Lumbar Disk Arthroplasty
Indications • Lumbar disk arthroplasty (LDA) is indicated as a treatment of chronic, incapacitating low back pain that is diskogenic in origin at the L4-5 or L5-S1 level and not…
Transforaminal Lumbar Interbody Fusion
Indications • Segmental instability requiring fusion for stabilization • Recurrent disk herniation • Symptomatic spinal stenosis with a significant back pain component that would benefit from fusion • Degenerative disk…
Posterior Lumbar Interbody Fusion
Indications • Spondylolisthesis that is symptomatic, progressive, or requiring decompression that necessitates stabilization • Degenerative disk disease with low back pain that can benefit from fusion at the symptomatic level…
Thoracic Transpedicular Corpectomy
Indications • The decision to approach the thoracic spine with a transpedicular corpectomy depends largely on the view and angle of exposure needed. This approach provides access to the lateral…
Anterior Lumbar Corpectomy
Indications • Tumor, fracture, tuberculosis, or other pathology of the vertebral body requiring direct decompression of the spinal canal with resection of anterior pathology • Instability of anterior spinal elements,…
Anterior Lumbar Interbody Fusion
Indications • Anterior lumbar interbody fusion (ALIF) is indicated as a treatment of chronic, incapacitating low back pain secondary to degenerative disk disease or degenerative spondylolisthesis in the absence of…
Thoracic Pedicle Screws
Indications • Instrumentation in the treatment of degenerative disease • Instrumentation for acute traumatic instability • Instrumentation for iatrogenic destabilization • Corrective surgery for congenital and idiopathic scoliosis Contraindications •…
Costotransversectomy
Indications • Costotransversectomy provides a posterolaterally directed corridor of access to the costovertebral joints, lateral spinal canal, and neural foramina and to a portion of the posterolateral vertebral body located…
Lumbar Microdiskectomy
Indications • Foraminal stenosis • Radiculopathy that fails to improve with conservative measures • Significant weakness Contraindications • Large disk herniation causing central canal stenosis—a full laminectomy is indicated Planning…
Thoracic Corpectomy—Anterior Approach
Indications • Unstable burst fractures with anterior spinal cord compression • Primary or metastatic vertebral tumors • Osteomyelitis or diskitis • Severe spinal deformities • Sequestered thoracic disk herniation with…
