Indications
- •
Segmental instability requiring fusion for stabilization
- •
Recurrent disk herniation
- •
Symptomatic spinal stenosis with a significant back pain component that would benefit from fusion
- •
Degenerative disk disease with a significant back pain component
- •
Spondylolisthesis that is progressive, is symptomatic, or requires decompression with a need to fuse spondylolisthetic level
- •
Correction of degenerative scoliosis requiring fusion segments
- •
Salvage for pseudarthrosis of a previous intertransverse fusion or arthroplasty
Planning and positioning
- •
Anteroposterior and lateral plain films or computed tomography (CT) scan to evaluate bony anatomy
- •
Dynamic (flexion-extension) x-rays to evaluate degree of motion or instability
- •
Magnetic resonance imaging (MRI) to evaluate neural elements and soft tissue (e.g., disk)
FIGURE 74-1:
The patient is placed in the prone position with chest rolls on a Jackson table.
- •
Fluoroscopy and neuromonitoring, including somatosensory evoked potentials or electromyography or both
Planning and positioning
- •
Anteroposterior and lateral plain films or computed tomography (CT) scan to evaluate bony anatomy
- •
Dynamic (flexion-extension) x-rays to evaluate degree of motion or instability
- •
Magnetic resonance imaging (MRI) to evaluate neural elements and soft tissue (e.g., disk)
Related posts:
Extended Retrosigmoid Craniotomy
Trauma Flap: Decompressive Hemicraniectomy
Retrolabyrinthine Approach
Craniotomy for Resection of Intracranial Cortical Arteriovenous Malformation
Image-Guided Catheter Evacuation and Thrombolysis for Intracerebral Hematoma
Occipital and Supraorbital Nerve Stimulator Placement
Stay updated, free articles. Join our Telegram channel
Full access? Get Clinical Tree
