Cervical Trauma

Surgical Management

Robert F. Heary

• Publisher: Thieme
• Year: 2019
• Print ISBN: 9781626238534
• eBook ISBN: 9781626238541
• Edition: 1
• Topic: Medicine
• Subtopic: Orthopedics

The definitive textbook on the management of cervical spine trauma from master spine surgeons!

Understanding the clinical implications of cervical trauma requires thorough knowledge of the anatomy and physiology of the cervical spine. Cervical Trauma: Surgical Management by renowned spine surgeon Robert Heary and a cadre of prominent neurosurgical and orthopaedic spine experts is the most comprehensive, state-of-the-art resource available to date on this topic. The text begins with discussion of cervical anatomy and the pathophysiology of spinal cord injury (SCI), SCI classification systems, initial assessments in patients with cervical SCIs, and cranioskeletal traction, followed by injury-specific chapters.

Classification systems and management protocols developed over the last 40 years have enabled spine surgeons to work collaboratively with specialists in trauma surgery and critical care to provide optimal management of SCIs and attain improved long-term patient outcomes. This book covers a full spectrum of trauma-related conditions impacting the cervical spine and multidisciplinary interventions including minimally invasive surgery, neurointerventional techniques, reconstructive therapy with bone grafts or alternative stabilization methods, evidence-based medications, and SCI rehab.

Key Highlights

• Discussion of upper cervical injuries – from more prevalent trauma such as atlanto-occipital injuries, odontoid and hangman's fractures, and atlantoaxial subluxations – to uncommon injuries like atlantoaxial rotatory fixation
• Management of subaxial injuries in adults and children and cervical burst fractures
• Special topics including sport-related cervical spine injuries and return-to-play criteria, craniovertebral injuries in pediatric patients, and managing comorbidities such as congenital spinal stenosis and rheumatoid arthritis
• Pearls on handling potential complications and insightful guidance and rationales for choosing surgical interventions over conservative methods and vice versa

Neurosurgical and orthopaedic residents, veteran spine surgeons, and allied healthcare practitioners who treat patients with traumatic cervical spine conditions will benefit from reading this outstanding resource, cover-to-cover. It also provides an ideal go-to reference to consult in the ER when patients present with cervical trauma.

Table of contents

• Cervical Trauma: Surgical Management
• Title Page
• Copyright
• Contents
• Foreword
• Preface
• Acknowledgments
• Contributors
• 1 Anatomy of the Cervical Spine
• 2 Classification of Spinal Cord Injury
• 3 Pathophysiology of Spinal Cord Injury
• 4 Initial Assessment (Including Imaging) of Cervical Spinal Cord Injury
• 5 Cranioskeletal Traction for the Management of Trauma to the Cervical Spine
• 6 Atlanto-occipital Injuries
• 7 Odontoid and Hangman’s Fractures
• 8 Management of Traumatic Atlantoaxial Subluxations
• 9 Traumatic Atlantoaxial Rotatory Fixation
• 10 Subaxial Cervical Trauma in the Adult Patient
• 11 Subaxial Cervical Spine Trauma in the Pediatric Patient
• 12 Cervical Burst Fractures
• 13 Cervical Spine Trauma-Induced Vertebral Artery Injury
• 14 Sport-Related Cervical Spine Injuries and Return-to-Play Criteria
• 15 Craniovertebral Injuries in Pediatric Patients
• 16 Penetrating Injuries to the Cervical Spine
• 17 Cervical Spine Trauma in Patients with Congenital Spinal Stenosis
• 18 Trauma in Patients with Rheumatoid Arthritis of the Cervical Spine
• 19 Traumatic Cervical Myelopathy
• 20 Minimally Invasive Spine Surgery
• 21 Role of Neurointerventional Techniques in Cervical Trauma
• 22 Bone Graft Options, Substitutes, and Harvest Techniques
• 23 Nonoperative Management and Treatment of Cervical Spine Injuries
• 24 Rehabilitation after Spinal Cord Injury: Approaches and Caveats
• 25 Clinical Trials Update: Where Do We Go from Here?
• 26 Pharmacologic Treatment of Spinal Cord Injury
• Index