Pitfalls in Cervical Spine Surgery Avoidance and Management of Compl

Spinal surgery is a unique area in the process of continuous development. New skills are applied daily in this delicate field by the spinal surgeon: this professional can be either an orthopaedic surgeon or a neurosurgeon dedicated to the treatment of spi

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Luca Denaro Domenico D’Avella Vincenzo Denaro (Eds.)

Pitfalls in Cervical Spine Surgery Avoidance and Management of Complications

Prof. Dr. Vincenzo Denaro Department of Orthopaedic and Trauma Surgery Campus Bio-Medico University Via Alvaro del Portillo 200 00128 Rome Italy [email protected]

Dr. Luca Denaro Prof. Dr. Domenico D’Avella Department of Neuroscience University of Padua Via Giustiniani 5 35128 Padua Italy [email protected] [email protected]

ISBN: 978-3-540-85018-2

e-ISBN: 978-3-540-85019-9

DOI: 10.1007/978-3-540-85019-9 Springer Heidelberg Dordrecht London New York Library of Congress Control Number: 2009935689 © 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 application contained in this book. In every individual case the user must check such information by consulting the relevant literature. Illustrations: Alessia Perseghin-Illustrazioni Scientifiche, Via Milano 172/3 - 39100 Bolzano, Italy Cover design: Frido Steinen-Broo, eStudio Calamar, Figueres/Berlin Printed on acid-free paper Springer is part of Springer Science+Business Media (www.springer.com)

Foreword

Over the last 20 years there has been a marked increase in spinal surgery and in particular procedures on the cervical spine; the increase is expected to continue for the next several decades. The results of surgery for cervical radiculopathy and myelopathy have been good on the one hand, and on the other, the public no longer are content to live with spinal deformity; both will result in an increase of surgery. The general availability of CT and MRI scans have outlined the pathology for both the surgeon (who can plan exactly) and the public (who wish for more); the latter are extremely well informed of the expected benefits and the possible complications of surgical intervention, from the internet. So this book by Professor Denaro and his colleagues is timely in that it faces up squarely to the avoidance of complications and their rapid and appropriate treatment. The book begins with the important philosophical approach that the cervical spine is imbedded within a complex soma, whose general h