Lumbar Surgeries

Question 1

medial branch neurotomy

Answer 1

radiofrequency ablation of medial branch of dorsal rami

Question 2

medial branch neurotomy done for who

Answer 2

pain relief to address zjt pain

Question 3

laminoforaminotomy

Answer 3

tissue in neuroforamen compressing nerve tissue removed

Question 4

laminectomy

Answer 4

removal of the lamina
diminished stability

Question 5

laminoplasty

Answer 5

reconstruction of posterior ring at lamina

Question 6

open door laminoplasty

Answer 6

bone graft from SP fixated on open side

Question 7

indications for laminoplasty

Answer 7

multi-level spondylosis / spinal stenosis (central)

Question 8

percutaneous discectomy

Answer 8

aspiration of nucleus via probe

Question 9

indications for percutaneous discectomy

Answer 9

HNP / disc origin of symptoms

Question 10

microdiscetomy

Answer 10

removal of disc that is compressing / irritating the nerve root

Question 11

indications for interbody fusion

Answer 11

lateral stenosis

Question 12

interbody fusion

Answer 12

reduces/eliminates segmental motion/stress on involved structures

Question 13

TLIF

Answer 13

transforaminal lumbar interbody fusion

bone graft & titanium mesh placed into distracted IV space

Question 14

ALIF

Answer 14

anterior lumbar interbody fusion

fixation with bone grafts, cages, dowels

Question 15

what are interbody fusions at increased risk for

Answer 15

subsequent degeneration of adjacent segments

Question 16

arthroplasty

Answer 16

disc is removed and placed w metal & plastic prosthesis

restoration of motion

better alignment

Question 17

arthroplasty avoids what

Answer 17

subsequent adjacent segment stress