Pablo Pazmiño

By Pablo Pazmiño

The cervical hybrid arthroplasty is a surgical option for appropriately indicated patients, and high success rates have been reported in the literature. Complications and failures are often associated with patient indications or technical variables, and the goal of this chapter is to assist surgeons in understanding these factors.

Part of the book: Minimally Invasive Spine Surgery

By Pablo Pazmiño

The lumbar foraminoplasty is a novel surgical option for appropriately indicated patients, and high success rates have been reported in the literature. Complications and failures are often associated with patient indications or technical variables, and the goal of this chapter is to assist surgeons in understanding these factors.

Part of the book: Frontiers in Spinal Neurosurgery

By Pablo Pazmiño

Often during the reconstruction of Adult and Pediatric Spinal Deformities pedicle screw fixation is insufficient and a distal anchor with pelvic fixation is of paramount importance. Various techniques regarding the methodologies of Spinopelvic fixation (SPF) and placement of Sacral-1 Alar Iliac (S1AI) and Sacral-2 Alar Iliac (S2AI) screws has been described in the literature. While there is some consensus among the various techniques and angles utilized, these are often difficult to reproduce in an operative setting. Recently navigation systems have allowed for the successful navigation of the Sacro Alar Iliac corridor without screw complications, however not every facility has this technology on hand. Therefore, proficiency with the safe and accurate placement of Sacroalar iliac (SAI) screws using standard fluoroscopic imaging becomes a vital technique when circumstances demand ample distal fixation. To our knowledge, a definitive step by step review of the sacroalar iliac technique warrants description in order to delineate the insertion point and exact fluoroscopic imaging which can help confirm the safe placement of SAI screws through the anatomical corridor.

Part of the book: Adult and Pediatric Spinal Deformities - Recent Advances and Evolution of Technologies [Working title]