By Douglas L. Brockmeyer

This article provides state of the art innovations for surgical procedure of the
craniovertebral junction and cervical backbone. It offers concise reasons of
the underlying ideas of every approach and insights into the original matters
in pediatric surgical procedure. With this whole source, you'll achieve the cast
foundation in surgical recommendations essential to make severe scientific judgements as
well because the technical wisdom and self assurance to hold them out.

Highlights include:

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

This with ease available textual content might be a necessary asset in
the library of physicians handling and treating craniocervical stipulations, from
the so much 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

The genesis of the OO is a particularly fascinating study in the embryology of the CVJ. Both traumatic and congenital forms have been proposed. 49 Others seem more clearly to be congenital in origin. The original embryogenetic theory to explain OO proposed a failure of fusion between the first and second cervical sclerotomes (somites 5 and 6). 50 A close inspection of radiographs in 10 patients with OO revealed that all had defects in the midportion of the odontoid (that is, within the odontoid proper) rather than at the synchondrosis between the odontoid and axis base.

The embryogenesis of complex dysraphic malformations: a disorder of gastrulation? ) Chapter 1 Anatomy, Embryology, Development of the Craniovertebral Junction and Cervical Spine Malalignment of Somitic Columns—Hemimetameric Shift Lehman-Facius31 first suggested in 1925 that hemivertebrae may arise as a result of a “hemimetameric shift” of the somitic column on one side of the embryo. Tsou et al28 have argued that, during the integration of the somitic mesoderm across the midline to form individual centra, the somites are normally at the same stage of development and integration occurs between bilaterally juxtaposed pairs of somites.

Am J Med Genet 1986;23:903–918 37. Brill CB, Peyster RG, Keller MS, Galtman L. Isolation of the right subclavian artery with subclavian steal in a child with Klippel-Feil anomaly: an example of the subclavian artery supply disruption sequence. Am J Med Genet 1987;26:933–940 38. Raas-Rothschild A, Goodman RM, Grunbaum M, Berger I, Mimouni M. KlippelFeil anomaly with sacral agenesis: an additional subtype, type IV. J Craniofac Genet Dev Biol 1988;8:297–301 39. David KM, Copp AJ, Stevens JM, Hayward RD, Crockard HA.

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