By Carlo Bellabarba, Frank Kandziora, Luiz Roberto Gomes Vialle
sixth quantity within the AOSpine Masters sequence presents specialist information on
making a correct analysis and type of accidents to the
thoracolumbar zone 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 therapy plan
- Editors are foreign gurus on thoracolumbar backbone trauma
- Expert suggestions and pearls incorporated in each chapter
AOSpine Masters sequence, a copublication of Thieme and AOSpine, a
Clinical department of the AO beginning, addresses present clinical
issues wherein foreign masters of backbone percentage their services and
recommendations on a specific subject. The objective 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, besides citizens and fellows in those parts, will find
this booklet to be a superb reference that they're going to seek advice frequently in
their therapy of sufferers with thoracolumbar backbone injuries.
Read Online or Download AOSpine Masters Series, Volume 6: Thoracolumbar Spine Trauma PDF
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Additional resources for AOSpine Masters Series, Volume 6: Thoracolumbar Spine Trauma
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. 5). b a c Fig. 5a–c (a) Whole-body CT scan of the chest, abdomen, and pelvis is preferred in patients with blunt injuries with suspected visceral injuries of the thorax and abdomen. Thoracolumbar fractures can be identified in up to 99% of patients.
It is defined as a focal increase in caliber of the spinal cord centered at the level of an injury. Spinal cord swelling is best demonstrated on T1-weighted sagittal images, and the parenchyma may be normal to slightly hypointense depending on the presence of coexistent cord edema. Several investigators have demonstrated correlation between neurologic deficit and MRI features of SCI. Kulkarni et al11 correlated three MRI patterns for SCI with the American Spine Injury Association (ASIA) Impairment Scale and observed that intramedullary hemorrhage equated with a severe neurologic deficit and a poor prognosis.
The distance between the two Schanz screws is secured by tightening the rod to the fracture clamps. Tilting both caudal screws into a cranial direction and both cranial screw into a caudal direction helps restore the appropriate lordosis. If the vertebral height is insufficient, a gentle bilateral distraction (or unilateral distraction to correct traumatic scoliosis) might restore the vertebral body height.