By Howard S. An MD, Louis G. Jenis MD

Written by means of across the world famous specialists, this booklet is a finished, functional consultant to prevention, attractiveness, and administration of problems in backbone surgical procedure. Sections disguise the cervical backbone and the thoracolumbar/lumbosacral backbone and speak about the total diversity of problems which may be encountered, together with these linked to the latest applied sciences, strategies, and instrumentation.

Each bankruptcy makes a speciality of a selected form of challenge and provides "how-to" suggestions for averting and dealing with the matter in particular surgeries. Of specified be aware are the targeted discussions of issues regarding instrumentation. every one bankruptcy comprises vast, updated references. greater than one hundred fifty illustrations supplement the text.

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This study should be performed with the patient in an upright, sitting position with continuous lateral fluoroscopy of the neck. A thickened barium mixture is prepared, mixing barium with a food substance to obtain a mixture with the consistency of applesauce. The study is initiated with placing about one-third teaspoon of this substance in the mouth of the patient and observing on a fluoroscopic monitor how the patient swallows the material. During the test, the mechanics of swallowing are evaluated and any movement of barium into the airway is documented.

Laryngoscope 1985;95:939–941. Rubin S. Sternocleidomastoid myoplasty for the repair of chronic esophageal fistulae. Laryngoscope 1986;96:834–836. Loop LD, Groves LK. Esophageal perforation. Ann Thorac Surg 1970;10:571–587. Mathewson C, Dozier WE, Hamil JP. Clinical experience with perforation of the esophagus. Am J Surg 1962;104:257–266. Vocal Cord Paralysis after Anterior Cervical 4 Spine Surgery Daniel R. Fassett Ronald I. Apfelbaum OVERVIEW INCIDENCE OF COMPLICATION Vocal cord dysfunction is one of the most common complications associated with the anterior surgical approach to the cervical spine.

Br J Neurosurg 1995;9: 605–609. 7. Winslow CP, Winslow TJ, Wax MK. Dysphonia and dysphagia following the anterior approach to the cervical spine. Arch Otolaryngol Head Neck Surg 2001;127:51–55. 8. Stone JL, Cybulski GR, Rodriguez J, et al. Anterior cervical debridement and strut-grafting for osteomyelitis of the cervical spine. J Neurosurg 1989;70:879–883. 9. Winslow CP, Meyers AD. Otolaryngologic complications of the anterior approach to the cervical spine. Am J Otolaryngol 1999;20: 16–27. 10.

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