23 Interbody Constructs
10.1055/b-0035-106398 23 Interbody Constructs Interbody constructs provide the ability to optimally bear axial loads along the neutral axis without applying a significant bending moment to the spine. This enhances the…
39 The Decision-Making Process: A Reprise
10.1055/b-0035-106414 39 The Decision-Making Process: A Reprise 39.1 Clinical Decision Making and the Biomechanical Basis for Construct Failure Clinical decision making is the ultimate focus of this book. An appreciation…
21 Ventral Subaxial Spine Constructs
10.1055/b-0035-106396 21 Ventral Subaxial Spine Constructs 21.1 History Historically, attempts at the clinical application of ventral spinal instrumentation met with varying degrees of success. 1 , 2 Each of these…
38 Biomechanical Testing
10.1055/b-0035-106413 38 Biomechanical Testing Up to this point in the book, armchair biomechanics have in a sense been applied to the clinical arena—that is, physical, kinematic, and biomechanical principles have…
24 Lumbosacral–Pelvic Constructs
10.1055/b-0035-106399 24 Lumbosacral–Pelvic Constructs The region of the lumbosacral junction is exposed to significant axial, translational, and rotational loads; bending moments; and stresses. An appreciation of the sacral anatomy that…
25 Regional Nuances
10.1055/b-0035-106400 25 Regional Nuances Multiple factors affect the efficacy of a spinal implant. These include the following: (1) length of the construct; (2) spinal access for decompression, fusion, and instrumentation;…
35 Bed Rest and Traction
10.1055/b-0035-106410 35 Bed Rest and Traction Bed rest and traction are infrequently considered from a biomechanical perspective. This is indeed unfortunate. Problems including pulmonary and integument complications, as well as…
37 Exercises, Conditioning, and Other Nonoperative Strategies
10.1055/b-0035-106412 37 Exercises, Conditioning, and Other Nonoperative Strategies Pain of spinal origin is multifactorial. 1 Exercises for the management of spinal disorders are designed to diminish pain and to increase…
36 Spinal Bracing
10.1055/b-0035-106411 36 Spinal Bracing The achievement of spinal stability is optimized by (1) appropriate and not excessive decompression, (2) appropriate bone graft or spacer placement (fusion), (3) appropriately placed internal…
34 Construct Failure and Failure Prevention: The Decision Making Process
10.1055/b-0035-106409 34 Construct Failure and Failure Prevention: The Decision Making Process In this chapter, focus is placed on construct failure and failure prevention. Seven scenarios have been defined as worthy…
