Far Lateral Discectomy
121 Far Lateral DiscectomyMichael W. Groff ♦ Preoperative Planning Magnetic resonance scan of lumbosacral without contrast Myelography is of limited use because the nerve root sleeve ends at the foramen….
Posterior Lumbar Approach
119 Posterior Lumbar ApproachPaul G. Matz Indications Lumbar stenosis Lumbar spondylosis with radiculopathy or cauda equina syndrome Lumbar disc displacement with radiculopathy or cauda equina syndrome Lumbar tumor—extradural or intradural…
Lumbar Discectomy
120 Lumbar DiscectomyMichael W. Groff Indications Symptomatic central and posterolateral lumbar disc herniations (common) May be used as part of larger fusion procedure (e.g., PLIF/TLIF interbody fusion) May be used…
Laparoscopic Approaches to the Lumbar Spine
117 Laparoscopic Approaches to the Lumbar SpineRakesh Patel, Michael P. Steinmetz, Daniel K. Resnick, and Thomas A. Zdeblick Indications One or two level fusions for degenerative disc disease, discogenic pain,…
Anterior Transperitoneal Lumbar Approach
116 Anterior Transperitoneal Lumbar ApproachMichael P. Steinmetz, Rakesh Patel, and Daniel K. Resnick Indications Anterior approach to the lower lumbar spine Anterior lumbar interbody fusion at L5–S1 Anterior lumbar artificial…
Posterior Thoracic/Thoracolumbar Instrumentation
114 Posterior Thoracic/Thoracolumbar InstrumentationHaroon F. Choudhri Indications Although the thoracic spine is inherently stable, pathology may reflect or result in various degrees of instability. Various surgical approaches may further contribute…
Operative Treatment of Blunt Spinal Trauma
150 Operative Treatment of Blunt Spinal TraumaMarc L. Otten, Maxwell B. Merkow, and Ricardo J. Komotar Indications Compression of spinal canal from hematoma, soft tissue, bone fragment, or disc fragment…
Operative Treatment of Penetrating Spinal Trauma
149 Operative Treatment of Penetrating Spinal TraumaRicardo J. Komotar and Marc L. Otten Indications Neural element compression from bone, hematoma, soft tissue, or missile in patients with incomplete myelopathy Motor…
Anterior Retroperitoneal Flank Approach
115 Anterior Retroperitoneal Flank ApproachSharad Rajpal and Daniel K. Resnick ♦ Preoperative Special Equipment Patient positioning on a radiolucent table with “bean-bag” facilitates intraoperative x-ray utilization. Anesthetic Issues Anesthesia with…
