Advances in Spinal Cord Stimulation

May 5, 2021 by in NEUROSURGERY Comments Off on Advances in Spinal Cord Stimulation

Introduction Chronic low back pain represents a significant burden to the United States. Approximately 37% of the general adult population suffers from low back pain with an estimated cost of…

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Pseudarthrosis/Nonunion

May 5, 2021 by in NEUROSURGERY Comments Off on Pseudarthrosis/Nonunion

Introduction Degenerative disease of the lumbar spine is a common cause of disability and pain, with lumbar spondylolisthesis affecting 11.5% of the US population and lumbar stenosis affecting more than…

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Adjacent Segment Disease After Fusion

May 5, 2021 by in NEUROSURGERY Comments Off on Adjacent Segment Disease After Fusion

Definitions Adjacent segment disease (ASD) has been broadly and inconsistently defined in the literature. Other terms that have been used to describe ASD include junctional disease, junctional stenosis, or a…

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Postoperative Considerations

May 5, 2021 by in NEUROSURGERY Comments Off on Postoperative Considerations

Introduction Revision lumbar spine surgery comes with unique challenges and special considerations in the postoperative setting. In this chapter, we will cover some topics pertinent to postoperative care. Specifically, we…

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Vertebral Column Resection

May 5, 2021 by in NEUROSURGERY Comments Off on Vertebral Column Resection

Introduction Vertebral column resection (VCR) is a challenging and lengthy procedure that is generally used as a last resort for the correction of severe rigid spinal deformities. Given VCR’s unique…

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Revision Lumbar Deformity Surgery

May 5, 2021 by in NEUROSURGERY Comments Off on Revision Lumbar Deformity Surgery

Introduction The term “adult spinal deformity” generally refers to any major coronal, sagittal, or biplane malalignment of the spine in a patient over the age of 18. The revision rate…

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Pedicle Subtraction Osteotomy

May 5, 2021 by in NEUROSURGERY Comments Off on Pedicle Subtraction Osteotomy

Introduction Lumbar pedicle subtraction osteotomy (PSO) was first described by Thomasen in 1985 for the surgical treatment of 11 patients with severe disabling kyphosis secondary to ankylosing spondylitis. In this…

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Robotics for Revision Spine Surgery

May 5, 2021 by in NEUROSURGERY Comments Off on Robotics for Revision Spine Surgery

Introduction Despite advances in our understanding of spinal pathologies, diagnostics, implant designs, and biological adjuncts, there is a significantly sized cohort of patients who fail to achieve resolution of pain…

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