Costotransversectomy
Indications • Costotransversectomy provides a posterolaterally directed corridor of access to the costovertebral joints, lateral spinal canal, and neural foramina and to a portion of the posterolateral vertebral body located…
Lumbar Microdiskectomy
Indications • Foraminal stenosis • Radiculopathy that fails to improve with conservative measures • Significant weakness Contraindications • Large disk herniation causing central canal stenosis—a full laminectomy is indicated Planning…
Thoracic Corpectomy—Anterior Approach
Indications • Unstable burst fractures with anterior spinal cord compression • Primary or metastatic vertebral tumors • Osteomyelitis or diskitis • Severe spinal deformities • Sequestered thoracic disk herniation with…
Lumbar Laminectomy
Indications • Patients with spinal stenosis • Patients with contraindications or medical comorbidities that may make it difficult to pursue an anterior approach or who cannot be under general anesthesia…
Thoracic Diskectomy—Transthoracic Approach
Indications • Severe or progressive myelopathy caused by thoracic disk herniation • Any spinal cord compression • Midline disk herniation or disk osteophyte complex in the thoracic region • Severe…
Lateral Mass Fixation
Indications • Cervical instability from multilevel anterior cervical diskectomies or corpectomies • Increase in posterior tension band in patient with kyphotic cervical curve who requires an anterior procedure • Posterior…
Smith-Petersen Osteotomy
Indications • Correction of multiplanar spinal deformity • Correction of fixed sagittal and coronal imbalance • Correctable imbalance through mobile segments Contraindications • Spinal stenosis owing to risk of exacerbating…
Posterior Cervicothoracic Osteotomy
Indications • Severe kyphotic deformity at the cervicothoracic spine that causes radiculopathy, myelopathy, pain, restriction of gaze, or dysphagia. The deformity may arise from postlaminectomy destabilization, junctional kyphosis above a…
Anterior Cervical Corpectomy and Fusion
Indications • Correction of cervical kyphotic deformity • Decompression of the cervical spinal cord in degenerative spondylotic myelopathy • Excision of ossified posterior longitudinal ligament (PLL) that often bridges past…
Cervical Laminectomy and Laminoplasty
Indications • Multilevel cervical stenosis with preservation of normal lordotic curvature • Diffuse ossification of posterior longitudinal ligament • Posterior cord compression resulting from buckling of thickened ligamentum flavum •…
