Goel Harms C1-C2 Fusion (Audio)

Thank you for all your support for the the previous video on this technique. I think, it is the most watched (35K+) C1-C2 surgical technique video on Youtube!

It took me 4 years + to give this video a voice over. Please check out the new version. I have also included the surgical technique of the C1 posterior arch screw in this video (4:31).

Video Atlas : Thoracotomy approach for spinal tuberculosis

This is a surgical technique video of anterior thoracotomy approach for spinal tuberculosis. This approach was popularised by Arthur Hodgson from Hong Kong in the 1970s. As spinal tuberculosis mostly affects the anterior column, this approach provides an excellent visualisation of the pathology and allows for a direct visual on the anterior epidural abscess. This procedure has become uncommon in the last decade as most surgeons are comfortable with a posterior transpedicular approach for this pathology. A consequence of this trend is that young trainees are not exposed to this technique as frequently. Hope this surgical video can be a substitute for this inadequacy.

Anterior odontoid screw AAOS Video

Excellent surgical video of anterior odontoid screw fixation published by the AAOS

Indications for an anterior odontoid screw fixation are:

1. Acute Type 2 fracture with favorable​ fracture anatomy
2. Shallow Type 3 fracture with an intact C2 vertebral body
4. Intact Transverse ligament
5. A young​ patient with good bone stock

The video is by doctors Manuel Valencia, Paulina De La Fuente, Selim Abara, Felipe Novoa, Andreas Leiva, Arturo Olid

For an ​in-depth​ review of odontoid fractures click here for a detailed mind map​.

Trans-sacral fibula for high-grade spondylolisthesis – Surgical video

Watch our surgical video of a trans-sacral fibula (Bohlman’s) procedure for high-grade spondylolisthesis. This patient started of as a low-grade adult isthmic spondylolisthesis and two surgeries later he ended up with an iatrogenic high grade slip with a nonunion at L5-S1.

The surgery was performed by the spine surgery team at Sir H.N. Reliance Foundation Hospital in Mumbai.

 

Minimally invasive microdiscectomy – Surgical Video

 

This is a surgical video of minimally invasive microdiscectomy.

This is a common operation performed for persistent, severe sciatica due to lumbar disc herniation. Open microdiscectomy is the traditional way for performing this surgery, however, in the recent times, a minimally invasive approach has gained popularity.

Potential advantages of minimally invasive microdiscectomy are limited muscle injury, lesser pain and a shorter hospital stay.

Here we demonstrate a minimally invasive tubular microdiscectomy in a 22-year-old woman with right lower extremity radiculopathy of 6 months duration secondary to a right sided L4-5 disc herniation.

C1-C2 fusion (Harms-Goel technique) – Surgical Video

For the Audio version please click here

This is a surgical technique video demonstrating posterior atlantoaxial fusion (C1 lateral mass – C2 pedicle screw fixation) technique as described by Dr. Goel and Dr. Laheri, which was subsequently modified by Dr. Jurgen Harms.

Patient is a 45 year old woman with atlantoaxial instability due to Rheumatoid arthritis. She presented with intractable neck pain without myelopathy. Since the PADI (posterior atlanto-dens interval) was significantly reduced, decision was taken to perform C1-C2 fusion.

References:

Goel A, Laheri V. Plate and screw fixation for atlanto-axial subluxation. Acta Neurochir (Wien) 1994;129:47–53.

Harms J, Melcher RP. Posterior C1-C2 fusion with polyaxial screw and rod fixation. Spine 2001;26:2467–2471.