By Rahul Jandial MD PhD, Steven R. Garfin MD
Best facts for backbone surgical procedure presents consultant situations that assist you ascertain the optimum surgical interventions to your sufferers. Drs. Rahul Jandial and Steven R. Garfin, and a balanced staff of preeminent neurosurgeons and orthopaedists, deal with the fashion towards a extra collaborative technique among backbone and orthopaedic surgical procedure. This easy-to-read, evidence-based source additionally positive factors "Tips from the masters" for a fast evaluation of significant parts of analysis and remedy and on-line entry at www.expertconsult.com with absolutely searchable textual content and downloadable images.
- Choose the easiest strategies in your sufferers utilizing facts that helps the optimum surgical intervention for every case.
- Access the absolutely searchable textual content on-line at www.expertconsult.com, in addition to a downloadable snapshot gallery and a video library demonstrating nuances of key techniques.
- Apply a multi-disciplinary method via assurance that displays the altering nature of the area of expertise with chapters written by means of neurosurgeons and orthopaedists.
- Quickly overview crucial parts of analysis via "Tips from the masters."
- Easily locate the knowledge you wish with a constant, case-based layout that truly offers proof and techniques.
Best facts for backbone surgical procedure is the ideal source for any medical professional attracted to studying concerning the most sensible facts on situations for which there's debate in regards to the surgical administration. info provided incorporates a thorough evaluate of literature, process, and circumstances as offered through preeminent backbone surgeons. details is gifted from a balanced panel of orthopaedic and neurological surgeons, to articulate a collaborative method that has been the usual evolution within the educational atmosphere. This name offers a consultant case and the facts for the optimum surgical intervention for that case, inside of a layout that makes crucial parts available and appealing.
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Additional info for Best Evidence for Spine Surgery: 20 Cardinal Cases
3,5 These reports illustrate the feasibility and initial efficacy of less invasive approaches for this pathologic condition in selected patients. The evidence cannot begin to elucidate the superiority of one approach over another. Indeed, given the relative rarity of this lesion, and the case-to-case heterogeneity, such comparisons will be difficult and perhaps inappropriate. The decision of whether to use a less invasive approach over a more invasive one and which approach to select is likely to remain primarily influenced by the constraints of the pathologic features present and the training and expertise of the individual surgeon.
A and C, Axial and posterior view of completion of the laminoplasty trough on the opening side and deepening of the gutter on the hinge side. B and D, Axial and posterior view of opening of the laminoplasty door and closure of the hinge side held in place with sutures from the intact facets around the base of the spinous processes. 34 • • • BEST EVIDENCE FOR SPINE SURGERY A B FIGURE 3-9 AP and lateral radiographs of a laminectomy and instrumented spinal fusion. Tips from the Masters 3-6 • If hinge fracture occurs, a complete laminectomy should be performed.
A B C D FIGURE 3-8 Cervical open-door laminoplasty. A and C, Axial and posterior view of completion of the laminoplasty trough on the opening side and deepening of the gutter on the hinge side. B and D, Axial and posterior view of opening of the laminoplasty door and closure of the hinge side held in place with sutures from the intact facets around the base of the spinous processes. 34 • • • BEST EVIDENCE FOR SPINE SURGERY A B FIGURE 3-9 AP and lateral radiographs of a laminectomy and instrumented spinal fusion.