By Carlo Bellabarba, Frank Kandziora, Luiz Roberto Gomes Vialle
sixth quantity within the AOSpine Masters sequence presents specialist counsel on
making a correct prognosis and category of accidents to the
thoracolumbar quarter of the backbone. Chapters contain: Radiographic
Assessment of Thoracolumbar Fractures, Posterior and Anterior MIS in TL
Fractures, and Thoracolumbar Fracture Fixation within the Osteoporotic
- Each bankruptcy offers historic
literature in addition to a synthesized research of present literature and
proposes an evidence-based remedy plan
- Editors are overseas gurus on thoracolumbar backbone trauma
- Expert counsel and pearls incorporated in each chapter
AOSpine Masters sequence, a copublication of Thieme and AOSpine, a
Clinical department of the AO origin, addresses present clinical
issues wherein overseas masters of backbone percentage their services and
recommendations on a selected subject. The objective of the sequence is to
contribute to an evolving, dynamic version of an evidence-based medicine
approach to backbone care.
All backbone surgeons and orthopaedic
surgeons, in addition to citizens and fellows in those parts, will find
this ebook to be a good reference that they are going to seek advice usually in
their therapy of sufferers with thoracolumbar backbone injuries.
Read Online or Download AOSpine Masters Series, Volume 6: Thoracolumbar Spine Trauma PDF
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Extra info for AOSpine Masters Series, Volume 6: Thoracolumbar Spine Trauma
The ability of CT to visualize the bone in axial, sagittal, and coronal planes enables better detection of fracture and delineation of fracture morphology. Acquisition is faster when compared with MRI. The field of view can be increased even after acquisition using the raw data to include the abdominal and thoracic organs in which coexistent injuries can be identified. Whole-body CT scan in polytrauma 13 14 Chapter 2 Advantages and Disadvantages of CT in the Evaluation of Spinal Trauma Advantages Fast acquisition Better spatial resolution Good cortical bone visualization Posterior elements better depicted Field of view can be increased to include the abdominal organs ◆◆ Two-dimensional (2D) and three-dimensional (3D) reconstruction can be done, which can help in surgical planning.
C) The presence of a spinous process fracture may indicate just a type A0 injury. However, in the presence of a type A1 to A4 injury anteriorly, a coexistent spinous process fracture would indicate a type B1/B2 injury. This is clearly evident on the CT scan. Radiographic Assessment of Thoracolumbar Fractures Fig. 9a–d Computed tomographic features of a posterior ligamentous complex (PLC) injury. (a) Multiple contiguous spinous process fractures. (b) Horizontal split of the spinous process with separation.
A) Sagittal T2 image shows a T12-L1 disk herniation. (b) Sagittal fat-suppressed T2 images show bright signal changes within the disk, spinous processes, and interspinous ligaments. (c,d) CT reveals fractures in the left transverse process with subtle lateral translation. Findings are suggestive of injury-related herniation probably due to rotational mechanisms. in the stability and long-term prognosis of spine fractures is still not clearly known. Although the bony vertebral fracture usually heals completely, the healing of the relatively avascular disk is unpredictable.
AOSpine Masters Series, Volume 6: Thoracolumbar Spine Trauma by Carlo Bellabarba, Frank Kandziora, Luiz Roberto Gomes Vialle