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).

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.