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 class of accidents to the
thoracolumbar sector 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 therapy plan
- Editors are overseas professionals on thoracolumbar backbone trauma
- Expert assistance and pearls incorporated in each chapter
AOSpine Masters sequence, a copublication of Thieme and AOSpine, a
Clinical department of the AO beginning, addresses present clinical
issues wherein overseas masters of backbone proportion 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 publication to be an outstanding reference that they are going to seek advice usually in
their remedy of sufferers with thoracolumbar backbone injuries.
Read or Download AOSpine Masters Series, Volume 6: Thoracolumbar Spine Trauma PDF
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Additional info for AOSpine Masters Series, Volume 6: Thoracolumbar Spine Trauma
C,d) Sagittal and axial MRI shows a traumatic disk herniation at T11–T12 causing cord compression. a b c d Fig. 19 Sagittal T2 image shows a burst fracture at the L1 level associated with an anterior epidural hematoma. dality developed in the past decade. The spinal cord is depicted as uniform signal intensity on all pulse sequences in sagittal images. On axial sections, only faint gray and white matter differentiation can be detected. Normal spinal cord appears hypointense on both T1 and T2 sequences.
8c). The presence of horizontal split and separation of spinous process, interspinous widening, fractured contiguous spinous processes, increased facet joint space, empty naked facet sign, perched or dislocated facet joints, or vertebral body translation or rotation are important CT scan findings that can predict PLC injury (Fig. 9). a b Fig. 8a–c (a) The presence of a lamina fracture is an important CT observation. It indicates possible entrapment of nerve roots in a patient with incomplete neurologic deficit.
Advanced techniques like diffusion tensor imaging (DTI) has made it possible to delineate partial or complete transsection of cord. DTI is based on the presence of anisotropic diffusion in biological tissues. DTI has been studied in SCI to assess its usefulness in evaluating the extent of spinal injury and predicting prognosis. In an experimental study on calf spinal cord specimens, the authors could demonstrate disruption of spinal cord tracts at the level of injury, whereas conventional MRI could show only signal intensity changes.