By Carlo Bellabarba, Frank Kandziora, Luiz Roberto Gomes Vialle
sixth quantity within the AOSpine Masters sequence presents professional information on
making a correct prognosis and class of accidents to the
thoracolumbar region of the backbone. Chapters comprise: Radiographic
Assessment of Thoracolumbar Fractures, Posterior and Anterior MIS in TL
Fractures, and Thoracolumbar Fracture Fixation within the Osteoporotic
- Each bankruptcy presents historic
literature in addition to a synthesized research of present literature and
proposes an evidence-based remedy plan
- Editors are overseas gurus on thoracolumbar backbone trauma
- Expert information and pearls incorporated in each chapter
AOSpine Masters sequence, a copublication of Thieme and AOSpine, a
Clinical department of the AO starting place, addresses present clinical
issues wherein foreign masters of backbone percentage 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, besides citizens and fellows in those parts, will find
this booklet to be an exceptional reference that they are going to seek advice frequently in
their remedy of sufferers with thoracolumbar backbone injuries.
Read Online or Download AOSpine Masters Series, Volume 6: Thoracolumbar Spine Trauma PDF
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Additional resources for AOSpine Masters Series, Volume 6: Thoracolumbar Spine Trauma
Subtle malalignment at a specific level of the spinal axis is depicted better on coronal and midsagittal MRI than on conventional radiography because the portions of the spine that are obscured by overlap of structures on plain radiography are clearly identified on MRI, and the morphology of the thecal sac is also demonstrated. MRI is also sensitive to demonstrate compressive injury to the marrow even without evidence of cortical breaks (Fig. 12). Compressive trabecular injury of the vertebral body, which can be missed by X-ray or CT, can be detected by MRI as altered marrow signal with T1 hypointense band.
Several investigators have demonstrated correlation between neurologic deficit and MRI features of SCI. Kulkarni et al11 correlated three MRI patterns for SCI with the American Spine Injury Association (ASIA) Impairment Scale and observed that intramedullary hemorrhage equated with a severe neurologic deficit and a poor prognosis. 8 Stages and Corresponding Signal Changes in Hematomyelia Duration of Hematomyelia Blood Product T1 T2 Hyperacute: < 1 day Acute: 1–3 days Early subacute: 4–7 days Late subacute: > 7 days Chronic: > 2 weeks Oxyhemoglobin Deoxyhemoglobin Intracellular methemoglobin Extracellular methemoglobin Hemosiderin Isointense to cord Isointense to cord Bright Bright Dark Bright Dark Dark Bright Dark Radiographic Assessment of Thoracolumbar Fractures a b Fig.
MRI permits direct visualization of the morphology of the injured cord paren- 17 18 Chapter 2 MRI in Spinal Trauma: Advantages and Disadvantages Advantages ◆◆ Best soft tissue resolution ◆◆ Better visualization of cord, marrow, disk, liga- ments, epidural, and paravertebral soft tissues ◆◆ No radiation hazard Disadvantages ◆◆ Limited availability ◆◆ Expensive ◆◆ Acoustic noise during acquisition may reach 65 to 95 dB ◆◆ Time-consuming ◆◆ Claustrophobia ◆◆ Contraindicated in patients with magnetic im- plants such as pacemakers, cochlear implants, and aneurysmal clips chyma and the presence of any extrinsic compression on the spinal cord.
AOSpine Masters Series, Volume 6: Thoracolumbar Spine Trauma by Carlo Bellabarba, Frank Kandziora, Luiz Roberto Gomes Vialle