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Books > Medicine > Surgery > Orthopaedics & fractures
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Trauma - Conventional Radiological Study in Spine Injury (Paperback, Softcover reprint of the original 1st ed. 1985)
Loot Price: R1,492
Discovery Miles 14 920
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Trauma - Conventional Radiological Study in Spine Injury (Paperback, Softcover reprint of the original 1st ed. 1985)
Series: Radiology of the Spine
Expected to ship within 10 - 15 working days
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Progress in traumatology of the vertebral spine has been restrained
for a long time by two hindering factors. The first obstacle is
presented by the differences in approach and a conflict of
competences. The neurosurgeons, considering only the spinal chord,
have confined themselves to indications for laminectomy, an
insufficient and usually ineffective intervention. The orthopedic
surgeons, on the other hand, obsessed by the fear of medullary
lesions, have long hesitated to apply the fundamental rules for the
treatment of fractures, namely precise reduction followed by strict
immobilization, thus depriving themselves of the efficacy of
radiculomedul lar decompression and of the protection this
procedure affords to these structures when they are themselves
involved in the trauma. Taking these facts into account, together
with the rather poor results of laminectomy, the specialists have
wisely and successfully recommended that one should abstain from
treating the initial lesion, but rather attenuate the damage by
appropiate nursing care and adequate reeducation. The second
hindering factor was the insufficient knowledge of the extreme
complexity of the anatomic lesions. This explains the orthopedists'
relative caution; one only treats well what one knows well. More
precise analysis of the lesions, not only of the bones but also of
the joints, i. e., the osteofibrous involvement, is mainly based on
strict radiologic semiology, which is rendered difficult because
these structures are simultaneously affected. We are greatly
indebted to Dr. DOSCH, radiologist at our Center, for having
untertaken this difficult task, using all available conventional
radiologic techniques."
General
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