Dorsal Sacrectomy
140 Dorsal SacrectomyNirit Weiss Indications Tumors Tumors for which en bloc resection is appropriate: chordoma, chondrosarcoma, osteosarcoma; possibly giant cell tumor and Ewing sarcoma; also, locally invasive rectal or presacral…
Spinal Dural Arteriovenous Fistula
138 Spinal Dural Arteriovenous FistulaPeter D. Angevine Indications Neurologic symptoms: may include myelopathy, leg weakness, changes in sensation, changes in bowel and/or bladder function, neurogenic claudication ♦ Preoperative Operative Planning…
Vertebroplasty and Kyphoplasty
192 Vertebroplasty and KyphoplastyAlbert J. Yoo, Clifford J. Eskey, and Joshua A. Hirsch Indications Painful compression fracture that has failed conventional medical therapy Painful vertebral body neoplasm or vascular tumor…
Implantable Pumps
146 Implantable PumpsChristopher J. Winfree Indications Intrathecal administration of medications Generally represents the penultimate step on an escalating ladder of progressively more complex and invasive treatment options, just before ablative…
Ulnar Nerve Decompression
152 Ulnar Nerve DecompressionChristopher J. Winfree Indications Ulnar neuropathy, diagnosed by clinical examination and electrodiagnostic studies An appropriate trial of conservative management (behavior modification, elbow padding, etc.) is attempted first…
Thoracoscopic Sympathectomy
147 Thoracoscopic SympathectomyCharles J. Riedel Indications Essential hyperhidrosis Raynaud’s disease Reflex sympathetic dystrophy Contraindications—Absolute Pleurodesis Contraindications—Relative Cardiopulmonary disease precluding one lung ventilation Inflammatory pulmonary disease with extensive adhesions (e.g., tuberculosis)…
Depressed Skull Fracture
170 Depressed Skull FractureDavid I. Sandberg Indications Emergent surgical repair if associated with open wound, epidural or subdural hematoma with mass effect, significant cortical contusion, or cerebrospinal fluid (CSF) leak…
Peri-insular Functional Hemispherectomy
167 Peri-insular Functional HemispherectomySaadi Ghatan Indications Medically intractable epilepsy in the setting of severe hemispheric injury Extensive migrational disorders Sturge-Weber syndrome Rasmussen encephalitis Hemimegalencephaly Perinatal infarction Contraindications Bilateral seizure onsets…
Myelomeningocele Repair
159 Myelomeningocele RepairSaadi Ghatan Indications Lack of treatment results in a less than 30% 1-year survival Family wishes need to be strongly considered Conditions that contribute to poor outcome and…
Percutaneous Retrograde Femoral Artery Puncture and Other Access Techniques
V Endovascular/Interventional 173 Percutaneous Retrograde Femoral Artery Puncture and Other Access TechniquesWilliam J. Mack Indications Gain endovascular access for performing diagnostic or interventional procedures Percutaneous retrograde femoral artery puncture is…
