Lab Flashcards
Alternatives to anterior cervical discectomy and fusion
Chiropractic manipulation
Physical therapy
massage
Success rate of alternative treatments
80-90%
Success rate of ACDF surgery
Symptoms-70-90%
For myelopathy-50-60%
What does hemostasis mean
A process which causes bleeding to stop and keep blood within a damaged blood vesicle
What is a radio live that table, what is it used for?
They don’t block radiation
Since it doesn’t block x rays it is necessitate to check that lateral cervical spine to make best estimation for incision
Why place a foam numb between scapula and put head in 10 lbs of traction?
Foam bump-better visualization of spine
10 lb traction- prevents head from rotating while keeping chin slightly extended
Injury to the spinal chord
Myelopathy
What is monopolar electrocautery
Took used to go through platysma fascia and muscle but not through deep plathsma fascia to expose cervical musculature
Handheld active electrode and travels back to generator though an inactive electrode attaches to patient
Why are blunt edge sissies used to develop an avascular plane
Too later of an approach can increase risk of injury to internal jungular vein or carotid artery
Too medial and it will necessitate dissection on the strap muscle fascia anterior to the vertebral body
What does a Casper distractor do
Retracts Casper pins
Where is the PLL posterior longnitudal ligament located
Vertebral canal behind disc
What is the microblunt nerve hook used for
It accesses forearm for tightness by feeling the media and lateral extents
What does the kerrison rongerus do
It’s used to remove bulk of disc
How is cervical endplate attached to patient
Screwed over on top of bone
What equipment do you use for final deep check of hemostasis
Bipolar electrocautery and homostatic agent then a gloved finger and handheld retractor
