Techniques for achieving atlantoaxial fusion include posterior interspinous fusion with sublaminar cables and iliac crest bone graft ( ▶ Fig. 7.1), C1–2 transarticular screw fixation, and interlaminar clamp fixation. Although…
Introduction and Patient Selection Lumboperitoneal (LP) shunting allows for extracranial management of hydrocephalus, cerebrospinal fluid (CSF) fistula, pseudomeningocele, and pseudotumor cerebri, thereby eliminating intracranial complications. LP shunts are also used…
Before the popularity of lateral mass screws, posterior wiring techniques were the mainstay for posterior cervical spinal fixation. Initially, wiring was accomplished with monofilament stainless steel wire. Cable systems were…
Lumbar degenerative disease is a progressive process of disk and joint deterioration. As this pathology continues, it can lead to deformity of the lumbar spine. As a result of the…
Ulnar nerve entrapment at the elbow is the second most frequently encountered nerve entrapment in neurosurgical practice. Neurosurgeons should be familiar with the anatomy of the ulnar nerve at the…
Surgical intervention is generally reserved for patients who have intractable pain or progressive neurologic symptoms in the presence of documented compression of the cervical cord, nerve roots, or both. Pain…
Cervical laminectomy and fusion constitute a procedure used in patients with clinical symptoms and radiographic evidence of cervical spondylotic myelopathy (CSM), which is a condition caused by repetitive dynamic injury…
Odontoid process fractures are common injuries resulting from a combination of hyperextension and axial rotation. Anderson and D’Alonzo type II fractures are the most common type of injury and occur…
A myriad of pathology may affect the lower cervical and upper thoracic spine, including both primary and metastatic tumors, as well as trauma blunt force and penetrating trauma. The standard…
The high anterior retropharyngeal approach provides an alternative to the more widely used transoral approach. In straightforward cases involving midline extradural lesions oriented to the level of the arch of…
