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274 Index
hydromorphone 246, 246 advanced imaging 78–80, 82
hydrotherapy 262–264, 264 bladder management 251
hyperadrenocorticism 23 cervical see cervical disc herniation
hypercalcemia 62 CT 78–80, 79, 80
hyperglycemia 62 extrusion vs protrusion 76, 78
hyperkalemia 62 lumbosacral 223, 228, 228
hypernatremia 62 MRI 66, 76, 76, 78, 80
hypocalcemia 62 myelography 71, 78, 79
hypoglycemia 62 postoperative analgesia 246–247
hypokalemia 62 sinus tachycardia 68
hyposthenuria 63 thoracolumbar see thoracolumbar disc herniation
hypotension, intraoperative 160–161 intervertebral space, distraction 171, 171
hypothyroidism 23 intervertebral spacers
cervical distraction 172, 172
iliocostalis lumborum muscle 185, 193, 193 complications 177
iliocostalis thoracis muscle 193 lumbosacral distraction 229
imaging intracranial abscess
intracranial see intracranial imaging minimum database 26–27, 27
intraoperative see intraoperative imaging transfrontal craniotomy 102, 102
postoperative 253 intracranial hemorrhage
skull tumors 30, 121, 122 contraindicating lumbar tap 89
spinal surgery 71–82 imaging 33–35, 34, 39, 40, 41
see also computed tomography; magnetic resonance imaging; intraparenchymal 34, 39
radiography; ultrasonography presurgical investigations 23, 24
Imex Miniature Interface® pins 13 transfrontal craniotomy 102
implant failure intracranial imaging, advanced 24, 29–50
cervical distraction and stabilization 176, 177, 178 image interpretation 36–44
thermal injury as cause 12 intraoperative 44–50
vertebral fracture/luxation repair 212, 219, 220 renal complications of contrast agents 23
implants, orthopedic 11–18 techniques 29–36
bone plates 16–18 intracranial pressure (ICP), raised
bone screws 13–16 clinical features 21–22, 22
instruments for placing 10, 10 contraindicating lumbar tap 88–89
pins and wires 11–13 imaging 38–39
incisional care, postoperative 253–254, 253–254 minimum database 21–22, 24
incisional dehiscence 254 intracranial surgery
incontinence 266, 267 advanced imaging 29–50
infections, postoperative 254 indications 21
cervical distraction and stabilization 177 minimum database 21–27
spinal surgery 59–60 intracranial tumors
thoracolumbar lateral corpectomy 203 diagnostic imaging 38, 38–39, 39
VP shunts 134 hemorrhagic 39, 41
inflammatory CNS disease 44, 90, 90 intraoperative ultrasonography 46–48, 47
instrumentation, neurosurgical 3–10 lateral rostrotentorial approach 109, 109
integument see skin magnetic resonance spectroscopy 35–36, 36
interarcuate ligaments see ligamentum flavum metastatic 38, 38
interspinales muscle 85–86 minimum database 24, 24–26
interspinous ligaments 86 suboccipital craniectomy 115, 115, 116, 117–118
intervertebral disc fenestration 191–197 transfrontal craniotomy 100, 101, 105
blade 191, 191–192, 194–195, 195 intradural–extramedullary spinal lesions
cervical 192, 193 imaging 76, 77, 77–78
complications 196, 196–197, 197 neoplasia 235, 236, 239, 239, 240
extent of nucleus pulposus removal 191–192, 192 intramedullary spinal cord lesions
indications 192 imaging 76, 77, 77, 81, 81–82
postoperative care 197 intervertebral disc disease 80
power‐assisted 191–192, 195 tumors 235, 237, 239, 240
procedure 194–195, 195–196 intraoperative imaging 44–50
surgical approaches 192–194 image‐guided brain biopsy 48–50, 49
thoracolumbar 193–197 lateral rostrotentorial craniectomy 110–112, 113
at time of hemilaminectomy 182 rationale 44–46
intervertebral disc herniation ultrasonography 46–48, 47