Neurosurgical Techniques
🧠 Cranial Neurosurgery
Craniotomy-based Techniques
see Craniotomy
Approaches
Stereotactic and Minimally Invasive
- Frame-based stereotactic biopsy
- Frameless neuronavigation-guided biopsy
- Endoscopic-assisted craniotomy
- Laser interstitial thermal therapy (LITT)
- BrainPath tubular retractor system
- Robotic-assisted stereotaxy
🧬 Functional Neurosurgery
- Deep Brain Stimulation (DBS)
- Vagal Nerve Stimulation (VNS)
- Responsive Neurostimulation (RNS)
- Focused ultrasound thalamotomy
- Stereotactic lesioning (pallidotomy, thalamotomy)
- Intrathecal drug delivery systems (baclofen pumps)
- Corpus callosotomy
- Hemispherectomy / hemispherotomy
🧵 Spinal Neurosurgery
Decompression Techniques
- Laminectomy
- Laminotomy
- Foraminotomy
- Discectomy (open, microdiscectomy, endoscopic)
Stabilization and Fusion
- Posterior lumbar interbody fusion (PLIF)
- Transforaminal lumbar interbody fusion (TLIF)
- Anterior cervical discectomy and fusion (ACDF)
- Lateral lumbar interbody fusion (LLIF/XLIF)
- Minimally invasive spinal fusion (MIS-TLIF, OLIF)
- Pedicle screw fixation
- Vertebroplasty / kyphoplasty
Tumor Resection
- Intramedullary tumor resection
- Extradural or intradural-extramedullary tumor excision
🧒 Pediatric Neurosurgery
- Endoscopic third ventriculostomy (ETV)
- Choroid plexus coagulation
- Craniosynostosis surgery (strip craniectomy, cranial vault remodeling)
- Myelomeningocele repair
- Posterior fossa decompression for Chiari malformation
🧠 Neurovascular Techniques
- Aneurysm clipping
- Aneurysm coiling (endovascular)
- Arteriovenous malformation (AVM) resection
- Carotid endarterectomy
- Bypass surgery (STA-MCA bypass)
- Cerebral revascularization
- Decompressive craniectomy for stroke or trauma
🩺 Hydrocephalus and CSF Management
- Ventriculoperitoneal (VP) shunt placement
- Endoscopic third ventriculostomy (ETV)
- Lumbar or cisternal drain placement
- Ommaya reservoir insertion
🧫 Oncologic Techniques
- En bloc tumor resection
- Supratotal resection strategies
- Fluorescence-guided surgery (5-ALA, fluorescein)
- Intraoperative MRI or ultrasound-guided resection
- Cavitron ultrasonic surgical aspirator (CUSA)
⚙️ Adjunct Technologies
- Intraoperative navigation (neuronavigation)
- Intraoperative neuromonitoring (IONM)
- Intraoperative MRI/CT
- Ultrasound guidance
- Exoscope and microscope-assisted techniques
- Endoscopic neurosurgery