Spinal Reconstruction: Clinical Examples of Applied Basic by Kai-Uwe Lewandrowski, Michael J. Yaszemski, Iain Kalfas,

By Kai-Uwe Lewandrowski, Michael J. Yaszemski, Iain Kalfas, Paul Park, Robert F. McLain, Debra J. Trantolo

With an ever-expanding array of biomaterials and implant units showing within the box, this resource is helping surgeons determine and make the most of the newest applied sciences to enhance the reconstruction of the backbone and improve the reconstitution of diseased spinal segments. With illustrative descriptions of particular medical situations, this advisor is helping surgeons pick out the easiest units and fabrics for reconstructive approaches and considers matters in biocompatibility, biostability, and structure-function relationships for more advantageous sufferer results and mobility.

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Microendoscopic discectomy. Tech Neurosurg 1997; 3:301– 307. Perez-Cruet MJ, Foley KT, Isaacs RE, et al. Microendoscopic lumbar discectomy: technical note. Neurosurgery 2002; 51:S129– S136. Fessler RG, Khoo LT. Minimally invasive cervical microendoscopic foraminotomy: an initial clinical experience. Neurosurgery 2002; 51:S37– S45. Guiot BH, Khoo LT, Fessler RG. A minimally invasive technique for decompression of the lumbar spine. Spine 2002; 27:432– 438. 3 Nonendoscopic Percutaneous Disc Decompression as Treatment of Discogenic Radiculopathy Michael J.

As further rotation occurs, the axis of rotation shifts posteriorly to the zygapophyseal joints subjecting the disc to additional lateral shear forces (Fig. 2) (7). Combined flexion and rotation greatly increases the risk of injury as annular fibers are maximally prestressed in flexion when additional rotation strains the involved annular fibers beyond their normal strain limit (161). The combination of lateral shear and torsion strain results in circumferential tears in the outer annulus (162) typically located in the posterolateral annular region (163) where annular strain is high (164).

Spine 1993; 18:568– 574. Sihvonen T, Herno A, Paljiarvi L, et al. Local denervation atrophy of paraspinal muscles in postoperative failed back syndrome. Spine 1993; 18:575– 581. Styf JR, Willen J. The effects of external compression by three different retractors on pressure in the erector spine muscles during and after posterior lumbar spine surgery in humans. Spine 1998; 23:354– 358. Foley KT, Lefkowitz MA. Advances in minimally invasive spine surgery. Clin Neurosurg 2002; 49:499– 517. Khoo LT, Palmer S, Laich DT, Fessler RG.

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