Spine Trauma Vikas V. Patel Evalina Burger Courtney W. Brown (Editors) Spine Trauma Surgical Techniques Vikas V. Patel, M.D. Courtney W. Brown, M.D. Associate Professor Panorama Orthopaedics and Spine Center Department of Orthopaedics 660 Golden Ridge Road, Suite 250 University of Colorado, Denver Golden, CO 80401 School of Medicine USA 12631 East 17th Avenue [email protected] Aurora, CO 80045 USA [email protected] Evalina Burger, M.D., B.Med.Sc., M.B.Ch.B. Associate Professor Senior Orthopaedic Surgeon Vice Chair, Department of Orthopaedics University of Colorado, Denver School of Medicine 12631 East 17th Avenue Aurora, CO 80045 USA [email protected] ISBN: 978-3-642-03693-4 e-ISBN: 978-3-642-03694-1 DOI: 10.1007/978-3-642-03694-1 Springer Heidelberg Dordrecht London New York Library of Congress Control Number: 2010925788 © Springer-Verlag Berlin Heidelberg 2010 This work is subject to copyright. All rights are reserved, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilm or in any other way, and storage in data banks. Duplication of this publication or parts thereof is permitted only under the provisions of the German Copyright Law of September 9, 1965, in its current version, and permission for use must always be obtained from Springer. Violations are liable to prosecution under the German Copyright Law. The use of general descriptive names, registered names, trademarks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. Product liability: The publishers cannot guarantee the accuracy of any information about dosage and appli- cation contained in this book. In every individual case the user must check such information by consulting the relevant literature. Cover design: eStudio Calamar, Figueres/Berlin Printed on acid-free paper Springer is part of Springer Science+Business Media (www.springer.com) To Sir Ludwig Gutman, who personally changed medicine’s attitude and approach toward catastrophic spine injuries, thus opening the door for innovative concepts of reconstructing traumatic spine injuries. Sir Gutman was knighted for his work with injured soldiers during World War II. The editors also dedicate this book to their families for their continuous support and understanding of the time and energy involved in treating spine injury patients. Preface Many textbooks already exist in the ever-changing world of spine surgery, few, however, focus on spine trauma. The spine trauma books that are available provide comprehensive historical and mechanistic perspectives on spine trauma with excel- lent reviews on the thought process and recommendations of treatment. They do not, however, provide the technical information that is often needed in the trauma setting when surgeons must make quick decisions and quick plans for surgical treatment. This is especially important for the junior attending surgeon and, perhaps, for those who do not cover spine trauma on a daily basis. Thus, the focus of this text is exactly that situation. It is meant to be used as a quick reference when planning surgical treat- ment for spine trauma victims. Internationally renowned authors have been assem- bled to provide details on the basic steps of trauma care including preoperative planning, patient positioning, equipment needed, surgical steps, postoperative care, and avoidance and treatment of complications. This is a book that every spine surgeon should have as a reference and refresher when covering spine trauma call. Denver, Colorado, USA Vikas V. Patel Aurora, Colorado, USA Evalina Burger Golden, Colorado, USA Courtney W. Brown vii Acknowledgment To Heidi Armbruster for her tireless efforts in the organization and logistics of this endeavor. ix Contents Part I: Cervical 1 Cervical Spinal Stability and Decision Making................... 3 Alpesh A. Patel 2 Clearing the Cervical Spine .................................. 11 Ronald W. Lindsey and Zbigniew Gugala 3 Imaging of Spinal Trauma ................................... 33 Brian Petersen 4 Immunological Response to Spinal Cord Injury: Impact on the Timing of Spine Fixation ........................ 73 Michael A. Flierl, Kathryn M. Beauchamp, Anthony Dwyer, and Philip F. Stahel 5 The Role of Orthosis in Spinal Injury .......................... 85 David F. Apple, Courtney W. Brown, and Lesley M. Hudson 6 The Halovest............................................... 95 Anthony Dwyer 7 Direct Anterior Screw Fixation of Odontoid Fractures............ 107 Andrew T. Dailey, Todd D. McCall, and Ronald I. Apfelbaum 8 Occiput–Cervical Fixation ................................... 119 Ciro G. Randazzo, Bryan LeBude, John Ratliff, and James Harrop 9 C1–2 Fixation: Transarticular Screws.......................... 129 Sohail Bajammal and R. John Hurlbert 10 C1–2 Fixation: Lateral Mass/Pars S crew-Rod Fixation............ 145 Jeffery A. Rihn, David T. Anderson, Ravi Patel, and Todd J. Albert xi xii Contents 11 Closed Reduction of Unilateral and Bilateral Facet Dislocations........................................... 157 Thomas J. Puschak and Paul A. Anderson 12 Cervical Open Posterior Reduction of Facet Dislocation........... 163 Eric Klineberg and Munish Gupta 13 Open Anterior Reduction of Cervical Facet Dislocation ........... 171 Anh X. Le 14 Anterior Cervical Discectomy and Fusion for Traumatic Disc Herniation............................................. 177 Ben B. Pradhan 15 Posterior Cervical Fusion for Trauma.......................... 185 F. Cumhur Oner 16 Corpectomy for Burst Fracture ............................... 191 Harel Arzi and Paul M. Arnold 17 Posterior Pedicle Screw Fixation .............................. 199 Yasutsugu Yukawa Part II: Thoracic 18 Thoracic Spinal Stability: Decision Making ..................... 213 Jeremy Smith and Nitin N. Bhatia 19 Anterior Corpectomy with Fixation, Thoracic................... 229 Peter G. Whang, Jonathan N. Grauer, and Alexander R. Vaccaro 20 Kyphoplasty, Osteoporotic and Traumatic ...................... 243 Yu-Po Lee and Robert A. Keller 21 Costotransversectomy ....................................... 253 Kern Singh Part III: Thoracolumbar and Lumbar 22 Lumbar Spinal Stability: Decision Making...................... 263 George M. Whaba and Nitin N. Bhatia 23 Posterior Instrumentation for Thoracolumbar and Lumbar Fracture Dislocation ............................. 271 Christian P. DiPaola and Brian K. Kwon 24 Posterior Decompression Technique for Thoracolumbar Burst Fracture ............................................. 283 F. Cumhur Oner Contents xiii 25 Anterior Treatment of Thoracolumbar Burst Fractures........... 291 Gene Choi, Eric Klineberg, and Munish Gupta 26 Anterior and Posterior Surgery and Fixation for Burst Fractures ......................................... 299 Yasutsugu Yukawa 27 Percutaneous/Minimally Invasive Treatment for Thoracolumbar Fractures................................. 311 Neel Anand, Eli M. Baron, and Mark Dekutoski Part IV: Sacral 28 Surgical Stabilization Options for Fractures and Fracture-Dislocations at the Lumbosacral Junc tion and for Posterior Pelvic Ring Reconstruction ............................................. 321 Thomas A. Schildhauer, Carlo Bellabarba, M.L. Chip Routt, and Jens R. Chapman 29 Sacral Screw Fixation ....................................... 335 Todd McCall, Daniel Fassett, and Andrew Dailey 30 Percutaneous Placement of Iliosacral Screws .................... 341 John C. France 31 Iliac Fixation in Trauma ..................................... 351 Robert Morgan Part V: Special Circumstances 32 Minimally Invasive Treatment for Ankylosing Spondylitis and DISH Thoracolumbar Fractures........................... 359 Neel Anand, Eli M. Baron, Rebecca Rosemann, and Mark Dekutoski 33 Surgical Treatment of Thoracic or Thoracolumbar Fractures of Ankylosing Spondylitis (AS) or Diffuse Idiopathic Skeletal Hyperostosis (DISH)........................ 365 Courtney W. Brown 34 Traumatic Dural Tears ...................................... 369 Amgad S. Hanna, Ahmad Nassr, and James S. Harrop 35 Civilian Gunshot Injury to the Spine........................... 377 Zbigniew Gugala and Ronald W. Lindsey 36 Complications in Spine Surgery............................... 399 Evalina Burger Index ......................................................... 405
Description: