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Instrumentation complications (cont.)
concave thoracoplasty, 128, 129−130 double major curves, posterior scoliosis
correction, 153, 154, 155
en-bloc (“trap-door”) lumbar spine
laminectomy, 208
King II curves, posterior correction, 145,
146−151
lumbar pedicle fixation, 217 neuromuscular pelvic obliquity, domino
technique, 173, 174
posterior cervical laminectomy and fu-
sion, 44, 45 posterior cervical plating, 62, 65 posterior scoliosis correction
King V/double thoracic curves, 156,
157−158
pedicle screw insertion, 164
Scheuermann’s kyphosis, anterior re-
lease and posterior instrumentation,
114−117, 115−116 thoracic scoliosis, Kaneda anterior
scoliosis system (KASS), 140−144,
141−143
thoracic scoliosis, anterior correction
and instrumentation, 122, 123−127
Interbody fusion, thoracic disc disease, ret-
ropleural surgical technique, 94
Interfragmentary compression principle,
odontoid fixation, 16, 21
Interoperative trough, multiple-level cervi-
cal vertebrectomy and stabilization, 36,
38
K
Kaneda anterior scoliosis system (KASS),
anterior correction of thoracic scoliosis, 140−144, 141−143
Kerrison punch, sublaminar wire passage,
thoracolumbar spine, 57, 60
Kerrison rongeur
en-bloc (“trap-door”) lumbar spine
laminectomy, 208, 209−210
far lateral surgical approach, cervical
spine surgery, 27, 28 microdiscectomy, 200, 201−202, 203−
204 sublaminar wire passage, 186, 188−189
Kerrison “up-cut” technique, anterior
odontoid resection, 13, 14
Kidney rest, pedicle subtraction
osteotomy, 233, 234
King II curves, posterior correction, 145,
146−151
King V/double thoracic curves
pedicle screws, posterior scoliosis cor-
rection, 159−164, 160−163
posterior scoliosis correction, 156, 157−
158
K-wires, odontoid fixation, 16, 19−20 Kyphoplasty, osteoporotic vertebral frac-
tures, 79−84, 80−83
Kyphosis
extrapedicular screw placement, 91, 92−
93
osteoporotic vertebral fractures, kypho-
plasty, 79, 81−83, 84
osteotomy guidelines, ankylosing
spondylitis, 227−232, 228−231
posterior column shortening, 107−113,
108−112
thoracic pedicle screws, 86−90, 87−89
L
Laminectomy
en-bloc (“trap-door”) lumbar spine
laminectomy, 208−211, 209−210
multilevel laminectomy, cervical
spondylolytic myelopathy, 47
pedicle subtraction osteotomy, 233,
234
repeat microdiscectomy and, 204
Laminoplasty procedures
cervical laminoplasty, 40, 41−42, 43 open-door cervical spondylolytic my-
elopathy, 47, 48−50, 51
Laminotomy, sublaminar wire passage,
186, 188−189
Lateral mass plating, posterior cervical
plating, 62, 64
Lateral surgical techniques, far lateral dis-
cectomy, 205, 206−207
Lordosis
lumbar lordosis, hook patterns, 195,
196−197
thoracolumbar idiopathic scoliosis, api-
cal overcorrection, 198, 199
Lower cervical spine, Rogers wiring tech-
nique, 54, 58
Lumbar lordosis, hook patterns for preser-
vation of, 195, 196−197
Lumbar spine
anterior lumbar interbody fusion, 237−
241, 238−239
corpectomy guidelines, 218−221, 219−
220
en-bloc (“trap-door”) laminectomy, 208−
211, 209−210
fractures, posterior decompression, 258−
262, 259−261
modifier, adolescent idiopathic scoliosis
classification, 118, 118−120, 121
osteotomy guidelines, ankylosing
spondylitis, 227−232, 228−231 pedicle fixation, 212, 213−216, 217 total lumbar disc replacement, SB III
Charite prosthesis, 245−249, 246−248 transforaminal lumbar interbody fusion,
242, 243−244
M
Magnetic resonance imaging (MRI)
anterior cervical corpectomy and fusion
(ACCF), 29, 30
anterior cervical disc surgery, 66, 67, 68 anterior odontoid resection, 10 cervical spondylolytic myelopathy,
open-door laminoplasty, 47, 49
far lateral discectomy, 205, 206
metastatic disease, anteroposterior
decompression and stabilization,
transpedicular approach, 252−254,
255
posterior cervical laminectomy and fu-
sion, 44, 45
posterior surgical approach, thoracic
disc disease, 101, 103 revision disc surgery, 69−71, 70 thoracic spine, congenital deformity, 175
Mayfield head rest
odontoid fixation, 16, 18 open-door laminoplasty, cervical
spondylolytic myelopathy, 47
Metastatic disease
anteroposterior decompression and sta-
bilization, transpedicular technique,
250−255, 251−254 thoracic tumor or infection, vertebral
corpectomy, 97, 98−99, 100
Microdiscectomy, instrumentation and
techniques, 200, 201−202, 203−204
Multiple-level cervical vertebrectomy, sta-
bilization with cortical bone, 36−39, 37−
38
Myelopathy, thoracic disc disease, retro-
pleural approach, 94, 95−96
N
Nerve root decompression, posterior cervi-
cal laminectomy and fusion, 44, 45
Neural navigation systems, anterior odon-
toid resection, 10, 11
Neuromuscular pelvic obliquity, domino
technique for, 173, 174
Nonunion procedures, odontoid fixation,
16
O
Oblique facet wiring technique, 56, 59−60 Oblique fractures, anterior caudal to poste-
rior cranial, odontoid fixation, 16, 21
Occipitocervical junction
decompression and fusion, 3−9, 4−6
posterior cervical plating, 62, 64 posterior wiring techniques, 52−60, 53−
57
Odontoid fracture
Brooks spinal wiring technique, 52, 54,
58 fixation techniques, 16−22
Odontoid resectioning, anterior approach,
10−14, 11−13
Open-door laminoplasty, cervical spondy-
lolytic myelopathy, 47, 48−50, 51
Open-door maxillotomy
anterior odontoid resection, 13, 14 cranial cervical junction (CCJ) decom-
pression and fusion, 3, 6, 7
Osteoperiosteal flap, thoracic scoliosis,
vertebral resection, 182, 183
Osteophytectomy, anterior cervical disc
surgery, 68
280
INDEX
Eurostile
Osteoporotic vertebral fractures, vertebro-
plasty and kyphoplasty, 79−84, 80−83
Osteotomy
ankylosing spondylitis, 227−232, 228−
231
pedicle subtraction, guidelines and pro-
tocols, 233−236, 234−235
Smith-Peterson technique, 222−226,
223−225
P
Palate retraction, anterior odontoid resec-
tion, 13, 14
Paramedian retroperitoneal approach,
anterior threaded cage revision surgery, 263−267, 265−266
Pars interarticularis, spondylolysis repair
and disssection of, 256, 257
Patient positioning
anterior cervical disc surgery, 66, 67, 68 anterior cervical thoracic fixation, 72 anterior odontoid resection, 14 anterior threaded cage revision surgery,
263−267, 264−266 cervical thoracic fixation, 75, 76 cranial cervical junction (CCJ) decom-
pression and fusion, 7
metastatic disease, anteroposterior
decompression and stabilization,
transpedicular approach, 250, 251
multiple-level cervical vertebrectomy
and stabilization, 36, 37 odontoid fixation, 16, 18 open-door laminoplasty, cervical
spondylolytic myelopathy, 47
osteoporotic vertebral fractures, kypho-
plasty, 84 osteotomy guidelines, ankylosing
spondylitis, 227−232, 228−231 pedicle fixation, 212, 214−215 posterior cervical laminectomy and fu-
sion, 44, 45 posterior cervical plating technique, 62,
63
posterior cervical thoracic fixation, 72 revision disc surgery, 69−71, 70 Smith-Peterson osteotomy, 226 spondylolysis repair, 256, 257 thoracic disc disease, retropleural ap-
proach, 94, 95−96
thoracic pedicle screw insertion, 86−90,
87−89
thoracic scoliosis, Kaneda anterior
scoliosis system (KASS), 140−144,
141−143
total lumbar disc replacement, SB III
Charite prosthesis, 245−249, 246−248
transforaminal lumbar interbody fusion,
242
Pedicle fixation
lumbar region, 212, 213−216, 217 pedicle subtraction osteotomy, 233−236,
234−235
Pedicle hooks, Scheuermann’s kyphosis,
anterior release and posterior instrumen­tation, 116, 117
Pedicle removal, lumbar fracture decom-
pression, posterior technique, 258−262,
259−261
Pedicle screws
lumbar pedicle fixation, 212, 214−216,
217
metastatic disease, anteroposterior
decompression and stabilization, transpedicular approach, 254, 255
osteotomy guidelines, ankylosing
spondylitis, 227−232, 228−231
scoliosis, posterior correction, 159−164,
160−163
spondylolisthesis reduction, trans-
foraminal lumbar interbody fusion and, 268−272, 269−271
thoracic pedicle screw insertion, 86−90,
87−89
Penfield, Woodson elevator, open-door
laminoplasty, cervical spondylolytic my­elopathy, 47, 51
Penfield dissectors, sublaminar wire pas-
sage, 186, 188−189
Percutaneous endoscopic gastrostomy
(PEG), anterior odontoid resection, 14
Polymethylmethacrylate (PMMA)
lumbar corpectomy, 220, 221 metastatic disease, anteroposterior
decompression and stabilization, transpedicular approach, 250, 253− 254, 255
osteoporotic vertebral fractures, verte-
broplasty and kypohplasty, 79, 80
Posterior cervical plating technique, 62,
63−64, 65
Posterior spinal fusion (PSF)
convex thoracoplasty and, 131, 132−133,
134
Crankshaft phenomenon prevention and
treatment, 179, 180−181
Posterior surgical techniques
C1-C2 fusion, posterior screw fixation,
23−26
cranial cervical junction (CCJ) decom-
pression and fusion, 3, 6, 7−8
lumbar fracture decompression, 258−
262, 259−261
posterior cervical laminectomy and fu-
sion, 44−46, 45
Scheuermann’s kyphosis
instrumentation and fusion, 114−117,
115−116
posterior column shortening, 107−113,
108−112
scoliosis
double major curves, 153, 154, 155 King II curves, posterior correction,
145, 146−151
King V/double thoracic curves, 156,
157−158
pedicle screw insertion, 159−164, 160−
163
thoracic scoliosis, vertebral resection,
182−185, 183−184
thoracic disc disease, 101−106, 102−105
Posterolateral spondylodesis, thoracic
pedicle screw insertion, 86, 89
Postoperative care
anterior cervical corpectomy and fusion
(ACCF), 35 anterior cervical thoracic fixation, 76 anterior lumbar interbody fusion, 241 anterior odontoid resection, 14 anterior thoracoplasty, 139 anterior thoracoscopic release, 168 anterior threaded cage revision surgery,
267 anteroposterior hemivertebrectomy with
sublaminar fixation, 178 Bohlman’s triple-wire technique, 59 Brooks spinal wiring technique, 58 C1-C2 fusion, posterior screw fixation,
23, 26 coccygectomy, 273, 274−275 concave thoracoplasty, 128, 129−130 convex thoracoplasty, 134 cranial cervical junction (CCJ) decom-
pression and fusion, 8
Crankshaft phenomenon prevention and
treatment, 179, 180−181 Dewar fusion procedure, 56, 59 domino technique, neuromuscular pel-
vic obliquity, 173, 174 double major curves, posterior scoliosis
correction, 155 en-bloc (“trap-door”) lumbar spine
laminectomy, 211 far lateral discectomy, 205 Gallie upper cervical spine wiring, 52,
53
lumbar corpectomy, 221 lumbar fracture decompression, poste-
rior technique, 262 lumbar pedicle fixation, 217 metastatic disease, anteroposterior
decompression and stabilization,
transpedicular approach, 254, 255 microdiscectomy, 204 multiple-level cervical vertebrectomy
and stabilization, 39 oblique facet wiring, 60 occipital-cervical spine wiring, Wer-
theim-Bohlman technique, 52, 53 odontoid fixation, 22 open-door laminoplasty, cervical
spondylolytic myelopathy, 51 osteotomy guidelines, ankylosing
spondylitis, 232 pedicle subtraction osteotomy, 236 posterior cervical laminectomy and fu-
sion, 46 posterior cervical plating, 65 posterior cervical thoracic fixation, 72 posterior column shortening, Scheuer-
mann’s kyphosis, 113 posterior scoliosis correction
King V/double thoracic curves, 156,
157−158
pedicle screw insertion, 163, 164 posterior surgical approach, thoracic
disc disease, 106 revision disc surgery, 71 Rogers wiring technique, 58 Scheuermann’s kyphosis, anterior re-
lease and posterior instrumentation,
117 Smith-Peterson osteotomy, 226
Eurostile
INDEX
281
Postoperative care (cont.)
spinal process median splitting lamino-
plasty, 40, 43
spondylolisthesis reduction, pedicle
screw fixation and transforaminal
lumbar interbody fusion, 272 spondylolysis repair, 256 subaxial cervical sublamiinar wiring, 55,
59
sublaminar wire passage, thoracolumbar
spine, 57, 60
thoracic scoliosis
accordion procedure, rigid thoracic
scoliosis, 169, 170−172
anterior correction and instrumenta-
tion, 122, 123−127
Kaneda anterior scoliosis system
(KASS), 144
vertebral resection, 185 thoracolumbar idiopathic scoliosis, api-
cal overcorrection, 198, 199
total lumbar disc replacement, SB III
Charite prosthesis, 249
transforaminal lumbar interbody fusion,
242
vertebral corpectomy, thoracic tumor or
infection, 100
Preoperative preparation and assessment
adolescent idiopathic scoliosis classifi-
cation, 121 anterior odontoid resection, 10, 11, 14 anterior thoracoscopic release, 165, 166−
167, 168 cranial cervical junction (CCJ) decom-
pression and fusion, 7 open-door laminoplasty, cervical
spondylolytic myelopathy, 47 osteoporotic vertebral fractures, verte-
broplasty and kypohplasty, 79 pedicle fixation, 212, 213 posterior surgical approach, thoracic
disc disease, 101−106, 102−105
R
Radiographic imaging
adolescent idiopathic scoliosis, struc-
tural criteria, 118, 118 anterior cervical corpectomy and fusion
(ACCF) and extent of, 33, 34
C1-C2 fusion, posterior screw fixation,
23, 25
intraoperative neurologic monitoring,
pedicle screws, posterior scoliosis cor-
rection, 159−164, 160−163 pedicle subtraction osteotomy, 233, 234 posterior cervical laminectomy and fu-
sion, 44, 45 Smith-Peterson osteotomy, 222, 223−224 spinal process median splitting lamino-
plasty, 40, 41
Retraction systems
anterior cervical corpectomy and fusion
(ACCF), 34 anterior cervical disc surgery, 66, 68 anterior lumbar interbody fusion, 237,
240 cranial cervical junction (CCJ) decom-
pression and fusion, 5−6, 7
lumbar corpectomy, 221
microdiscectomy, 200, 201−202, 203−
204
multiple-level cervical vertebrectomy
and stabilization, 36
transforaminal lumbar interbody fusion,
242, 243−244
Retropleural surgical technique, thoracic
disc disease, 94, 95−96 Revision disc surgery, 69−71, 70 Rheumatoid arthritis (RA)
anterior odontoid resection, 10
cranial cervical junction (CCJ) decom-
pression and fusion, 3
Rib resectioning
anterior thoracoplasty, 135−139, 136−138
convex thoracoplasty, 131, 132−133, 134 Rib strut graft, retropleural surgical tech-
nique, thoracic disc disease, 94, 95
Rigid thoracic scoliosis, accordion pro-
cedure for management of, 169, 170−172
“Ring of steel,” anterior odontoid resec-
tion, 13, 14
Rogers wiring technique
lower cervical spine fixation, 54, 58
oblique facet wiring in conjunction
with, 60
S
Sagittal thoracic modifier, adolescent id-
iopathic scoliosis classification, 121
SB III Charite prosthesis, total lumbar disc
replacement, 245−249, 246−248
Scheuermann’s kyphosis
anterior release and fusion, 114−117,
115−116
extrapedicular screw placement, 91, 92−
93
posterior column shortening, 107−113,
108−112
posterior instrumentation and fusion,
114−117, 115−116
thoracic pedicle screw insertion, 86, 87−
89
Scoliosis
adolescent idiopathic scoliosis, classifi-
cation system, 118, 118−120, 121
lumbar lordosis, hook patterns for, 195,
196−197
posterior correction
double major curves, 153, 154, 155
King II curves, 145, 146−151 King V/double thoracic curves, 156,
157−158
pedicle screws, 159−164, 160−163
stiff thoracic scoliosis, concave thoraco-
plasty, 128, 129−130
thoracic scoliosis
accordion procedure, rigid thoracic
scoliosis, 169, 170−172
anterior correction and instrumenta-
tion, 122, 123−127
anterior thoracoscopic release, 165,
166−167, 168
Kaneda anterior scoliosis system
(KASS), 140−144, 141−143
vertebral resection, 182−185, 183−184
thoracolumbar idiopathic scoliosis, api-
cal overcorrection, 198, 199 Scott wiring techique, 57, 60 Semispinal muscle attachment, spinal
process median splitting laminoplasty, 40, 42
Single-screw techniques, odontoid fixa-
tion, 16, 19
Smith-Peterson osteotomy, guidelines and
protocols, 222−226, 223−225
Smith-Robinson retropharyngeal technique
anterior cervical corpectomy and fusion
(ACCF), 29, 31
odontoid fixation, 16
Spinal cord decompression, posterior cer-
vical laminectomy and fusion, 44, 45
Spinal cord injury, anteroposterior
hemivertebrectomy with sublaminar
fixation, complications of, 178
Spinal fixation, posterior wiring tech-
niques, 52−60, 53−57
Spinal process median splitting lamino-
plasty, cervical myelopathy, 40, 41−42, 43
Spinous process wiring, posterior cervical
laminectomy and fusion, 46
Spondylolisthesis, reduction, pedicle
screw fixation, transforaminal lumbar interbody fusion and, 268−272, 269−271
Spondylolysis
repair guidelines, 256, 257
spondylolytic myelopathy, open door
laminoplasty, 47, 48−50, 51 Steinmann pins
Dewar fusion procedure, 56, 59 metastatic disease, anteroposterior
decompression and stabilization,
transpedicular approach, 250, 253−
254, 255 Sternal splitting, anterior cervical thoracic
fixation, 72, 73−74, 76
Sternocleidomastoid (SCM), anterior cervi-
cal corpectomy and fusion (ACCF), 29, 30−31, 34
Stiff thoracic scoliosis, concave thoraco-
plasty, 128, 129−130
Structural grafts or cages, Scheuermann’s
kyphosis, anterior release and posterior
instrumentation, 114−117, 115−116 Subaxial cervical sublamiinar wiring, 55, 59 Sublaminar fixation, congenital spinal
deformity, anteroposterior hemiverte-
brectomy and, 175−178, 176−177
Sublaminar wire passage
technique and protocols, 186−191, 187−
190
thoracolumbar spine, 57, 60
Surgical techniques. See also specific
procedures, e.g. Fusion techniques,
282
INDEX
Eurostile
Laminectomy, Wiring techniques spinal process median splitting lamino-
plasty, 40, 41−42, 43
Suture techniques
anterior cervical corpectomy and fusion
(ACCF), 33, 34
open-door laminoplasty, cervical
spondylolytic myelopathy, 51
T
Thoracic disc disease
posterior techniques, 101−106, 102−105 retropleural approach, 94, 95−96
Thoracic scoliosis
anterior correction and instrumentation,
122, 123−127
anterior thoracoscopic release, 165, 166−
167, 168 concave thoracoplasty, 128, 129−130 Kaneda anterior scoliosis system
(KASS), 140−144, 141−143 rigid thoracic scoliosis, accordion pro-
cedure, 169, 170−172 vertebral resection, 182−185, 183−184
Thoracic spine
congenital deformity, vertebrectomy,
175−178, 176−177 extrapedicular screw placement, 92,
131, 132−133, 13491−93 pedicle screw insertion, surgical tech-
niques, 86−90, 87−89 Scheuermann’s kyphosis, posterior
column shortening, 110, 113
Thoracic tumor or infection, vertebral cor-
pectomy, 97, 98−99, 100
Thoracolumbar idiopathic scoliosis, apical
overcorrection, 198, 199
Thoracolumbar sacral orthosis (TLSO),
sublaminar wire passage, 60
Thoracolumbar spine, sublaminar wire
passage, 57, 60
Thoracoplasty
anterior techniques, 135−139, 136−138 concave thoracoplasty, stiff thoracic
scoliosis, 128, 129−130 convex thoracoplasty, 131, 132−133, 134
Thoracoretroperitoneal approach, vertebral
corpectomy, thoracic tumor or infection, 97, 98−99, 100
Thoracotomy
anterior thoracoplasty, 135−139, 136−138
Scheuermann’s kyphosis, anterior re-
lease and posterior instrumentation, 114
thoracic scoliosis
anterior correction and instrumenta-
tion, 122, 124
rigid thoracic scoliosis, accordion pro-
cedure, 169, 170−172
vertebral resection, 182−185, 183−184
Throacoplasty, thoracic scoliosis, anterior
correction and instrumentation, 122,
123−127
Total lumbar disc replacement, SB III
Charite prosthesis, 245−249, 246−248
Transforaminal lumbar interbody fusion,
242, 243−244 spondylolisthesis reduction, pedicle
screw fixation and, 268−272, 269−271
Transoral techniques
anterior odontoid resection, 12−13, 14 cranial cervical junction (CCJ) decom-
pression and fusion, 3, 5, 7
Transpedicular approach
metastatic disease, anteroposterior
decompression and stabilization, 250− 255, 251−254
thoracic disc disease, 101, 104
Transsacral fibula allograft, lumbar cor-
pectomy, 221
Transthoracic retroperitoneal approach,
Scheuermann’s kyphosis, anterior re­lease and posterior instrumentation, 115, 117
“Trap-door” laminectomy, lumbar spine,
208−211, 209−210
Two-screw techniques, odontoid fixation,
16, 20
U
Upper cervical spine, Gallie’s wiring tech-
nique, 52, 53
V
Ventral surgical access, anterior odontoid
resection, 10
Vertebral corpectomy, thoracic tumor or
infection, 97, 98−99, 100
Vertebral resectioning, thoracic scoliosis,
182−185, 183−184
Vertebrectomy
anterior cervical corpectomy and fusion
(ACCF), 29
multiple-level cervical procedures, 36−
39, 37−38
thoracic spine, congenital deformity,
175−178, 176−177
Vertebroplasty, osteoporotic vertebral frac-
tures, 79, 80
Video-assisted posterolateral approach,
vertebral corpectomy, thoracic tumor or infection, 97, 98−99, 100
W
Wertheim-Bohlman technique, occipital-
cervical spine wiring, 52, 53 Wiley retractor, lumbar corpectomy, 221 Wiring techniques
Bohlman’s triple wire technique, 55, 58
Brooks spinal wiring technique, 52, 54,
58
Gallie upper cervical spine wiring, 52,
53
posterior spine wiring, 52−60, 53−57
Scott technique, 57, 60 subaxial cervical sublaminar wiring, 55,
59
sublaminar wire passage
guidelines and protocols, 186−191,
187−190
thoracolumbar spine, 57, 60
Wertheim-Bohlman technique, occipital-
cervical spine wiring, 52, 53
Wolf’s law, Scheuermann’s kyphosis, ante-
rior release and posterior instrumenta-
tion, 114 Woodson probe, Brooks spinal wiring
technique, 58
Eurostile
INDEX
283
284
Eurostile