Pedicle Subtraction Osteotomy
Indications • Fixed sagittal deformity secondary to previous surgery with an anterior fusion mass, traumatic deformity, neoplastic disease, or congenital anomalies • The need to introduce up to 35 degrees…
Pelvic Fixation
Procedure notes Fusion to the pelvis in spine surgery can be difficult because of the complex anatomy of the lumbosacral region, the decreased bone density of the sacrum, and the…
Partial Sacrectomy
Indications • Primary sacral tumors, many of which benefit from en bloc removal • Locally advanced rectal cancer with sacral involvement, for which pelvic exenteration is indicated • Nonunion of…
Lumbar Disk Arthroplasty
Indications • Lumbar disk arthroplasty (LDA) is indicated as a treatment of chronic, incapacitating low back pain that is diskogenic in origin at the L4-5 or L5-S1 level and not…
Transforaminal Lumbar Interbody Fusion
Indications • Segmental instability requiring fusion for stabilization • Recurrent disk herniation • Symptomatic spinal stenosis with a significant back pain component that would benefit from fusion • Degenerative disk…
Posterior Lumbar Interbody Fusion
Indications • Spondylolisthesis that is symptomatic, progressive, or requiring decompression that necessitates stabilization • Degenerative disk disease with low back pain that can benefit from fusion at the symptomatic level…
Thoracic Transpedicular Corpectomy
Indications • The decision to approach the thoracic spine with a transpedicular corpectomy depends largely on the view and angle of exposure needed. This approach provides access to the lateral…
Anterior Lumbar Corpectomy
Indications • Tumor, fracture, tuberculosis, or other pathology of the vertebral body requiring direct decompression of the spinal canal with resection of anterior pathology • Instability of anterior spinal elements,…
Anterior Lumbar Interbody Fusion
Indications • Anterior lumbar interbody fusion (ALIF) is indicated as a treatment of chronic, incapacitating low back pain secondary to degenerative disk disease or degenerative spondylolisthesis in the absence of…
Thoracic Pedicle Screws
Indications • Instrumentation in the treatment of degenerative disease • Instrumentation for acute traumatic instability • Instrumentation for iatrogenic destabilization • Corrective surgery for congenital and idiopathic scoliosis Contraindications •…
