Indications Patients with low-back pain, neurogenic claudication, or weakness with referable radiographic spinal stenosis and who have failed 3 to 6 months of conservative management. Motor deficits or symptoms of cauda equina syndrome are indications for a more expeditious decompression.…
Indications Treatment of degenerative disease. Acute traumatic instability. Iatrogenic destabilization. Congenital and idiopathic scoliosis. You’re Reading a Preview Become a Clinical Tree membership for Full access and enjoy Unlimited articles Become membership If you are a member. Log in here
Indications Correction of multiplanar spinal deformity. Correction of fixed sagittal and coronal imbalance. Correctable imbalance through mobile segments. You’re Reading a Preview Become a Clinical Tree membership for Full access and enjoy Unlimited articles Become membership If you are a…
Indications The thoracic transpedicular approach provides access to the lateral spinal canal, the neural foramina, and a portion of the posterolateral vertebral body. A bilateral transpedicular approach can provide up to 270 degrees of decompression. Common pathologies treated by thoracic…
Indications Costotransversectomy provides a posterolaterally directed corridor of access to the costovertebral joints, lateral spinal canal, and neural foramina and to a portion of the posterolateral vertebral body located from T1-12. Lateral or paracentral soft disk herniations. Epidural or bony…
Indications Unstable burst fractures with anterior spinal cord compression. Primary or metastatic vertebral tumors. Osteomyelitis or diskitis. Severe spinal deformities. Sequestered thoracic disk herniation with migration dorsal to the vertebral body, leading to spinal cord impingement and neurologic deficits. Failed…
Indications Progressive myelopathy or symptomatic spinal cord compression caused by disk herniation or disk osteophyte complex. Radiculopathy unresponsive to conservative management. You’re Reading a Preview Become a Clinical Tree membership for Full access and enjoy Unlimited articles Become membership If…
The authors wish to thank Timothy Link and Volkner Sonntag for their work on the previous edition’s version of this chapter. Indications Severe kyphotic deformity at the cervicothoracic spine that causes radiculopathy, myelopathy, pain, restriction of gaze, or dysphagia. The…
The authors would like to thank Mike Yue Chen and Matthew J. Duenas for their work on the previous edition’s version of this chapter. Indications Indications for later mass fixation among vertebrae between C3 and C7 include cervical instability from…
The authors would like to thank Stephen S. Scibelli, Kamal R.M. Woods, Shoshanna Vaynman, and J. Patrick Johnson for their work on the previous edition’s version of this chapter. Indications Multilevel cervical stenosis with preservation of normal lordotic curvature. Diffuse…