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Author König, Alexander

Title Degenerative diseases of the cervical spine : therapeutic management in the subaxial section / Alexander König, Uwe Spetzger
Published Cham, Switzerland : Springer, 2017


Description 1 online resource
Contents Foreword; Preface; Contents; 1: Introduction; 1.1 Background; 1.2 History of Diagnostics and Therapy of Cervical Disc Herniation; References; 2: Anatomical Aspects; 2.1 Dimensions; 2.2 Vertebral Body, Intervertebral Disc and Uncinate Process; 2.3 Vertebral Arch and Facet Joints; 2.4 Cervical Muscles; 2.4.1 Ventral Muscles; 2.4.2 Dorsal Muscles; 2.5 Topographic Anatomy; 2.5.1 Anterior Approach; 2.5.2 Posterior Approach; References; 3: Biomechanical Aspects; 3.1 Motions of the Cervical Spine; 3.2 The Functional Spinal Unit and Its Function
3.3 Bearing of Loads by the Spinal Column3.3.1 Intervertebral Disc; 3.3.2 Vertebrae; 3.3.3 Ligaments; 3.3.4 Instability; 3.3.5 Biomechanical Analytical Methods; References; 4: Preoperative Diagnostics and Indication for Surgery; 4.1 Past Medical History and Clinical Examination; 4.1.1 General Considerations; 4.1.2 Radicular Symptoms; Radicular Pain Syndrome; Sensory Deficits; Motor Deficits; Vegetative Disorders; 4.1.3 Pathological Reflexes as a Sign of Radicular or Spinal Cord Compression; 4.1.4 Myelopathic Symptoms: Spondylotic Myelopathy
4.2 Imaging4.2.1 Magnetic Resonance Imaging (MRI); 4.2.2 Computed Tomography (CT); 4.2.3 X-Ray; 4.2.4 Myelography and Myelo-CT; 4.2.5 Image-Guided Nerve Root and Facet Joint Infiltration; 4.3 Electrophysiology; References; 5: Conservative Treatment; 5.1 General Considerations; 5.2 Pain Management; 5.2.1 Nonsteroidal Anti-inflammatory Drugs (NSAIDs); 5.2.2 Central Analgetics; 5.3 Physiotherapy; 5.3.1 Aim of Treatment and Instruction of the Patient; 5.3.2 Motion Therapy; 5.3.3 Vojta Method (Reflex Locomotion); 5.3.4 Massage; 5.3.5 Cryotherapy and Thermotherapy
5.3.6 Electrotherapy5.4 Psychotherapy; References; 6: Choice of Surgical Approach; 6.1 Anterior Approach; 6.2 Posterior Approach; 6.3 Combined Approach; References; 7: Choice of Implant; 7.1 Disc Replacement; 7.1.1 Total Disc Replacement: Prostheses; 7.1.2 Intervertebral Fusion Cages; 7.1.3 Intermediate Solution; 7.1.4 Hybrid Solutions; 7.1.5 Polymethylmethacrylate (PMMA); 7.1.6 Autologous Iliac Crest Bone Graft and Anterior Plating; 7.1.7 Cages with Screw Fixation; 7.1.8 Clinical Case: Indication for Total Disc Replacement; 7.1.9 Clinical Case: Indication for Cage Implantation
7.2 Replacement of Vertebral Bodies and Anterior Plating7.2.1 Vertebral Body Replacement; 7.2.2 Anterior Plating; 7.2.3 Clinical Case: Indication for Vertebral Body Replacement and Anterior Plating; 7.3 Posterior Fusion; 7.3.1 Implants; 7.3.2 Clinical Case: Indication for Laminectomy and Posterior Fusion; 7.4 Open-Door Laminoplasty; 7.4.1 Implants; 7.4.2 Clinical Case: Indication for Open-Door Laminoplasty; References; 8: Surgical Technique; 8.1 Anterior Approach, Discectomy, Cage Implantation and Total Disc Replacement; 8.1.1 Anterior Approach to the Cervical Spine and Discectomy
Summary The authors present anatomical, biomechanical, and clinical basic knowledge relevant to degenerative diseases of the surgical spine and describe how to choose the approach, implant, and surgical technique in detail. Numerous figures illustrate the decision-making process and surgical techniques step-by-step. The book also contains key points about implant safety and possible complications as well as an outlook to the future of cervical spine surgery. Degenerative Diseases of the Cervical Spine is aimed at spinal surgeons (neurosurgeons and orthopaedic surgeons), physical therapists, general practitioners, and rehabilitation physicians, worldwide
Bibliography Includes bibliographical references and index
Subject Cervical vertebrae -- Diseases.
Cervical vertebrae -- Diseases -- Surgery
Cervical Vertebrae -- surgery
Intervertebral Disc Degeneration -- surgery
Cervical Vertebrae -- physiopathology
MEDICAL -- Surgery -- General.
Cervical vertebrae -- Diseases
Form Electronic book
Author Spetzger, Uwe
ISBN 9783319472980