Lumbar degenerative disease is a progressive process of disk and joint deterioration. As this pathology continues, it can lead to deformity of the lumbar spine. As a result of the…
Ulnar nerve entrapment at the elbow is the second most frequently encountered nerve entrapment in neurosurgical practice. Neurosurgeons should be familiar with the anatomy of the ulnar nerve at the…
Surgical intervention is generally reserved for patients who have intractable pain or progressive neurologic symptoms in the presence of documented compression of the cervical cord, nerve roots, or both. Pain…
Cervical laminectomy and fusion constitute a procedure used in patients with clinical symptoms and radiographic evidence of cervical spondylotic myelopathy (CSM), which is a condition caused by repetitive dynamic injury…
Odontoid process fractures are common injuries resulting from a combination of hyperextension and axial rotation. Anderson and D’Alonzo type II fractures are the most common type of injury and occur…
A myriad of pathology may affect the lower cervical and upper thoracic spine, including both primary and metastatic tumors, as well as trauma blunt force and penetrating trauma. The standard…
The high anterior retropharyngeal approach provides an alternative to the more widely used transoral approach. In straightforward cases involving midline extradural lesions oriented to the level of the arch of…
The sacroiliac joint (SIJ) is an often-overlooked source of low back pain that can radiate to the buttock, groin, or lower extremity. 1, 2, 3 A series of 200 consecutive…
A variety of differing surgical approaches have been proposed and implemented in the treatment of thoracic spine pathology, with the latest advancements geared toward minimally invasive options. 1, 2, 3,…
Patient Selection 28.1.1 Indications The lateral extracavitary approach provides the greatest extent of circumferential spinal cord exposure possible using a posterior approach. This is accomplished by way of a midline incision;…
