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By Vaccaro R.

With contributions from greater than a hundred popular professionals within the box, this reference compiles therapy thoughts and information for a myriad of problems linked to nonoperative and operative administration of varied spinal pathologies in teenagers and adults-providing professional information on hassle id, reputation, administration, and prevention, in addition to the felony and moral elements of latest spinal care.

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Extra resources for Complications of Pediatric and Adult Spinal Surgery

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The eyes should then be protected with padding and secured in place. Despite careful preoperative positioning, any movement during surgery may cause the patient to shift, resulting in elevated ocular pressure. The eyes should be frequently reevaluated during surgery. The use of a mirror to view the face of the patient during surgery while in a prone position may be helpful (Fig. 1B). The etiology of postoperative blindness is incompletely understood and multifactorial (19,20,21,22). This complication is most frequently reported after spinal surgery and cardiopulmonary bypass surgery, but may occur after other nonocular surgeries like liver transplantation, head and neck surgery, and veno-veno bypass.

Spine 1988; 13:490–493. Krengel WF, 3rd, Robinson LR, Schneider VA. Combined effects of compression and hypotension on nerve root function. A clinical case. Spine 1993; 18:306–309. Naito M, Owen JH, Bridwell KH, Sugioka Y. Effects of distraction on physiologic integrity of the spinal cord, spinal cord blood flow, and clinical status. Spine 1992; 17:1154–1158. Nielsen CH. Preoperative and postoperative anesthetic considerations for the spinal surgery patient. In: Bridwell KH, DeWald RL, eds. The Text Book of Spinal Surgery.

Extracts offer the advantage that these protein mixes create a synergistic biological environment for bone regeneration, but mechanistic studies defining the role of each component become more complex. Furthermore, bovine extracts have a potential for harboring elements that may modulate the biological properties of BMPs and its extracts, including immunogens. 26 Youssef and Salas Many animal studies have established that fusion rates and biomechanical characteristics of fusion masses obtained with the use of BMPs in spinal fusions are equivalent or superior to those obtained with autogenous grafts (77–83).

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