AO ASIF Principles in Spine Surgery

Front Cover
Irene Zintel, John S. Thalgott, John K. Webb
Springer Science & Business Media, Dec 15, 1997 - Medical - 243 pages
0 Reviews
This book has become necessary as a consequence of the rapid expansion of the surgical procedures and implants available for spinal surgery within the "AO Group". We have not attempted to write an in-depth book on spinal surgery, but one which will help the surgeon in the use of AO concepts and implants. We con sider the practical courses held all over the world essential for the teaching of sound techniques so that technical complications and poor results can be avoid ed for both the surgeon and, in particular the patient. This book is a practical manual and an outline of what is taught in the courses. It is intended to help the young spinal surgeon to understand the correct use of AO implants. The indi- tions given will aid the correct use of each procedure. . It must be strongly emphasized that surgery of the spine is technically de manding. The techniques described in this book should only be undertaken by surgeons who are trained and experienced in spinal surgery. Certain techniques, in particular pedicle screw fIxation and cages, have not yet been fully approved by the FDA in the United States. However, throughout the rest of the world, the use of pedicle screws has become a standard technique for the spine surgeon, since it has been shown to improve fIxation techniques and allow segmental correction of the spine. The use of cages has become more and more popular, specifIcally as a tool of minimally invasive spinal surgery.
 

What people are saying - Write a review

We haven't found any reviews in the usual places.

Selected pages

Contents

Aims and Principles
1
Biomechanics of the Spine and Spinal Instrumentation
3
Mechanical Properties of Materials
4
Implant Materials
5
Principles of Surgical Stabilization
6
Neutralization principle
7
Instrumentation Application
8
Lumbar and Thoracolumbar Spinal Instrumentation
9
Anterior Titanium Thoracolumbar Locking Plate
85
Rod Systems
88
Anterior Vertebral Body Construct Fig 710
92
Fixation with the Anterior Titanium Rod System VentroFix
94
Fracture Clamp Configuration
99
SingleClamp SingleRod Configuration
100
Posterior Techniques
101
Pedicle Fixation
102

Spinal Deformity
10
Lumbar Reconstruction
11
References
12
Biology of Spinal Fusions
13
Growth Factors
14
Host Nutrition and Homeostasis
15
Types of Graft Materials
16
Effect of Instrumentation on the Biology of Spine Fusions
17
References
18
A Comprehensive Classification of Thoracic and Lumbar Injuries
20
Classification of Thoracic and Lumbar Injuries
22
Type A Vertebral Body Compression
23
Group A3 Burst Fractures
24
Common Local Clinical Findings and Radiological Signs of Type A Injuries
26
Group B2 Posterior Disruption Predominantly Osseous
28
Common Local Clinical Findings and Radiological Signs of B1 and B2 Injuries
30
Common Local Clinical Findings and Radiological Signs of B3 Injuries
31
Group C1 Type A with Rotation
32
Group C3 Rotational Shear Injuries
34
Frequency and Distribution of Types and Groups
35
Incidence of Neurological Deficit
36
451 Type A
38
4522 B3 Injuries
39
References
40
Stabilization Techniques Upper Cervical Spine
42
Wedge Compression Technique After Brooks and Jenkins Fig 52
43
Transarticular Screw Fixation
45
Standard Technique
47
Cannulated Screw Technique
48
Standard Lag Screw Technique Fig 58ae
53
Stabilization Techniques Lower Cervical Spine
54
Upper Cervical Spine Fig 64
58
35mm Cervical Titanium Plate
59
Occipitocervical Plate Fixation Figs 68 69
62
Cervicothoracic Plate Fixation Fig 611
65
OneThird Tubular Plate Fixation Fig 612
67
Cervical Spine Titanium Rod System Cervifix
70
Cervkothoradc Fixation from C2 to Th2 as for Occipitocervical Fixation
74
Connection of the Cervical Spine Rod System to the 6mm USS Rod Occipitocervical Fixation
76
Anterior Techniques
77
Titanium Cervical Spine Locking Plate CSLP
79
Stabilization Techniques Thoracolumbar Spine
83
Notched Thoracolumbar Plates Fig 728
105
Fracture Module of the USS See also Chap 9
107
Anterior Vertebral Body Fracture with Intact Posterior Wall Type A1 and A2 Fig 732a
113
Anterior Vertebral Body Fracture with Fractured Posterior Wall Type A3 Fig 7330
116
Posterior Element Fractures or Disruption with Distraction Type B Fig 734
117
Complete Disruption of the Anterior and Posterior Elements with Rotation Type C
119
Modular Stabilization System The Universal Spine System
123
The System
124
8271 Fracture Module
125
Low Back Surgery Module
126
Scoliosis and Deformity Module
127
Specific Implants and Instruments
128
USS Hooks Laminar Hooks
130
USS Hooks Specialized Pedicle Hook
133
USS Hooks Transverse Process Hook
135
Rod Connectors
140
USS Crosslink System
141
USS for Deformity
145
The Concave Curve
150
Scoliosis Posterior Correction and Stabilization
158
Double Curve
162
Scoliosis Anterior Correction and Stabilization
167
Kyphosis Posterior Correction and Stabilization
173
USS for the Degenerative Lumbosacral Spine
181
8232 Sacral Fixation
191
USS for Spondylolisthesis Reduction and Stabilization
192
Other Fixation Systems
197
External Spinal Skeletal Fixation
201
Treatment of Complications
206
Removal of Schanz Screws
207
Gradual Reduction of Severe Spondylolisthesis LS
208
Percutaneous Treatment of Osteomyelitis of the Spine
211
External Fixation for Spinal Fractures
213
Stabilization of Unstable Malgaigne Fractures
214
93 spine The spacer is wedge shaped and has a second Cage Systems ary arc curvature which mirrors the dome of the
215
Anterior Titanium Interbody Spacer SynCage
217
Contact Fusion Cage
223
Mounting the Cage on the Implant Holder
225
Filling the Cage with Bone Graft
226
Suggested Reading
235
Subject Index
236
Copyright

Other editions - View all

Common terms and phrases

References to this book

Bibliographic information