AO ASIF Principles in Spine Surgery by Prof. Dr. Max Aebi FRCS(C), John S. Thalgott M.D., John K.

By Prof. Dr. Max Aebi FRCS(C), John S. Thalgott M.D., John K. Webb FRCS (auth.)

This e-book has turn into precious by reason of the quick growth of the surgeries and implants to be had for spinal surgical procedure in the "AO Group". we haven't tried to write down an in-depth publication on spinal surgical procedure, yet one that might help the health care professional within the use of AO strategies and implants. We con­ sider the sensible classes held worldwide crucial for the instructing of sound innovations in order that technical issues and negative effects may be steer clear of­ ed for either the health practitioner and, particularly the sufferer. This publication is a realistic handbook and an overview of what's taught within the classes. it truly is meant to assist the younger spinal physician to appreciate the proper use of AO implants. The indi- tions given will reduction the proper use of every approach. . It has to be strongly emphasised that surgical procedure of the backbone is technically de­ manding. The concepts defined during this booklet should still basically be undertaken via surgeons who're proficient and skilled in spinal surgical procedure. sure recommendations, specifically pedicle screw fIxation and cages, haven't but been absolutely authorized by way of the FDA within the usa. even if, through the remainder of the realm, using pedicle screws has turn into a customary method for the backbone physician, because it has been proven to enhance fIxation suggestions and make allowance segmental correction of the backbone. using cages has develop into increasingly more renowned, particularly as a device of minimally invasive spinal surgery.

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The advent of the lap belt in the early 1960s This classification is primarily based upon theparesulted in greater awareness of another category of thomorphological characteristics of the injuries. injuries, the flexion-distraction lesions [5, 10, 11, Categories are formed according to pathomorpho16 -18,20,23,35,43]. Some of these injuries were de- logical uniformity. The three main categories, th£ scribed even earlier by Bohler [3]. types, have a typical fundamental injury pattern Louis [28] established a morphological classifica- which is defined by a few easily recognizable radiotion system using a concept of three columns con- logical criteria.

3 Classification of Thoracic and Lumbar Injuries 31 sometimes associated with a fracture of the lamina or articular processes [14], or with a fracture of the basis of the pedicles [7]. 2: Hyperextension-Spondylolysis (Fig. 17b). The few cases seen by us were located in the lowermost lumbar level. In contrast to flexion-spondylolysis, the sagittal diameter of the spinal canal was widened in these cases, as the vertebral body had shifted anteriorly, while the lamina remained in place. Consequently, there was no neurological deficit.

The height of the vertebral body is reduced, and the posterior ligamentous complex is intact. Translation in the sagittal plane does not occur. 4 1: Impaction Fractures Common Characteristics. The deformation of the vertebral body is due to compression of the cancellous bone rather than to fragmentation. The posterior column is intact. Narrowing of the spinal canal does not occur. 5). Fig. 1) A. 1: End Plate Impaction (Fig. 2). The end plate often has the shape of an hourglass. Minor wedging of up to 5° may be present.

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