Height After Spinal Fusion Surgery

Anterior Cervical Decompression and Fusion ACDF Live Spine Surgery Tutorial Spine Surgeon

hello this is corenman we're goingto go through a tutorial and animation of an anterior cervical decompressionand fusion C six seven here you see a side view xraylateral xray where there's an angulation and here yousee the MRI with the herniation at the base of the spine this is a normal level transversely and the next picture will be thehernaited disc where you see it's compressing both the cord

as well as the two holes the nerves exit we first start with a small transverseincision on the side of the neck point and we disect directly onto the anterior part ofthe neck we putthese two small distractionpins called caspar pins that allows us to pull the vertebraapart to its normal height typically thesevertebra have collapsed at least half way this is a picture of what the annulusitself looks likea live tutorial you can see this little penfield goinginto the tear that tear obviously should

be attached to that vertebra but thispatient has torn off their annulus we then take off the anterior aspect of the annulus and this tutorial depicts howit's donea simple matter and we'll see how we do it using a typical eleven blade here is the little tiny scalpel

that goesand removes this annulus the nucleus is missingthis patientit had actually dissolved away and the rest of it went tothe back of the neck compressing the nerves here we see a small tool removing this portion of the annulus we then remove the spurs

on the front portion of the neck so we can get the two vertebra parallel and have a good spot to dock our plateaddition it allows us to be able toknow the depth of the graft that we need here we see aburr taking off theses spurs once we have the spursthe frontremoved we then need to remove the spurs thatoccur within the disc itself and we see this little emel typedevice the burr removing that bone

and here we see a live version of thesame thing where the burr actually takes the spuroff the bone and we need to have the end platesparallel because the end platesa typicalcervical vertebra have some curve to them andorder to be accepting of a good placement of a graft we have to take these end plates down we then curette the cartilage that sits on each endplate

Surgery for Degenerative Spondylolisthesis with Spinal Stenosis Lumbar Surgery CO Spine Expert

for surgical correction of this slipped vertebra with the canalnarrowing again with the term is a degenerative spondylolisthesis with spinal stenosis we have to stop the motion of thisunstable segment and we have to open up the spinal canalso that the nerves are no longer compressed we do this with the procedure called thedecompression infusion

and depending on the age of the patientand the activity level of the patient we may simply do a fusion from the back or we may do a fusion from the front inthe back called a TLIF we're going to talk about laminectomys and fusions there are patients who have stenosis as you remember the narrowing of thespinal canal

and an associated degenerative spondylolisthesiswhich of course is the slipped vertebra if they have enough slip and thenarrowing of the canal we need to open the canal and we need tostop the motion of the vertebra and this is how we do it you will notice that these bars are here to stop themotion we put then the bone grafthere tocreate the fusion so you can see that this area has been opened upsurgically

and that will allow the nerve rootswhich live within the canal too freely transgress through this area out totheir normal anatomic exits.

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