SPINE FELLOWSHIP IN INTERPEDICULAR MINIMAL ACCESS SURGERY

This fellowship will cover all of the below, in addition to advanced degenerative cervical spine surgery options including endoscopic, atraumatic anterior approaches, custom partial corpectomy’s and cervical arthroplasty.

Several landmark studies need to be performed and pertinent literature added for advanced minimally invasive spine surgery not only utilizing decompression strategies, but stabilization and fusion strategies as well. A CV from prospective applicants will be considered for appointment.

Considerations in Minimally invasive decompression and reconstruction - Thoracic and Lumbar

1. Microsurgical anatomy of the interpedicular space
   • a. preforamenal, foraminal and postforamenal segments of each nerve root
   • b. relationship of the foramen and nerve root to the cephald pedicle for advanced minimally invasive foramenal decompression
   • c. relationship of disc space to caudal pedicle for management of lateral and far lateral discetomy, and trans-foramenal interbody fusion options
2. Management of muscle and retractors
3. Percutaneous fluoroscopic headless pedicle screw placement and use of the pedicle screw as a neuronavigation tool
4. Trans-foramenal Oblique Lumbar Interbody Fusion (OLIF)
5. Interpedicular foramenal microdecompression vs. traditional central decompression (laminectomy)
6. Dorsal segmental onlay fusion options given preservation of dorsal bone anatomy
7. Multi-level Intervertebral Reconstruction Decompression
8. Atraumatic Segmental Deformity Correction and Percutaneous Instrumentation options
9. Stabilization options- rigid vs dynamic
10. Percutaneous and endoscopic spine surgery
11. Biologics and Stem-cell technology
12. Case review and Clinical decision-making
13. Advanced use of fluoroscopy and the future of neuronavigation
14. Endoscopic decompression/stabilization/fusion options