The climax is the crisis point in the story, when the action and suspense is at its most intense. In many stories, the climax is also also a turning point for the main characters or a moment when something significant changes. In a murder mystery, the climax may be the moment that a detective realizes who the killer is.
Both neurosurgeons and orthopedic surgeons may complete fellowship training to do most types of spine surgery, but there are a few types of spine surgery in which one specialty tends to be more qualified than the other, such as:
12â14 Types of Surgical Reconstruction Types of surgicalreconstruction have included hemiarthroplasty (HA)(Fig. 6) with humeral head replacement alone, totalshoulder replacement (TSR) (Fig. 7AâC) of humeraland glenoid articulations, humeral head resurfacing withprosthetic surface replacement (Fig.