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Titlebook: Surgical Approaches to the Spine; Robert G. Watkins Book 19831st edition Springer-Verlag New York Inc. 1983 Wirbelsäulenchirurgie.head.ins

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发表于 2025-3-21 17:11:39 | 显示全部楼层 |阅读模式
书目名称Surgical Approaches to the Spine
编辑Robert G. Watkins
视频video
图书封面Titlebook: Surgical Approaches to the Spine;  Robert G. Watkins Book 19831st edition Springer-Verlag New York Inc. 1983 Wirbelsäulenchirurgie.head.ins
描述The desire to expose the spine for surgery by anterior approaches at any level between the head and the sacrum is not new. Spinal pathology is often located anterior to the spinal cord and nerve roots in the cervical and thoracic spine, and anterior to the peripheral nerves that emerge from the lumbosacral spine below the first lumbar ver­ tebra. To treat such pathology one prefers to expose the front of the spine directly and widely enough to eradicate the pathology and to have full control of bleeding throughout the procedure. The posterior elements of the spine are important for mechanical stability of the spine, and therefore for the protection of the neural and vascular structures in the spine that would be threatened by instability. Extensive eradication of pathology posterior to the spinal canal and the intervertebral foraminae, including the transverse processes, may leave no adequate bony bed for the surgical creation of a stabilizing osseous fusion. In such a situation, an anterior fusion procedure is the only viable alternative to a posterior or posterolateral fusion. In situations where it is critically important to obtain a stable fusion, as in tuberculosis of the spin
出版日期Book 19831st edition
关键词Wirbelsäulenchirurgie; head; instability; spinal cord; spinal surgery; spine; spine surgery; surgery
版次1
doihttps://doi.org/10.1007/978-1-4684-0155-4
isbn_ebook978-1-4684-0155-4
copyrightSpringer-Verlag New York Inc. 1983
The information of publication is updating

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发表于 2025-3-21 22:05:41 | 显示全部楼层
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Transaxillary Approach to the Upper Dorsal Spine,mpared with that obtained by complete mobilization of the scapula. The approach is not indicated in obese individuals or in males of substantial muscular build with hypertrophic pectoralis major and latissimus dorsi muscles. The approach described here is from the right side, although the left side approach is commonly used.
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Cervical-Thoracic Junction, thoracic duct must be avoided with the left anterior medial approach. The recurrent laryngeal nerve should be identified with the right-side approach. The inferior thyroid artery and vein may need ligation and the apex of the lung must be avoided.
发表于 2025-3-22 18:05:55 | 显示全部楼层
The Thoracolumbar Junction,this area as in the rest of the thoracic spine. Ideally, choosing the rib in the midaxillary line opposite the lesion or the apex of a curve allows adequate proximal exposure for working “down” or caudad on the lesion.
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Lateral Approach to the Cervical Spine (Hodgson), Cl-C3 approach, and with the more distal partial detachment of sternocleidomastoid muscle from the clavicle, as in the Nanson supraclavicular approach, allows good exposure from C1 to T2. The standard midcervical approach to the lateral spine C3-C7 as described by Hodgson is lateral to the sternocl
发表于 2025-3-23 06:28:08 | 显示全部楼层
Supraclavicular Approach,; a small roll under the shoulder often helps to extend the neck. Location of the thoracic duct and recurrent laryngeal nerve becomes even more important at this level. Approaches from the left for C6 through T2 are directly in the vicinity of the thoracic duct. Identify the thoracic duct when possi
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