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Brockmeyer
Advanced Pediatric Craniocervical Surgery

Table of Contents


1.Anatomy, Embryology, and Normal and Abnormal Development of the Craniovertebral Junction and Cervical Spine (Mark S. Dias and Douglas L. Brockmeyer)

Anatomy of the Subaxial Cervical Spine
Bony, Disk, and Ligamentous Anatomy
Vascular and Lymphatic Anatomy
Anatomy of the Craniovertebral Junction
Bony and Ligamentous Anatomy
Vascular and Lymphatic Anatomy
Embryology of the Cervical Spine
Gastrulation and Formation of Somites and Notochord
Condensation of the Somitic Mesoderm to Form the Somites
Formation of the Sclerotome and Dermomyotome
Formation of the Membranous Somite and Resegmentation
Chondrification Phase
Ossification Phase
Embryology of the Craniovertebral Junction
Malformations of the Spine
Disordered Gastrulation
Malalignment of Somitic Columns—Hemimetameric Shift
Disordered Vertebral Formation
Disordered Vertebral Segmentation
Disordered Vertebral Alignment
Failed Fusion of Sclerotome, Chondrification, or Ossification Centers
Isolated Failure of Ossification and Growth
Malformations of the Craniovertebral Junction
Conclusion

2. Clinical Biomechanics of the Pediatric Craniocervical Junction and Subaxial Spine (Marcus L. Ware, Nalin Gupta, Peter P. Sun, and Douglas L. Brockmeyer)
Review of Normal Biomechanics
Craniocervical Junction: Normal Kinematics
Subaxial Cervical Spine: Normal Kinematics
Determinants of Stability at the Craniocervical Junction
Determinants of Stability of the Subaxial Cervical Spine
Special Pediatric Considerations
Clinical Instability at the Craniocervical Junction
Clinical Instability of the Subaxial Cervical Spine
Conclusions

3. Common Pathological Conditions of the Pediatric Craniovertebral Junction and Cervical Spine
Down Syndrome (Douglas L. Brockmeyer)
Etiology
Natural History
Common Anatomical Idiosyncrasies
Surgical Considerations
Klippel-Feil Syndrome and Klippel-Feil Variant (Dan Fassett and Douglas L. Brockmeyer)
Etiology
Natural History
Common Anatomical Idiosyncrasies
Surgical Considerations
Neurofibromatosis Type 1 (Douglas L. Brockmeyer)
Etiology
Natural History
Common Anatomical Idiosyncrasies
Surgical Considerations
Os Odontoideum (Paul Grabb)
Etiology
Natural History
Common Anatomical Idiosyncrasies
Surgical Considerations
Common Skeletal Dysplasias (Jeff Atkinson and Douglas L. Brockmeyer
Etiology
Natural History
Common Anatomical Idiosyncrasies
Surgical Considerations

4. Traumatic Injuries of the Pediatric Craniocervical Junction (Marcus L. Ware, Kurtis I. Auguste, Nalin Gupta, Peter B. Sun, and Douglas L. Brockmeyer)
Craniovertebral Junction Injuries
Longitudinal Occiput–C2 Subluxation
Atlantoaxial Rotatory Subluxation
Translational Atlantoaxial Subluxation
Odontoid Fractures
C2 Pedicle Fractures
Subaxial Cervical Spine Injuries\
Ligamentous and Soft Tissue Injury
Bony Anterior Column Injuries
Bony Posterior Column Injures
Combined Anterior and Posterior Column Injuries

5. Advanced Atlantoaxial Surgery in Children (Douglas L. Brockmeyer)
Clinical Findings
Management of Atlantoaxial Lesions
Patient Evaluation
Conservative Management
Surgical Management and Decision Making
Surgical Approaches
Implants
Bone Graft Materials
External Orthoses
Postoperative Follow-Up
Radiographic Protocol
Failed Fusions
Postoperative Growth Potential
An Advanced Technique for Atlantoaxial Arthrodesis
Imaging and Image Analysis
Screw Placement Strategies

6. Advanced Occipitocervical Surgery in Children (Douglas L. Brockmeyer)
Clinical Findings
Management of Craniovertebral Junction Lesions
Conservative Management
Surgical Management and Decision Making
Surgical Approaches
Implants
Bone Graft Materials
External Orthoses
Postoperative Follow-Up
An Advanced Technique for Occipitocervical Fusion

7. Advanced Surgery for the Subaxial Cervical Spine in Children
Clinical Findings
Management of Subaxial Cervical Spine Lesions
Conservative Management
Surgical Management and Decision Making
Surgical Approaches
Anterior Cervical Approach
Cervical Anterolateral Approach
Posterior Midline Approach
Implants
Anterior Plates
Bone Graft Materials
External Orthoses
Postoperative Follow-Up
Advanced Subaxial Cervical Spine Fusion Techniques

 
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