Anterior Cervical Corpectomy
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
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…
Anterior Odontoid Screw Instrumentation
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…
High Anterior Cervical, Retropharyngeal Approach to the Ventral Craniocervical Junction and Upper Cervical Spine
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…
Trapdoor Exposure of the Cervicothoracic Junction
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…
Sacroiliac Joint Fusion Indications and Techniques
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…
Minimally Invasive Approaches to the Thoracic Spine
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,…
Lateral Extracavitary Approach to the Thoracocolumbar Spine
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;…
Surgical Techniques for Resection of Vascular Malformations within the Spinal Cord
Spinal vascular malformations (SVMs), including arteriovenous fistulas (AVFs) and arteriovenous malformations (AVMs), are complex and challenging to treat. Advances in microsurgery, endovascular techniques, and neuroimaging have enhanced our ability to…
Posterior Cervical Foraminotomy and Diskectomy
Posterior cervical foraminotomy, with or without diskectomy, is a well described and minimally incisional procedure that is effective for the treatment of cervical radiculopathy owing to foraminal stenosis or a…
