This is a critical review of the data supporting current endoscopic surgical techniques for the spine, limitations, economic barriers to adoption, and the future of the field. Endoscopic spine approaches…
Convection-enhanced delivery for central nervous system gene therapy is an emerging treatment strategy to modify the course of previously untreatable or inadequately treated neurologic conditions, including brain tumors, metabolic disorders,…
Posterior approach interbody fusion techniques such as posterior lumbar interbody fusion and transforaminal interbody fusion are known as the workhorse procedures for lumbar spinal fusion. Over the years, advancements in…
Anterolateral approaches to the lumbar spine provide direct access to the disc space. These techniques facilitate thorough discectomy, which is essential for successful arthrodesis. They improve segmental lordosis without osteotomy…
Spinal cerebrospinal fluid (CSF) leaks occur due to CSF volume loss at the level of the spine. They can occur spontaneously, from trauma, or iatrogenic causes. Classically, patients present with…
Idiopathic intracranial hypertension (IIH) is becoming an increasingly common health care concern as global obesity rates rise. Physicians need to be familiar with the salient clinical features of this condition…
Intraventricular and periventricular lesions often result in obstructive hydrocephalus and can be effectively managed by ventriculoscopy. This avoids the significant risk of injury to vascular and neural structures that are…
This article provides an in-depth review of cerebrospinal fluid (CSF) shunts for managing hydrocephalus and idiopathic intracranial hypertension, with a focus on advanced surgical techniques and strategies to prevent complications….
The introduction of cerebrospinal fluid (CSF) drainage shunts has made treatment of hydrocephalus possible. However, failure rate is still high. Choice of shunt components could significantly reduce the need for…
Ventricle expansion and disproportionately enlarged subarachnoid-space hydrocephalus (DESH) are the hallmark features of idiopathic normal-pressure hydrocephalus, which has recently also been referred to as Hakim’s disease. DESH refers to the…
