Neupsy Key

Summary of Key Points • Lumbar interbody cages are commonly used to supplement fusion procedures and function to stabilize the anterior spine, increase the area for fusion, provide indirect decompression…

Summary of Key Points • Diseases of the sacrum and lumbosacral junction lead to clinically complex problems for surgical treatment and biomechanical stabilization. • The lumbosacral pivot point, the axis…

Summary of Key Points • Anatomy of the pedicle varies between levels; knowledge of this anatomy is essential for proper pedicle screw placement. • Other than intraoperative fluoroscopy, navigation systems…

Summary of Key Points • Anterior decompression and fusion of the thoracic and lumbar spine can be technically challenging and typically requires a thoracotomy or retroperitoneal approach involving the great…

Summary of Key Points • Proper positioning of the patient prior to surgery is key to facilitating exposure and minimizing positional complications such as facial edema, ophthalmic difficulties, pressure issues,…

Summary of Key Points • The paracoccygeal transsacral approach is a minimally invasive surgical technique to achieve lumbar interbody fusion at L5-S1 or both L4-5 and L5-S1. • The unique…

Summary of Key Points • Posterior fixation techniques provide anchors that allow for significant manipulation and fixation of the spine. • Construct planning is critical, and the biomechanics of the…

Summary of Key Points • Patient positioning is paramount for a successful procedure. • Triggered directional electromyography findings should guide retractor placement anterior to the femoral nerve. • Open (expanded)…

Summary of Key Points • Facet fixation has several advantages over the more frequently used pedicle screw fixation, including lower cost, less dissection, more room for bone graft, lower complication…