Anterior-Posterior Surgeries

May 5, 2021 by in NEUROSURGERY Comments Off on Anterior-Posterior Surgeries

Introduction There are many factors to consider in determining if a staged anterior-posterior (AP) lumbar procedure is the most appropriate for a given patient. These include the patient’s presenting symptoms…

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Lateral Lumbar Interbody Fusion

May 5, 2021 by in NEUROSURGERY Comments Off on Lateral Lumbar Interbody Fusion

Introduction An exponential rise in rates of spinal surgery over the past decade has been dominated by a concomitant increase in the utilization of intervertebral cages for spinal fusion. The…

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Revision Transforaminal Lumbar Interbody Fusion

May 5, 2021 by in NEUROSURGERY Comments Off on Revision Transforaminal Lumbar Interbody Fusion

Introduction Degenerative disease of the lumbar spine has increased with the aging population and the number of elective lumbar spinal surgeries has also increased. Concurrently, the number of revision lumbar…

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Anterior Lumbar Fusion

May 5, 2021 by in NEUROSURGERY Comments Off on Anterior Lumbar Fusion

Introduction In 1969 and 1971, Coventry and Stauffer provided the first descriptions of anterior fusion for the treatment of failed posterior spine surgery, reporting overall good results. Since then, anterior…

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Minimally Invasive Surgery and Navigation

May 5, 2021 by in NEUROSURGERY Comments Off on Minimally Invasive Surgery and Navigation

Introduction Revision surgeries are more common than ever in the spine surgeon’s practice. Each case is unique, and the diagnostic and treatment considerations are more complicated than their primary counterparts….

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Instrumentation Options

May 5, 2021 by in NEUROSURGERY Comments Off on Instrumentation Options

Introduction Despite excellent outcomes for carefully selected patients undergoing surgical management of lumbar spine pathology, a small but significant subset of patients will have persistent or recurrent symptomatology. Unfortunately, some…

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Disc Herniation (Primary, Recurrent, Residual)

May 5, 2021 by in NEUROSURGERY Comments Off on Disc Herniation (Primary, Recurrent, Residual)

Introduction Lumbar intervertebral discs are complex structures subjected to significant axial compressive forces. Because of biomechanical demands and the inability to remodel as a result of an avascular nature, lumbar…

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Decompression

May 5, 2021 by in NEUROSURGERY Comments Off on Decompression

Introduction Lumbar spine disorders and the disabling pain associated with these conditions are associated with significant healthcare resource use and costs in the United States. Of these patients, an estimated…

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Dural Scarring and Repair Issues

May 5, 2021 by in NEUROSURGERY Comments Off on Dural Scarring and Repair Issues

Background A vast majority (up to 80%) of the US population are estimated to experience an episode of low back pain (LBP) during their lifetime. A subset of these individuals…

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