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Orthopaedics
Thoracolumbar Spine Injuries (AO Based)
Built from AO Surgery Reference: Spine Trauma, Degenerative, Tumors and Deformities (AO Foundation)
What’s inside
3 sections · 113 slides
Overview
- Introduction
- Thoracolumbar trauma: seminar outline
- Thoracolumbar trauma: seminar outline
- Anatomy and biomechanics
- Tension bands and the vertebral segment
- Tension bands and the vertebral segment
- Thoracic versus lumbar biomechanics
- Thoracic versus lumbar biomechanics
- Anterior anatomy met in approaches
- Anterior anatomy met in approaches
- Anterior approaches by spinal level
- Anterior approaches by spinal level
- Clinical and radiographic assessment
- Primary survey in thoracolumbar trauma
- Primary survey in thoracolumbar trauma
- Neurogenic versus hypovolemic shock
- Neurogenic versus hypovolemic shock
- Key lower limb muscles (INSCI)
- Key lower limb muscles (INSCI)
- Sensation, reflexes and sacral sparing
- Sensation, reflexes and sacral sparing
- Plain radiographs
- Plain radiographs
- Signs on the AP radiograph
- Signs on the AP radiograph
- Signs on the lateral radiograph
- Signs on the lateral radiograph
- Computed tomography
- CT findings that change management
- CT findings that change management
- Magnetic resonance imaging
- Magnetic resonance imaging
- AO Spine classification
- Classification flow chart
- Classification flow chart
- Injury types as drawn by AO
- Injury types as drawn by AO (cont.)
- Type tree: A, B and C
- Type A: vertebral body injuries
- Type A: vertebral body injuries
- Types B and C
- Types B and C
- Modifiers, neurology and nomenclature
- Modifiers, neurology and nomenclature
- Treatment options
- General principles of treatment choice
- Posterior and nonoperative options
- Posterior and nonoperative options (cont.)
- Anterior and minimally invasive options
- Anterior and minimally invasive options
- Nonoperative treatment and bracing
- Nonoperative treatment and bracing
- Fusion versus nonfusion fixation
- Fusion versus nonfusion fixation
- Types A0, A1 and A2
- A0 and A1 fractures
- A0 and A1 fractures
- Brace selection and brace care
- Brace selection and brace care
- A2 split (pincer) fractures
- Burst fractures: A3 and A4
- A3 and A4 burst fractures
- A3 and A4 burst fractures
- Choosing the posterior construct
- Choosing the posterior construct
- When anterior column support is added
- When anterior column support is added
- Type B tension band injuries
- B1 Chance fracture
- B1 Chance fracture
- B2 posterior tension band disruption
- B2 posterior tension band disruption
- B3 hyperextension injuries
- B3 hyperextension injuries
- Type C displacement and dislocation
- Type C injuries
- Type C injuries
- Reducing a dislocation: technique 1
- Reducing a dislocation: technique 1
- Other reduction techniques for type C
- Other reduction techniques for type C
Operative technique
- Prone positioning
- Prone positioning
- Posterior open midline approach
- Posterior open midline approach
- Exposure pitfalls by injury type
- Exposure pitfalls by injury type
- Pedicle screw entry points
- Pedicle screw entry points
- Short segment fixation with pedicle screws
- Short segment fixation with pedicle screws
- Short segment fixation with Schanz pins
- Short segment fixation with Schanz pins
- Indirect versus direct decompression
- Indirect versus direct decompression
- Anterior decompression and reconstruction
- Anterior decompression and reconstruction
Cord injury, aftercare and complications
- Spinal cord injury and polytrauma
- Spinal cord injury and polytrauma
- Aftercare after surgical stabilization
- Aftercare after surgical stabilization
- Complications and pitfalls
- Complications and pitfalls
- Take-home messages
- References (1 of 6)
- References (2 of 6)
- References (3 of 6)
- References (4 of 6)
- References (5 of 6)
- References (6 of 6)
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