Anterior Cervical Decompression and Fusion ACDF Live Spine Surgery Tutorial Spine Surgeon
hello this is corenman we're goingto go through a tutorial and animation of an anterior cervical decompressionand fusion C six seven here you see a side view xraylateral xray where there's an angulation and here yousee the MRI with the herniation at the base of the spine this is a normal level transversely and the next picture will be thehernaited disc where you see it's compressing both the cord
as well as the two holes the nerves exit we first start with a small transverseincision on the side of the neck point and we disect directly onto the anterior part ofthe neck we put in these two small distractionpins called caspar pins that allows us to pull the vertebraapart to its normal height typically thesevertebra have collapsed at least half way this is a picture of what the annulusitself looks like in a live tutorial you can see this little penfield goinginto the tear that tear obviously should
be attached to that vertebra but thispatient has torn off their annulus we then take off the anterior aspect of the annulus and this tutorial depicts howit's done in a simple matter and we'll see how we do it using a typical eleven blade here is the little tiny scalpel
that goes in and removes this annulus the nucleus is missing in this patientit had actually dissolved away and the rest of it went tothe back of the neck compressing the nerves here we see a small tool removing this portion of the annulus we then remove the spurs
on the front portion of the neck so we can get the two vertebra parallel and have a good spot to dock our plate in addition it allows us to be able toknow the depth of the graft that we need here we see aburr taking off theses spurs once we have the spurs in the frontremoved we then need to remove the spurs thatoccur within the disc itself and we see this little dremel typedevice the burr removing that bone
and here we see a live version of thesame thing where the burr actually takes the spuroff the bone and we need to have the end platesparallel because the end plates in a typicalcervical vertebra have some curve to them and in order to be accepting of a good placement of a graft we have to take these end plates down we then curette the cartilage that sits on each endplate
Shoulder Pain All About Tendonitis Frozen Shoulder Bursitis and Rotator Cuff Tear
Shoulder pain affects everyone. Some people get tendonitis. Other folks get bursitis. Frozen shoulder is also quite common. Personally, my shoulder pain comes from shoulder impingement syndrome.
Sometimes I have right shoulder pain and other shoulder pain symptoms. Other days I suffer from left shoulder pain and then do shoulder pain exercises and go get shoulder paintreatment. I always have shoulder pain when to see a .
This is why I made a tutorial about shoulder pain.