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Orthopaedics
Degenerative Cervical Spine Disease (AO Based)
Built from AO Surgery Reference: Spine Trauma, Degenerative, Tumors and Deformities (AO Foundation)
What’s inside
1 sections · 87 slides
Overview
- Introduction
- Cervical disc herniation: overview
- Cervical disc herniation: overview
- Radiculopathy versus myelopathy
- Pathology of disc herniation
- Structure of the intervertebral disc
- Structure of the intervertebral disc
- Types of disc pathology
- Types of disc pathology
- Types of disc pathology (continued)
- Grouping of disc pathology
- Clinical and imaging evaluation
- Medical history
- Physical examination
- Examination signs and what they show
- Imaging in degenerative cervical disease
- Neurophysiology and diagnostic blocks
- Neurophysiology and diagnostic blocks
- Evaluation pathway
- Indications for surgery
- Choosing anterior or posterior surgery
- Posterior foraminotomy: indications
- Posterior foraminotomy: indications
- Decision logic for posterior foraminotomy
- Posterior foraminotomy: pros and cons
- PECF versus PMTCF
- PECF versus PMTCF
- Preparation and positioning
- Prone position for C0–C7
- Prone position for C0–C7
- Limbs, padding and turning the patient
- Anesthesia, antibiotics and monitoring
- Anesthesia, antibiotics and monitoring
- Imaging, OR setup and level check
- Imaging, OR setup and level check
- Posterior endoscopic foraminotomy (PECF)
- Principles of posterior foraminotomy
- Principles of posterior foraminotomy
- PECF: access and visualization
- PECF: access and visualization
- PECF: decompression and disc removal
- PECF: decompression and disc removal
- PECF: pitfalls during decompression
- PECF: pitfalls during decompression
- Microscopic tubular foraminotomy (PMTCF)
- PMTCF: instruments and tube handling
- PMTCF: instruments and tube handling
- Prone versus sitting position for PMTCF
- PMTCF: dilation and docking
- PMTCF: dilation and docking
- PMTCF: limits of bone removal
- PMTCF: limits of bone removal
- PMTCF: decompression to disc removal
- PMTCF: decompression to disc removal
- Mobilizing the nerve root
- Mobilizing the nerve root
- Closure and aftercare after foraminotomy
- Closure and aftercare after foraminotomy
- Basic techniques for the cervical spine
- Cervical discectomy: steps
- Cervical discectomy: steps
- Cervical discectomy: safety points
- Cervical discectomy: safety points
- C2 screw options
- C2 screw options
- Choosing a C2 screw
- Choosing a C2 screw
- Lateral mass screw (Magerl technique)
- Lateral mass screw (Magerl technique)
- Monocortical versus bicortical lateral mass
- Monocortical versus bicortical lateral mass
- Subaxial cervical pedicle screws
- Subaxial cervical pedicle screws
- Subaxial pedicle screw insertion
- Subaxial pedicle screw insertion
- Pedicle screws in T1–T3
- Pedicle screws in T1–T3
- Complications and take-home
- Complications and how to avoid them
- Complications and how to avoid them (cont.)
- Complications and how to avoid them (cont.)
- Repair of dural laceration
- Repair of dural laceration
- Take-home messages
- References (1 of 2)
- References (2 of 2)
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