Introduction Patients having transsphenoidal surgery offer many unique challenges to the anesthesiologist. Because of the prominent role of the pituitary gland in the endocrine system, patients require meticulous preoperative assessment,…
Introduction The goals of definitive surgical treatment of pituitary lesions are the reversal of endocrinopathy and restoration of normal pituitary function; elimination of mass effect and restoration of normal neurological…
Jules Hardy Over the last 10 years, numerous articles have reviewed the historical background of the surgical treatment of pituitary tumors and confronted the challenge between the alternative of intracranial versus…
Abstract Spinal vascular malformations (AVMs), particularly intradural intramedullary AVMs (i.e., type II or glomus AVMs), are complex lesions that are often difficult to manage. Their complexity relates to the possibility…
Abstract Traumatic spinal fractures are a leading cause of morbidity in the trauma population. They must be assessed and managed differently than other spinal pathology including degenerative, neoplastic or infectious….
Abstract Vertebral column neoplasms can be categorized as primary or malignant in origin, based on whether they arise directly from spinal osseous structures or extra-spinal locations, respectively. The management of…
Abstract The overall oncologic management of patients with metastatic disease is fraught with many challenges. With patients living longer due to advances in care, optimal surgical and radiation options for…
Abstract Minimally-invasive spinal surgery has been rapidly growing in popularity with the aim in improving short-term outcomes through the limitation of approach-related morbidity. In this chapter, the authors focus on…
Keywords PJK, adjacent segment disease, pseudarthrosis Highlights • Proximal junctional kyphosis and proximal junctional failure are separate entities and must be recognized and cared for appropriately. • The best…
Highlights • Intramedullary spinal cord tumors are rare and challenging entities, comprising 16% to 58% of all primary spinal cord and 2% to 8.5% of all primary central nervous system…
