Max Aebi / John S. Thalgott / John K. Webb (eds.)

AO ASIF Principles in Spine Surgery

By M. Goytan, B. Jeanneret, Friedrich Magerl et al.

• Gebundenes Buch

Produktbeschreibung

Following a dramatic evolution in spine surgery in the last decades the long and eagerly awaited spine manual provides a comprehensive overview on the methods developed in co-operation with the AO as well as the indications and pre-requisites of spine surgery. The authors - outstanding experts in spine surgery - describe the most up to date instruments, implants and techniques as well as their correct application. The spine manual itself thus becomes an essential and indispensable instrument for the spine surgeon. TOC:Aims and Principles.- Implants.- Biomechanics of Implants.- Biology of Fusion.- Classification of Fractures.- Stabilization Techniques: Upper Cervical Spine, Lower Cervical Spine, Thoraco-lumbar Spine.- Modular Stabilization System: Universal Spine System.- Other Fixation Systems.

Produktdetails

• Verlag: Springer, Berlin
• 1998
• Seitenzahl: 260
• Erscheinungstermin: 15. Dezember 1997
• Englisch
• Abmessung: 266mm x 198mm x 22mm
• Gewicht: 920g
• ISBN-13: 9783540627630
• ISBN-10: 3540627634
• Artikelnr.: 14717043

Autorenporträt

Contributions by M. Goytan, B. Jeanneret, F. Magerl und M.B.Jr. Williamson

Inhaltsangabe

1 Aims and Principles.
1.1 Introduction.
1.2 Stable Internal Fixation.
1.3 Preservation of Blood Supply.
1.4 Anatomical Alignment.
1.5 Early Pain
Free Mobilization.
2 Biomechanics of the Spine and Spinal Instrumentation.
2.1 Introduction.
2.2 Mechanical Principles.
2.3 Mechanical Properties of Materials.
2.4 Implant Materials.
2.5 Principles of Surgical Stabilization.
2.5.1 Buttressing Principle.
2.5.2 Neutralization Principle.
2.5.3 Tension Band Principle.
2.5.4 Bridge Fixation Principle.
2.6 Instrumentation Application.
2.7 Cervical Spinal Instrumentation.
2.8 Lumbar and Thoracolumbar Spinal Instrumentation.
2.9 Spinal Deformity.
2.10 Lumbar Reconstruction.
2.11 Spondylolysis.
2.12 Implant Failure
Biomechanics.
References.
3 Biology of Spinal Fusions.
3.1 Introduction.
3.2 Local Host Factors.
3.2.1 Host Soft Tissue Bed.
3.2.2 Host Graft Recipient Site.
3.2.3 Growth Factors.
3.2.4 Electrical Stimulation.
3.3 Sytemic Host Factors.
3.3.1 Hormones.
3.3.2 Host Nutrition and Homeostasis.
3.4 Bone Graft Materials.
3.4.1 Properties of Graft Material.
3.5 Types of Graft Materials.
3.5.1 Autograft.
3.5.2 Allograft.
3.5.3 Xenograft.
3.5.4 Synthetic Bone Graft Substitutes.
3.5.5 Effect of Instrumentation on the Biology of Spine Fusions.
3.6 Conclusion.
References.
4 A Comprehensive Classification of Thoracic and Lumbar Injuries.
4.1 Introduction.
4.2 Concept of the Classification.
4.3 Classification of Thoracic and Lumbar Injuries.
4.3.1 Type A: Vertebral Body Compression.
4.3.1.1 Group A1: Impaction Fractures.
4.3.1.2 Group A2: Spilt Fractures.
4.3.1.3 Group A3: Burst Fractures.
4.3.1.4 Common Local Clinical Findings and Radiological Signs of Type A Injuries.
4.3.2 Type B: Anterior and Posterior Element Injuries with Distraction.
4.3.2.1 Group B1: Posterior Disruption Predominantly Ligamentous.
4.3.2.2 Group B2: Posterior Disruption Predominantly Osseous.
4.3.2.3 Common Local Clinical Findings and Radiological Signs of B1 and B2 Injuries.
4.3.2.4 Group B3: Anterior Disruption Through the Disk.
4.3.2.5 Common Local Clinical Findings and Radiological Signs of B3 Injuries.
4.3.3 Type C: Anterior and Posterior Element Injuries with Rotation.
4.3.3.1 Group Cl: Type A with Rotation.
4.3.3.2 Group C2: Type B with Rotation.
4.3.3.3 Group C3: Rotational Shear Injuries.
4.3.3.4 Common Clinical Findings and Radiological Signs of Type C Injuries.
4.4 Epidemiological Data.
4.4.1 Level of Main Injury.
4.4.2 Frequency and Distribution of Types and Groups.
4.4.3 Incidence of Neurological Deficit.
4.5 Discussion.
4.5.1 Type A.
4.5.2 Type B.
4.5.2.1 B1 and B2 Injuries.
4.5.2.2 B3 Injuries.
4.5.3 Type C.
4.6 Conclusions.
References.
5 Stabilization Techniques: Upper Cervical Spine.
5.1 Posterior Wiring Techniques.
5.1.1 Standard Technique (After Gallie).
5.1.2 Wedge Compression Technique (After Brooks and Jenkins).
5.2 Transarticular Screw Fixation.
5.2.1 Standard Technique.
5.2.2 Cannulated Screw Technique.
5.3 Anterior Screw Fixation of Odontoid (Dens) Fractures.
5.3.1 Standard Lag Screw Technique.
5.3.2 Cannulated Screw Technique.
6 Stabilization Techniques: Lower Cervical Spine.
6.1 Posterior Techniques.
6.1.1 Wiring Technique.
6.1.2 Plate Technique.
6.1.2.1 Screw Placement.
6.1.2.1.1 Mid and Lower Cervical Spine.
6.1.2.1.2 Upper Cervical Spine.
6.1.2.1.3 Upper Thoracic Spine from T1
T3.
6.1.2.1.4 Occiput Screws.
6.1.2.2 3.5
mm Cervical Titanium Plate.
6.1.2.2.1 Plate Fixation in the Middle and Lower Cervical Vertebrae (C2
C7).
6.1.2.2.2 Occipitocervical Plate Fixation.
6.1.2.2.3 Cervicothoracic Plate Fixation.
6.1.2.3 One
Third Tubular Plate Fixation.
6.1.2.4 Hook Plates.
6.1.3 Cervical Spine Titanium Rod System (Cervifix).
6.1.3.1 Implants and Instruments.
6.1.3.2 Occipitocervical Stabilization.
6.1.3.3 Cervicothoracic Fixation from C2 to Th2 (as for Occipitocervical Fixation).
6.1.3.4 Connection of the Cervical Spine Rod System to the 6
mm USS Rod (Occipitocervical Fixation).
6.2 Anterior Techniques.
6.2.1 Plating Techniques.
6.2.1.1 Standard H Plate.
6.2.1.2 Titanium Cervical Spine Locking Plate (CSLP).
7 Stabilization Techniques: Thoracolumbar Spine.
7.1 Anterior Techniques.
7.1.1 Plate Techniques.
7.1.1.1 Fixation with the Large Dynamic Compression Plate (DCP).
7.1.1.2 Anterior Titanium Thoracolumbar Locking Plate.
7.1.2 Rod Systems.
7.1.2.1 Fixation with the Anterior USS.
7.1.2.1.1 Anterior Construct.
7.1.2.1.2 Anterior Vertebral Body Construct.
7.1.2.2 Fixation with the Anterior Titanium Rod System (VentroFix).
7.1.2.2.1 Double
Rod Clamp Configuration.
7.1.2.2.2 Fracture Clamp Configuration.
7.1.2.2.3 Single
Clamp
Double
Rod Configuration.
7.1.2.2.4 Single
Clamp
Single
Rod Configuration.
7.2 Posterior Techniques.
7.2.1 Translaminar Screw Fixation.
7.2.2 Pedicle Fixation.
7.2.2.1 Notched Thoracolumbar Plates.
7.2.2.2 Fracture Module of the USS.
7.2.2.2.1 Anterior Vertebral Body Fracture with Intact Posterior Wall (Type A
1 and A
2).
7.2.2.2.2 Anterior Vertebral Body Fracture with Fractured Posterior Wall (Type A
3).
7.2.2.2.3 Posterior Element Fractures or Disruption with Distraction (Type B).
7.2.2.2.4 Complete Disruption of the Anterior and Posterior Elements with Rotation (Type C).
8 Modular Stabilization System: The Universal Spine System.
8.1 Basic Concepts.
8.2 The System.
8.2.1 Instruments and Implants.
8.2.1.1 Fracture Module.
8.2.1.2 Low Back Surgery Module.
8.2.1.3 Scoliosis and Deformity Module.
8.2.1.4 Specific Implants and Instruments.
8.2.1.4.1 USS Side
Opening Pedicle Screws.
8.2.1.4.2 USS Hooks: Laminar Hooks.
8.2.1.4.3 USS Hooks: Specialized Pedicle Hook.
8.2.1.4.4 USS Hooks: Transverse Process Hook.
8.2.1.4.5 USS Rod Introduction into Side
Opening Implants.
8.2.1.4.6 Complex Reduction Forceps
the "Persuader".
8.2.1.4.7 Rod Connectors.
8.2.1.4.8 USS Cross
link System.
8.2.2 USS for Deformity.
8.2.2.1 Basic Principles.
8.2.2.1.1 Basic Principle of Construct.
8.2.2.1.2 The Concave Curve.
8.2.2.1.3 The Convex Side.
8.2.2.1.4 Insertion of Rod and Reduction of Spine.
8.2.2.2 Scoliosis: Postrior Correction and Stabilization.
8.2.2.2.1 Right Thoracic Late Onset Scoliosis.
8.2.2.2.2 Double Curve.
8.2.2.3 Scoliosis: Anterior Correction and Stabilization.
8.2.2.4 Kyphosis: Posterior Correction and Stabilization.
8.2.3 USS for the Degenerative Lumbosacral Spine.
8.2.3.1 Standard Fixation.
8.2.3.2 Sacral Fixation.
8.2.4 USS for Spondylolisthesis Reduction and Stabilization.
8.2.4.1 Spondylolisthesis.
9 Other Fixation Systems.
9.1 Hook
Screw System for Spondylolysis Treatment.
9.2 External Spinal Skeletal Fixation B. Jeanneret.
9.2.1 Principles and Technique.
9.2.1.1 Technique of Percutaneous Insertion of Schanz Screws.
9.2.1.2 Postoperative Care.
9.2.1.3 Insertion of Thoracic Screws.
9.2.1.4 Treatment of Complications.
9.2.1.5 Removal of Schanz Screws.
9.2.2 External Fixation as a Diagnostic Tool in Low
Back Pain.
9.2.2.1 Gradual Reduction of Severe Spondylolisthesis.
9.2.3 Percutaneous Treatment of Osteomyelitis of the Spine.
9.2.4 External Fixation for Spinal Fractures.
9.2.5 Stabilization of Unstable Malgaigne Fractures.
9.3 Cage Systems.
9.3.1 Fixation with the Titanium Interbody Spacer.
9.3.2 Anterior Titanium Interbody Spacer (SynCage).
9.3.3 Contact Fusion Cage.
9.3.2.1 Mounting the Cage on the Implant Holder.
9.3.2.2 Filling the Cage with Bone Graft.
9.3.3.3 Removal of the Cage.