Introduction Lumbar intervertebral discs are complex structures subjected to significant axial compressive forces. Because of biomechanical demands and the inability to remodel as a result of an avascular nature, lumbar disc herniation (LDH) is a relatively common cause of back…
Summary of Key Points Innovation and the subsequent development of new technology is an integral component of modern healthcare delivery. New technology may modify and improve an existing treatment or technique; it may create new treatments and approaches for patients…
Summary of Key Points Lumbar disc herniation is a common cause of back pain with sciatica. Although most cases improve with conservative management, many other cases require surgical decompression, specifically microdiscectomy. Recurrent lumbar disc herniations following microdiscectomy are not uncommon,…
Summary of Key Points Cerebrospinal fluid (CSF) fistulas and pseudomeningoceles are rare complications of spinal surgery. CSF fistulas usually develop shortly after surgery, resulting in increased postoperative morbidity, duration of hospitalization, and cost of care. Pseudomeningoceles develop more slowly and…
Chapter Preview Chapter Synopsis Image-guided spinal navigation is a computer-based surgical technology designed to improve intraoperative orientation to the nonvisualized anatomy during both conventional and minimally invasive spinal procedures. This chapter covers the principles of image-guided spinal navigation, current types…