IISpinal 87 Transoral Approach/DecompressionK. Michael Webb and Volker K. H. Sonntag Indications Symptomatic midline ventral compressive lesions (usually rheumatoid arthritis, degenerative “pseudotumor,” chronic instability with pannus formation, etc.) that cannot…
86 Skull Defects: CranioplastyDaniel Sciubba Indications Cosmesis Protection External hydrocephalus Syndrome of the trephined (headaches, irritability, seizures, dizziness, local pain, pulsatility, psychiatric disturbances) ♦ Preoperative Operative Planning Repair of skull…
63 Anatomic HemispherectomyJorge Gonzalez-Martinez Indications Ipsilateral hemispheric syndromes associated with medically refractory epilepsy Common diagnoses Hemimegalencephaly Hemispheric or extensive focal cortical dysplasia Sturge-Weber syndrome Ipsilateral recurrency of seizures after functional…
113 Posterior Thoracolumbar ArthrodesisLuis M. Tumialán, Gerald E. Rodts Jr., and Praveen V. Mummaneni Indications Instrumented arthrodesis for Stabilization of fracture/dislocation Stabilization after tumor resection Stabilization for osteomyelitis Correction of…
78 Ventriculoperitoneal Shunt—PrimaryViolette Renard Recinos Indications Communicating hydrocephalus Obstructive hydrocephalus if third ventriculostomy is not possible Complicated hydrocephalus with loculated cysts or ventricles Pseudotumor cerebri in symptomatic patients who have…
111 Lateral Extracavitary ApproachMichael G. Kaiser Indications Provides circumferential exposure of the spine and spinal canal Ideal for pathology, including tumor, trauma, degenerative disease, and infections, involving the ventral and…
82 Shunt ExternalizationViolette Renard Recinos Indications Shunt infection Distal shunt site infection (i.e., abdominal abscess, empyema) Distal shunt malfunction Continuous pressure monitoring ♦ Preoperative Clinical Evaluation of Patient for Signs…
77 Stereotactic Endoscopic Third VentriculostomyGeorge Jallo Indications Obstructive hydrocephalus ♦ Preoperative Operative Planning Review imaging to confirm obstructive hydrocephalus and third ventricular dilatation Using sagittal magnetic resonance (MR) images, determine…
80 Ventriculoatrial ShuntPablo F. Recinos and Violette Renard Recinos Indications For patients in need of cerebrospinal fluid (CSF) diversion or who are already shunt dependent and distal peritoneal site and/or…
79 Ventriculoperitoneal Shunt–RevisionViolette Renard Recinos Indications Proximal or distal shunt malfunction Shunt disconnection Infection (Fig. 79.1) Elective revision for valve change or lengthening Contraindications Active cerebrospinal fluid (CSF) infection Abdominal…
