Produktbild: Lumbar Spinal Stenosis

Lumbar Spinal Stenosis

Fr. 137.00

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Beschreibung

Produktdetails

Einband

Taschenbuch

Erscheinungsdatum

13.02.2012

Illustriert von

Attilio Mancini

Verlag

Springer Wien

Seitenzahl

230

Maße (L/B/H)

28/21/1.4 cm

Gewicht

607 g

Auflage

Softcover reprint of the original 1st ed. 1989

Sprache

Englisch

ISBN

978-3-7091-9023-4

Beschreibung

Produktdetails

Einband

Taschenbuch

Erscheinungsdatum

13.02.2012

Illustriert von

Attilio Mancini

Verlag

Springer Wien

Seitenzahl

230

Maße (L/B/H)

28/21/1.4 cm

Gewicht

607 g

Auflage

Softcover reprint of the original 1st ed. 1989

Sprache

Englisch

ISBN

978-3-7091-9023-4

Herstelleradresse

Springer-Verlag KG
Sachsenplatz 4-6
1201 Wien
AT

Email: GPSR Kontakt

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  • Produktbild: Lumbar Spinal Stenosis
  • I Historical Review.- II Anatomy of the Vertebral Canal and the Neural Structures in the Lumbar Spine.- Vertebral foramen.- Morphology.- Dimensions.- Width of the lateral recesses.- Vertebral canal.- Nerve root canal.- Intervertebral foramen.- Neural structures in the vertebral canal.- Spinal cord and cauda equina.- Extradural course of the spinal nerver roots.- Functional changes of the vertebral canal and nerve roots.- Blood supply.- Vascular pattern of the spinal cord and cauda equina.- Intrinsic vasculature of the caudal nerve roots.- III Definition and Classification.- Stenosis and pseudostenosis.- Previous definitions of lumbar stenosis.- The concept of stenosis.- Pseudostenosis.- Classification.- Spinal canal stenosis.- Primary stenosis.- Secondary stenosis.- Combined stenosis.- Mixed stenosis.- Isolated stenosis of the nerve root canal.- Stenosis of the intervertebral foramen.- IV Epidemiology.- Incidence.- Sex.- Age.- Physical characteristics.- Occupation.- Familiarity.- Cases observed by the author.- Case reports.- Conclusions.- V Aetiopathogenesis.- Aetiopathogenetic factors.- Achondroplasia.- Developmental narrowing of the spinal canal.- Spondylotic changes.- Intervertebral disc.- Facet joints.- Vertebral body.- Degenerative spondylolisthesis.- Traumas.- Pathogenetic mechanisms.- Primary forms of stenosis.- Degenerative stenosis.- VI Pathomorphology.- Vertebral canal and intervertebral foramen.- Primary stenosis.- Degenerative stenosis.- Disc degeneration and osteophytosis of the vertebral body.- Osteoarthrotic changes of the facet joints.- Thickening of the laminae.- Changes of the ligamenta flava.- Dynamic stenosis.- Degenerative spondylolisthesis.- Epidural tissue.- Spinal nervous structures.- Durai sac.- Spinal nerve roots in the intrathecal course.- Spinal nerve roots in the extrathecal course.- VII Clinical Features.- Clinical syndromes.- Continuous radicular syndrome.- Intermittent radicular syndrome.- Combined radicular syndrome.- Illustrative case reports.- Incidence of the different types of syndrome.- Differential diagnosis with disc prolapse.- Lumbo-radicular intermittent claudication.- Pathogenesis.- Differential diagnosis with other types of claudication and pseudoclaudication.- Medullary intermittent claudication.- Vascular intermittent claudication.- Pseudoclaudication due to joint disorders in the lower limb.- VIII Diagnostic Investigations.- Plain radiography.- Anteroposterior projection.- Length of the laminae and interlaminar angle.- Interapophysolaminar space.- Articular space of facet joints.- Degenerative changes of the facet joints.- Lateral projection.- Length of the pedicles.- Vertebral bodies.- Intervertebral foramina.- Oblique projections.- Measurements of vertebral canal dimensions.- Interpedicular distance.- Midsagittal diameter.- Jones and Thomson’s spinal index.- Conventional tomography.- Electrodiagnostic investigations.- Electromyography.- H reflex.- Somatosensory evoked potentials.- Ultrasonography.- Myelography.- Technical details.- Elementary signs of stenosis.- Uniform narrowing of the durai sac.- Deformations of the durai sac.- Indentations.- Hour-glass deformations.- Block images.- Intrasaccular abnormalities.- Translucencies of the caudal nerve roots in the intrathecal course.- Dyshomogenous distribution of the contrast medium.- Redundancy of spinal nerve roots.- Abnormalities of the nerve root sheaths.- Longitudinal extension of stenosis.- Single level stenosis.- Multilevel stenosis.- Functional myelography.- Myelographic patterns in the various types of stenosis.- Spinal canal stenosis.- Nerve root canal stenosis.- Stenosis of the intervertebral foramen.- Discography.- Computerized tomography.- Spinal canal stenosis.- Vertebral canal.- Midsagittal diameter.- Articular processes.- Intervertebral disc and vertebral body osteophytes.- Ligamenta flava.- Dural sac.- Midsagittal and transverse dimensions.- Area.- Morphology.- Nerve root canal stenosis.- Stenosis of the intervertebral foramen.- Diagnostic accuracy of CT scan.- Myelo-CT.- Magnetic resonance imaging.- IX Treatment.- Conservative treatment.- Drug therapy.- Physiotherapy.- Bracing.- Surgical treatment.- Indications and contraindications.- Planning of surgery.- Spinal canal stenosis.- Number of levels to decompress.- Mono- or bilateral decompression.- Type of decompression.- Longitudinal and transverse extent of decompression.- Vertebral fusion.- Effects of laminectomy on vertebral stability.- Indications to fusion.- Planning of surgery in degenerative spondylolisthesis.- Isolated stenosis of the nerve root canal.- Anaesthesia.- Hypotensive anaesthesia.- Patient positioning.- Preoperative identification of spinal levels.- Surgical technique.- Bilateral laminectomy.- Skin incision and superficial haemostasis.- Disinsertion of paraspinal muscles.- Opening of spinal canal.- Exploration of intervertebral discs and spinal nerve roots.- Excision of posterior osteophytes of the vertebral body.- Control of deep haemorrhage.- Opening of durai sac.- Prevention of epidural scar formation.- Wound closure.- Spinal fusion.- Laminotomy.- Microsurgery.- Postoperative treatment.- Complications.- Vertebral complications.- Extravertebral complications.- X Results of Treatment.- Natural history.- Conservative treatment.- Surgical treatment.- Review of the literature.- Spinal canal stenosis.- Degenerative spondylolisthesis.- Nerve root canal stenosis.- Author’s series.- Material.- Evaluation of the results.- Spinal canal stenosis.- Overall results.- Analytical results.- Nerve root canal stenosis.- Overall results.- Analytical results.- Isolated stenosis of the intervertebral foramen.- Clinical symptoms and signs after surgery.- Spinal canal stenosis.- Nerve root canal stenosis.- Conclusions.