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Spinal surgery
Indications for endoscopic surgery
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Case presentation
Introduction to thoracoscopic surgery
Hyperhidrosis (Sweaty Palms)


 

 

 

 





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NOEL I. PERIN. MD, FRCS (Ed), FACS
Director, Spine and Minimally Invasive Surgery
Department of Neurosurgery
St. Luke's-Roosevelt Hospital Center


AREAS OF EXPERTISE

Spinal endoscopy
Minimally invasive spinal surgery
Spinal tumors
Fractures
Deformities
Cervical, thoracic and lumbar disc herniations
Stenosis
Spinal instrumentation.

To learn more about a spinal condition, visit spineuniverse.com for medically approved information. Dr. Perin is a professional member of SpineUniverse.


OFFICE

1000 Tenth Avenue, Suite 5G80
New York, NY 10019
Phone: (212) 523-6720
Fax: (212) 523-6115
E-mail: nperin@slrhc.org


ABBREVIATED CURRICULUM VITAE


Noel I. Perin. MD, FRCS (Ed), FACS
Director, Spine and Minimally Invasive Surgery
Department of Neurosurgery
St. Luke's-Roosevelt Hospital Center

Education
University of Colombo, Faculty of Medicine, Colombo, Sri-Lanka

Internship and Post-Graduate Education
General Surgery, Emergency Medicine
St. Helier's Hospital, Carshalton, Surrey, England

General Surgery, Orthopedics
Chelmsford, Essex and Broomfield Hospitals, Essex, England
(Dr. Moore, FRCS; Dr. Waddington, FRCS; Dr. Roxburgh, FRCS)

Neurosurgery (senior house officer, fellow/registrar)
The Middlesex Hospital, London, England
(Dr. John Andrew, FRCS; Dr. Allan Crockard, FRCS)

Neurosurgery (residency)
New York University Medical Center, New York, NY
(Dr. Joseph Ransohoff, chair)

Spinal Surgery (neuro and ortho fellowship)
New York University Medical Center, New York, NY
(Dr. Paul Cooper, Dr. Thomas Errico)

Complex Cervical Spine Surgery (fellowship)
Osnerbruk, West Germany
(Dr. Andreas Weidner)

Membership
American Board of Neurological Surgeons, 1995
American College of Surgeons, 1996
Royal College of Surgeons, Edinburgh (General Surgery)

Hospital Appointments
Assistant Professor, Department of Neurosurgery
Director of Neuro-trauma and Spine
University of Cincinnati and the Mayfield Neurological Institute

Associate Professor, Department of Neurosurgery
Director of Spinal Neurosurgery
Mount Sinai School of Medicine, Manhattan, NY
Elmhurst Hospital, Queens, NY
St Joseph's Hospital, Patterson NJ.

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Presentations
Intramedullary spinal-cord tumors
University of Cincinnati, Department of Neurosurgery, Grand Rounds, Cincinnati, OH, February 1991
Cervical spine trauma
University of Cincinnati, Department of Neurosurgery, Grand Rounds, Cincinnati, OH, July 1991
Instrumentation of the upper cervical spine
Hilton-Head Neurosurgical Symposium, organized by the Mayfield Neurological Institute and the University of Cincinnati, Department of Neurosurgery, Hilton-Head, NC, August 1991
Surgical treatment of intra-medullary tumors
Hilton-Head Neurosurgical Symposium, organized by the Mayfield Neurological Institute and the University of Cincinnati, Department of Neurosurgery, Hilton-Head, NC, August 1991
New concepts in lumbar disc surgery
Hilton-Head Neurosurgical symposium, organized by the Mayfield Neurological Institute and the University of Cincinnati, Department of Neurosurgery, Hilton-Head, NC, August 1991
Spinal trauma
University of Cincinnati Department of Neurosurgery, Grand Rounds, Cincinnati, OH, September 1991
Pitfalls in cervical spine surgery
Congress of Neurological Surgeons Annual Meeting, Orlando, FL, October 1991
Cervical spine trauma
University of Cincinnati, emergency medicine Grand Rounds, Cincinnati, OH, March 1992
Basics of fusion in the cervical spine
American Association of Neurological Surgeons, a sponsored, hands-on course, University of Cincinnati, OH, May 1992
Surgical techniques in spinal stabilization
Good-Samaritan Hospital, seminar on spinal cord injury sponsored by the University of Cincinnati, OH, July1992
Faculty consultants' corner: Spine
Congress of Neurological Surgeons Annual Meeting, Washington DC, October 1992
Basics of fusion: Cervical spine
American Association of Neurological Surgeons Annual Meeting, hands-on course, Los Angeles CA, November 1992
Surgical stabilization of the upper cervical spine
Spine workshop sponsored by the University of Florida, Salt Lake City, UT, January 1993
Indications and methods of lumbar spine stabilization
Neurosurgical Symposium, organized by the Mayfield Neurological Institute and the University of Cincinnati, Snowmass Village, CO, March 1993
Metastatic disease of the spine
Neurosurgical symposium, organized by the Mayfield Neurological Institute and the University of Cincinnati, Snowmass Village, CO, March 1993
Treatment of metastatic disease of the spine
The Jewish Hospital, general surgical Grand Rounds, Cincinnati, OH, May 1993
Basics of fusion, cervical spine
American Association of Neurological Surgeons, hands-on course, Toronto, Canada, June 1993
Posterior cervical stabilization
American Association of Neurological Surgeons, hands-on course, Toronto, Canada, June 1993
Baclofen pump in spinal cord injury
Good-Samaritan Hospital, spinal cord injury seminar, sponsored by the University of Cincinnati, OH, June 1993
Lumbar-sacral orthoses, bone healing, grafts and stimulators
American Association of Neurological Surgeons, hands-on course, Mayo-Clinic, Rochester, MN, July 1993
Faculty consultants' corner: Spine
Congress of Neurological Surgeons Annual Meeting, Vancouver, Canada, October, 1993
Spinal cord injury diagnosis and treatment
Northern Kentucky Rehabilitation Center, Grand Rounds, Kentucky, TN, November 1993
Surgical stabilization of the upper cervical spine
University of Florida spine workshop, Snowbird, Salt Lake City, UT, January 1994
Anterior cervical instrumentation
Sofamor-Danek Annual Sales Meeting, Memphis, Tennesse, TN, January 1994
Occipitocervical stabilization
Mount Sinai Medical Center, Department of Neurosurgery, weekly Grand Rounds, New York, NY, January 1994
Spinal endoscopy
Annual Meeting of the American Association of Neurological Surgeons, plenary session, San Diego, CA, April 199
Posterior instrumentation of the lower cervical spine
American Association of Neurological Surgeons, continuing medical education course, New Orleans, LA, May 1994
Spinal endoscopy
Neurosurgical Symposium, University of Florida, Tampa, FL, September 1994
Atlanto-axial screw fixation
Congress of Neurological Surgeons Annual Meeting, craniocervical stabilization, hands-on course, Chicago, IL, October 1994
Lumbar spinal endoscopy
Congress of Neurological Surgeons Annual Meeting, neuroendoscopy, hands-on course, Chicago, IL, October 1994
Pathophysiology of rheumatoid disease of the spine and cranio-cervical area and management strategies
American Association of Neurological Surgeons Annual Meeting, breakfast seminar, Orlando, FL, October 1995
Spinal endoscopy
American Association of Neurological Surgeons Annual Meeting, breakfast seminar, Orlando, FL, October 1995.
Basic endoscopy: minimally invasive techniques
University of Florida, hands-on, lumbar instrumentation course, Orlando, FL, September 1995
Thoracoscopic spinal surgery - minimally invasive surgery in the lumbar spine
University of Florida, hands-on, lumbar instrumentation course, Orlando, FL, September 1995
Orthoses and biology of bone healing
American Association of Neurological Surgeons, thoraco-lumbar, professional development, hands-on course, New Orleans, LA, September 1995
Spinal endoscopy
American Association of Neurological Surgeons, thoraco-lumbar, hands-on course, New Orleans, LA, September 1995
Thoracoscopic disc herniation
University of Arizona and Barrow Neurological Institute, thoracoscopic-spine surgery, hands-on course, January 1996
Posterior stabilization of the upper cervical spine
Congress of Neurological Surgeons Annual Meeting, luncheon seminar, San Francisco, CA, October 1995
Orthoses and biology of bone healing
American Association of Neurological Surgeons, thoraco-lumbar spinal surgery professional development course, New Orleans, LA, March 1996
Spinal endoscopy
American Association of Neurological Surgeons, thoraco-lumbar spinal surgery professional development course, New Orleans, LA, March 1996
Management of rheumatoid arthritis
American Association of Neurological Surgeons, cranio-cervical junction practical course, organized, Minneapolis, MN, April 1996
Surgical management of rheumatoid arthritis of the upper cervical spine
American Association of Neurological Surgeons, breakfast seminar, Minneapolis, MN, April 1996
Biology of bone healing
American Association of Neurological Surgeons, thoraco-lumbar spinal surgery professional development course, Chicago, IL, October 1996
Spinal endoscopy
American Association of Neurological Surgeons, thoraco-lumbar spinal surgery professional development course, Chicago, IL, October 1996
C1- C2 fixation
New York University Medical Center, New York City Neurosurgery symposium, New York, NY, December 1996
Surgical management of rheumatoid arthritis of the upper cervical spine
American Association of Neurological Surgeons, cranio-cervical junction practical course San Frisco, April 1997
Microdiskectomy to Endoscopy
Congress of Neurological Surgeons, luncheon seminar, New Orleans, LA, September 1997
Bone grafts and substitutes in spinal fusion
Annual Congress of Neurological Surgeons, luncheon seminar, Seattle, WA, October 1998
Avoidance and treatment of complications in spinal surgery
Congress of Neurological Surgeons, luncheon seminar, Seattle, WA, October 1998
Advances in spinal endoscopy
Nassau Surgical Society Clinic Day, neurosurgical symposium, Long Island, NY, December 1998
Thoracoscopic surgery equipment and OR set-up; Endoscopic and video-monitored, minimally invasive surgery of the spine; Approaches for treatment of thoracic and lumbar-spinal pathology
Albany Medical Center, Albany, NY, April 1999
Thoracoscopic discectomy; Endoscopic and video-monitored minimally invasive surgery of the spine; Approaches for treatment of thoracic and lumbar spinal pathology
Albany Medical Center, Albany, NY, April 1999
Thoracoscopic spinal surgery
Symposium on Orthopedic Spinal Surgery, Jeddah, Saudi Arabia, May 1999
Occipito-cervical instability: Presentation, diagnosis and management
Symposium on Orthopedic Surgery, Jeddah, Saudi Arabia, May 1999
Laparoscopic lumbar interbody fusion with bone dowels/cages
Symposium on Orthopedic Surgery, Jeddah, Saudi Arabia, May 1999
Endoscopic spinal surgery: Early experience and results
Mount Sinai Medical Center, Neurosurgery Research Day, New York, NY, June, 1999
Management of instability in the upper cervical spine
Mount Sinai Medical Center, neurosurgery Grand Rounds, New York, NY, July 1999
Management of head and spinal trauma
Mount Sinai Medical Center, Department of Neurology, Grand Rounds, New York, NY, August 1999
Posterior stabilization of the sub-axial cervical spine
Annual Congress of Neurological Surgeons, luncheon seminar, Boston, MA, October 1999
Thoracoscopic biopsy techniques
Practical Course in Thoracoscopic Spinal Surgery, Boston, MA, October, 1999
Thoracoscopic spine surgery indications, contraindications and cost effectiveness
Annual Congress of Neurological Surgeons Meeting, selected papers spine section, Boston, MA, October 1999
Cervical spine instrumentation practical course (teaching faculty)
University of Cincinnati and the Mayfield Neurological Institute, Hilton-Head Island Neurosurgical Symposium, hands-on courses, Hilton-Head Island, NC, August 1991
Disorders of the spine, a contemporary update
University of Florida (Tampa), spine workshop, Salt Lake City, UT, January 1992
Cervical spine instrumentation course
American Association of Neurological Surgeons, continuing medical education course, University of Cincinnati, Cincinnati, OH, May 1992
Posterior cervical spine instrumentation symposium
American Association of Neurological Surgeons, continuing medical education course, Oklahoma City, OK, October 1992
Posterior cervical spine instrumentation symposium
American Association of Neurological Surgeons, continuing medical education course, Portland, OR, October 1992
Cervical spine instrumentation course
American Association of Neurological Surgeons, continuing medical education course,
Los Angeles, CA, November 1992
Disorders of the spine: A contemporary update
University of Florida, Tampa, spine workshop, Salt Lake City, UT, February 1993
Spine stabilization course
University of Cincinnati and the Mayfield Neurological Institute, neurosurgical symposium, Snowmass, CO, March 1993
Cevical spine instrumentation course
American Association of Neurological Surgeons, continuing medical education course,
University of Toronto, Canada, June 1993
Lumbar spine instrumentation course
American Association of Neurological Surgeons, continuing medical education course, Mayo Clinic, Rochester, MN, July 1993
Upper cervical spine stabilization
American Association of Neurological Surgeons Annual Meeting, hands-on course, Vancouver, Canada, October 1993
Disorders of the spine: A contemporary update
University of Florida (Tampa), spine workshop, Salt Lake City, UT, February 1994
Anterior cervical spine stabilization
Spine Section of the American Association of Neurological Surgeons Annual Meeting, hands-on course, Fort Lauderdale, FL, February 1994
Posterior cervical spine stabilization course
American Association of Neurological Surgeons Spine Section Annual Meeting, hands-on course, Fort Lauderdale, February 1994
Stabilization of the upper cervical spine
American Association of Neurological Surgeons Annual Meeting, San Diego, CA, April 1994
Spinal endoscopy
American Association of Neurological Surgeons Annual Meeting, San Diego, CA, April 1994
Surgery of the cervical spine
American Association of Neurological Surgeons, continuing medical education course, New Orleans, LA, May 1994
Craniocervical junction stabilization
Congress of Neurological Surgeons Annual Meeting, practical course, Chicago, IL, October 1994
Neuroendoscopy course
Congress of Neurological Surgeons Annual Meeting, practical course, Chicago, IL, October 1994
Consultants' corner: Spine
Congress of Neurological Surgeons Annual Meeting, Chicago, IL, October 1994
Spinal endoscopy course (co-director)
American Association of Neurological Surgeons, Joint Spine Section
meeting, Phoenix, AZ, February 1995
Thoraco-lumbar instrumentation course
American Association of Neurological Surgeons Annual Meeting of the Spine Section, Phoenix, AZ, February 1995
Thoracoscopic spinal surgery workshop
Co-director at Ehicon – Endo. Surgery, Cincinnati, OH, March 1995
Cranio-cervical course faculty
American Association of Neurological Surgeons Annual Meeting, Orlando, FL, April 1995
Endoscopy, percutaneous lumbar techniques
American Association of Neurological Surgeons Annual Meeting, Orlando, FL, April 1995
Thoraco-lumbar instrumentation course
American Association of Neurological Surgeons, continuing medical education course, Chicago, IL, September 1995
Minimally invasive techniques, lumbar instrumentation course
University of Florida (Gainsville), Orlando, FL, September 1995
Thoracoscopic spinal surgery
Barrow Neurological Institute (sponsored by the University of Arizona), Phoenix, AZ, January 1996
Thoracoscopic spinal surgery (director, practical course)
American Association of Neurological Surgeons Annual Meeting of the Spine Section, Orlando FL, March 1996
Percutaneous spinal techniques (course director)
Congress of Neurological Surgeons Annual Meeting, San Francisco, CA, October 1995
Thoracoscopic spinal surgery
Barrow Neurological Institute (sponsored by the University of Arizona), Phoenix, AZ, January 1996
Minimally invasive spinal surgery (course director)
Congress of Neurological Surgeons, Montreal, Canada, September 1996
Advanced thoracic and lumbar spine management
American Association of Neurological Surgeons, continuing medical education course, Chicago, IL, October 1996
Video workshop: Endoscopic spinal surgery (course director)
New York University Medical Center, neurosurgery symposium, New York, NY, December 1996
The cranio-cervical junction practical course
American Association of Neurological Surgeons, San Francisco, CA, April 1997
Minimally invasive spinal surgery (course director)
Congress of Neurological Surgeons, hands-on course, New Orleans, LA, September 1997
Minimally invasive spinal surgery (course diretcor)
Congress of Neurological Surgeons Annual Meeting, Seattle, WA, October 1998
Surgical exposure of the thoracic and lumbar spine (faculty)
Congress of Neurological Surgeons Annual Meeting, Seattle WA, October 1998
Endoscopic and video monitored minimally invasive surgery of the spine Approaches for treatment of thoracic and lumbar spinal pathology (faculty)
Albany Medical Center, Albany, NY, April 1999
Scientific symposium orthopedic surgery (faculty)
Mount Sinai Delegation to Jeddah, Saudi Arabia, May 1999
Minimally invasive lumbar spine (director)
Annual Congress of Neurological Surgeons, Boston, MA, October 1999
Thoracoscopic spinal surgery (faculty)
Annual Congress of Neurological Surgeons, Boston, MA, October 1999
Thoracoscopic Sympathectomy
Presented at the breakfast seminar of the AANS in April 2000 in San Francisco CA
Fundamental Principals and Techniques of Laparoscopic Lumbar Interbody fusion
Presented at the hands-on course on "Anterior Endoscopic Approaches to the Thoracic and Lumbar Spine", Barrow Neurological Institute Workshop, in Phoenix, Arizona, September 11th and 12th, 2000
"Thoracoscopic Biopsy techniques"
Presented at the hand-on course on Thoracoscopic Spinal surgery at the Annual meeting of the Congress of Neurological Surgeons, in San-Antonio, Texas, September 24th, 2000
"Laparoscopic Anterior Interbody Fsion techniques"
Presented at the hands-on course on "Minimally Invasive Lumbar Spinal Surgery, at the Annual meeting of the Congress of Neurological Surgeons, in San-Antonio, Texas, September 24th, 2000
"Posterior Stabilization for Instability of the Sub-axial Cervical Spine"
Presented during the Luncheon seminar at the Annual meeting ofthe Congress of Neurological Surgeons, in San-Antonio, Texas, September 27th, 2000
"A Novel Approach to the Treatment of Disorders in the spine"
Presented at the annual meeting of the Sri-Lanka Medical Association, November 2000, NY, NY

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Faculty workshops - Hands-on courses
Faculty hands-on course " Anterior Endoscopic Approaches to the Thoracic and Lumbar spine", Barrow Neurological Institute spine workshop, September 11-12, 2000

Director hands-on course on "Minimally Invasive Lumbar spine surgery" at the Annual meeting of the Congress of Neurological Surgeons in San-Antonio, Texas, September 24, 2000

Faculty hands-on course on "Thoracoscopic Spinal Surgery" at the Annual meeting of the Congress of Neurological Surgeons in San-Antonio, Texas, September 24, 2000

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Publications
Perin, N. I., The effect of isovolaemic hemodilution and intra-venous glycerol on the sequele of middle cerebral artery occlusion in the rat, Journal of Neurology, Neurosurgery and Psych. 49:428-431, 1986

Oh, S-H; Perin, N.I.; Cooper, P.R., Quantitative three-dimensional anatomy of the subaxial cervical spine: Implication for anterior spinal surgery, Neurosurgery, 38:1139-1144, June 1996

Kokkino, A.; Lazio, B.; Perin, N.I., Vertical fractures of the odontoid process, Neurosurgery, pp. 102-104, January 1996

Arginteanu, M.; Perin, N.I. Paraspinal calcinosis associated with progressive systemic sclerosis, Journal of Neurosurgery, (87) 761-3, 1997

Arginteanu, M.; Perin, N.I.; Management of postlaminectomy instability, Contemporary Neurosurgery, 19 (7), April 1997

Shiau, J.C.; Arginteanu, M.; Perin, N.I., Arthritic and bone softening diseases of the craniocervical junction, Neurosurgery Quarterly, 8 (3); pp. 180-190, 1998

Deutsch H., Arginteanu M., Manhart K., Perin N.I., Camins M., Moore F., Steinberger A.A., Weisz D., Somatosensory evoked potential monitoring in Anterior Thoracic Vertebrectomy, Journal of Neurosurgery, Spine, Vol.92, No.2, April 2000

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Chapters
Perin, N. I.; Ossification of the posterior longitudinal ligament, chapter in Degenerative diseases of the cervical spine, Neurosurgery topics, AANS publications, (Paul Cooper, editor) 12:151-158, 1993

Perin, N.I., Posterior stabilization of the cervical spine using plates and screws, chapter in Surgery for spinal cord injuries, principles and techniques in spine surgery, (Steven Garfin, Bruce Northrup, editors), 12:113-122, 1993

Perin, N.I.; Stanley, M., Diagnosis and management of sacral fractures, Youmans neurological surgery, (W.B Saunders, Julian R. Youmans, editor-in-chief), fourth edition, chapter 90, volume 3, pp. 2097-2102, 1995

Perin, N.I., Thoracotomy and discectomy for thoracic disc herniation, chapter in Controversies in Neurosurgery, Thieme Medical Publishers, Inc., (Ossama Al-Mefty; editor) 25: pp. 240-242, 1996

Perin, N.I., Post-traumatic Syrinx diagnosis and treatment in spinal cord diseases; diagnosis treatment, Marcel Dekker Inc., (G. I. Engler; J. Cole; WL Merton, editors), chapter 8, pp. 199-209, 1998

Perin, N.I., Posterior atlantoaxial screw fixation, chapter in Techniques of spinal fusion and stabilization, Thieme Medical Publishing, (P. Hitchon, editor), 1995

Perin, N.I.; Cusick, Joseph F., Interspinous, laminar and facet cervical fusion, chapter for Spine surgery, techniques, complication avoidance and management, Churchill Livingstone, (Edward Benzel, editor)

Perin, N.I.; Baldwin, N.; Cooper, Paul R., High cervical and occipito-cervical plate, rod, wire, and bone, techniques, complication avoidance and management, (Edward Benzel, editor), (submitted)

Perin, N.I., Posterior transfacetal atlantoaxial screw fixation; Techniques in neurosurgery, volume 1, #2, pp. 102-104, 1996

Perin, N.I., Endocscopy and the lumbar spine, chapter in Techniques in neurosurgery, (Christopher Loftus and Hunt Batjer, editors; Russel Hardy, section editor), 1996

Perin, N.I., Endoscopic lumbar microdiscectomy for far lateral disc herniations, chapter in Techniques in neurosurgery, (Christopher Loftus and Hunt Batjer, editors; Curtis Dickman, section editor)

Perin, N.I., Biopsy of vertebral lesions, chapter in Microsurgical throcoscopic approaches to the spine (Perin, N.I.; Dickman, C.; Rosenthal, D., editors), April 1999

Perin, N.I.; Postoperative management, complication management and avoidance; chapter in Microsurgical thoracoscopic approaches to the spine (Perin, N.I.; Dickman, C.; Rosenthal, D., editors), April 1999

Perin, N.I., Diagnosis and management of sacral fractures, Youmans neurological surgery, (W.B. Saunders; Julian R. Youmans, editor-in-chief; Volkar Sontaag, section editor), fifth edition, chapter 90, volume 3, (submitted)

Jenkins A.; Perin N.I., Vertebral tumors of the cervico-thoracic junction, chapter in Atlas of Neurological Techniques, Thiema, (Fessler, Sekhar, editors)

Jenkins A.; Perin N.I.; Luque wire Stabilization, chapter in Atlas of Neurological techniques, Thiema, (Fessler, Sekhar, editors)

Perin N.I., "Complications of Endoscopic Spinal Surgery" Millenium Issue of Minimally Invasive Spine Surgery, in Neurosurgery (in press)

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Books
Dickman, D.; Rosenthal, D.; Perin, N., Thoracoscopic Spine Surgery, Thiema, April 1999



Abstracts
Modified lateral extrapleural-extraperitoneal approach to the thoracolumbar spine allowing anterior instrumentation, AANS (Cushing) Meeting, San Diego, April 1994

(poster) Three dimensional anatomy of the lower cervical spine and its relationship to anterior spinal surgery, Congress of Neurological Surgeons, Chicago, IL, October 1994

(poster) Three dimensional anatomy of the lower cervical spine and its relationship to anterior spinal surgery, paper presentation, scientific session of the Cervical Spine Research Society Meeting, Santa Fe, NM, December 1995

Sub-laminar wiring in the sub-axial cervical spine, poster presentation, Montreal, Canada, September 1996

Spinal cord hernia, oral/poster presentation, Annual Congress of Neurological Surgeons Meeting Seattle, WA, October 1998

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