Ortho Oracle - orthopaedic operative atlas

Posterior Atlanto-Axial Arthrodesis

– Indications:     – displaced type II dens frx;           – note that if posterior C1-C2 fusion is begin considered for type II dens frx, it is important to ensure that there is not a                  concomitant C1 arch frx; – Anatomy:     – vertebral arteries:           – … Read more

Posterior Column

– Discussion:    – includes lamina, pedicles, spinous processes, including supraspinous and intraspinous ligaments, ligamentum flavum, & facet capsules;    – Clay Shoveler’s fx    – Ligamentous Instability:    – consists of combined role of right & left Facet Joint & lateral masses in resisting compression;    – ligamentous complex in posterior motion segment resists … Read more

Posterior Approach for Acetabular Frx: (Kocher Langenbach)

 – See: Posterior Approach for Pelvic Frx – Indications for Use:     – isolated posterior wall & posterior column frxs;             – allows access to posterior column and posterior wall only, but exposure is limited proximally by                      superior gluteal vessels and greater trochanter;      – isolated transverse frx (as well … Read more