Reconstruction of Upper Cervical Spine and Craniovertebral Junction
An illustrative manual for general spine surgeons, this text atlas covers all currently available techniques of upper cervical spine and craniovertebral junction reconstruction. All the surgical risks and benefits are discussed and compared with the outco
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Petr Suchomel • Ondrˇej Choutka
Reconstruction of Upper Cervical Spine and Craniovertebral Junction With contributions by Jan Hradil Lubomir Jurák Radim Brabec Pavel Buchvald Pavel Barsa Vladimír Beneš Radek Frič
Authors Petr Suchomel Regional Hospital Liberec Department of Neurosurgery, Neurocenter Husova St. 10 460 63 Liberec Czech Republic [email protected]
ISBN 978-3-642-13157-8
Ondrˇej Choutka University of Cincinnati Medical Center Dept. Neurosurgery Albert Sabin Way 231 45267-0515 Cincinnati Ohio USA [email protected]
e-ISBN 978-3-642-13158-5
DOI 10.1007/978-3-642-13158-5 Springer Heidelberg Dordrecht London New York Library of Congress Control Number: 2010937980 © Springer-Verlag Berlin Heidelberg 2011 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. Cover design: eStudioCalamar, Figueres/Berlin Printed on acid-free paper Springer is part of Springer Science+Business Media (www.springer.com)
To my wife Jana. She has unconditionally supported my efforts for 25 years and without her patience and love, this book would never have been finished. Petr Suchomel To my wife Petra and my boys Honzik and Lukas. Your eternal patience, support, tolerance, and love made this endeavor possible. Ondrˇej Choutka
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Preface
The spine is a “scaffold” for the erect human body and spinal cord that allows for information to travel between the central nervous system and the peripheral movement executers. Without good signal transition or intact scaffold, a human being cannot walk efficiently. Last century has seen a growing interest and need by many surgeons to strengthen collapsing scaffold and to improve relay of neural signals along the spinal cord. Craniovertebral junction represents the ultimate link between the head and spine with its absolute need for structural support as well as mobility. Historically, orthopedic surgeons and neurosurgeons became intimately involved in the care of the spinal patient, rarely working together. One was more interested in the strength and sha