Supraclavicular Approach

Sep 22, 2016 by in NEUROSURGERY Comments Off on Supraclavicular Approach

(1) Marina Spine Center, Marina del Rey, CA, USA   1. Position the patient supine. Slightly hyperextend the neck, rotated away from the side of the approach. Use the inflatable…

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Superior Hypogastric Sympathetic Plexus

Sep 22, 2016 by in NEUROSURGERY Comments Off on Superior Hypogastric Sympathetic Plexus

(1) Marina Spine Center, Marina del Rey, CA, USA   The preaortic sympathetic plexus is a continuation of the thoracolumbar sympathetic chain extending down anterior to the aorta and vertebral…

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Transoral Approach to C1–C2

Sep 22, 2016 by in NEUROSURGERY Comments Off on Transoral Approach to C1–C2

(1) Marina Spine Center, Marina del Rey, CA, USA   1. Preoperative preparation of the patient should include oral and nasal cultures. Preoperative antiseptic gargles and tetracycline, which were used…

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The Thoracolumbar Junction

Sep 22, 2016 by in NEUROSURGERY Comments Off on The Thoracolumbar Junction

(1) Marina Spine Center, Marina del Rey, CA, USA   For approaches to the thoracolumbar junction (T10–L1), Hodgson recommends a 9th rib resection.1 Dwyer recommends a 10th rib resection with…

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Anterior Cervical Approaches to the Spine

Sep 22, 2016 by in NEUROSURGERY Comments Off on Anterior Cervical Approaches to the Spine

(1) Marina Spine Center, Marina del Rey, CA, USA   The significant anatomical landmarks for differentiating the approaches to the cervical spine presented in Table 1.1 are the sternocleidomastoid muscle,…

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Cervicothoracic Junction

Sep 22, 2016 by in NEUROSURGERY Comments Off on Cervicothoracic Junction

(1) Marina Spine Center, Marina del Rey, CA, USA   The anteromedial approach is an extension of the Smith–Robinson approach. It is medial to the sternocleidomastoid muscle and medial to…

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