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 presents professional advice on
making a correct analysis and class of accidents to the
thoracolumbar quarter of the backbone. Chapters comprise: Radiographic
Assessment of Thoracolumbar Fractures, Posterior and Anterior MIS in TL
Fractures, and Thoracolumbar Fracture Fixation within the Osteoporotic
Patient.

Key Features:

  • Each bankruptcy offers historic
    literature in addition to a synthesized research of present literature and
    proposes an evidence-based therapy plan
  • Editors are foreign gurus on thoracolumbar backbone trauma
  • Expert tips and pearls integrated in each chapter

The
AOSpine Masters sequence, a copublication of Thieme and AOSpine, a
Clinical department of the AO starting place, addresses present clinical
issues wherein foreign masters of backbone proportion their services and
recommendations on a selected subject. The target 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, besides citizens and fellows in those parts, will find
this publication to be a very good reference that they are going to seek advice frequently in
their remedy of sufferers with thoracolumbar backbone injuries.

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

Example text

Pillows c b c Fig. 3a–e Problems with posterior MIS procedures. (a–c) X-rays and sagittal computed tomography (CT) reconstruction of multilevel lower thoracic d e fractures (T10 AOSpine type A1, T11 AOSpine type A3, and T12 AOSpine type A1). (d,e) Postoperative implant failure and increased kyphosis. 37 Posterior Minimally Invasive Surgery in Thoracolumbar Fractures Fig. 4 Demonstration of prone positioning on a radiolucent table. Approach Dekutoski et al14 suggests that two different incisions can be used to approach the subcutaneous space: (1) a traditional paraspinal approach with several short skin incisions that are in line with the pedicle trajectory and are recommended especially for short segment fusion; and (2) a midline incision and subcutaneous lateral dissection if longer constructs are required, providing good cosmetic results.

5 Spinal Structures to Be Evaluated in the Different Imaging Planes in MRI Scans MRI Sequence Radiological Observation T1-weighted sagittal sections T2-weighted sagittal sections Alignment, vertebral marrow signal Vertebral height, pars interarticularis, longitudinal, interspinous and supraspinous ligaments, central spinal canal, epidural space, and spinal cord Disk contour, pedicles, spinal cord, lateral recess, neural foramina, facet joints, and epidural space Curvature of spine, paravertebral soft tissues, and sacroiliac joints.

In a study of 70 patients with MRI assessment of spinal trauma, Oner et al7 observed different injury patterns of the end plates and intervertebral disks. They noted that these injuries together with the amount of vertebral body involvement may determine the load-­ sharing capacity of the anterior column. 10 They concluded that in the majority of cases this happens not through a frank disk degeneration process but through a failure of the end plate by the distention and creeping forces of the disk.

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