Advanced Pediatric Craniocervical Surgery by Douglas L. Brockmeyer

By Douglas L. Brockmeyer

This article offers state of the art options for surgical procedure of the
craniovertebral junction and cervical backbone. It offers concise motives of
the underlying ideas of every approach and insights into the original matters
in pediatric surgical procedure. With this whole source, you'll achieve the forged
foundation in surgical recommendations essential to make serious medical judgements as
well because the technical wisdom and self belief to hold them out.

Highlights include:

  • designated motives illuminating the hyperlinks among
    embryology and general and irregular improvement of the craniovertebral junction
    and cervical backbone
  • In-depth dialogue of the problems and strategies
    considering either atlantoaxial and occipitocervical surgical procedure in kids
  • a complete bankruptcy dedicated to coping with craniocervical
    stipulations of sufferers with Down Syndrome
  • An exam of nerve-racking accidents of the
    craniocervical junction in little ones
  • greater than a hundred step by step illustrations demonstrating
    key surgical options

This effectively available textual content could be a necessary asset in
the library of physicians handling and treating craniocervical stipulations, from
the so much skilled pediatric neurosurgeon to citizens within the early levels in their careers.

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Extra info for Advanced Pediatric Craniocervical Surgery

Sample text

The Pediatric Spine: Principles and Practice. New York: Raven; 1994:3–69 24. Bareggi R, Grill V, Sandrucci MA, et al. Developmental pathways of vertebral centra and neural arches in human embryos and fetuses. Anat Embryol (Berl) 1993;187:139–144 25. Bareggi R, Grill V, Zweyer M, Narducci P, Forabosco A. A quantitative study on the spatial and temporal ossification patterns of vertebral centra and neural arches and their relationship to the fetal age. Anat Anz 1994;176:311–317 26. David K, McLachlan J, Aiton J, et al.

In the adult, the total range of flexion and extension is 60 to 75 degrees. The greatest motion of flexion and extension is at the O–C1 junction (13 degrees), and the next greatest is between C5 and C7. Dynamic radiographs in children show that the upper cervical segments in infants and children are hypermobile in flexion. 14–16 The predilection for C2 and C3 forward displacement occurs because the joint is more mobile in children given that the articular facets of C2 and C3 lie in a relatively horizontal plane allowing for forward displacement.

Com Chapter 1 Anatomy, Embryology, Development of the Craniovertebral Junction and Cervical Spine tion with other vertebral malformations. Recent attention has focused on the Hox genes, particularly the Hox gene Cdx1 in mice. This gene is expressed in the caudal primitive streak during gastrulation and extends as far rostrally as the caudal hindbrain. Inactivation of Cdx1 results in anterior homeotic transformation of the vertebrae—the anterior arch of the atlas is fused with the occiput, the posterior arch is hypoplastic, the second and third vertebrae are malformed, and scattered malformations are found as far caudal as the ninth thoracic vertebra.

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