10.1055/b-0035-106404 29 Subsidence and Dynamic Spine Stabilization Following the attainment of adult stature and height, humans shorten (subside). This process is minimal (limited) through the third and fourth decades of…
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…
