By Douglas L. Brockmeyer

This article provides cutting-edge strategies for surgical procedure of the
craniovertebral junction and cervical backbone. It offers concise factors of
the underlying rules of every procedure and insights into the original matters
in pediatric surgical procedure. With this entire source, you are going to achieve the forged
foundation in surgical innovations essential to make serious scientific judgements as
well because the technical wisdom and self assurance to hold them out.

Highlights include:

  • special causes illuminating the hyperlinks among
    embryology and basic and irregular improvement of the craniovertebral junction
    and cervical backbone
  • In-depth dialogue of the problems and strategies
    considering either atlantoaxial and occipitocervical surgical procedure in youngsters
  • a whole bankruptcy dedicated to dealing with craniocervical
    stipulations of sufferers with Down Syndrome
  • An exam of tense accidents of the
    craniocervical junction in kids
  • greater than a hundred step by step illustrations demonstrating
    key surgical innovations

This with no trouble available textual content may be a priceless asset in
the library of physicians handling and treating craniocervical stipulations, from
the such a lot skilled pediatric neurosurgeon to citizens within the early phases in their careers.

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Extra resources for Advanced Pediatric Craniocervical Surgery

Example text

26 Muscular action and bony contact also contribute to the stability of the O–C2 unit. 25 Hence, muscular action is thought to be substantially responsible for holding the cranium firmly to the spine. Determinants of Stability of the Subaxial Cervical Spine Stability within the subaxial spine relies on the ability of vertebral bodies, intervertebral disks, and facet joints to withstand physiological compressive forces and of the spinal ligaments to withstand physiological tensile forces. The cervical spine can withstand substantial compressive loads during physiological conditions.

Congenital defects of the posterior arch of the atlas: a report of seven cases including an affected mother and son. AJNR Am J Neuroradiol 1994;15:249–254 2 Clinical Biomechanics of the Pediatric Craniocervical Junction and Subaxial Spine Marcus L. Ware, Nalin Gupta, Peter P. Sun, and Douglas L. 1 The most important clinical concept regarding the biomechanics of the spine is that of stability. ” This definition allows the clinician to make interpretations based on the initial injury as well as the known natural history of certain injuries and conditions.

40 Third, the facet joints in children are shallow and oriented more horizontally than in adults, permitting translation as well as flexion and extension movements. Fourth, the immature vertebral bodies are shorter anteriorly, creating a wedge shape so that forward movement of adjacent segments is enhanced. Fifth, the uncinate processes, which restrict lateral and rotational movements between the bodies, are absent in children under 10 years of age. Sixth, the growth zone in the vertebral end plate splits readily from the primary centrum under moderate shear forces.

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