Fractures in the Elderly
Epidemiology Acetabular fractures in elderly patients are becoming more important. Treatment decisions can be difficult in this age group as bone quality is often reduced, making operative procedures more demanding….
ORTHOPEDIC
Heterotopic Ossifications
Development of heterotopic ossifications after surgical treatment of acetabular fractures can result in considerable functional losses and are among the most frequent, clinically relevant reported complications. Their risk factors and…
Thromboembolic Complications
Thromboembolic complications can be life threatening. Their frequencies, the type of diagnostics, and the therapeutic and prophylactic regime are still under discussion. Deep vein thrombosis (DVT) and/or pulmonic embolisms (PE)…
Biomechanics
Biomechanics of the Hip Joint Under physiological hip joint loading, an inhomogeneous pressure distribution is present within the acetabulum, due to the physiological incongruence of the hip joint.1,2,3,4,5,6,7 Anatomically, there…
Sacral Fractures
Sacral Fractures Raj Gala Andrew H. Milby Keith Michael Illustrative Case 1 A 29-year-old male with no past medical history sustained a skydiving injury after a hard landing (Figure 35-1)….
Operative Treatment of Thoracolumbar Burst Fractures
Operative Treatment of Thoracolumbar Burst Fractures John P. Kleimeyer Ehsan Saadat Keith W. Michael Indications/Considerations Goals for operative treatment of thoracolumbar burst fractures include adequate decompression and fracture stabilization. Direct…
Operative Treatment of Hangman’s Fractures
Operative Treatment of Hangman’s Fractures Christopher T. Martin Keith W. Michael John M. Rhee Radiologic Assessment—Key Factors to Consider on X-ray, MRI, CT The need for operative intervention is dependent…
Direct Lateral Interbody Fusion: Standard and Anterior Column Realignment
Direct Lateral Interbody Fusion: Standard and Anterior Column Realignment Mathew Cyriac Keith Michael Illustrative Case A 70-year-old female with bilateral buttock and leg pain worse with standing/walking and significant relief…
Lumbar Subarachnoid Drain
Lumbar Subarachnoid Drain Christopher T. Martin John G. Heller Steven M. Presciutti Indications A lumbar subarachnoid drain is usually placed in cases of complicated dural tear or deficiency in which…
Odontoid Screw Fixation
Odontoid Screw Fixation Christopher T. Martin Keith W. Michael John M. Rhee Radiologic Assessment—Key Factors to Consider on X-ray, MRI, CT Anteroposterior (AP), lateral, and open mouth odontoid views, in…
