By Howard S. An MD, Louis G. Jenis MD
Written by way of across the world famous specialists, this ebook is a complete, functional consultant to prevention, attractiveness, and administration of problems in backbone surgical procedure. Sections disguise the cervical backbone and the thoracolumbar/lumbosacral backbone and talk about the whole diversity of problems which may be encountered, together with these linked to the latest applied sciences, tactics, and instrumentation.
Each bankruptcy makes a speciality of a particular form of challenge and offers "how-to" suggestions for averting and dealing with the matter in particular surgeries. Of precise notice are the exact discussions of issues relating to instrumentation. every one bankruptcy contains broad, up to date references. greater than a hundred and fifty illustrations supplement the text.
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Written by means of across the world well-known specialists, this ebook is a entire, functional consultant to prevention, attractiveness, and administration of issues in backbone surgical procedure. Sections conceal the cervical backbone and the thoracolumbar/lumbosacral backbone and speak about the complete diversity of problems that could be encountered, together with these linked to the latest applied sciences, methods, and instrumentation.
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Extra resources for Complications of Spine Surgery: Treatment and Prevention
Gastroenterology 1997;113:1457–1464. Kuriloff DB, Blaugrund S, Ryan J, et al. Delayed neck infection following anterior spine surgery. Laryngoscope 1987;97: 1094–1098. Mitchell L, Grillo HL, Malt RA. Oesophageal perforations. Ann Thorac Surg 1982;33:203. Pollack RA, Pervis JM, Apple OF I, et al. Esophageal hypopharingeal injuries in patients with cervical spine trauma. Ann Otol Rhinol Laryngol 1981;90:323–327. van Berge Henegouwen DP, Roukema JA, de Nie JC, et al. Esophageal perforation during surgery on the cervical spine.
Endoscopy may be performed serially to assess recovery of swallowing function and to provide patient biofeedback (39). MANAGEMENT OF DYSPHAGIA Treatment measures for dysphagia depend on the severity of the condition and may include dietary modification, postural changes during swallowing, or throat-clearing maneuvers. When possible, changes in diet or swallowing techniques should be used to maintain safe oral feedings and await improvements in swallowing function, which often occur with time. In contrast, patients unable to safely manage swallowing with modifications should be taken off oral feedings and placed on tube feedings.
The contents of the carotid sheath (carotid artery, jugular vein, and vagus nerve) are retracted laterally, and the strap muscles, trachea, recurrent laryngeal nerve, and esophagus are retracted medially (Fig. 1). Recurrent Laryngeal Nerve (Inferior Laryngeal Nerve) The recurrent laryngeal nerve supplies all of the muscles of the larynx except for the cricothyroid muscle, which is supplied by the superior laryngeal nerve. 1 Cross-sectional anatomy of neck showing retractor placement used for anterior cervical surgery.