By Alexander König, Uwe Spetzger
The authors current anatomical, biomechanical, and medical uncomplicated wisdom proper to degenerative illnesses of the surgical backbone and describe how one can decide upon the technique, implant, and surgical method intimately. quite a few figures illustrate the decision-making strategy and surgical concepts step by step. The publication additionally comprises key issues approximately implant safeguard and attainable issues in addition to an outlook to the way forward for cervical backbone surgery.
Degenerative illnesses of the Cervical Spine is aimed toward spinal surgeons (neurosurgeons and orthopaedic surgeons), actual therapists, basic practitioners, and rehabilitation physicians, worldwide.
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Extra info for Degenerative Diseases of the Cervical Spine: Therapeutic Management in the Subaxial Section
Due to the self-massage of muscles, the patient trains self- perception (Wiesner 2012). 2 Motion Therapy In the state of acute neck and arm pain, motion therapy is not indicated but pain relief is the most important aim of treatment. In the subacute phase and during rehabilitation after surgery, active elements like isometric tension exercises or complex motion exercises with good axial alignment can strengthen the neck muscles. If a cervical disc herniation leads to weakness of a certain muscle of the upper limb due to compression of a motor nerve root, it is crucial to train especially this muscle since dysfunction of arm or hand muscles has significant functional consequences.
2009; König et al. 2015; Shin et al. 2009; Spetzger et al. 2013). Early experimental and clinical evaluations of PMMA interposition were published by Roosen (1982). It could be shown that despite the heat 56 7 Choice of Implant a b c d Fig. 7 Osteochondrosis at C6/7 with consecutive radiculopathy in a 46-year-old female patient. Lack of motion at the affected level in preoperative lateral X-ray studies in flexion (a) and extension (b), therefore implantation of a cervical fusion cage. 1 Disc Replacement 57 a b c d Fig.
5 Diffuse idiopathic skeletal hyperostosis with typical giant osteophytes at the whole cervical spine and consecutive dysphagia, sagittal (a) and axial (b) CT images as well as barium swallow X-ray (c). 3 X-Ray Conventional X-ray imaging of the cervical spine in two planes shows ventral osteophytes, facet joint arthrosis and kyphotic or scoliotic malposition of vertebral bodies. 5). Basically, it is also possible to take anterior-posterior X-ray images but these are not of high significance in clinical practice since lateral bending is not as important as flexion/extension of the cervical spine.