NEUROSURGERY

Posterior Lumbar Interbody Fusion

Jun 15, 2019 by in NEUROSURGERY Comments Off on 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…

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Thoracic Transpedicular Corpectomy

Jun 15, 2019 by in NEUROSURGERY Comments Off on 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…

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Anterior Lumbar Corpectomy

Jun 15, 2019 by in NEUROSURGERY Comments Off on 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,…

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Anterior Lumbar Interbody Fusion

Jun 15, 2019 by in NEUROSURGERY Comments Off on 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…

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Thoracic Pedicle Screws

Jun 15, 2019 by in NEUROSURGERY Comments Off on 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 •…

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Costotransversectomy

Jun 15, 2019 by in NEUROSURGERY Comments Off on 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…

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Lumbar Microdiskectomy

Jun 15, 2019 by in NEUROSURGERY Comments Off on 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…

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Thoracic Corpectomy—Anterior Approach

Jun 15, 2019 by in NEUROSURGERY Comments Off on 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…

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Lumbar Laminectomy

Jun 15, 2019 by in NEUROSURGERY Comments Off on Lumbar Laminectomy

Indications • Patients with spinal stenosis • Patients with contraindications or medical comorbidities that may make it difficult to pursue an anterior approach or who cannot be under general anesthesia…

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Thoracic Diskectomy—Transthoracic Approach

Jun 15, 2019 by in NEUROSURGERY Comments Off on Thoracic Diskectomy—Transthoracic Approach

Indications • Severe or progressive myelopathy caused by thoracic disk herniation • Any spinal cord compression • Midline disk herniation or disk osteophyte complex in the thoracic region • Severe…

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