Advanced Pediatric Craniocervical Surgery by Douglas L. Brockmeyer

By Douglas L. Brockmeyer

This article offers state of the art strategies for surgical procedure of the
craniovertebral junction and cervical backbone. It offers concise causes of
the underlying ideas of every approach and insights into the original concerns
in pediatric surgical procedure. With this whole source, you are going to achieve the forged
foundation in surgical strategies essential to make serious scientific judgements as
well because the technical wisdom and self assurance to hold them out.

Highlights include:

  • special motives illuminating the hyperlinks among
    embryology and common and irregular improvement of the craniovertebral junction
    and cervical backbone
  • In-depth dialogue of the problems and strategies
    fascinated about either atlantoaxial and occipitocervical surgical procedure in childrens
  • a complete bankruptcy dedicated to handling craniocervical
    stipulations of sufferers with Down Syndrome
  • An exam of hectic accidents of the
    craniocervical junction in childrens
  • greater than a hundred step by step illustrations demonstrating
    key surgical ideas

This without problems available textual content could be a invaluable 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

Sample text

Nicholson JT, Sherk HH. Anomalies of the occipitocervical articulation. J Bone Joint Surg Am 1968;50:295–304 46. Taitz C. Bony observations of some morphological variations and anomalies of the craniovertebral region. Clin Anat 2000;13:354–360 47. Subramanian V, Meyer BI, Gruss P. Disruption of the murine homeobox gene Cdx1 affects axial skeletal identities by altering the mesodermal expression domains of Hox genes. Cell 1995;83:641–653 48. Hierholzer J, Isalberti M, Hosten N, Stroszczynski C, Gandini G, Felix R.

30 Disordered Vertebral Segmentation Several malformations can be ascribed to disorders of vertebral segmentation. The simplest example of isolated failure of vertebral segmentation would be the single block vertebra involving fusion of two adjacent vertebrae. These may be ventral (affecting only the vertebral body), dorsal (affecting only the dorsal vertebral arch), or both. An example of a more restricted dorsolateral failure would be the unsegmented bar (discussed earlier). Multiple vertebral fusions may be involved in the KFS.

The pedicles are abnormally elongated and the canal very widened in the anteroposterior dimension. (Reprinted with permission from Dias MS, Li V, Landi M, Schwend R, Grabb P. The embryogenesis of congenital vertebral dislocation: early embryonic buckling? 40 Failed Fusion of Sclerotome, Chondrification, or Ossification Centers Various vertebral malformations may be due to disordered assimilation, or “fusion,” of the various chondrification or ossification centers. 41 Butterfly vertebrae can be produced in rabbits by maternal oxygen deprivation at stages corresponding to postconception day 23 to 27 in the human and have been described in Danforth’s short-tail mice (reviewed by Muller et al42); in both, abnormalities of the notochord have been described.

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