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

Slides:

Advertisements

Similar presentations

Open Reduction and Internal Fixation of Fractures of the Proximal Part of the Humerus by C. Spross, P. Grueninger, S. Gohil, and M. Dietrich JBJS Essent.

Advertisements

Controversies and Techniques in the Surgical Management of Patellofemoral Arthritis by William M. Mihalko, Yaw Boachie-Adjei, Jeffrey T. Spang, John P.

Cervical Disc Arthroplasty Compared with Arthrodesis for the Treatment of Myelopathy by Jacob M. Buchowski, Paul A. Anderson, Lali Sekhon, and K. Daniel.

Surgical Treatment of Talar Body Fractures by Heather A. Vallier, Sean E. Nork, Stephen K. Benirschke, and Bruce J. Sangeorzan JBJS Essent Surg Tech Volume.

Curvature and Range of Motion of the Cervical Spine After Laminaplasty* by Ikuo Aita, Yasuyoshi Wadano, and Takeshi Yabuki J Bone Joint Surg Am Volume.

Operative Treatment of Cervical Spondylotic Myelopathy by Raj D. Rao, Krishnaj Gourab, and Kenny S. David J Bone Joint Surg Am Volume 88(7): July.

Date of download: 9/17/2016 Copyright © ASME. All rights reserved. From: Coating Techniques and Release Kinetics of Drug-Eluting Stents J. Med. Devices.

From: Coating Techniques and Release Kinetics of Drug-Eluting Stents

Figure 2: The Medical Imaging Projection System projecting the real-time fluorescent image on the surface of the lung during surgery (left). The cut surface.

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.

Modified Hemi-Fontan Procedure

Computed tomography simulation of medical thoracoscopy with rigid instruments (right thoracic cavity in left lateral position). Computed tomography simulation.

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.

(A) Intraoperative imaging demonstrating the metallic pipe intracranially (black arrow) lateral to the temporal lobe. (A) Intraoperative imaging demonstrating.

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.

Illustrative case of a 40-year-old male with degenerative disc disease at C5-6 and C6-7 and radicular pain refractory to conservative treatment. Illustrative.

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.

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.

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.

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.

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.

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.

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.

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.

Left ICA angiogram in anteroposterior (A) and lateral (B) views demonstrates the anastomosis between the mandibular artery arising from the petrous ICA.

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:

PH/CR/FC technique for PD-L device implantation. PH/CR/FC technique for PD-L device implantation. Drilling of pilot hole in superior vertebral body as seen on intraoperative lateral fluoroscopy (A). Anteroposterior diagram of implanted PD-L device with location of pilot holes and anterior cortex removal in heavy black overlay (B). Lateral diagram of implanted PD-L device with gray overlay depicting the location of pilot holes and anterior cortex removal (C). Comparison of standard US chisel (left) with fenestrated chisel (right) used in modified surgical technique (D). The reverse-cutting horizontal surfaces in the fenestrated chisel should be noted. (B and C, excluding the overlays, are reproduced with permission of Synthes Spine, Inc.)‏ Humbert G. Sullivan et al. Int J Spine Surg 2012;6:93-102 © 2012 ISASS - International Society for the Advancement of Spine Surgery. Published by Elsevier Inc. All rights reserved.