Lateral Approach to the Cervical Spine (Verbiest)
(1) Marina Spine Center, Marina del Rey, CA, USA This lateral approach is a direct approach to the spinal nerve and the vertebral artery in the intervertebral foramen [1]….
NEUROSURGERY
Supraclavicular Approach
(1) Marina Spine Center, Marina del Rey, CA, USA 1. Position the patient supine. Slightly hyperextend the neck, rotated away from the side of the approach. Use the inflatable…
Anterior Medial Approach to the Midcervical Spine
(1) Marina Spine Center, Marina del Rey, CA, USA 1. Position the patient supine on the operating table. Turn the head to the right. 2. Usually, the incision…
Superior Hypogastric Sympathetic Plexus
(1) Marina Spine Center, Marina del Rey, CA, USA The preaortic sympathetic plexus is a continuation of the thoracolumbar sympathetic chain extending down anterior to the aorta and vertebral…
Transoral Approach to C1–C2
(1) Marina Spine Center, Marina del Rey, CA, USA 1. Preoperative preparation of the patient should include oral and nasal cultures. Preoperative antiseptic gargles and tetracycline, which were used…
Lateral Approach to the Cervical Spine (Hodgson)
(1) Marina Spine Center, Marina del Rey, CA, USA The lateral approach to the cervical spine, when combined with the more proximal detachment of the sternocleidomastoid muscle, as in…
The Thoracolumbar Junction
(1) Marina Spine Center, Marina del Rey, CA, USA For approaches to the thoracolumbar junction (T10–L1), Hodgson recommends a 9th rib resection.1 Dwyer recommends a 10th rib resection with…
Anterior Cervical Approaches to the Spine
(1) Marina Spine Center, Marina del Rey, CA, USA The significant anatomical landmarks for differentiating the approaches to the cervical spine presented in Table 1.1 are the sternocleidomastoid muscle,…
Cervicothoracic Junction
(1) Marina Spine Center, Marina del Rey, CA, USA The anteromedial approach is an extension of the Smith–Robinson approach. It is medial to the sternocleidomastoid muscle and medial to…
Proximal and Distal Junctional Fixation Techniques
Fig. 14.1 Proximal junctional failure with fracture through the upper instrumented vertebra. A sharp transition of rigid proximal end fixation using two pedicle screws at the same level predisposes to…
