journal
MENU ▼
Read by QxMD icon Read
search

Neurosurgery Clinics of North America

journal
https://www.readbyqxmd.com/read/29933815/degenerative-spinal-deformity-creating-lordosis-in-the-lumbar-spine
#1
EDITORIAL
Sigurd Berven, Praveen V Mummaneni
No abstract text is available yet for this article.
July 2018: Neurosurgery Clinics of North America
https://www.readbyqxmd.com/read/29933814/the-challenge-of-the-lumbosacral-fractional-curve-in-the-setting-of-adult-degenerative-scoliosis
#2
REVIEW
Peter G Campbell, Pierce D Nunley
Adult degenerative scoliosis treatment is complicated by its predilection for an elderly patient population that often exhibits multiple unrelated medical comorbidities. As spine surgeons attempt to treat this disease process with less invasive solutions, the fractional curve at L4, L5, and S1 is often overlooked or undertreated secondary to required increased perioperative morbidity associated with its treatment. A treatment strategy to identify, address, and treat the fractional curve with either open or minimally invasive techniques can lead to improved patient outcomes and decreased revision rates in this complicated pathologic process...
July 2018: Neurosurgery Clinics of North America
https://www.readbyqxmd.com/read/29933813/minimally-invasive-pedicle-subtraction-osteotomy
#3
REVIEW
Andrew A Fanous, Jason I Liounakos, Michael Y Wang
For patients with significant spinal deformity, the pedicle subtraction osteotomy provides a powerful means for correction, albeit with high morbidity. With the trend toward minimally invasive spine surgery, multiple less invasive techniques have been devised; however, there seems to be an upper limit to the degree of correction possible. The mini-open pedicle subtraction osteotomy addresses these limitations by minimizing the extent of soft tissue destruction needed to perform the osteotomy and by using the rod-cantilever technique to achieve maximum lordosis...
July 2018: Neurosurgery Clinics of North America
https://www.readbyqxmd.com/read/29933812/can-minimally-invasive-transforaminal-lumbar-interbody-fusion-create-lordosis-from-a-posterior-approach
#4
REVIEW
Neel Anand, Christopher Kong
The transforaminal lumbar interbody fusion (TLIF) is a well-established 3-column fusion technique that can be used to manage lumbar stenosis, instability, and deformity. Having been in use for more than 20 years, it has evolved into many different renditions. This includes protocols using minimally invasive surgery (MIS) approaches. To avoid the development of flatback syndrome, it is important that a TLIF procedural technique is capable of reproducibly restoring lordosis. This article describes one of many MIS TLIF protocols and presents some of its previously published outcomes...
July 2018: Neurosurgery Clinics of North America
https://www.readbyqxmd.com/read/29933811/navigation-assisted-minimally-invasive-surgery-deformity-correction
#5
REVIEW
Taemin Oh, Paul Park, Catherine A Miller, Andrew K Chan, Praveen V Mummaneni
Surgical correction of deformity is a complex endeavor. Although more traditional, open techniques remain important, minimally invasive surgery (MIS) techniques have been increasingly studied as an alternative approach. In particular, the circumferential MIS approach, which may incorporate a lateral/anterior as well as a subsequent posterior approach, has been investigated as a promising algorithm/protocol. Utilization of navigation guidance during MIS deformity correction is an important intraoperative tool for the surgeon...
July 2018: Neurosurgery Clinics of North America
https://www.readbyqxmd.com/read/29933810/anterior-column-release-realignment
#6
REVIEW
David S Xu, Jason Paluzzi, Adam S Kanter, Juan S Uribe
Lateral anterior column release (ACR) is a powerful extension of the minimally invasive lateral lumbar interbody fusion procedure that incorporates division of the anterior longitudinal ligament to allow manipulation of the anterior and middle spinal columns. The resulting surgical control permits restoration of significant segmental lordosis that, when combined with varying posterior column releases, can achieve global sagittal realignment on par with traditional 3-column osteotomies. As a result, ACR is a factor in the growth of minimally invasive strategies for the correction of spinal deformities...
July 2018: Neurosurgery Clinics of North America
https://www.readbyqxmd.com/read/29933809/lateral-prepsoas-oblique-approach-nuances
#7
REVIEW
Anthony M DiGiorgio, Caleb S Edwards, Michael S Virk, Dean Chou
The prepsoas oblique approach to the lumbar spine provides many similar benefits of the transpsoas lateral approach. Because the psoas is not traversed, however, many of the postoperative complications associated with psoas violation are reduced. Working at an oblique angle to the spine can be challenging and the approach may be unfamiliar for the surgeon. Thais article provides a technical description and nuances of the approach.
July 2018: Neurosurgery Clinics of North America
https://www.readbyqxmd.com/read/29933808/transpsoas-approach-nuances
#8
REVIEW
Randall J Hlubek, Robert K Eastlack, Gregory M Mundis
The transpsoas approach is a powerful tool in correcting adult spinal deformity secondary to the degenerative process. It may be used as a stand-alone construct or in combination with other approaches to correct both coronal and sagittal malalignment. Preoperative planning with careful analysis of full-length 36-in radiographs and an MRI of the lumbar spine is essential in determining the safety and feasibility of this approach. Ultimately the goals of deformity correction must be achieved, and lateral lumbar interbody fusion is a valuable tool that can aid in achieving these goals while minimizing perioperative morbidity...
July 2018: Neurosurgery Clinics of North America
https://www.readbyqxmd.com/read/29933807/evolution-of-the-minimally-invasive-spinal-deformity-surgery-algorithm-an-evidence-based-approach-to-surgical-strategies-for-deformity-correction
#9
REVIEW
Winward Choy, Catherine A Miller, Andrew K Chan, Kai-Ming Fu, Paul Park, Praveen V Mummaneni
Minimally invasive surgery (MIS) is an alternative to open surgery for adult spinal deformity correction. However, not all patients are ideal candidates for MIS correction. The minimally invasive spinal deformity surgery algorithm is a systematic and reproducible decision-making framework for surgeons to identify patients appropriate for deformity correction by MIS techniques. Key spinopelvic parameters including sagittal vertical axis, pelvic tilt, pelvic incidence to lumbar lordosis mismatch, and coronal Cobb angle are used to guide surgeons toward three treatment classes ranging from MIS to traditional open approaches...
July 2018: Neurosurgery Clinics of North America
https://www.readbyqxmd.com/read/29933806/sacropelvic-fixation-when-why-how
#10
REVIEW
Joseph M Lombardi, Jamal N Shillingford, Lawrence G Lenke, Ronald A Lehman
The indications for sacropelvic fixation continue to evolve with emerging instrumentation technologies and advancing techniques. Common indications include long construct fusions, high-grade spondylolisthesis, sacral fractures, sacral tumors, and global sagittal and/or coronal imbalance among others. The authors' preferred technique is through use of a freehand S2-alar-iliac screw placement.
July 2018: Neurosurgery Clinics of North America
https://www.readbyqxmd.com/read/29933805/the-challenge-of-creating-lordosis-in-high-grade-dysplastic-spondylolisthesis
#11
REVIEW
Ryan J Hoel, Robert M Brenner, David W Polly
High-grade dysplastic spondylolisthesis (HGDS) is a subset of L5-S1 spondylolisthesis that occurs due to dysmorphic anatomy at the lumbosacral junction, often resulting in sagittal imbalance. Enhanced understanding of global sagittal alignment has led many to preferentially treat HGDS with reduction and fusion to restore sagittal balance. The purpose of this article is to review published surgical techniques for obtaining sagittal correction in HGDS and to evaluate the current evidence regarding the associated surgical complications...
July 2018: Neurosurgery Clinics of North America
https://www.readbyqxmd.com/read/29933804/preventing-pseudoarthrosis-and-proximal-junctional-kyphosis-how-to-deal-with-the-osteoporotic-spine
#12
REVIEW
Isaac O Karikari, Lionel N Metz
The increase in the aging population has led to an overall increase in the number of elderly patients undergoing spinal fusion surgery. This patient population, however, exhibits significant treatment challenges because of poor bone quality. By virtue of exhibiting decreased pullout strength and insertional torque, osteoporotic patients are at a substantial risk of developing vertebral fractures, instrumentation failure, pseudoarthrosis, and proximal junctional failures. It is, therefore, imperative for the treating surgeon to optimize bone health before recommending a spinal fusion surgery...
July 2018: Neurosurgery Clinics of North America
https://www.readbyqxmd.com/read/29933803/the-nuances-of-pedicle-subtraction-osteotomies
#13
REVIEW
Sachin Gupta, Munish C Gupta
In adult spinal deformity, the pedicle subtraction osteotomy is a useful technique to provide correction, especially in rigid, previously fused spines. However, it is not without its complications. In an effort to prevent pseudoarthrosis, a new technique using 4 rods has been pioneered to decrease stress on the 2 long rods while allowing for maintenance of correction with 2 smaller rods. One should also use careful neuromonitoring, especially during closure, to be able to make adjustments in time to prevent the development of neurologic deficits...
July 2018: Neurosurgery Clinics of North America
https://www.readbyqxmd.com/read/29933802/approach-selection-multiple-anterior-lumbar-interbody-fusion-to-recreate-lumbar-lordosis-versus-pedicle-subtraction-osteotomy-when-why-how
#14
REVIEW
Andrew K Chan, Praveen V Mummaneni, Christopher I Shaffrey
Restoration of physiologic lumbar lordosis is a fundamental principle of spinal deformity surgery. Techniques using multilevel anterior lumbar interbody fusion or pedicle subtraction osteotomy (PSO) are described. Multilevel anterior lumbar interbody fusion provides a gradual multilevel correction and avoids the morbidity associated with PSO but necessitates familiarity with the anterior approach or an approach surgeon. PSO provides a large angular correction at a single level, requires only one approach, and allows for simultaneous multiplanar correction and open posterior decompression...
July 2018: Neurosurgery Clinics of North America
https://www.readbyqxmd.com/read/29933801/sagittal-alignment-of-the-lumbar-spine
#15
REVIEW
Sigurd Berven, Rishi Wadhwa
Alignment of the lumbar spine has an important impact on the segmental motion, degenerative pathology, and health-related quality of life. The relationship between lumbar lordosis and pelvic incidence is predictive in the pathogenesis of spinal disorders, including disk degeneration, spondylolisthesis, and adjacent segment degeneration. This article reviews the relationship between lumbar and pelvic alignment with pathology of the lumbar spine, provides goals for appropriate alignment in reconstructive surgery, and discusses strategies for effective realignment of the spine...
July 2018: Neurosurgery Clinics of North America
https://www.readbyqxmd.com/read/29933800/spinopelvic-parameters-lumbar-lordosis-pelvic-incidence-pelvic-tilt-and-sacral-slope-what-does-a-spine-surgeon-need-to-know-to-plan-a-lumbar-deformity-correction
#16
REVIEW
Paul C Celestre, John R Dimar, Steven D Glassman
The pelvic incidence defines the amount of lordosis required in the lumbar spine, and a lumbar lordosis within 11° of the pelvic incidence defines alignment of the lumbo-pelvic region. Pelvic tilt is a compensatory mechanism that allows patients to achieve sagittal balance in the setting of decreased lumbar lordosis with the primary compensatory mechanisms being hip extension and knee flexion. Planning an adult lumbar deformity operation requires a comprehensive history and physical examination and thorough radiographic evaluation with the goal of restoring alignment between the pelvic incidence and lumbar lordosis and restoring a normal pelvic tilt...
July 2018: Neurosurgery Clinics of North America
https://www.readbyqxmd.com/read/29502721/neurocritical-care-growth-from-interdisciplinary-collaboration
#17
EDITORIAL
Alejandro A Rabinstein
No abstract text is available yet for this article.
April 2018: Neurosurgery Clinics of North America
https://www.readbyqxmd.com/read/29502720/shared-decision-making-in-neurocritical-care
#18
REVIEW
Muhammad Waqas Khan, Susanne Muehlschlegel
Shared decision making is a collaborative decision-making process between health care providers and patients or their surrogates, taking into account the best scientific evidence available while considering the patient's values, goals, and preferences. Decision aids are tools enabling SDM. This article discusses shared decision making in general and in the intensive care unit in particular and facilitators and barriers for the creation and implementation of International Patient Decision Aids Standards Collaboration-compliant decision aids for the intensive care unit and neuro-intensive care unit...
April 2018: Neurosurgery Clinics of North America
https://www.readbyqxmd.com/read/29502719/nosocomial-infections-in-the-neurointensive-care-unit
#19
REVIEW
Katharina Maria Busl
Infectious complications in the neurointensive care unit (neuro-ICU) are common, including pneumonia, urinary tract infection, bloodstream infection, and intracranial infection. The neuro-ICU population poses a specific challenge in the diagnosis of infections, because of the high incidence of fever in acutely brain-injured patients. Furthermore, susceptibility to infections is likely enhanced by brain-injury (induced immune modulation). This article reviews the concept of brain injury-induced immune modulation, and summarizes available data and knowledge on nosocomial meningitis and ventriculitis, and systemic infectious complications in patients with traumatic brain injury, ischemic stroke, intracerebral hemorrhage, subarachnoid hemorrhage, and status epilepticus...
April 2018: Neurosurgery Clinics of North America
https://www.readbyqxmd.com/read/29502718/acute-cardiac-complications-in-critical-brain-disease
#20
REVIEW
Juan G Ripoll, Joseph L Blackshear, José L Díaz-Gómez
Acute cardiac complications in critical brain disease should be understood as a clinical condition representing an intense brain-heart crosstalk and might mimic ischemic heart disease. Two main entities (neurogenic stunned myocardium [NSM] and stress cardiomyopathy) have been better characterized in the neurocritically ill patients and they portend worse clinical outcomes in these cases. The pathophysiology of NSM remains elusive. However, significant progress has been made on the early identification of neurocardiac compromise following acute critical brain disease...
April 2018: Neurosurgery Clinics of North America
journal
journal
30457
1
2
Fetch more papers »
Fetching more papers... Fetching...
Read by QxMD. Sign in or create an account to discover new knowledge that matter to you.
Remove bar
Read by QxMD icon Read
×

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"