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Hybrid cervical and lumbar anterior reconstruction

Whenever feasible, I prefer to replace worn out symptomatic cervical and lumbar discs with artificial mobile prosthetics (disc arthroplasty instead of fusion). However, sometimes, a fusion cage is used for one of the levels being treated for improvement or restoration of the lordotic spinal curve, or for prevention and treatment of mechanical instability, or if […]

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Normal versus abnormal lumbar anatomy

This set of 4 images below is illustrative of normal lumbar anatomy versus abnormal lumbar anatomy. The images can be used in conjunction with information that CNS Neurosurgery has provided on our Spondylosis page. Image below: Normal lumbar anatomy as seen on a sagittal T2 MRI. Image below: Normal lumbar anatomy as seen on an […]

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I’ve searched the world to find and use what I consider to be the best anterior spinal reconstruction prosthetics

This ‘case study’ is a great example of how wonderful prosthetics can be used to reconstruct a neuro-compressive and increasingly painful cervical spine condition. These products are supported by scientific peer-reviewed published studies. This nice man in his late-40s had presented with symptomatic cervical spondylosis. His pre-operative MRI of the cervical spine (the first two […]

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“Lumbarised S1” – The transitional (potentially mobile) lumbosacral segment and its excellent fixation via “double-ALIF”.

This man in his 40s, Patient “X”, presented with progressive low back pain and sciatica. The MRI below shows the dark “desiccated” discs (deranged by LOSS of hydration and height, and hence also their normal cushioning function) at “L4/5 and L5/S1” (in red dashed circle), with a forward slip (magenta dashed arrow, below) of his […]

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