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Use of “MAPS” for determining the optimal surgical approach to metastatic disease of the thoracolumbar spine: anterior, posterior, or combined

Invited submission from the Joint Section Meeting on Disorders of the Spine and Peripheral Nerves, March 2004

Daryl R. Fourney and Ziya L. Gokaslan

the use of the Maximum Access Lateral Table (Orthopedic Systems, Inc., Union City, CA), which provides ideal positioning during combined anterior—posterior spinal procedures while allowing up to 90° of rotation in either direction. Superior Sulcus Tumors Superior sulcus (that is, Pancoast) tumors are complex bronchogenic carcinomas that may invade the lower roots of the brachial plexus, sympathetic chain, mediastinal structures, spinal column, adjacent ribs, and chest wall. A combined approach for such lesions has been described that includes posterolateral

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Oral Presentations

2010 AANS Annual Meeting Philadelphia, Pennsylvania May 1–5, 2010

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was sufficient to bridge the distance between the second and sixth intercostal spaces along the mid axillary line. Mobilizing of the IN from midaxillary to mid-clavicular lines was sufficient in each specimen to achieve tensionlessanastomoses to the LTN at the second intercostal space. Conclusion: Nerve transfer of multiple IN to the LTN is possible and may provide surgeons the ability to restore shoulder function for scapular winging. In cases of total brachial plexus injury, where musculocutaneous restoration is a priority, the 5th and 6th IN can still be

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of those structures can be safe if appropriate technique is adopted. Full investigation of the anatomical position of the vessels might be required before surgery is performed. Neurosurg Focus Neurosurgical Focus FOC 1092-0684 American Association of Neurological Surgeons 2014.3.FOC-DSPNABSTRACTS Abstract Mayfield Clinical Science 233. Utility of Delayed Surgical Repair of Neonatal Brachial Plexus Palsy Zarina S Ali , MD , Dara Bakar , Yun Li , Alex Judd , Hiren C. Patel , MBBS, PhD

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Michelle J. Clarke, Patricia L. Zadnik, Mari L. Groves, Daniel M. Sciubba, Timothy F. Witham, Ali Bydon, Ziya L. Gokaslan and Jean-Paul Wolinsky

roots and upper trunk of the brachial plexus. The anterior spine was exposed from the C1–2 junction to C-6, with a good plane of tissue over the C-3 body tumor. To create the caudal extent of resection, a complete C4–5 anterior discectomy was performed. The posterior longitudinal ligament was incised, and a circumferential annulectomy was performed. Next, the foramen transversarium was unroofed at C-4 and C-5, allowing mobilization of the vertebral artery on the right. On the left, the vertebral artery was similarly mobilized at C-4 and C-3. A Silastic sheath was

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.3171/2017.3.FOC-DSPNabstracts 2017.3.FOC-DSPNABSTRACTS Kline Peripheral Nerve Award Presentation 103. Prediction Algorithm for Surgical Intervention in Neonatal Brachial Plexus Palsy Thomas J. Wilson , MD , Kate Chang , and Lynda Jun-San Yang , MD, PhD 3 2017 42 3 Peripheral Nerve A2 A2 Copyright held by the American Association of Neurological Surgeons. You may not sell, republish, or systematically distribute any published materials without written permission from JNSPG. 2017 Introduction: Neonatal