Case Example / Pre-Op Planning

We're going to do a one level eye mask case clinically. The patient is symptomatic for L5-S1 with a combination of an L5 radiculopathy, particularly exacerbated by vertical load and hyperextension.

This phase of the case is the preoperative planning.

I get a through the pedicle shot of L5 parallel to the end plate superior L5. Do the same thing at S1 and get the angle of attack there. We'll make a mark S1 left, a mark S1 right.

And that'll be our entry point. We'll now adjust AP flora for a superior end plate view of L5. There's L5 left.

We'll go to the Other side. There's L5, right.

That gives us our pedicle map and it's going to give me complete exposure from pedicle L5 to pedicle S1.