ODONTOID FIXATION by APFELBAUM

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ODONTOID FIXATION by APFELBAUM


Screw fixation of fractured odontoid by Apfelbaum. 

The following are video recordings of  surgical procedures from  the Department of Neurosurgery of Saint John’s Hospital of Budapest. The videos were made to assist with the training of neurosurgery, residents.
Modern optical systems using the Zeiss OPMI 6 microscope with a Contraves elektromagnetic stabilizer stative were used. The Riechert/Mundinger (F. L. Fischer) stereotaxic device and the Karl Storz endoscope were also used. The most significant portions of the procedures lasting only 3-6 minutes were recorded. With regard to quality, it AVI video with 720 x576 pixels and 72 dpi broadcast picture dimension were used. This is a brief overview of the significant portions of the operations and procedures with respect to the patient’s memory and  recall  status as they relate to their anatomical positions. The videos are presented in English and to a lesser degree Hungarian. The surgical portions and simultaneous video recordings and editing are my personal endeavors. Assistance in the preparation of the documents was provided. by Dr. János Hável, Dr. Tibor Kiss, Dr. Árpád Viola, surgical nurse Mária Skublics and assistant surgical nurse Norbert Nagy. For this I owe them  my deepest gratitude for their support and help. 
In 1999, with the aid of the Japanese International Cooperation Agency (JICA) and a donation from the Japanese goverment we received video equipment consisting of SONY camera, video recorders, monitors, computerized editing equipment Prof. Shigeharu Suzuki, Dr. Islam (Hirosaki) and Prof. Masami Ishii (Iwaki City) provided invaluable instruction.and teaching of  the techniques necessary for the video  recording of neurosurgical procedures
We offer this study as an adjunct to the medical board certification examinations. Those who would benefit most would be residents in  neurosurgery, neurology, anatomy, pathology and radiology. Until this time only the surgical dictation was available to the resident, now the video recording will be the standard.
. 
Jeno Julow MD DSc, St. John’s Hospital Dept of Neurosurgery and SOTE Neurosurgery by generous and help of Japan International Cooperation Agency

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E-book of neurosurgical video for residents, Neurotrauma surgery

Health sciences, Medical sciences, Medicine, Surgery, Neurosurgery, Traumatology

Screw fixation of fractured odontoid by Apfelbaum, odontoid fixation, dental pseudo joint, cervical orthosis, false joint, scar tissue, bit of motion, between the two bones, conditions, fibrous joint, stainless steel, surgical wire, Apfelbaum, anterior screw fixation, unstable odontoid fractures, fresh fractures, remote fractures, cervical spine fractures, three types, odontoid process fracture, fusion rates, odontoid screw fixation, type I odontoid fractures, type II odontoid fractures, type III odontoid fractures, first 6 months, fusion rate, etiology, biomechanics, diagnosis, treatment, single–screw anterior fixation, hyperflexion, common mechanism, Anderson and D'Alonzo, classified, three types, fracture line, tip of the dens, rare injuries, transverse atlantal ligament, fracture line, odontoid peg, comminuted fractures, base of the odontoid process, axis, displacement of the fracture, non–union, immobilization, 6–mm displacement, surgical intervention, concomitant injuries, intraoperative risks, surgical stabilization, atlantoaxial complex, anterior approach, posterior approach, transarticular screw, disadvantages, perioperative morbidity, autologous bone graft, vascular injury, axial rotation, cervical motion, transverse altantal ligaments, contraindications, 5–year experience, nasotracheal intubation, endotracheal intubation, supine position, anesthesia team, operating table, cervical hyperextension, biplanar fluoroscopy, equipment, imaging, proposed trajectory, fracture reduction, radiolucent bite–block, gauze roll, C5–C6 level, cannulated screw system, skin incision, Cloward–type dissection, transverse retractors, longus coli musculature, superior retractor blade, stability, 2–mm K–wire, entry point, anteroinferior aspect, C2 level, guidewire, hollow–core drill, shallow groove, cannulated drill guides, titan, postoperative follow–up, monitoring, fusion rate, solid fusion, immobilization, good clinical outcomes, functional status, improvement, neurological examination, complications, wound infections, hematomas, dysphagia, hoarseness, vascular injuries, deaths related, procedure, screw bending, screw breakage, suboptimal posterior position, displaced fracture, adequate screw positioning, technical difficulties, old man, posterior displacement of the dens, confirmed by fluoroscopy, rigid cervical orthosis, halo vest immobilization, inadequacy of stabilization, external immobilizatio, alar ligaments, hematomas, sublaminar wire, Gallie interspinous fusion, greater risk, fragments, atlantoaxial arthrodesis, risk of failure, carotid artery avulsion, myelopathy, prolonged immobilization, hardware failure, screw fracture, screw migration, hospitalization, malpositioning, screw pullout, multisystem trauma, treatment, tracheoesophageal fistula, meticulous surgical tech fibrous unionnique, Herbert screw, clinical results, less invasiveness, bone fusion rate, percutaneous technique, Julow, Jeno Julow , Dr, DSc, med. habil. dr, St. John’s Hospital, Department of Neurosurgery, Budapest, Hungary, h102494jul@ella.hu, h12494jul@t-online.com, julow9@gmail.com, Dr.Julow Jenő Viktor, Szent János Kórház, Szt. János Kórház, neurosurgery, idegsebészet, JICA, video, resident, E-book, St. John Hospital, idegsebészeti osztály, neurosurgical video movies, idegsebészeti video, 脳神経外科, Julow ないジェノサボー オルザグ, 神经外科的视频电影, 住院医师, vídeos de Neurocirugía, enseña a cirugías de cráneo, جراحة الأعصاب وأشرطة الفيديو, يعلم جراحات الجمجمة, Нейрохирургия видео, giải phẫu hộp sọ dạy, ngôn ngữ thiểu số neurosurgical

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4 December, 2012

Prof. Jeno Julow

4 December, 2012

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