Read e-book online Controversies in spine surgery: best evidence PDF

By Alexander R. Vaccaro, Jason C. Eck

ISBN-10: 1604062398

ISBN-13: 9781604062397

"This is precisely the publication one must have prepared entry to."--
American magazine of Neuroradiology


"All companies who take care of sufferers with spinal difficulties should still examine
using this publication to aid with choice making for his or her sufferers on a daily
basis
."-- Journal of Neurosurgery


Drawing at the services of world-renowned orthopedic and
neurological backbone surgeons,Controversies in backbone surgical procedure: top facts Recommendations compiles, summarizes, and synthesizes the main proper
scientific literature to be had within the box today.

Each succinct, problem-oriented bankruptcy addresses a unique arguable factor the place there's a loss of consensus in regards to the absolute best plan of action. The authors offer tips and goal innovations for every situation in accordance with the main suitable info present in the literature to offer surgeons the history they should make totally educated remedy decisions.

Features:

  • Concise define layout permits quick interpreting for the
    busy backbone physician
  • Invaluable synopses of hugely sensible evidence-based
    literature
  • Detailed assurance of quite often disputed concerns, similar to
    the best way to deal with vertebral compression fractures, surgical procedure for axial again discomfort,
    minimally invasive lumbar fusion, using prophylactic antibiotics in backbone
    surgical procedure, and masses extra
  • Grading of top Evidence characteristic during which the
    authors fee the viability of the knowledge awarded
  • Numerous precis tables through the textual content emphasize
    the most conclusions of released experiences
  • Pearls spotlight details in each one bankruptcy

This
cutting-edge scientific reference may help each resident, fellow, and backbone
surgeon in orthopaedic surgical procedure and neurosurgery streamline their scientific
decision making strategy and enhance their sufferer care.

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Extra resources for Controversies in spine surgery: best evidence recommendations

Example text

The use of forced flexion/extension views in the obtunded trauma patient.  Bolinger B, Shartz M, Marion D. Bedside fluoroscopic flexion and extension cervical spine radiographs for clearance of the cervical spine in comatose trauma patients.  Insko EK, Gracias VH, Gupta R, Goettler CE, Gaieski DF, Dalinka MK. Utility of flexion and extension radiographs of the cervical spine in the acute evaluation of blunt trauma.  Davis JW, Kaups KL, Cunningham MA, et al. Routine evaluation of the cervical spine in head-injured patients with dynamic fluoroscopy: a reappraisal.

B. Imaging 1. Primary screening is axial computed tomography (CT) from occiput to T1 with sagittal and coronal reconstructions. 2. Plain radiographs should not be obtained. C. If CT of the CS demonstrates injury: 1. Obtain a spine consultation. D. If there is neurological deficit attributable to a CS injury: 1. Obtain a spine consultation. 2. Obtain an MRI scan. E. Options for the neurologically intact awake and alert patient complaining of neck pain with a negative CT scan: 1. Continue the cervical collar.

Systematic evaluation including injury history, physical examination, and imaging studies helps to prevent complications from missed injuries. Awake and alert patients who have negative exam findings do not require further evaluation. 1–3 Cervical collars should be removed as soon as feasible after trauma. As soon as an injury has been excluded, the collar should be discontinued to decrease collar-associated morbidity. 9 Radiographic evaluation with plain x-rays, dynamic xrays, computed tomography, and magnetic resonance imaging (MRI) in a systematic manner minimizes the chance for undetected occult injury.

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Controversies in spine surgery: best evidence recommendations by Alexander R. Vaccaro, Jason C. Eck


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