Management of Dural Tears
Management of Dural Tears Ehsan Saadat John M. Rhee General Principles of Dural Repair The key to managing dural tears is to prevent them: NEVER perform a move in spine…
Minimally Invasive Transforaminal Lumbar Interbody Fusion
Minimally Invasive Transforaminal Lumbar Interbody Fusion Andrew H. Milby S. Tim Yoon Illustrative Case The patient is a 67-year-old male presenting with low back and right buttock pain radiating to…
Lumbar Pedicle Subtraction Osteotomy
Lumbar Pedicle Subtraction Osteotomy John M. Rhee Mathew Cyriac Tyler Jenkins Illustrative Case A 52-year-old woman underwent rod-sublaminar wire stabilization for L2 fracture 20 years ago. Subsequently, she underwent decompression…
Application of Gardner-Wells Tongs, Mayfield Head Holder, and Halo
Application of Gardner-Wells Tongs, Mayfield Head Holder, and Halo Ehsan Saadat John M. Rhee Gardner-Wells Tongs General indications for Gardner-Wells tongs (Figure 30-1): To reduce fractures/dislocations of the cervical spine…
Neuromonitoring Alert During Spinal Surgery
Neuromonitoring Alert During Spinal Surgery Ehsan Saadat John M. Rhee Intraoperative Monitoring In general, our indications for intraoperative monitoring include the following: Surgery for myelopathy (cervical or thoracic) Surgery involving…
Lumbar Posterior Column Osteotomy and Correction
Lumbar Posterior Column Osteotomy and Correction Mathew Cyriac John M. Rhee Illustrative Case A 47-year-old man who underwent several previous surgeries elsewhere resulting in a solid fusion from L3 to…
Vertebral Column Resection
Vertebral Column Resection Andrew H. Milby Dheera Ananthakrishnan Illustrative Case The patient is a 48-year-old male s/p motor vehicle accident at age 18, L1 fracture treated with a posterior fusion…
Lumbar Corpectomy
Lumbar Corpectomy John A. Rodriguez-Feo Andrew H. Milby S. Tim Yoon Illustrative Case A 50-year-old male fell from a roof sustaining isolated spine fractures consisting of an L3 burst fracture…
Microdiskectomy
Microdiskectomy Christopher T. Martin John M. Rhee Sangwook T. Yoon Radiologic Assessment—Key Factors to Consider on X-ray, MRI, CT The location of the disk herniation is key to planning the…
Open Transforaminal Lumbar Interbody Fusion
Open Transforaminal Lumbar Interbody Fusion Ehsan Saadat John M. Rhee Illustrative Case A-54-year-old woman status post L4-S1 fusion done elsewhere. Now presents with severe low back pain, bilateral leg pain,…
