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- •Contents
- •Foreword
- •Preface
- •Contributors
- •2. Anterior Odontoid Resection
- •3. Odontoid Fixation
- •4. C1-C2 Fusion (Posterior Screw Fixation)
- •5. Far Lateral Approach to the Cervical Spine
- •6. Anterior Cervical Corpectomy
- •8. Cervical Laminoplasty
- •9. Posterior Cervical Laminectomy and Fusion
- •10. Open Door Laminoplasty for the Treatment of Cervical Spondylolytic Myelopathy
- •11. Posterior Wiring Techniques of the Spine
- •12. Posterior Cervical Plating Techniques
- •15. Cervical Thoracic Fixation Techniques
- •16. Vertebroplasty and Kyphoplasty in the Treatment of Osteoporotic Vertebral Compression Fractures
- •20. Vertebral Corpectomy for Thoracic Tumor or Infection
- •21. Posterior Techniques for Thoracic Disc Disorders
- •23. Anterior Release and Posterior Instrumentation and Fusion for Scheuermann’s Kyphosis
- •24. A New Classification System of Adolescent Idiopathic Scoliosis
- •25. Anterior Correction and Instrumentation for Thoracic Scoliosis
- •27. Convex Thoracoplasty
- •28. Anterior Thoracoplasty
- •33. Posterior Scoliosis Correction: Pedicle Screws
- •34. Anterior Thoracoscopic Release for Spinal Deformity
- •35. The Accordion Procedure for Management of Rigid Thoracic Scoliosis
- •37. Thoracic Vertebrectomy for Congenital Deformity
- •38. Prevention and Treatment of the Crankshaft Phenomenon
- •40. Technique of Sublaminar Wire Passage
- •41. Hook Patterns for the Preservation of Lumbar Lordosis
- •43. Microdiscectomy
- •44. Far Lateral Discectomy
- •46. Lumbar Pedicle Fixation
- •47. Lumbar Corpectomy
- •48. Smith-Peterson-Type Osteotomy
- •49. Osteotomy for Ankylosing Spondylitis
- •50. Pedicle Subtraction Osteotomy
- •51. Anterior Lumbar Interbody Fusion
- •52. Transforaminal Lumbar Interbody Fusion
- •53. Total Lumbar Disc Replacement Using the SB Charité Prosthesis
- •57. Anterior Threaded Cage Revision Surgery
- •59. Coccygectomy
- •Index


Surgical Techniques
for the Spine
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Surgical
Techniques for
the Spine
Thomas R. Haher , M.D.
Professor of Orthopaedic Surgery
Department of Orthopaedic Surgery
New York Medical College
Valhalla, New York
Adjunct Professor of Civil Engineering
The Cooper Union for the Advancement of
Science and Art
Chief of Spinal Surgery
Lutheran Medical Center
Brooklyn, New York
Andrew A. Merola, M.D.
Assistant Professor of Orthopaedic Surgery
Director of Spinal Surgery
Department of Orthopaedic Surgery
SUNY Downstate Medical Center
Brooklyn, New York
Thieme
New York / Stuttgart
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Thieme New York
333 Seventh Avenue
New York, NY 10001
Consulting Medical Editor: Esther Gumpert
Assistant Editor: Owen Zurhellen
Director, Production and Manufacturing: Anne Vinnicombe
Production Editor: David R. Stewart
Marketing Director: Phyllis Gold
Director of Sales: Ross Lumpkin
Chief Financial Officer: Peter van Woerden
President: Brian D. Scanlan
Text Design: Michael Mendelsohn; Marsha Cohen
Medical Illustrator: Anthony M. Pazos
Compositor: primustype R. Hurler
Printer: The Maple-Vail Book Manufacturing Group
Library of Congress Cataloging in Publication Data is available from the publisher
Copyright © 2003 by Thieme Medical Publishers, Inc. This book, including all parts thereof, is legally
protected by copyright. Any use, exploitation, or commercialization outside of the narrow limits set
by copyright legislation, without the publisher’s written consent, is illegal and liable to prosecution.
This applies in particular to photostat reproduction, copying, mimeographing or duplication of any
kind, translating, preparation of microfilms, and electronic data processing and storage.
Important note: Medical knowledge is ever-changing. As new research and clinical experience
broaden our knowledge, changes in treatment and drug therapy may be required. The author of the
material herein has consulted sources believed to be reliable in her efforts to provide information that
is complete and in accord with standards accepted at the time of publication. However, in view of the
possibility of human error by the author or publisher of the work herein, or changes in medical
knowledge, neither the author nor the publisher, nor any other party who has been involved in the
preparation of this work, warrants that the information contained herein is in every respect accurate
or complete, and they are not responsible for any errors or omissions or for the results obtained by the
use of such information. Readers are advised to check the product information sheet included in the
package of each drug they plan to administer to be certain that the information contained in this publication is accurate and that changes have not been made in the recommended dose or in the contraindications for administration. This recommendation is of particular importance in connection with
new and infrequently used drugs.
Some of the product names, patents, and registered designs referred to in this book are in fact registered trademarks or proprietary names even though specific reference to this fact is not always made
in the text. Therefore, the appearance of a name without designation as proprietary is not to be construed as a representation by the publisher that it is in the public domain.
Printed in The United States of America
54321
TNY ISBN 1-58890-026-6
GTV ISBN 3-13-124761-4
■
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To my wife Mary Jane and my sons Brendan and Brian.
Thomas R. Haher
To my wife Christine and my children Olivia and Nicholas.
Andrew A. Merola
In Memory of Laura B. Flawn, M.D., a vibrant young woman, whose contributions to orthopaedic
surgery will be greatly missed.
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Contents
FOREWORD xiii
P
REFACE xv
ONTRIBUTORS xvi
C
ECTION I. THE CERVICAL SPINE
S
1. O
CCIPITOCERVICAL JUNCTION:DECOMPRESSION AND FUSION 3
Michael F. O’Brien
2. ANTERIOR ODONTOID RESECTION 10
Dimos Bouramas and Alan Crockard
3. ODONTOID FIXATION 16
Pasquale X. Montesano and Christopher O. Neubuerger
4. C1-C2 FUSION (POSTERIOR SCREW FIXATION)23
Dieter Grob
5. FAR LATERAL APPROACH TO THE CERVICAL SPINE 27
Christopher J. DeWald
6. ANTERIOR CERVICAL CORPECTOMY 29
Eeric Truumees and Harry N. Herkowitz
7. MULTIPLE-LEVEL CERVICAL VERTEBRECTOMY (CORPECTOMY)
AND STABILIZATION USING CORTICAL BONE 36
Thomas S. Whitecloud III and Orderia Mitchell
8. CERVICAL LAMINOPLASTY 40
Kazumasa Ueyama, Po-Quang Chen, and Seiko Harata
9. POSTERIOR CERVICAL LAMINECTOMY AND FUSION 44
J. Paul Elliott and Anthony P. Dwyer
10. OPEN DOOR LAMINOPLASTY FOR THE TREATMENT OF
CERVICAL SPONDYLOLYTIC MYELOPATHY 47
Joseph Riina and David G. Schwartz
11. POSTERIOR WIRING TECHNIQUES OF THE SPINE 52
Alexander R. Vaccaro and Kush Singh
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12. POSTERIOR CERVICAL PLATING TECHNIQUES 62
Jeffrey J. Wise and Howard S. An
13. ANTERIOR CERVICAL DISC SURGERY:TECHNICAL CHALLENGES 66
William Dillin
14. REVISION DISC SURGERY:TECHNICAL CHALLENGES 69
William Dillin
15. CERVICAL THORACIC FIXATION TECHNIQUES 72
Marshal D. Peris and William F. Donaldson
SECTION II. THE THORACIC SPINE
16. V
ERTEBROPLASTY AND KYPHOPLASTY IN THE TREATMENT OF
OSTEOPOROTIC VERTEBRAL COMPRESSION FRACTURES 79
H. Claude Sagi and Hansen A. Yuan
17. THORACIC PEDICLE SCREWS: PEDICULAR APPROACH 86
Archibald H. von Strempel
18. EXTRAPEDICULAR SCREW PLACEMENT IN THE THORACIC SPINE 91
Peter Metz-Stavenhagen and Walter Morgenstern
19. THORACIC DISC DISEASE:RETROPLEURAL APPROACH 94
John M. Gorup and David H. Donaldson
20. VERTEBRAL CORPECTOMY FOR T HORACIC TUMOR OR INFECTION 97
Robert F. McLain and Ranjith R. Kuzhupilly
21. POSTERIOR TECHNIQUES FOR THORACIC DISC DISORDERS 101
Raj Murali
22. POSTERIOR COLUMN SHORTENING FOR SCHEUERMANN’S KYPHOSIS:
AN INNOVATIVE ONE-STAGE TECHNIQUE 107
Alberto Ponte
23. ANTERIOR RELEASE AND POSTERIOR INSTRUMENTATION AND
FUSION FOR SCHEUERMANN’S KYPHOSIS 114
Thomas G. Lowe
24. A NEW CLASSIFICATION SYSTEM OF ADOLESCENT
DIOPATHIC
Lawrence G. Lenke
SCOLIOSIS 118
25. ANTERIOR CORRECTION AND INSTRUMENTATION FOR
THORACIC SCOLIOSIS 122
Thomas R. Haher and Andrew A. Merola
26. CONCAVE THORACOPLASTY FOR STIFF THORACIC SCOLIOSIS 128
Peter Metz-Stavenhagen and Walter Morgenstern
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27. CONVEX THORACOPLASTY 131
Randal R. Betz and Howard H. Steel
28. ANTERIOR THORACOPLASTY 135
Harry L. Shufflebarger
29. ANTERIOR CORRECTION OF THORACIC SCOLIOSIS USING THE
KANEDA ANTERIOR SCOLIOSIS SYSTEM (KASS) 140
Kiyoshi Kaneda and Yasuhiro Shono
30. POSTERIOR SCOLIOSIS CORRECTION OF KING II CURVES:
OOKS AND RODS 145
H
Lawrence G. Lenke
31. POSTERIOR SCOLIOSIS CORRECTION:DOUBLE MAJOR CURVES 153
Keith H. Bridwell
32. POSTERIOR SCOLIOSIS CORRECTION:KING TYPE V/
OUBLE THORACIC CURVES 156
D
Keith H. Bridwell
33. POSTERIOR SCOLIOSIS CORRECTION:PEDICLE SCREWS 159
Se-Il Suk and Won-Joong Kim
34. ANTERIOR THORACOSCOPIC RELEASE FOR SPINAL DEFORMITY 165
Mark Weidenbaum and Mladen Djurasovic
35. THE ACCORDION PROCEDURE FOR MANAGEMENT OF RIGID
THORACIC SCOLIOSIS 169
James E. Shook and Walter H. Burnham, Jr.
36. CORRECTION OF NEUROMUSCULAR PELVIC OBLIQUITY:
THE DOMINO TECHNIQUE 173
Baron S. Lonner
37. THORACIC VERTEBRECTOMY FOR CONGENITAL DEFORMITY 175
James W. Ogilvie
38. PREVENTION AND T REATMENT OF THE CRANKSHAFT PHENOMENON 179
John P. Lubicky
39. THORACIC SCOLIOSIS:VERTEBRAL RESECTION 182
Kirkham B. Wood
40. TECHNIQUE OF SUBLAMINAR WIRE PASSAGE 186
Vincent J. Devlin and Marc A. Asher
SECTION III. THE LUMBAR SPINE
41. H
OOK PATTERNS FOR THE PRESERVATION OF LUMBAR LORDOSIS 195
Joseph W. Dryer, Emile Cheung, and Gordon Lee Engler
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