Tubular Lateral Approach to the Lumbar Spine
Fig. 33.1 Picture of the AMSCO table where the top of the table is rotated 180°. In this configuration, the C-arm will be able to rotate freely without contacting the…
Microendoscopic Discectomy for Lumbar Disc Herniations: Paramedian and Far Lateral Approaches
, Maurice M. Smith1 and Y. Raja Rampersaud2 (1) University of Tennessee Health Science Center, Memphis, TN, USA (2) Division of Orthopedic Surgery, Department of Surgery, University of Toronto, Toronto, ON, Canada Paramedian…
Anterior Retroperitoneal Muscle-Sparing Approach to L2–S1 of the Lumbar Spine
(1) Cedars-Sinai Spine Center, Los Angeles, CA, USA 1. Place the patient in the supine position on a Jackson or other X-ray table with an inflatable bag under the…
Injections of the Cervical, Thoracic, and Lumbar Spine
Fig. 54.1 Cervical, thoracic, and lumbar musculature Table 54.1 Muscles and ligamentous structures in the cervical, thoracic, and lumbosacral regions Cervical Thoracic Lumbosacral Sternocleidomastoid Trapezius Quadratus lumborum Scalene Rhomboids Longissimus…
Total En Bloc Spondylectomy: A New Surgical Technique for Malignant Vertebral Tumors
, Katsuro Tomita1 and Hiroyuki Tsuchiya1 (1) Kanazawa University, Kanazawa, Japan Conventionally, because of the difficulty in surgical approach and the anatomical proximity of the major vessels to the involved vertebra(e),…
Posterior and Posterolateral Approaches to the Thoracic Disc
(1) St. Anthony’s Neurosurgery Specialists, Saint Louis, MO, USA Posterior and posterolateral approaches for thoracic disc herniations include (a) laminotomy-facetotomy, (b) transpedicular; and (c) limited costotransversotomy (Fig. 45.1) [1…
Posterior Approach to the Lower Lumbar Spine
(1) Marina Spine Center, Marina del Rey, CA, USA 1. Bleeding from lumbar spinal surgery is best minimized by proper positioning of the patient to prevent abdominal pressure that…
Posterolateral Foraminal Approach to the Lumbar Disc
Fig. 50.1 AP c-arm image. Note operative L4–L5 operative disc endplates are not parallel to X-ray beam 4. Trendelenburg bed so that operative disc is perpendicular to floor. L5–S1…
Oblique Lateral Approach to the Lumbar Spine (L2–L5)
Fig. 34.1 Appropriate positioning for the patient Fig. 34.2 The AP view should have parallel endplates and the spinous process should be centered between the pedicles. In the lateral view,…
Tubular Lateral Approach to the Thoracic and Thoracolumbar Junction
Myelopathy Pain Miscellaneous Sensory disturbances Band-like chest pain Multiple sclerosis symptoms ↑ or ↓ skin sensitivity Axial thoracic back pain Spinal neoplasm/tumor symptoms Hypoesthesia Axial lumbar pain Psychiatric disorder symptoms…
