Case 3. Case 3. The preoperative and postoperative lumbar radiographs show effective correction of both the lateral L4–5 listhesis and the 40° lumbar scoliosis.

Slides:

Advertisements

Similar presentations

Anterior Instrumentation for the Treatment of Spinal Tuberculosis* by CENGIZ YILMAZ, HAKAN Y. SELEK, İLKSEN GÜRKAN, BÜLENT ERDEMLİ, and ZEKI KORKUSUZ J.

Advertisements

Current Concepts Review - Interbody Fusion Cages in Reconstructive Operations on the Spine* by PAUL C. MCAFEE J Bone Joint Surg Am Volume 81(6):

by Varun Puvanesarajah, Jay R. Shapiro, and Paul D. Sponseller

Gluteus Maximus Avulsion and Closed Degloving Lesion Associated with a Thoracolumbar Burst Fracture by David E. Gwinn, Robert A. Morgan, and Anand R. Kumar.

The Current State of Minimally Invasive Spine Surgery by Choll W. Kim, Krzysztof Siemionow, D. Greg Anderson, and Frank M. Phillips J Bone Joint Surg Am.

Adolescent Idiopathic Scoliosis by Lawrence G. Lenke, Randal R. Betz, Jürgen Harms, Keith H. Bridwell, David H. Clements, Thomas G. Lowe, and Kathy Blanke.

Correction of Sagittal Plane Spinal Deformities with Unit Rod Instrumentation in Children with Cerebral Palsy by Glenn E. Lipton, Eric J. Letonoff, Kirk.

Anterior Surgery in the Thoracic and Lumbar Spine: Endoscopic Techniques in Children by Alvin H. Crawford J Bone Joint Surg Am Volume 86(12):

Repair of a Pseudarthrosis of the Lumbar Spine. A Functional Outcome Study*† by MAJOR CLYDE T. CARPENTER, MAJOR JOHN W. DIETZ, KENNETH Y. K. LEUNG, DAVID.

Prediction of Correction of Scoliosis with Use of the Fulcrum Bending Radiograph* by K. M. C. CHEUNG, and K. D. K. LUK J Bone Joint Surg Am Volume 79(8):

Temporary Internal Distraction as an Aid to Correction of Severe Scoliosis by Jacob M. Buchowski, David L. Skaggs, and Paul D. Sponseller JBJS Essent Surg.

Thoracoscopic Spinal Fusion Compared with Posterior Spinal Fusion for the Treatment of Thoracic Adolescent Idiopathic Scoliosis by Baron S. Lonner, Dimitry.

Symptomatic progression of degenerative scoliosis after decompression and limited fusion surgery for lumbar spinal stenosis John K. Houten, Rani Nasser

Preoperative evaluation of the sacrum and coccyx for the presacral ALIF procedure. Preoperative evaluation of the sacrum and coccyx for the presacral ALIF.

A) Post-operative CT scan of lumbosacral spine, axial view, demonstrating the trajectory of the iliac screws placed through the ilium. b) anterior-posterior.

Patient reported outcomes for one-level TDR and ACDF Patients from preoperative to 7 years follow-up. Patient reported outcomes for one-level TDR and ACDF.

Each specimen was instrumented (L1-4) and tested with both standard and cortical trajectory pedicle screws. Each specimen was instrumented (L1-4) and tested.

Preoperative anteroposterior and postoperative radiographic views show a 53° degenerative scoliosis, disk space collapse, and neural foraminal narrowing.

Initial and final follow-up axial CT images of the multilevel PD-L cases with VB-SFs without clinical sequelae. Initial and final follow-up axial CT images.

Lateral radiographs demonstrating the corrected spinal alignment and stability resulting from the anterior fusion at C4 through C6 with bone graft restoring.

Mean Neck Disability Index (NDI) values pretreatment and at each follow-up interval for all patients (N = 25) as well as for patients with ≤48 months of.

PH/CR/FC technique for PD-L device implantation.

Preoperative (top) radiographs, immediate postoperative (middle) radiographs, and 24-month (bottom) CT scans of a 68-year-old female anteriolateral fusion.

(a) Postoperative T1-weighted magnetic resonance image depicting appropriate decompression. (a) Postoperative T1-weighted magnetic resonance image depicting.

Two-way ANOVA analysis of additive manufactured (AM) compared to titanium plasma spray (TPS) coated discs, with and without nanocrystalline hydroxyapatite.

Axial presacral interbody fusion procedure.

Radiographic evidence of screw loosening.

Range of motion of ALIF and the expandable TLIF devices in both implanted segments (L2-L3 and L3-L4) in flexion-extension under 400N follower preload.

Examples of a six-axis spine testing machines using a dual axis actuator, an active XY platform, and a gimbal (top-left),95 a hexapod system (top-right),108.

Range and distribution of motion at L5-S1, L4-5, and L3-4 levels for normal (data from literature), untreated (adjacent to treated levels), implanted with.

Magnetic resonance image showing lumbar spinal stenosis.

Magnetic resonance images before surgery.

Magnetic resonance images and computed tomography scans before and after the surgery. Magnetic resonance images and computed tomography scans before and.

Computed tomography scans before surgery.

Sagittal vertebral translation measurement method.

Two-way ANOVA analysis of additive manufactured (AM) compared to titanium plasma spray (TPS) coated discs, with and without nanocrystalline hydroxyapatite.

Lateral listhesis correction is possible with minimally invasive multiple-level XLIF. Even with the L3 vertebra embedded within the superior end plate.

Radiculogram for the right L5 nerve root.

Histology of 6-week samples of fusion by DCFGP (A and B) and commercial DBM (C and D). Histology of 6-week samples of fusion by DCFGP (A and B) and commercial.

Radiographic illustrations of restoring the middle-column height in an 80-year old-woman with a complex C4-C5 and C5-C6 fracture subluxation with retropulsion.

Intraoperative photographs showing a reddish-brown lesion overlying the thecal sac (Left) which was removed en bloc following laminectomy (Right). Intraoperative.

(a) Preoperative magnetic resonance imaging sagittal images of the lumbar spine of a female patient with degenerative disc disease and osteoarthritic changes.

Magnetic resonance imaging of the cervical spine: reduced thickness of cord along with hyperintense signal on T2 in cord at the level C1-vertebra–myelomalacia.

At 5 days after revision percutaneous endoscopic discectomy (PED) surgery, the discal cyst disappeared on T2-weighted magnetic resonance imaging (A) sagittal.

Box and whisker plot depicting the score distribution of each NOMS subscale. Box and whisker plot depicting the score distribution of each NOMS subscale.

Case example of a typical L5S1 case.

64 year old male with CSM. (A) T2 sagittal MRI showing cord compression and signal changes due to multiple disc herniations between C year old male.

Rates of closed cervical fracture levels across age groups.

Endoscopic view. 6a: the black dotted line shows the ruptured and collapsed discal cyst wall, the blue dotted line demarcates dura. 6b: tail of herniated.

Flat back syndrome. Flat back syndrome. (A) The preoperative middle-column height is mm. (B) The postoperative middle-column height utilizing a commercially.

Radiographic and histologic appearance of remnant cartilage grafts at 8 weeks. Radiographic and histologic appearance of remnant cartilage grafts at 8.

Postoperative radiographic findings at 6 weeks show a cystic lesion on the left side of L4-L5 disc on T2-weighted magnetic resonance imaging (A, B) and.

Preoperative T2-weighted magnetic resonance imaging (MRI) (sagittal view) shows disc herniation at the L4-L5 disc level (A) and axial view of MRI shows.

Grade II L5-S1 isthmic spondylolisthesis.

Univariate distribution of outcomes by surgery cohort.

Female patient age 62 with low back pain and with degenerative type IIA LSTV articulation (arrows) on the right side on plain film. Female patient age.

© 2015 Elsevier, Inc. All rights reserved.

The non-cervical group (LD) did not demonstrate a significant increase in post-operative dysphagia (p=0.21), odynophagia (p=0.5), or voice (p=0.13) disability.

Justin Mathew et al. Int J Spine Surg 2013;7:e29-e38

Micro–computed tomography images showing time course of single-level posterolateral lumbar spinal fusion using hypertrophic chondrocyte pellet grafts in.

(A) Representation of currently held view of chronic low-back pain, in which chronic low-back pain, financial health, psychological health, and social.

Intraoperative pictures showing suboccipital craniotomy using cranitome (right) followed by occipitocervical fusion and laminectomy of the atlas (left).

(A) Lateral x-ray of the cervical spine of a 56-year-old male with Down syndrome and progressive myelopathy. (A) Lateral x-ray of the cervical spine of.

1) Local anesthetic 2) Dye for discography 3) 23 G discography needle 4) 18 G endoscopy needle 5) guide wire, 6 ) & 8) Triphines, 7) & 10) cannula 9) obturator.

Preoperative T2 MRI images of the cervical spine at a) C3-4, b) C4-5, and c) C5-6 demonstrating multilevel disc disease, spondylosis, and nerve root impingement.

Representative scanning electron microscopy (SEM) images of unseeded titanium plasma spray (TPS) coated and additive manufactured (AM) discs (top left),

© 2015 Elsevier, Inc. All rights reserved.

a) Trans-iliac window is 4

Presentation transcript:

Case 3. Case 3. The preoperative and postoperative lumbar radiographs show effective correction of both the lateral L4–5 listhesis and the 40° lumbar scoliosis using 3-level XLIF and L2–5 posterior instrumentation and fusion. One should note the convergence, or “pointing,” of the scoliotic disk spaces toward a confined area on the concave flank—this provides for a more minimally invasive surgery than the historical convex “extensile” approach. Paul C. McAfee et al. Int J Spine Surg 2013;7:e8-e19 © 2013 ISASS - International Society for the Advancement of Spine Surgery. Published by Elsevier Inc. All rights reserved.