10.1055/b-0035-106395 20 Craniocervical and Upper Cervical Constructs The anatomical and associated clinical complexities of the upper cervical spine and craniocervical junction pose significant challenges for the managing surgeon 1 ,…
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…
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…
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…
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…
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…
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;…
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…
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…
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…
