Vertebral Artery Injury Christopher T. Martin John G. Heller Steven M. Presciutti John M. Rhee Radiologic Assessment The risk of vertebral artery injury can be minimized by careful review of…

Posterior Lumbar Fusion and Pedicle Screw Instrumentation Ehsan Saadat John Heller John M. Rhee Illustrative Case A 65-year-old woman with spinal stenosis and neurogenic claudication, and anterolisthesis at L3-4 and…

Anterior Lumbar Interbody Fusion Ehsan Saadt John G. Heller John M. Rhee Illustrative Case A 58-year-old woman with L5-S1 spondylolisthesis and bilateral neuroforaminal narrowing with associated radiculopathy (JGH) (Figure 24-1)….

Percutaneous Lumbar Fusion and Pedicle Screw Instrumentation Mathew Cyriac Tim Yoon Illustrative Case A 65-year-old with neurogenic claudicating low back pain/buttock pain and left leg radiating pain. Patient underwent anterior…

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 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 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 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…

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…