Odontoid Screw Placement
89 Odontoid Screw PlacementHaroon F. Choudhri Indications Acute Type II odontoid fractures with preservation of the transverse ligaments Some acute Type III odontoid fractures and as part of the management…
Ventriculoperitoneal Shunt
81 Ventriculoperitoneal ShuntViolette Renard Recinos Indications For patients in need of cerebrospinal fluid (CSF) diversion who are al ready shunt dependent, use of distal peritoneal site and/or heart atrium is…
Transoral Approach/Decompression
IISpinal 87 Transoral Approach/DecompressionK. Michael Webb and Volker K. H. Sonntag Indications Symptomatic midline ventral compressive lesions (usually rheumatoid arthritis, degenerative “pseudotumor,” chronic instability with pannus formation, etc.) that cannot…
Anatomic Hemispherectomy
63 Anatomic HemispherectomyJorge Gonzalez-Martinez Indications Ipsilateral hemispheric syndromes associated with medically refractory epilepsy Common diagnoses Hemimegalencephaly Hemispheric or extensive focal cortical dysplasia Sturge-Weber syndrome Ipsilateral recurrency of seizures after functional…
Skull Defects: Cranioplasty
86 Skull Defects: CranioplastyDaniel Sciubba Indications Cosmesis Protection External hydrocephalus Syndrome of the trephined (headaches, irritability, seizures, dizziness, local pain, pulsatility, psychiatric disturbances) ♦ Preoperative Operative Planning Repair of skull…
Posterior Thoracolumbar Arthrodesis
113 Posterior Thoracolumbar ArthrodesisLuis M. Tumialán, Gerald E. Rodts Jr., and Praveen V. Mummaneni Indications Instrumented arthrodesis for Stabilization of fracture/dislocation Stabilization after tumor resection Stabilization for osteomyelitis Correction of…
Shunt Externalization
82 Shunt ExternalizationViolette Renard Recinos Indications Shunt infection Distal shunt site infection (i.e., abdominal abscess, empyema) Distal shunt malfunction Continuous pressure monitoring ♦ Preoperative Clinical Evaluation of Patient for Signs…
Lateral Extracavitary Approach
111 Lateral Extracavitary ApproachMichael G. Kaiser Indications Provides circumferential exposure of the spine and spinal canal Ideal for pathology, including tumor, trauma, degenerative disease, and infections, involving the ventral and…
Ventriculoperitoneal Shunt—Primary
78 Ventriculoperitoneal Shunt—PrimaryViolette Renard Recinos Indications Communicating hydrocephalus Obstructive hydrocephalus if third ventriculostomy is not possible Complicated hydrocephalus with loculated cysts or ventricles Pseudotumor cerebri in symptomatic patients who have…
Stereotactic Endoscopic Third Ventriculostomy
77 Stereotactic Endoscopic Third VentriculostomyGeorge Jallo Indications Obstructive hydrocephalus ♦ Preoperative Operative Planning Review imaging to confirm obstructive hydrocephalus and third ventricular dilatation Using sagittal magnetic resonance (MR) images, determine…
