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Nontraumatic Cervical Myelopathy - Pathologies, Surgical Techniques, and Nuances (Hardcover)
Loot Price: R8,182
Discovery Miles 81 820
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Nontraumatic Cervical Myelopathy - Pathologies, Surgical Techniques, and Nuances (Hardcover)
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The earliest human known to have the capability of walking erect on
two legs is Sahelanphropus, who lived 6 million years ago. The
ability to stand erect led to required extensive changes in the
human skeleton, including significant changes in the cervical
spine. In modern humans, the cervical spine holds the head upright
and gives it great mobility. The combination of great mobility in
this spinal segment combined with the requirement that it carry
significant weight makes the cervical spine susceptible to a wide
variety of pathologies. The cervical spine not only supports the
head upright, but acts as a channel for the full set of neural
elements connecting the brain with all near and distant parts of
the body; thus, pathologies involving the spinal column in this
segment directly affect the cervical spinal cord and exiting nerve
roots. Today, excellence in spine surgery requires a thorough
understanding of spinal anatomy, relevant neurology, and
biomechanics, as well as skilled use of a variety of surgical
techniques. The surgeon must master the ability to effectively
select from a wide and constantly changing variety of alternative
instrumentations and surgical approaches. In addition, the trend
towards reducing the invasiveness of surgical procedures has led to
the use of smaller and smaller tools and smaller surgical incisions
with more limited views of the relevant anatomy. As a result of the
rapid pace of change, the choice of an optimal technique in any
given situation is increasingly complex. In this book, we begin
with a basic review of anatomy, neurology, neurophysiology, and
biomechanics. We also discuss clinical and radiological assessment
required for a differential diagnosis, and present a thorough
discussion of the importance of sagittal alignment of the spine and
the utility of gait analysis. We proceed with a thorough discussion
of nontraumatic pathologies causing cervical myelopathy, beginning
with the craniocervical junction down through the subaxial spine,
in pediatric and adult populations. This discussion includes steps
in the differential diagnosis for specific pathologies, surgical
techniques and nuances, radiation-based treatment alternatives, and
special topics ranging from the use of stem cells to robotics and
endoscopic surgery. We have attempted to provide both fundamental
and state-of-the-art knowledge and to share the rich experience of
some of the leading spine surgeons worldwide, with the aim of
enabling surgeons at all levels to advance their own capabilities
for performing safe and successful procedures in this area of
complex anatomy.
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