Chapter Preview Chapter Synopsis C2 translaminar screws are an effective method for fixation of the C2 vertebra. Compared with other techniques, this procedure is technically less demanding and has potentially fewer risks. A thorough history and examination, as well as…
Chapter Preview Chapter Synopsis Placement of the C1-C2 transarticular screw (Magerl technique) remains a viable alternative for the surgical management of a variety of atlantoaxial disorders. Although the operation is technically demanding, a careful understanding of the procedure and its…
Chapter Preview Chapter Synopsis Although many different fixation techniques have been developed to manage atlantoaxial instability, C1 lateral mass–C2 pedicle screw fixation has emerged as a preferred treatment, based on its comparative biomechanical strength and modest risk of neurologic or…
Chapter Preview Chapter Synopsis Occipitocervical fixation techniques have evolved significantly from early occipitocervical wiring techniques to the current rod-screw-occipital plate constructs. Indications for occipitocervical fixation include traumatic injuries, congenital malformations, rheumatoid arthritis, and oncologic processes involving the craniovertebral junction. Judicious…
Chapter Preview Chapter Synopsis Cervical deformity correction commonly includes kyphosis correction, regional sagittal balance restoration, and correction of the chin-brow vertical angle to restore horizontal gaze, decrease cantilever forces at the cervical thoracic junction, and decrease spinal cord tension-induced myelopathy.…
Chapter Preview Chapter Synopsis The surgical treatment of unilateral cervical radiculopathy with a minimally invasive, microendoscopic technique is reviewed. Important surgical techniques, as well as indications and contraindications, are discussed. Important Points Indications: Unilateral one- or two-level refractory cervical radiculopathy…
Chapter Preview Chapter Synopsis Many techniques have been developed for the surgical management of compressive cervical myelopathy. Laminoplasty is a posterior canal expanding procedure that in selected patients allows for spinal cord decompression, avoids the loss of cervical range of…
Chapter Preview Chapter Synopsis Symptomatic cervical myelopathy from multilevel spinal cord compression in older patients is an increasing clinical problem. Multilevel anterior cervical surgical procedures carry significant morbidity. The posterior cervical approach reduces surgical morbidity. Although laminoplasty is often the…
Chapter Preview Chapter Synopsis This chapter describes in detail the surgical techniques and merits of transcorporeal anterior cervical microforaminotomy for cervical radiculopathy. This procedure involves a modification of the previous anterior microforaminotomy in terms of its medial starting point and…
Chapter Preview Chapter Synopsis The ability for cervical total disk arthroplasty (TDA) to treat specific cervical spine disorders while maintaining cervical motion is now feasible. Although unclear, it appears that cervical TDA may be an effective alternative to anterior cervical…