Indications Segmental instability requiring fusion for stabilization. Recurrent disk herniation and broad-based 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,…
Indications Spondylolisthesis that is symptomatic, progressive, or requiring decompression that necessitates stabilization. Degenerative disk disease with low back pain that can benefit from fusion at the symptomatic level or levels. Pseudarthrosis of a previous intertransverse fusion that requires a fusion…
Indications Anterior lumbar interbody fusion (ALIF) is indicated as a treatment of chronic, incapacitating low back pain secondary to degenerative disk disease, such as collapsed disk and Modic changes, or degenerative spondylolisthesis in the absence of severe neural element compression.…
Indications Patients with back pain, sciatic pain, Lasègue sign (pain with straight leg raise), or sensory deficit that fails to improve with conservative measures. Referable foraminal stenosis from posterolateral disk herniation. New or progressive motor deficits require more urgent surgical…
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…