- Training
- 21/08/2020
- US
Cervical Spine C1-C2 Fusion
Description
In this instructional video on C1-2 fusion surgery, Dr. Han Jo Kim, an attending Spine Surgeon at the Hospital for Special Surgery, guides viewers through the step-by-step process of the procedure. The video starts with an emphasis on making a standard posterior incision while carefully navigating through the nuccal ligament to create an avascular plane. The surgeon palpates critical bony landmarks, including the C1 lamina and C2 spinous process, to maintain proper dissection depth and avoid damaging the thecal sac during the process.
As the surgery progresses, Dr. Kim demonstrates various techniques such as applying McCulloch retractors, performing sub-periosteal dissection, and utilizing bipolar cautery to manage venous bleeding from the plexus. Throughout the video, he underscores the importance of preoperative imaging, including CT angiograms, to assess vertebral artery anatomy before placing screws.
The video showcases drill techniques for the C2 screw placement and emphasizes minimizing risks of injury to surrounding structures. The use of biologics and DBM for achieving successful fusion is highlighted, along with post-operative care regarding hemostasis using products like Floseal and Surgicil.
Dr. Kim demonstrates the preparation of the fusion bed by burring down cartilage and soft tissue to expose healthy cancellous bone for optimal grafting. The video concludes with a focus on the importance of maintaining muscle integrity during the procedure, illustrating the meticulous approach necessary to achieve the desired outcomes in spine surgery.
Part of: Surgical Techniques and Training Collection
"Cervical Spine C1-C2 Fusion" is included in the following Surgical Techniques and Training playlist: