Corpectomy
Durotomy / Durectomy
Myelotomy
Craniectomy / Craniotomy
Cranioplasty
Level III Neurosurgery
Dorsal craniectomy with cranioplasty.
Caudal Occipital malformation or a suboccipital approach
Brachial Plexus exploration
Rhizectomy
Thoracic and lumbar stabilization with pedicle screws
Lumbosacral stabilization with Pedicle Screws
Occlusion of the dorsal sagittal sinus
Combined transfrontal and lateral tentorial craniectomy (without cranioplasty)
Combined caudal and lateral tentorial craniectomy (with or without cranioplasty)
Charlie crushin’ it two days post op.
An intramedullary granuloma is removed from C6 via dorsal laminectomy and myelotomy..
One year post -op.
Chronic disks and neoplasia of the vertebral body. A corpectomy can spare the spinal cord.
Important to access the spinal cord and treat arachnoid diverticula, rhizectomy, etc…
I know… it goes against everything but the patient can do quite well actually.
Technique is critical as is preparation and after care for brain surgery.
Combined approaches may require reconstruction of the skull to protect the brain and maintain aesthetics.
It might be a last resort for COMS or a standard approach for any caudal tentorial / cerebellar mass.
It’s all in the anatomy. Find normal and then work toward the abnormal. often combined with rhizectomy and amputation to treat nerve sheath tumors.
A tricky surgery but allows you to get the best margins.
Say goodbye to PMMA! We can help set you up with Pedicle screws and assist with surgical planning.
Did we mention we like pedicle screws?
Sometimes necessary when you have falx meningioma or need deep access to the forebrain. Careful of the hidden, deep ethmoidal artery!
Combining two approaches to the brain allows for better surgical access, relieves stress on the normal brain and speeds up surgical time. This approach allows you to avoid cranioplasty and still maintain the aesthetic appearance of the skull.
Things are tight back there. By combining two approaches, you are able to react normal brain to access those buried areas. You can manage the transverse sinus but you have to be careful of occlusion at the confluence. Most of the time, you will need to reconstruct with cranioplasty.