192 Vertebroplasty and KyphoplastyAlbert J. Yoo, Clifford J. Eskey, and Joshua A. Hirsch Indications Painful compression fracture that has failed conventional medical therapy Painful vertebral body neoplasm or vascular tumor…
146 Implantable PumpsChristopher J. Winfree Indications Intrathecal administration of medications Generally represents the penultimate step on an escalating ladder of progressively more complex and invasive treatment options, just before ablative…
152 Ulnar Nerve DecompressionChristopher J. Winfree Indications Ulnar neuropathy, diagnosed by clinical examination and electrodiagnostic studies An appropriate trial of conservative management (behavior modification, elbow padding, etc.) is attempted first…
147 Thoracoscopic SympathectomyCharles J. Riedel Indications Essential hyperhidrosis Raynaud’s disease Reflex sympathetic dystrophy Contraindications—Absolute Pleurodesis Contraindications—Relative Cardiopulmonary disease precluding one lung ventilation Inflammatory pulmonary disease with extensive adhesions (e.g., tuberculosis)…
170 Depressed Skull FractureDavid I. Sandberg Indications Emergent surgical repair if associated with open wound, epidural or subdural hematoma with mass effect, significant cortical contusion, or cerebrospinal fluid (CSF) leak…
167 Peri-insular Functional HemispherectomySaadi Ghatan Indications Medically intractable epilepsy in the setting of severe hemispheric injury Extensive migrational disorders Sturge-Weber syndrome Rasmussen encephalitis Hemimegalencephaly Perinatal infarction Contraindications Bilateral seizure onsets…
168 Selective Dorsal Rhizotomy Through a Single Level LaminectomyRichard C. E. Anderson Indications Spasticity The selective dorsal rhizotomy is primarily used to treat lower extremity spasticity. Clinical experience has dictated…
V Endovascular/Interventional 173 Percutaneous Retrograde Femoral Artery Puncture and Other Access TechniquesWilliam J. Mack Indications Gain endovascular access for performing diagnostic or interventional procedures Percutaneous retrograde femoral artery puncture is…
159 Myelomeningocele RepairSaadi Ghatan Indications Lack of treatment results in a less than 30% 1-year survival Family wishes need to be strongly considered Conditions that contribute to poor outcome and…
169 Intrathecal Baclofen TherapyRichard C. E. Anderson Indications Spasticity Spastic diplegia Spastic tetraparesis Generalized secondary dystonia ♦ Preoperative Patient Evaluation Intrathecal baclofen (ITB) trial to assess response of spasticity or…
