Summary of Key Points • Spinal dysraphisms encompass a variety of pathophysiologic abnormalities. Although most will present with neurologic sequelae, some may not. Prompt neurosurgical evaluation is necessary to treat…
Summary of Key Points • Medical complications following spine surgery span the entire spectrum of organ systems. High clinical suspicion, early recognition, and timely treatment are key to minimizing these…
Summary of Key Points • Although most surgeons understand the importance of sterile technique in preventing surgical site infections, other steps can be taken before, during, and after the procedure…
Summary of Key Points • An individualized multidisciplinary team approach regarding a nutritional and activity plan is necessary during the acute, rehabilitation, and community phases of the treatment of patients…
Summary of Key Points • Motion preserving surgery has been developed in an attempt to reduce the likelihood of intervertebral disc degeneration at segments adjacent to a fusion. • Classically,…
Summary of Key Points • Preoperative evaluation of the patient scheduled for spine surgery most commonly focuses on functional capacity, neurologic assessment, and upper airway examination. • In patients undergoing…
Summary of Key Points • Management and maintenance of the facet joint’s functions are important concepts in lumbar spine surgery. • Several implant designs have been tested for use in…
Summary of Key Points • Spinal dysraphisms are a diverse group of congenital malformations with a wide spectrum of presentations. • Understanding normal nervous system development is crucial to understanding…
Summary of Key Points • Nucleus replacement and intradiscal electrothermal treatment evolved as options to treat discogenic back pain in patients with early nuclear degeneration with minimal or no collapse,…
Summary of Key Points Common indications for vascularized bone grafts include the following: • Bone graft greater than 5 cm. • Strut graft that will be more than 4 cm from the…
