What is subperiosteal dissection?
Subperiosteal dissection A subperiosteal dissection is performed bilaterally along the spinous process, the laminae out to the tips of the transverse processes of all the levels. The use of a subperiosteal dissection can minimize bleeding and muscle damage.
What is a Wiltse approach?
The classical approach described by Wiltse is essentially minimally invasive, sparing both the muscle planes and soft tissues, allowing for ample far lateral lumbar decompression, including discectomy and fusion, with a low complication rate.
What is Subperiosteal bone?
Definition. Loss of bone mass occurring beneath the periosteum (the periosteum is the connective-tissue membrane that surrounds all bones except at the articular surfaces). This process may create a serrated and lace-like appearance in periosteal cortical bone. [
Where is Subperiosteal located?
The subperiosteal hematoma can be seen located superiorly between bone and periosteum.
What is retroperitoneal surgical approach?
Classically, the retroperitoneal approach is performed through an incision through the abdominal wall. The incision may be paramedian, midline, or Pfannenstiel. The latest technique gains exposure via a less invasive lateral approach through the retroperitoneal fat and psoas major muscle.
What is far lateral lumbar disc herniation?
Far lateral disc herniation is also known as foraminal, intraforaminal, far lateral or extreme lateral disc herniation, which by definition refers to a disc herniation or fragment that resides beneath and lateral to the vertebral facet, and is thus hidden on conventional imaging of the spinal canal.
What happens after transforaminal lumbar interbody fusion?
Complete recovery time differs depending on the specifics of your case, but typically ranges from 6 to 12 weeks. Refrain for smoking, as nicotine is a direct toxin to bone healing/fusion. Do not take any NSAIDs or aspirin as these, too, are detrimental to the fusion process.
What is a subperiosteal dissection?
Subperiosteal dissection A subperiosteal dissection is performed bilaterally along the spinous process, the laminae out to the tips of the transverse processes of all the levels. The use of a subperiosteal dissection can minimize bleeding and muscle damage.
How is the dissection carried down in the midline?
The dissection is carried down in the midline through the subcutaneous tissue and the fascia to the tips of the spinous processes. The dissection should be carried down through the midline to decrease bleeding. It is necessary to confirm the vertebral level with fluoroscopy as soon as bony structures are visible.
How is the dissection of a cervical dissection carried out?
The dissection should be carried down through the midline to decrease bleeding. It is necessary to confirm the vertebral level with fluoroscopy as soon as bony structures are visible. This is done prior to any further dissection.
What is the Bernese periacetabular osteotomy?
The Bernese periacetabular osteotomy (PAO) is a widely used technique for the management of acetabular dysplasia and other hip deformities in adolescents and young adults. Originally, the approach was described with a release of both origins of the rectus femoris muscle1.
