Anterior cervical diskectomy and fusion (ACDF) is a safe and effective treatment for cervical spondylosis refractory to nonoperative management. Despite excellent results, concern remains about the decreased neck range of…

Surgical resection is the mainstay of treatment for intradural extramedullary (IDEM) spinal tumors such as meningiomas and nerve sheath tumors. 1 The goal of surgery is complete tumor removal, thereby…

Intraplexal or extraplexal nerve transfer (neurotization) procedures are being increasingly used as a management alternative for high-grade upper-extremity peripheral nerve injuries with outcomes that are either equivalent or improved compared…

Spinal stability is classically defined by White and Punjabi as the ability of the spine under physiologic loads to limit patters on displacement so that neither the spinal cord nor…

Techniques for achieving atlantoaxial fusion include posterior interspinous fusion with sublaminar cables and iliac crest bone graft ( ▶ Fig. 7.1), C1–2 transarticular screw fixation, and interlaminar clamp fixation. Although…

Introduction and Patient Selection Lumboperitoneal (LP) shunting allows for extracranial management of hydrocephalus, cerebrospinal fluid (CSF) fistula, pseudomeningocele, and pseudotumor cerebri, thereby eliminating intracranial complications. LP shunts are also used…

Before the popularity of lateral mass screws, posterior wiring techniques were the mainstay for posterior cervical spinal fixation. Initially, wiring was accomplished with monofilament stainless steel wire. Cable systems were…

Lumbar degenerative disease is a progressive process of disk and joint deterioration. As this pathology continues, it can lead to deformity of the lumbar spine. As a result of the…

Ulnar nerve entrapment at the elbow is the second most frequently encountered nerve entrapment in neurosurgical practice. Neurosurgeons should be familiar with the anatomy of the ulnar nerve at the…

Surgical intervention is generally reserved for patients who have intractable pain or progressive neurologic symptoms in the presence of documented compression of the cervical cord, nerve roots, or both. Pain…