Minimally Invasive Lateral Spine Surgery in Trauma

Sep 23, 2017 by in NEUROLOGY Comments Off on Minimally Invasive Lateral Spine Surgery in Trauma

Fig. 22.1 Sequential tubular dilation (a), docking of expandable retractor (b), intraoperative AP fluoroscopic image with the docked retractor and Cobb elevator in the disk space (c), intraoperative view of…

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Managing and Preventing Vascular Complications

Sep 23, 2017 by in NEUROLOGY Comments Off on Managing and Preventing Vascular Complications

Fig. 33.1 Anterior view of the retroperitoneal vascular vessels. The aorta artery runs to the left and divides at the L4–L5 intervertebral disc into the two common iliac arteries. The…

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Anterolateral Fixation in LLIF

Sep 23, 2017 by in NEUROLOGY Comments Off on Anterolateral Fixation in LLIF

Fig. 26.1 Algorithm for supplemental fixation (Adapted from Malham et al. [5]) 26.3.1 Reduced Bone Density Reduced bone density is the main risk factor for subsidence that may result in…

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Neoplasia

Sep 23, 2017 by in NEUROLOGY Comments Off on Neoplasia

Fig. 21.1 Computed tomography (CT) of a thoracic spine psammomatous meningioma. Left: pre-operative axial view, the tumor with high density, indicating calcification, was located ventral-lateral to the spinal cord; middle:…

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Psoas Muscle Management

Sep 23, 2017 by in NEUROLOGY Comments Off on Psoas Muscle Management

Fig. 17.1 Psoas and iliacus muscles The iliopsoas muscle consists of three distinct muscles: the iliacus, psoas minor, and psoas major. The psoas minor, absent in 40 % of the…

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Lumbar Plexus Injury: Lateral MIS Spinal Fusion

Sep 23, 2017 by in NEUROLOGY Comments Off on Lumbar Plexus Injury: Lateral MIS Spinal Fusion

Fig. 36.1 Lumbar plexus from a lateral perspective relevant to the lateral trans-psoas approach [18] Fig. 36.2 Lateral radiograph of the lumbar spine with overlay dividing the vertebral column into…

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Selecting the Proper Patient for Lumbar Lateral Interbody Fusion and Minimally Invasive Spinal Deformity Surgery

Sep 23, 2017 by in NEUROLOGY Comments Off on Selecting the Proper Patient for Lumbar Lateral Interbody Fusion and Minimally Invasive Spinal Deformity Surgery

Indications Degenerative disk disease with axial low-back pain Low-grade (Meyerding grade I or II) spondylolithesis Recurrent disk herniation with low-back pain Disk collapse following diskectomy causing foraminal narrowing and secondary…

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Indirect Decompression

Sep 23, 2017 by in NEUROLOGY Comments Off on Indirect Decompression

Fig. 30.1 (a) Preoperative sagittal MRI showing L4–5 spondylolisthesis with stenosis at L3–4, L4–5. (b) Preoperative axial MRI of L3–4 level. Note the lateral recess and foraminal stenosis on the…

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