the art and future directions; Pathophysiology of CPPD and OYL(OLF); Radiological evaluation of OPLL with dural ossification; Relationship of OALL, OPLL and OYL (OLF); Importance of sagittal alignment of the cervical spine in the management of degenerative cervical myelopathy; Anterior cervical options to manage degenerative cervical myelopathy; Laminectomy with or without fusion to manage degenerative cervical myelopathy; History and evolution of laminoplasty; Prediction of outcomes in managing degenerative cervical myelopathy; Neurological complications in managing degenerative cervical myelopathy; Options to manage the patient with mild degenerative cervical myelopathy; Management of the patient with cervical cord compression but no evidence of myelopathy; Intraoperative neurophysiological monitoring for CDD; Future Directions and New Technology, and more!
Interpretation Basics of Cone Beam Computed Tomography is an easy-to-use guide to Cone Beam CT technology for general dental practitioners and dental students. It covers normal anatomy, common anatomical variants, and incidental findings that practitioners must be familiar with when interpreting CBCT scans. In addition to functioning as an identification guide, the book presents and discusses sample reports illustrating how to use this information in day-to-day clinical practice. Organized by anatomical regions, the book is easy to navigate and features multiple images of examples discussed. It also includes a valuable section on legal issues surrounding this new technology, essential for informed and appropriate use.
This is a quick-reference resource covering the most common acute orthopedic injuries. Including bulleted text and easy-to-follow algorithms, protocols, and images, this “pocket consultant” provides the most up-to-date information when you need it most. Organized anatomically for fast reference, each chapter is broken down into the most common and most serious injuries with tips on how to evaluate and treat adult and pediatric patients. Each injury pattern discussed includes a brief description covering what to ask, what to bring, what to request, what to test, what to look for, and how to further evaluate. The contributing authors are senior orthopedic surgery residents at a major Level-1 Trauma Center who have experience managing a high volume of orthopedic injuries and who have trained many young residents. Covering all aspects of acute care, The Orthopedic Consult Survival Guide is an indispensable tool for medical students, residents, fellows, attendings , and affiliated providers in orthopedic surgery, emergency medicine, and surgery caring for orthopedic patients in emergency rooms, urgent care centers, and primary practice settings.
With rapid advances in medical technology and progress in medicine during the last 27 years, severe disability or sustained neck-shoulder-arm pain secondary to cervical spondylosis can be detected much earlier. Excellent or good results of surgery can be achieved compared to the past, due mainly to advances in diagnostic imaging and surgical procedure.Through research into cervical spondylotic myelopathy, particularly the conditions combined with a narrow spinal canal, orthopaedic surgeons in Japan have revealed the key mechanism involved in myelopathy and the specific manifestation leading to early recognition of the affliction, the ?myelopathy hand?, and have invented a canal-expansive laminoplasty. Extensive decompression of the impinged spinal cord with remarkable ill effects such as instability or adhesion was accomplished for the first time. Further study has been ongoing to clarify the pathomechanism of ?spondylosis? through biomechanical and animal model studies.This volume consists of contributions by experts worldwide on the recent advances in the study of cervical spondylosis and will serve as a valuable reference for all researchers, surgeons and postgraduate students.