Sacrum Spine

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Jean Paul Wolinsky - One of the best experts on this subject based on the ideXlab platform.

  • Image-guided, endoscopic, transcervical resection of cervical chordoma
    Journal of neurosurgery. Spine, 2010
    Co-Authors: Wesley Hsu, Thomas A. Kosztowski, Hasan A. Zaidi, Ziya L. Gokaslan, Jean Paul Wolinsky
    Abstract:

    Chordomas are rare tumors that arise from the Sacrum, Spine, and skull base. Surgical management of these tumors can be difficult, given their locally destructive behavior and predilection for growing near delicate and critical structures. En bloc resection with negative margins can be difficult to perform without damaging adjacent structures and causing significant clinical morbidity. For chordomas of the upper cervical Spine, surgical options traditionally involve transoral or submandibular approaches. The authors report the use of the image-guided, endoscopic, transcervical approach to the upper cervical Spine as an alternative to traditional techniques for addressing upper cervical Spine tumors, particularly for tumors where gross-total resection is not feasible.

Nima Nabavizadeh - One of the best experts on this subject based on the ideXlab platform.

  • Percutaneous treatment of insufficiency fractures
    Skeletal Radiology, 2010
    Co-Authors: Douglas P. Beall, Abhijit Datir, Sharon L. D’souza, Logan S. D’souza, Divya Gunda, John Morelli, Michael Brandon Johnson, Nima Nabavizadeh
    Abstract:

    Insufficiency fractures of the pelvis, Sacrum, Spine, and long bones are painful, debilitating, and are common consequences of osteoporosis. Conventional treatment for these fractures varies from conservative therapy to surgery with plate and screw fixation. The former fails to address the underlying problem of fracture and frequently does not alleviate symptoms, while the latter is invasive and not always possible in older populations with low bone density and numerous co-morbidities. Osseous augmentation with polymethylmethacrylate (PMMA) has been used for over two decades to treat fractures related to osteoporosis, but has not been commonly used to treat fractures outside of the vertebral bodies. Osseous augmentation with PMMA is an image-guided procedure and various techniques have been utilized to treat fracture in different locations. We describe various techniques for image-guided osseous augmentation and treatment of insufficiency fractures with bothPMMA and allograft bone for fractures of the pelvis including Sacrum, acetabulum, pubic symphysis, pubic rami ilium; appendicular skeleton including distal radius, proximal femur, and vertebral body. We also describe the potential risks and complications associated with percutaneous treatment of insufficiency fractures and techniques to avoid the pitfalls of the various procedures. We will present the process for patient follow-up and data regarding the pre- and postprocedure pain response in patients undergoing treatment for pelvic insufficiency fractures.

  • Percutaneous treatment of insufficiency fractures : principles, technique and review of literature.
    Skeletal radiology, 2009
    Co-Authors: Douglas P. Beall, Abhijit Datir, Sharon L. D’souza, Logan S. D’souza, Divya Gunda, John Morelli, Michael Brandon Johnson, Nima Nabavizadeh
    Abstract:

    Insufficiency fractures of the pelvis, Sacrum, Spine, and long bones are painful, debilitating, and are common consequences of osteoporosis. Conventional treatment for these fractures varies from conservative therapy to surgery with plate and screw fixation. The former fails to address the underlying problem of fracture and frequently does not alleviate symptoms, while the latter is invasive and not always possible in older populations with low bone density and numerous co-morbidities. Osseous augmentation with polymethylmethacrylate (PMMA) has been used for over two decades to treat fractures related to osteoporosis, but has not been commonly used to treat fractures outside of the vertebral bodies. Osseous augmentation with PMMA is an image-guided procedure and various techniques have been utilized to treat fracture in different locations. We describe various techniques for image-guided osseous augmentation and treatment of insufficiency fractures with bothPMMA and allograft bone for fractures of the pelvis including Sacrum, acetabulum, pubic symphysis, pubic rami ilium; appendicular skeleton including distal radius, proximal femur, and vertebral body. We also describe the potential risks and complications associated with percutaneous treatment of insufficiency fractures and techniques to avoid the pitfalls of the various procedures. We will present the process for patient follow-up and data regarding the pre- and postprocedure pain response in patients undergoing treatment for pelvic insufficiency fractures.

Wesley Hsu - One of the best experts on this subject based on the ideXlab platform.

  • Image-guided, endoscopic, transcervical resection of cervical chordoma
    Journal of neurosurgery. Spine, 2010
    Co-Authors: Wesley Hsu, Thomas A. Kosztowski, Hasan A. Zaidi, Ziya L. Gokaslan, Jean Paul Wolinsky
    Abstract:

    Chordomas are rare tumors that arise from the Sacrum, Spine, and skull base. Surgical management of these tumors can be difficult, given their locally destructive behavior and predilection for growing near delicate and critical structures. En bloc resection with negative margins can be difficult to perform without damaging adjacent structures and causing significant clinical morbidity. For chordomas of the upper cervical Spine, surgical options traditionally involve transoral or submandibular approaches. The authors report the use of the image-guided, endoscopic, transcervical approach to the upper cervical Spine as an alternative to traditional techniques for addressing upper cervical Spine tumors, particularly for tumors where gross-total resection is not feasible.

Douglas P. Beall - One of the best experts on this subject based on the ideXlab platform.

  • Percutaneous treatment of insufficiency fractures
    Skeletal Radiology, 2010
    Co-Authors: Douglas P. Beall, Abhijit Datir, Sharon L. D’souza, Logan S. D’souza, Divya Gunda, John Morelli, Michael Brandon Johnson, Nima Nabavizadeh
    Abstract:

    Insufficiency fractures of the pelvis, Sacrum, Spine, and long bones are painful, debilitating, and are common consequences of osteoporosis. Conventional treatment for these fractures varies from conservative therapy to surgery with plate and screw fixation. The former fails to address the underlying problem of fracture and frequently does not alleviate symptoms, while the latter is invasive and not always possible in older populations with low bone density and numerous co-morbidities. Osseous augmentation with polymethylmethacrylate (PMMA) has been used for over two decades to treat fractures related to osteoporosis, but has not been commonly used to treat fractures outside of the vertebral bodies. Osseous augmentation with PMMA is an image-guided procedure and various techniques have been utilized to treat fracture in different locations. We describe various techniques for image-guided osseous augmentation and treatment of insufficiency fractures with bothPMMA and allograft bone for fractures of the pelvis including Sacrum, acetabulum, pubic symphysis, pubic rami ilium; appendicular skeleton including distal radius, proximal femur, and vertebral body. We also describe the potential risks and complications associated with percutaneous treatment of insufficiency fractures and techniques to avoid the pitfalls of the various procedures. We will present the process for patient follow-up and data regarding the pre- and postprocedure pain response in patients undergoing treatment for pelvic insufficiency fractures.

  • Percutaneous treatment of insufficiency fractures : principles, technique and review of literature.
    Skeletal radiology, 2009
    Co-Authors: Douglas P. Beall, Abhijit Datir, Sharon L. D’souza, Logan S. D’souza, Divya Gunda, John Morelli, Michael Brandon Johnson, Nima Nabavizadeh
    Abstract:

    Insufficiency fractures of the pelvis, Sacrum, Spine, and long bones are painful, debilitating, and are common consequences of osteoporosis. Conventional treatment for these fractures varies from conservative therapy to surgery with plate and screw fixation. The former fails to address the underlying problem of fracture and frequently does not alleviate symptoms, while the latter is invasive and not always possible in older populations with low bone density and numerous co-morbidities. Osseous augmentation with polymethylmethacrylate (PMMA) has been used for over two decades to treat fractures related to osteoporosis, but has not been commonly used to treat fractures outside of the vertebral bodies. Osseous augmentation with PMMA is an image-guided procedure and various techniques have been utilized to treat fracture in different locations. We describe various techniques for image-guided osseous augmentation and treatment of insufficiency fractures with bothPMMA and allograft bone for fractures of the pelvis including Sacrum, acetabulum, pubic symphysis, pubic rami ilium; appendicular skeleton including distal radius, proximal femur, and vertebral body. We also describe the potential risks and complications associated with percutaneous treatment of insufficiency fractures and techniques to avoid the pitfalls of the various procedures. We will present the process for patient follow-up and data regarding the pre- and postprocedure pain response in patients undergoing treatment for pelvic insufficiency fractures.

Thomas A. Kosztowski - One of the best experts on this subject based on the ideXlab platform.

  • Image-guided, endoscopic, transcervical resection of cervical chordoma
    Journal of neurosurgery. Spine, 2010
    Co-Authors: Wesley Hsu, Thomas A. Kosztowski, Hasan A. Zaidi, Ziya L. Gokaslan, Jean Paul Wolinsky
    Abstract:

    Chordomas are rare tumors that arise from the Sacrum, Spine, and skull base. Surgical management of these tumors can be difficult, given their locally destructive behavior and predilection for growing near delicate and critical structures. En bloc resection with negative margins can be difficult to perform without damaging adjacent structures and causing significant clinical morbidity. For chordomas of the upper cervical Spine, surgical options traditionally involve transoral or submandibular approaches. The authors report the use of the image-guided, endoscopic, transcervical approach to the upper cervical Spine as an alternative to traditional techniques for addressing upper cervical Spine tumors, particularly for tumors where gross-total resection is not feasible.