Indications Lumbar fusion for symptomatic isthmic, degenerative, or traumatic spondylolisthesis; intractable discogenic back pain; or correction of symptomatic degenerative scoliosis. As an adjunct to direct lateral, transforaminal, posterior, or anterior interbody fusion. To supplement a posterolateral arthrodesis. As a posterior…
Indications Thoracoscopic diskectomy is employed for treatment of herniated disks in the thoracic spine anterior to the spinal cord using a minimally invasive anterior approach. Patients typically present with spinal myelopathy and cord compression. This approach can be used to…
Indications Conditions requiring ventral decompression of the spinal cord with removal of one to two vertebral bodies at any level of the thoracic spine. Extradural tumors. Infection (e.g., diskitis, osteomyelitis). Fractures or trauma. Degenerative disease or focal deformity. Patients for…
Indications Appropriate patient selection is an essential element when planning spine surgery to optimize patient outcome. The decision to pursue surgery is based on the history, physical examination, and radiographic findings. Radiographic evidence of a disk herniation in the absence…
Indications Approximately 50% of the normal rotation of the cervical spine occurs at the atlantoaxial motion segment. Factors that lead to instability at the atlantoaxial junction include traumatic injury to the axis or atlas and traumatic ligamentous injury. Other pathologic…
Indications Primary sacral tumors, many of which benefit from en bloc removal. Locally advanced rectal cancer with sacral involvement, for which pelvic exenteration is indicated. Nonunion of symptomatic sacral fracture. You’re Reading a Preview Become a Clinical Tree membership for…
Procedure notes Fusion to the pelvis in spine surgery can be difficult because of the complex anatomy of the lumbosacral region, the decreased bone density of the sacrum, and the large biomechanical stress placed on fixation at this transitional zone…
Indications Lumbar disk arthroplasty (LDA) is indicated as a treatment of chronic, incapacitating low back pain that is diskogenic in origin at the L4-5 or L5-S1 level and not accompanied by neural element compression resulting in claudication or radiculopathy. Diagnosis…
Indications Fixed sagittal deformity (e.g., demonstrate poor correction on bending radiographs) secondary to previous surgery with an anterior fusion mass, traumatic deformity, neoplastic disease, or congenital anomalies. The need to introduce up to 35 degrees of lumbar lordosis, the need…
Indications Tumor, fracture, tuberculosis, or other pathology of the vertebral body requiring direct decompression of the spinal canal with resection of anterior pathology. Instability of anterior spinal elements requiring restoration of height and stability to prevent progressive deformity and kyphosis.…