Psoas Muscle Management

Sep 23, 2017 by in NEUROLOGY Comments Off on Psoas Muscle Management

Fig. 17.1 Psoas and iliacus muscles The iliopsoas muscle consists of three distinct muscles: the iliacus, psoas minor, and psoas major. The psoas minor, absent in 40 % of the…

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Lumbar Plexus Injury: Lateral MIS Spinal Fusion

Sep 23, 2017 by in NEUROLOGY Comments Off on Lumbar Plexus Injury: Lateral MIS Spinal Fusion

Fig. 36.1 Lumbar plexus from a lateral perspective relevant to the lateral trans-psoas approach [18] Fig. 36.2 Lateral radiograph of the lumbar spine with overlay dividing the vertebral column into…

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Selecting the Proper Patient for Lumbar Lateral Interbody Fusion and Minimally Invasive Spinal Deformity Surgery

Sep 23, 2017 by in NEUROLOGY Comments Off on Selecting the Proper Patient for Lumbar Lateral Interbody Fusion and Minimally Invasive Spinal Deformity Surgery

Indications Degenerative disk disease with axial low-back pain Low-grade (Meyerding grade I or II) spondylolithesis Recurrent disk herniation with low-back pain Disk collapse following diskectomy causing foraminal narrowing and secondary…

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Indirect Decompression

Sep 23, 2017 by in NEUROLOGY Comments Off on Indirect Decompression

Fig. 30.1 (a) Preoperative sagittal MRI showing L4–5 spondylolisthesis with stenosis at L3–4, L4–5. (b) Preoperative axial MRI of L3–4 level. Note the lateral recess and foraminal stenosis on the…

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Subsidence in LLIF

Sep 23, 2017 by in NEUROLOGY Comments Off on Subsidence in LLIF

Fig. 28.1 Early cage subsidence (ECS) described by Malham et al. [9] Fig. 28.2 Three types of subsidence (Adapted from Malham et al. [9]) 28.3 Rates The rate of subsidence…

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Adjacent Level Disease and Proximal Junctional Kyphosis

Sep 23, 2017 by in NEUROLOGY Comments Off on Adjacent Level Disease and Proximal Junctional Kyphosis

Fig. 24.1 (a) Intraoperative fluoroscopic images showing retractor placement at the adjacent level disk; (b) lateral fluoroscopic image showing excellent restoration of interbody height using a lateral cage 24.2 Patient…

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