Indications • Cervical disk herniation with persistent radiculopathy after conservative measures • Cervical disk herniation with spinal cord compression • Cervical disk herniation with significant spinal canal compromise • Cervical…
Indications • Irreducible atlantoaxial subluxation with compression of cervicomedullary junction • Ventrally located pathology of the lower clivus or atlantoaxial complex • Unstable odontoid fractures or os odontoideum with spinal…
Indications • Patients with acute type II odontoid fractures (<6 months) and patients with fractures with either a transverse or an anterosuperior to posteroinferior fracture plane are the most favorable…
Procedure notes • Instability of C1-2 may be due to trauma, infection, tumors, or rheumatoid arthritis. In deciding the appropriate management of unstable C1-2 injuries, the patient’s age, medical status,…
Indications • Indications for C1-2 transarticular screw fixation are atlantoaxial instability, rheumatoid arthritis, congenital abnormalities, os odontoideum, tumor, and ligamentous abnormality. Trauma and rheumatoid arthritis are the two most common…
Indications • Occipitocervical fusion is performed for craniovertebral junction (CVJ) instability resulting from various etiologies. • Posttraumatic: Atlantooccipital dislocation, complex fractures involving CVJ, unstable odontoid fractures with incompetence of the…
Indications • Hydrocephalus, communicating or obstructive, which is not amenable to endoscopic third ventriculostomy or treatment of primary etiology (i.e., removal of fourth ventricle neoplasm) • Failure of previously placed…
Indications • C1-2 posterior cervical fusion is indicated in patients with odontoid fractures that cannot be repaired with an odontoid screw, including type II odontoid fractures associated with fractures of…
Indications • The main indications for surgical intervention for craniosynostosis are the prevention of potential neurologic impairment and correction of deformity. Increased intracranial pressure, hydrocephalus, mental retardation, visual abnormalities, and…
Indications • Patients with late-onset (adolescent or adult) nontumoral obstructive hydrocephalus have the highest rate of success after endoscopic third ventriculostomy (close to 90%). The high success rate in this…
