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178  Section III: Spinal Procedures

           debris is not properly removed via flushing and dead space not  References
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           fatigue failure of implants when fusion of the stabilized VMU is   2  Agnello KA, Kapatkin AS, Garcia TC, Stover SM. Intervertebral biomechanics of
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            Finally, adjacent segment disease with degenerative disc changes,   4  Shamir MH, Chai O, Loeb E. A method for intervertebral space distraction before
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                                                             6  Trotter EJ. Cervical spine locking plate fixation for treatment of cervical spondylotic
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                  Video clips to accompany this book can be found on   7  Hicks DG, Pitts MJ, Bagley RS et al. In vitro biomechanical evaluations of screw–
                  the companion website at:                   bar–polymethylmethacrylate and pin–polymethylmethacrylate internal fixation
                  www.wiley.com/go/shores/neurosurgery        implants used to stabilize the vertebral motion unit of the fourth and fifth cervical
                                                              vertebrae in vertebral column specimens from dogs. Am J Vet Res 2009;70:719–726.
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