Introduction of Technology: Adult Spinal Deformity Background of Adult Spinal Deformity Adult spinal deformity (ASD) is defined as an abnormal curvature or abnormal alignment of the vertebral column. ASD has been demonstrated to limit a patient’s quality of life significantly,…
Introduction of Technology Practice and Standard of Care We are in a technological era where advancements in image-guided systems, robotics, machine learning/neuromodulation, and state-of-the-art image-guided operating suites are creating new possibilities in operative neurosurgery. This is resulting in numerous changes…
Introduction of Technology In the occipital and cervical spine, posterior cervical instrumentation is a commonly selected procedure for stabilization in trauma, neoplasia, deformity, and spondylosis. The earliest techniques described wiring between the spinous processes to achieve bony arthrodesis. Several types…
The idea of surgical intelligence is finally coming to fruition. The use of both computer and robotic assistance, and increasing use of the two together, has already demonstrated the promise of surgical intelligence to transform spine surgery. Offering potential improvements…
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Introduction Instability in the lumbar spine is a well-recognized entity for both degenerative and traumatic processes. Less well defined is instability following an index decompressive or fusion procedure. This complex issue can exist as iatrogenic destabilization at either the same…
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 200,000 adults in the United States. Spinal fusion surgery is…
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 transitional lesion. ASD has been applied to a plethora of…
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 will cover drains, antibiotic prophylaxis, venous thromboembolic prophylaxis, bracing, and…
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 for primary adult deformity surgery patients is approximately 9% to…