6 Orbitozygomatic ApproachJames Frazier and Judy Huang Indications Lesions of lateral anterior cranial fossa or orbit Aneurysms of anterior communicating complex and basilar apex ♦ Preoperative Operative Planning Assess extent…
5 Pterional ApproachJudy Huang Indications Anterior circulation aneurysms except distal anterior cerebral artery aneurysms Basilar apex and superior cerebellar aneurysms (consider additional orbitozygomatic osteotomy) Suprasellar lesions Medial sphenoid wing tumors…
4 Frontal ApproachJudy Huang ♦ Intraoperative Positioning Mayfield skull pin sites are placed behind hairline For convexity lesions, flex or extend neck and turn head so that craniotomy flap is…
2 General Craniotomy TechniquesKhan Li ♦ Preoperative Operative Planning Review imaging studies If using frameless stereotaxy, perform necessary image reconstruction Equipment Mayfield head holder (Integra, Plainsboro, NJ): clamp or horseshoe;…
ICranial 1 General Operating Room ConsiderationsAnthony Louis D’Ambrosio ♦ Preoperative Imaging Be certain that all required studies are at your disposal Carefully review all imaging studies for side and/or level…
3 Endoscopic FundamentalsGeorge Jallo Indications Obstructive hydrocephalus Intraventricular tumors Cystic or fluidlike collections Shunt placement ♦ Preoperative Operative Planning Review imaging to confirm size of the ventricles and relation of…
Preventing Complications of Cervical Spine Surgery Glenn R. Rechtine II Christian P. DiPaola PREVENTING COMPLICATIONS OF CERVICAL SPINE SURGERY Prevention of surgical complications does not begin at the preoperative visit….
The Role of Postoperative Bracing Following Cervical Spine Surgery Scott D. Daffner Prior to the introduction of rigid internal fixation, postoperative bracing was an essential part of treatment of patients…
DVT/PE in Cervical Surgery: Etiology, Treatment Options, and Outcomes Winston Fong Scott C. McGovern Jeffrey C. Wang As the rate of elective spinal surgeries increases, there is a growing concern…
Parsonage-Turner Syndrome: Etiology, Treatment Options, and Outcomes Robert A. McGuire Jr. Parsonage-Turner syndrome, or acute brachial neuritis, was first discussed in 1943 by Spillane (1) and subsequently by Drs. Parsonage…
