Musculoskeletal Key

Fig. 24.1 Rib used as an inlay or a strut graft Osteotomies A bony fusion between two vertebrae represents an obstacle to allow a good surgical lordosis restoration. The Smith-Petersen…

Fig. 42.1 Anterior retroperitoneal approach to the lumbar spine A total diskectomy is facilitated by mobilizing the disk with interbody distractors and releasing or resecting the posterior annulus and posterior…

Fig. 4.1 From foetal to old-age disk – macroscopy of the intervertebral disk. (a) Foetal lumbar spine (36th week of gestation) vs. (b) old-aged spine (86 years) showing the tremendous…

Fig. 2.1 Andreas Vesalius (1514–1564). This portrait is from his book De humani corporis fabrica libri septem, or on the fabric of the human body (Basel: Johannes Oporinus; June 1543),…

Fig. 31.1 Surgical indications of fusion in lumbar stenosis Sagittal orientation of the facet joints Total facetectomy Lumbar stenosis associated with lumbar previous idiopathic scoliotic deformity Degenerative scoliosis Intracanal synovial…

Fig. 19.1 Sagittal lumbar spine MR T2-weighted image depicts a cranially sequestered recurrent disk herniation Fig. 19.2 The disk material does not show an enhancement of contrast media and is…

Fig. 53.1 Posterolateral percutaneous diskectomy The concept of posterolateral percutaneous diskectomy was firstly introduced in 1973. Parvis Kambin conducted percutaneous indirect spinal canal decompression by nucleotomy using Craig’s cannula in…

Fig. 10.1 Degenerative type I marrow changes: sagittal midline T1 (a) and T2 (b) spin-echo images of the lumbar spine. There is decreased signal intensity of the inferior aspect of…

Fig. 30.1 (a) A 4-cm skin incision (solid arrow) is made in the lateral abdominal region along the fibers of the external oblique muscle. The level of the L4–L5 disk…

Fig. 35.1 Right-sided paramedian L5–S1 disk herniation with nerve compression amenable to tubular diskectomy (a, b). (c, d) Demonstrate a foraminal herniation that can be addressed through the far lateral…