Term
| Q:What is the Anterior approach to spine surgery especially useful for? |
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Definition
| A:Treatment of spinal stenosis at the cervical and thoracic levels |
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Term
| Q: What are the symptoms of cervical disk extrusion? |
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Definition
| A: symptoms may be chronic or acute; neck stiffness, soreness, and limited mobility, along with radicular symptoms, tenderness may occur over the brachial plexus, normal curvature of the neck tends to be straightened somewhat in these patients |
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Term
| Q: what symptoms often preceeds radicular symptoms occuring in episodes over a period of months or years? |
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Definition
| A:cervical discomfort when osteophytes have formed in the foramen |
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Term
| Q:what do radiographs show indicating extruded disk, or disk degeneration? |
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Definition
| A: they will show a narrowing of the disc space as well as osteophytes that have formed |
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Term
| Q:what are the 2 primary surgical treatments for cervical disk disease? |
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Definition
| A:1)decompression of the nerve roots and/or spinal cord with a posterior cervical laminectomy and diskectomy or 2)Anterior Cervical Diskectomy and Fusion |
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Term
| Q:What is the advantage of using an anterior approach? |
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Definition
| A:it offers the advantage of a direct approach to the disc space without the removal of the lamina. |
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Term
| Q:After the disk is removed,what is the disc space filled with? |
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Definition
| A:Cancellous and cortical bone (fusio), usually from the illiac crest |
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Term
| Q:what is the proper positioning for an ACDF? |
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Definition
| A:Supine with shoulder roll and head turned slightly away from the affected side and hip elevated for graft procedure |
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Term
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Definition
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Term
| Q:What are the main structures that need to be dissected and retracted in an ACDF? |
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Definition
| A:Esophagus, carotid artery, trachea |
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Term
| Q:When an incision for illiac bone is made what is used to procure the bone graft? |
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Definition
| A:Hudson Brace and dowel cutter or osteotome and mallet |
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Term
| Q:what is used to make the incision into the disc space? |
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Definition
A:#15 blade loaded on a
#7 handle |
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Term
| Q:What is used to remove disc material to be sent for specimen? |
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Definition
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Term
| Q:what is placed into the disc space and opened to the desired width? |
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Definition
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Term
| Q:What drill is used to drill into the cervical disc space? |
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Definition
| a:Cloward drill(on a hudson brace) |
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