From the Guidelines
Rex laminae treatment should prioritize a posterior surgical approach with caution, considering the potential risks of destabilization, poor wound healing, and infection, as noted in the 2016 IDSA clinical practice guideline 1. When considering the treatment of rex laminae, it is essential to weigh the benefits and risks of different surgical approaches.
- The posterior approach can be used for any segment of the spine and is typically employed to decompress an epidural abscess, but it may result in destabilization of the spine if substantial vertebral body destruction coexists 1.
- This approach also carries a higher risk of poor wound healing and wound infection due to muscle dissection and the need for longer recovery times 1.
- In contrast, an anterior approach may be more suitable for infections confined to the disc space or vertebral body, as it poses less morbidity to the patient in terms of muscle manipulation and wound healing 1. Key considerations in the treatment of rex laminae include:
- The use of substances that promote bone growth, such as tricalcium phosphate derivatives or bone morphogenic protein, which have been used in the presence of bacterial spondylitis without adverse consequences 1.
- The importance of autologous bone grafting, which can be harvested from the iliac crest or ribs, as it provides a durable and physiologically dynamic support system 1. Ultimately, the choice of surgical approach and treatment strategy should be individualized based on the patient's specific condition and medical history, with a focus on minimizing morbidity, mortality, and improving quality of life 1.
From the Research
Rex Laminae
There is no direct information available on Rex laminae in the provided studies.
Related Dental Concepts
- Dental caries is a dynamic, preventable, reversible, complex biofilm-mediated, multifactorial disease that involves a series of demineralization/neutrality/remineralization of dental hard tissue in primary and permanent dentition 2.
- Dental imaging accounts for approximately 40 % of all X-ray examinations in Germany, and profound knowledge of this topic is essential not only for the dentist but also for the clinical radiologist 3.
- The general assessment and extra oral examination of the dental patient can identify undiagnosed or undisclosed medical conditions, such as malignancies, endocrine conditions and signs indicating raised cardiovascular or cerebral vascular risk 4.
Key Points
- Visual inspection and intraoral radiographs are vital in caries detection, although they are of suboptimal sensitivity for early caries lesions 2.
- Shifting toward a conservative, noninvasive approach to caries management has resulted in the development of innovative-sensitive technologies 2.
- Risk assessment can help predict a patient's risk of developing periodontal disease and improve clinical decision making 5.
- The initial comprehensive dental examination is crucial in diagnosing and treating dental conditions, and over-reliance on new technology can lead to misdiagnoses or delay of appropriate treatment 6.