By Carlo Bellabarba, Frank Kandziora, Luiz Roberto Gomes Vialle
sixth quantity within the AOSpine Masters sequence offers specialist tips on
making a correct prognosis and type 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
- Each bankruptcy presents historic
literature in addition to a synthesized research of present literature and
proposes an evidence-based remedy plan
- Editors are overseas specialists on thoracolumbar backbone trauma
- Expert counsel and pearls integrated in each chapter
AOSpine Masters sequence, a copublication of Thieme and AOSpine, a
Clinical department of the AO beginning, addresses present clinical
issues wherein overseas masters of backbone proportion their services and
recommendations on a specific 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, in addition to citizens and fellows in those parts, will find
this ebook to be an outstanding reference that they are going to seek advice frequently in
their therapy of sufferers with thoracolumbar backbone injuries.
Read or Download AOSpine Masters Series, Volume 6: Thoracolumbar Spine Trauma PDF
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Extra info for AOSpine Masters Series, Volume 6: Thoracolumbar Spine Trauma
C) The presence of a spinous process fracture may indicate just a type A0 injury. However, in the presence of a type A1 to A4 injury anteriorly, a coexistent spinous process fracture would indicate a type B1/B2 injury. This is clearly evident on the CT scan. Radiographic Assessment of Thoracolumbar Fractures Fig. 9a–d Computed tomographic features of a posterior ligamentous complex (PLC) injury. (a) Multiple contiguous spinous process fractures. (b) Horizontal split of the spinous process with separation.
Disadvantages ◆◆ Exposure to ionizing radiation ◆◆ Pregnancy is a relative contraindication. Many major trauma centers now use wholebody CT scans as the primary imaging modality for evaluating the spine, especially in the obtunded and polytraumatized patient or in high-velocity trauma patients. 7%, respectively. 3% of the spinal fractures. They recommended it as a standard screening test for spinal fractures. Similarly, screening of the thoracolumbar spine as a part of the thoracic-abdominal-pelvic CT survey excludes the need for routine spinal radiography in blunt trauma patients and identifies most injuries (Fig.
In cases in which the landmarks cannot be identified radiographically, especially in the AP plane, an open surgical approach must be performed. ■■ Surgical Technique Positioning The patient is intubated and placed in the prone position on a radiolucent table. 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).