Lateral Mass Fixation
Indications • Cervical instability from multilevel anterior cervical diskectomies or corpectomies • Increase in posterior tension band in patient with kyphotic cervical curve who requires an anterior procedure • Posterior…
NEUROSURGERY
Smith-Petersen Osteotomy
Indications • Correction of multiplanar spinal deformity • Correction of fixed sagittal and coronal imbalance • Correctable imbalance through mobile segments Contraindications • Spinal stenosis owing to risk of exacerbating…
Posterior Cervicothoracic Osteotomy
Indications • Severe kyphotic deformity at the cervicothoracic spine that causes radiculopathy, myelopathy, pain, restriction of gaze, or dysphagia. The deformity may arise from postlaminectomy destabilization, junctional kyphosis above a…
Anterior Cervical Corpectomy and Fusion
Indications • Correction of cervical kyphotic deformity • Decompression of the cervical spinal cord in degenerative spondylotic myelopathy • Excision of ossified posterior longitudinal ligament (PLL) that often bridges past…
Cervical Laminectomy and Laminoplasty
Indications • Multilevel cervical stenosis with preservation of normal lordotic curvature • Diffuse ossification of posterior longitudinal ligament • Posterior cord compression resulting from buckling of thickened ligamentum flavum •…
Anterior Cervical Diskectomy
Indications • Cervical disk herniation with persistent radiculopathy after conservative measures • Cervical disk herniation with spinal cord compression • Cervical disk herniation with significant spinal canal compromise • Cervical…
Transoral Odontoidectomy
Indications • Irreducible atlantoaxial subluxation with compression of cervicomedullary junction • Ventrally located pathology of the lower clivus or atlantoaxial complex • Unstable odontoid fractures or os odontoideum with spinal…
Odontoid Screw Fixation
Indications • Patients with acute type II odontoid fractures (<6 months) and patients with fractures with either a transverse or an anterosuperior to posteroinferior fracture plane are the most favorable…
Anterior C1-2 Fixation
Procedure notes • Instability of C1-2 may be due to trauma, infection, tumors, or rheumatoid arthritis. In deciding the appropriate management of unstable C1-2 injuries, the patient’s age, medical status,…
Transarticular Screws for C1-2 Fixation
Indications • Indications for C1-2 transarticular screw fixation are atlantoaxial instability, rheumatoid arthritis, congenital abnormalities, os odontoideum, tumor, and ligamentous abnormality. Trauma and rheumatoid arthritis are the two most common…
