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“Hybrid” anterior cervical and lumbar reconstructions – spinal resculpting, stability & mobility

Minimally invasive “hybrid” cervical and lumbar reconstructions can be accomplished using a combination of one or more mobile artificial discs (total disc replacement/TDR) and sleek cages (anterior interbody fusion). These can be done through small incisions in the neck and abdomen. By 3 months post-operatively, my “hybrid” patients quite uniformly report substantially improved symptoms and […]

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Single-level anterior lumbar interbody fusion (ALIF) – Range of motion

I often get asked about what the range of lumbar motion is going to be like after a single-level anterior lumbar interbody fusion (ALIF). I say it should be good, based on the experience of my ALIF patients. This patient of mine had an L5/S1 ALIF through a small “bikini-line” lower anterior abdominal incision using […]

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Case of the “spare heart” tumour

Case of the “spare heart” tumour. Teamwork carries the day. Sometimes, neurosurgeons end up in unexpected circumstances! This lady presented with a large mass (boxes 1 & 2, red circle, in the collage below) behind her left lung and abutting her aorta and spine (box 1, yellow circle). The interventional radiologist put spinal markers in […]

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Front-back (360 degree) same-day spinal surgery for advanced conditions

I was at an excellent conference in Melbourne last week and, among other controversial topics, there was a lot of debate around why spinal fusions “don’t work”. Actually, they do work. With careful patient selection and the ‘right procedure’ tailored to the ‘right pathology’ (using minimally invasive techniques wherever possible and only doing what’s absolutely […]

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