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Adult and Pediatric Spine Trauma
Adult and Pediatric Spine Trauma
P re f a c e A d u l t an d P e d i a t r i c S p i n e Tr au m a
Douglas L. Brockmeyer, MD
Andrew T. Dailey, MD
Editors
Neurosurg Clin N Am 28 (2017) xiii http://dx.doi.org/10.1016/j.nec.2016.10.001 1042-3680/17/Ó 2016 Published by Elsevier Inc.
into craniocervical, subaxial, and thoroacolumbar sections. After that, specific treatment scenarios in adult spine trauma are addressed, including odontoid fractures, facet fractures, and minimally invasive surgery. Finally, the important topics of return to play after spinal injury and complication avoidance in spinal surgery are covered. The editors and authors hope this issue will prove useful for every neurosurgeon. Each article has been carefully chosen to address important areas in adult and pediatric spinal trauma. We also hope that the patients we serve will benefit from the ideas and information included here. Douglas L. Brockmeyer, MD Department of Neurosurgery Division of Pediatric Neurosurgery Primary Children’s Hospital 100 North Mario Capecchi Drive Salt Lake City, UT 84113, USA Andrew T. Dailey, MD Department of Neurosurgery Clinical Neurosciences Center 175 North Medical Drive East Salt Lake City, UT 84132, USA E-mail addresses: [email protected] (D.L. Brockmeyer) [email protected] (A.T. Dailey)
neurosurgery.theclinics.com
Almost all neurosurgeons manage spinal trauma in their clinical practice, and most, if not all, are comfortable with their pre-existing knowledge base. Occasionally, however, clinical situations arise in which a neurosurgeon’s knowledge is incomplete or insufficient to the task at hand. For instance, questions may arise regarding the management of an odontoid fracture in an elderly patient or the best timing to surgically decompress a spinal cord injury. In those circumstances, a clinician may benefit from an authoritative, up-todate reference that augments or complements their knowledge. The purpose of this issue of Neurosurgery Clinics of North America is to provide such a reference for both adult and pediatric spinal trauma. It is written by leading experts in the field and provides the busy clinician with the latest information about important areas that are either rapidly evolving or controversial in nature. To accomplish that goal, this issue of Neurosurgery Clinics of North America is organized in a stepwise approach to provide maximum learning benefit. It begins with an overview of the latest advances in the imaging of spine trauma, followed by a review of thoracolumbar injury classification schemes. The next four articles discuss spinal cord injury, covering the timing of treatment, pharmacologic aspects, central cord syndrome, and restorative treatment strategies. A comprehensive review of pediatric spinal injury follows, organized
P re f a c e A d u l t an d P e d i a t r i c S p i n e Tr au m a
Douglas L. Brockmeyer, MD
Andrew T. Dailey, MD
Editors
Neurosurg Clin N Am 28 (2017) xiii http://dx.doi.org/10.1016/j.nec.2016.10.001 1042-3680/17/Ó 2016 Published by Elsevier Inc.
into craniocervical, subaxial, and thoroacolumbar sections. After that, specific treatment scenarios in adult spine trauma are addressed, including odontoid fractures, facet fractures, and minimally invasive surgery. Finally, the important topics of return to play after spinal injury and complication avoidance in spinal surgery are covered. The editors and authors hope this issue will prove useful for every neurosurgeon. Each article has been carefully chosen to address important areas in adult and pediatric spinal trauma. We also hope that the patients we serve will benefit from the ideas and information included here. Douglas L. Brockmeyer, MD Department of Neurosurgery Division of Pediatric Neurosurgery Primary Children’s Hospital 100 North Mario Capecchi Drive Salt Lake City, UT 84113, USA Andrew T. Dailey, MD Department of Neurosurgery Clinical Neurosciences Center 175 North Medical Drive East Salt Lake City, UT 84132, USA E-mail addresses: [email protected] (D.L. Brockmeyer) [email protected] (A.T. Dailey)
neurosurgery.theclinics.com
Almost all neurosurgeons manage spinal trauma in their clinical practice, and most, if not all, are comfortable with their pre-existing knowledge base. Occasionally, however, clinical situations arise in which a neurosurgeon’s knowledge is incomplete or insufficient to the task at hand. For instance, questions may arise regarding the management of an odontoid fracture in an elderly patient or the best timing to surgically decompress a spinal cord injury. In those circumstances, a clinician may benefit from an authoritative, up-todate reference that augments or complements their knowledge. The purpose of this issue of Neurosurgery Clinics of North America is to provide such a reference for both adult and pediatric spinal trauma. It is written by leading experts in the field and provides the busy clinician with the latest information about important areas that are either rapidly evolving or controversial in nature. To accomplish that goal, this issue of Neurosurgery Clinics of North America is organized in a stepwise approach to provide maximum learning benefit. It begins with an overview of the latest advances in the imaging of spine trauma, followed by a review of thoracolumbar injury classification schemes. The next four articles discuss spinal cord injury, covering the timing of treatment, pharmacologic aspects, central cord syndrome, and restorative treatment strategies. A comprehensive review of pediatric spinal injury follows, organized