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Jean-Paul Wolinsky, Daniel M. Sciubba, Ian Suk and Ziya L. Gokaslan

. Neurosurgery 8 : 672 – 674 , 1981 7 Balasingam V , Anderson GJ , Gross ND , Cheng CM , Noguchi A , Dogan A , : Anatomical analysis of transoral surgical approaches to the clivus . J Neurosurg 105 : 301 – 308 , 2006 8 Bertrand J , Luc B , Philippe M , Philippe P : Anterior mandibular osteotomy for tumor extirpation: a critical evaluation . Head Neck 22 : 323 – 327 , 2000 9 Bruneau M , Cornelius JF , Marneffe V , Triffaux M , George B : Anatomical variations of the V2 segment of the vertebral artery . Neurosurgery

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Sean Dangelmajer, Patricia L. Zadnik, Samuel T. Rodriguez, Ziya L. Gokaslan and Daniel M. Sciubba

approach is often used in combination with open fusion procedures, increasing patient exposure to open surgical risks. 25 A patient's global spinal alignment further determines the surgical approach for DLS. Spinopelvic parameters such as lumbar lordosis, sagittal vertical axis, pelvic tilt, and pelvic incidence can be disrupted in patients with DLS, requiring surgical correction. Osteotomies are often used to restore lumbar lordosis and correct the overall sagittal balance for patients with DLS. 1 , 6 , 8–12 , 14 , 15 , 20 , 22 , 23 , 32 , 34 , 37 , 38 , 42 Posterior

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Matthew J. McGirt, Frank J. Attenello, Daniel M. Sciubba, Ziya L. Gokaslan and Jean-Paul Wolinsky

report our initial experience with ETO for the treatment of pediatric basilar invagination and cranial settling. Clinical Materials and Methods We recently described a novel, minimally invasive, endoscopic transcervical approach that can be used to perform odontoidectomy for basilar invagination in adults. 44 Subsequently, we have applied this surgical approach to the treatment of pediatric basilar invagination and cranial settling. The clinical presentation and examination results, imaging findings, operative variables, perioperative course, and subsequent

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Kaisorn L. Chaichana, Courtney Pendleton, Daniel M. Sciubba, Jean-Paul Wolinsky and Ziya L. Gokaslan

; anterior, posterior, and combined anterior-posterior approaches were used in 40 (35%), 34 (30%), and 40 (35%) of the patients, respectively. Gross-total resection of the lesion was performed in 22 patients (19%), and 98 (86%) underwent spinal fusion. TABLE 2: Summary of long-term surgical outcomes in 114 patients with MESCC stratified by histological type of primary cancer Characteristic Lung (17 pts) Breast (26 pts) Prostate (20 pts) Kidney (21 pts) GI (13 pts) Melanoma (7 pts) surgical approach  anterior 7 (26

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Surgical management of giant presacral schwannoma: systematic review of published cases and meta-analysis

Presented at the 2019 AANS/CNS Joint Section on Disorders of the Spine and Peripheral Nerves

Zach Pennington, Erick M. Westbroek, A. Karim Ahmed, Ethan Cottrill, Daniel Lubelski, Matthew L. Goodwin and Daniel M. Sciubba

presacral schwannoma, and 2) perform a meta-analysis to look for significant differences in local recurrence, estimated blood loss (EBL), and complication rates as a function of both surgical approach and extent of resection (EOR). The main questions we sought to address were: 1) what are the most common presenting symptoms of giant presacral schwannoma; 2) does en bloc resection provide superior recurrence-free survival relative to piecemeal gross-total (GTR) or subtotal resection (STR); 3) do complication rates differ among the available surgical approaches; and 4) does

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Camilo Molina, C. Rory Goodwin, Nancy Abu-Bonsrah, Benjamin D. Elder, Rafael De la Garza Ramos and Daniel M. Sciubba

laminectomy without instrumentation has many disadvantages including a failure to resolve anterior compression and the introduction or exacerbation of spinal instability. Given the shortcomings of decompressive laminectomy without instrumentation, circumferential decompression approaches became more prevalent. Today, surgical approaches are mostly chosen by their practicality in relation to the region of the affected spine (not all levels are equally accessible) and the goals of surgery. For example, metastatic spine lesions occurring ventrally in the subaxial cervical

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Joseph C. Noggle, Daniel M. Sciubba, Clarke Nelson, Giannina L. Garcés-Ambrossi, Edward Ahn and George I. Jallo

Neurosurg 95 : 15 – 23 , 2001 13 Longatti P , Perin A , Ettorre F , Fiorindi A , Baratto V : Endoscopic treatment of brain abscesses . Childs Nerv Syst 22 : 1447 – 1450 , 2006 14 Maroon JC , Kennerdell JS : Surgical approaches to the orbit. Indications and techniques . J Neurosurg 60 : 1226 – 1235 , 1984 15 Perneczky A , Fries G : Endoscope-assisted brain surgery: part 1—evolution, basic concept, and current technique . Neurosurgery 42 : 219 – 225 , 1998 16 Perneczky A , Fries G : Use of a new aneurysm clip with an

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Rafael De la Garza Ramos, C. Rory Goodwin, Nancy Abu-Bonsrah, Ali Bydon, Timothy F. Witham, Jean-Paul Wolinsky and Daniel M. Sciubba

) ( Table 2 ), with a median age at surgery of 52 years; 55.6% were male. The most common location was the thoracolumbar spine (61.9% of cases), and 50% of patients had instrumentation of 3 or more spinal segments. The surgical approach was posterior alone in 38.9% of cases, anterior alone in 26.6%, and combined in 34.5%. The mortality rate was 3.2%, and the median LOS was 16 days. The percentage of patients who developed at least 1 in-hospital complication was 38.8%. The proportion of patients with spinal TB who required surgery was 23.1%, 20.0%, 13.6%, 16.9%, 23.4%, 25

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Daniel M. Sciubba, Joseph C. Noggle, Ananth K. Vellimana, Hassan Alosh, Matthew J. McGirt, Ziya L. Gokaslan and Jean-Paul Wolinsky

successful placement of C-2 PSs based solely on anatomical landmarks and extensive dissection, intraoperative fluoroscopy undoubtedly has an important role in PS constructs. The importance of intraoperative fluoroscopy cannot be overemphasized in circumstances where aberrant C-2 architecture precludes a surgical approach dependent on the visualization and spatial orientation of the anatomical landmarks reported in this study. Conclusions Free-hand placement of PSs at C-2 can be accomplished safely and effectively without the use of intraoperative fluoroscopy or

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Gary L. Gallia, Daniel M. Sciubba, Ali Bydon, Ian Suk, Jean-Paul Wolinsky, Ziya L. Gokaslan and Timothy F. Witham

. Spine 30 : S66 – S70 , 2005 9 Gaines RW , Nichols WK : Treatment of spondyloptosis by two stage L5 vertebrectomy and reduction of L4 onto S1 . Spine 10 : 680 – 686 , 1985 10 Gandhi S , Walsh GL , Komaki R , Gokaslan ZL , Nesbitt JC , Putnam JB Jr , : A multidisciplinary surgical approach to superior sulcus tumors with vertebral invasion . Ann Thorac Surg 68 : 1778 – 1785 , 1999 11 Grunenwald D , Mazel C , Girard P , Berthiot G , Dromer C , Baldeyrou P : Total vertebrectomy for en bloc resection of lung