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Journal of Craniovertebral Junction and Spine

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https://www.readbyqxmd.com/read/29021687/-formation-of-chiari-malformation-nature-s-philosophical-way-of-adaptation
#1
Asifur Rahman
No abstract text is available yet for this article.
July 2017: Journal of Craniovertebral Junction and Spine
https://www.readbyqxmd.com/read/29021686/hydatid-disease-of-the-spine-a-rare-case
#2
Mahmood Dhahir Al-Mendalawi
No abstract text is available yet for this article.
July 2017: Journal of Craniovertebral Junction and Spine
https://www.readbyqxmd.com/read/29021685/idiopathic-thoracic-transdural-intravertebral-spinal-cord-herniation
#3
Mazda K Turel, Joshua T Wewel, Mena G Kerolus, John E O'Toole
Idiopathic spinal cord herniation is a rare and often missed cause of thoracic myelopathy. The clinical presentation and radiological appearance is inconsistent and commonly confused with a dorsal arachnoid cyst and often is a misdiagnosed entity. While ventral spinal cord herniation through a dural defect has been previously described, intravertebral herniation is a distinct entity and extremely rare. We present the case of a 70-year old man with idiopathic thoracic transdural intravertebral spinal cord herniation and discuss the clinico-radiological presentation, pathophysiology and operative management along with a review the literature of this unusual entity...
July 2017: Journal of Craniovertebral Junction and Spine
https://www.readbyqxmd.com/read/29021684/use-of-c2-vertebroplasty-and-stereotactic-radiosurgery-for-treatment-of-lytic-metastasis-of-the-odontoid-process
#4
Casey Alicen Hribar, Deb A Bhowmick
Improvements in cancer therapy have led to increased patient survival times in spite of metastatic spinal disease in many forms of cancer. Conventional treatment methods often employ radiotherapy with or without surgery depending on the neurological status, mechanical instability, and the extent of tumor. Percutaneous vertebroplasty as well as stereotactic radiosurgery (SRS) have arisen as common modalities of treatment of spinal metastasis in which neurological compromise or spinal instability and deformity is not of significant concern...
July 2017: Journal of Craniovertebral Junction and Spine
https://www.readbyqxmd.com/read/29021683/aarskog-scott-syndrome-an-unusual-cause-of-scoliosis
#5
Kerim Sariyilmaz, Okan Ozkunt, Murat Korkmaz, Fatih Dikici, Unsal Domanic
A 16-year-old boy who had been diagnosed previously as Aarskog-Scott syndrome (AAS), referred to our clinic with shoulder asymmetry for 1 year. Results of spine examination showed a 52° right thoracic curve at T3-T11. Surgery was planned, and T1-L1 posterior instrumentation and fusion were performed. After surgery, satisfactory correction was achieved, and during 10 years follow-up, the patient had no complaints. AAS is a X-linked genetic disorder with facial, genital, and skeletal manifestations. Scoliosis is not reported as a typical finding of AAS, and there is no reported case in the English literature...
July 2017: Journal of Craniovertebral Junction and Spine
https://www.readbyqxmd.com/read/29021682/spontaneous-regression-of-retro-odontoid-post-traumatic-cicatrix-following-occipitocervical-fixation
#6
Priyank Sinha, Ming-Te Lee, Sasan Panbehchi, Ankur Saxena, Debasish Pal
This case report describes a patient who presented with myelopathy secondary to a large retro-odontoid post traumatic cicatrix. The objective of this study was to discuss the clinical presentation, pathogenesis, imaging, and surgical management of pseudoarthrosis tissue mass associated with odontoid nonunion. Atlantoaxial subluxation (AAS) has been widely reported in patients with rheumatoid arthritis. AAS leads to repeated cycles of partial tear and repair of ligaments around the altantoaxial complex, resulting in the formation of periodontoid mass (pseudotumor)...
July 2017: Journal of Craniovertebral Junction and Spine
https://www.readbyqxmd.com/read/29021681/acute-spinal-cord-compression-caused-by-atypical-vertebral-hemangioma
#7
Salah Bellasri, Jamal Fatihi, Abderrahim Elktaibi, Abad Cherif El Asri
Vertebral hemangioma is common, benign lesion that occurs mostly in the body of vertebral bones and is mostly asymptomatic although they may occasionally extend into the posterior elements. An isolated location in the neural arch of vertebrae is extremely rare. An acute spinal cord compression by an exceptional hemangioma involving spinous process of the seventh thoracic vertebra and respecting vertebral body in a 40-year-old woman is reported. On magnetic resonance imaging of the spine, the lesion was hypointense on T1-weighted image, hyperintense on T2-weited image, and enhancing avidly, causing compression of spinal cord...
July 2017: Journal of Craniovertebral Junction and Spine
https://www.readbyqxmd.com/read/29021680/nondysraphic-cervicomedullary-intramedullary-lipoma
#8
Sujeet Kumar Meher, Laxmi Narayan Tripathy, Harsh Jain, Sunandan Basu
Spinal cord lipomas are usually associated with spinal dysraphism and is most common in lumbosacral region. Spinal intradural lipoma is a rare condition accounting for less than 1% of spinal cord tumours and is most prevalent in cervicodorsal region. Intramedullary spinal cord lipoma of cervical spine not associated with spinal dysraphism is one of the rarest lesions. They usually present insidiously with slowly progressive myelopathic deficits. We present a case of nondysraphic intramedullary spinal cord lipoma with exophytic component and intracranial extension...
July 2017: Journal of Craniovertebral Junction and Spine
https://www.readbyqxmd.com/read/29021679/a-rare-case-of-a-vertebrojugular-arteriovenous-fistula-a-case-report-and-review-of-literature
#9
Fanor Saavedra-Pozo, Juan Vicenty-Padilla, Rafael Rodriguez-Mercado
Vertebrojugular fistulas have been described in the literature associated with blunt or penetrating injury and iatrogenic or spontaneous development. Its presentation may be broad and may include symptoms of radiculopathy, vertebrobasilar insufficiency, tinnitus, and bruit. However, so far, no direct cardiac complications had been reported. Here, we describe a case of an 86-year-old female who suffered a C5 vertebral fracture secondary to a ground-level fall that was initially treated conservatively due to the onset of new severe atrial fibrillation...
July 2017: Journal of Craniovertebral Junction and Spine
https://www.readbyqxmd.com/read/29021678/surgical-planning-for-cervical-deformity-based-on-a-3d-model
#10
Juan Barges-Coll, Iulia Peciu-Florianu, Sébastien Martiniere, John Michael Duff
The treatment of fixed cervical deformity is complex, but the principles guiding its correction remain the same as in deformity of other spinal regions, with the goal of deformity correction that results in a solid fusion with adequate decompression of the neural elements. In these challenging cases, osteotomies are necessary to mobilize the rigid spine and to obtain the desired correction, but they can be associated with increased risk of complications. Therefore, careful preoperative planning and a complete understanding of the anatomic variations allow patient-tailored approaches with and case specific techniques for the optimal and safe treatment of a variety of complex cervical deformities...
July 2017: Journal of Craniovertebral Junction and Spine
https://www.readbyqxmd.com/read/29021677/a-very-rare-spinal-cord-tumor-primary-spinal-oligodendroglioma-a-review-of-sixty-cases-in-the-literature
#11
Askin Esen Hasturk, Emre Cemal Gokce, Cagri Elbir, Gulce Gel, Suat Canbay
In this study, we evaluated a case of primary spinal oligodendroglioma (PSO) with a rare localization between L3 and S2, and also examined sixty cases in the literature in terms of demographic characteristics, clinical, radiological, and histopathological characteristics, and treatment planning. A case of PSO has been presented, and the relevant literature between 1931 and 2016 was reviewed. A total of 57 papers regarding PSO were found and utilized in this review. The main treatment options include radical surgical excision with neuromonitoring, followed by radiotherapy...
July 2017: Journal of Craniovertebral Junction and Spine
https://www.readbyqxmd.com/read/29021676/-stealth-cranioplasty-a-novel-endeavor-for-symptomatic-adult-chiari-i-patients-with-syringomyelia-technical-note-appraisal-and-philosophical-considerations
#12
Asifur Rahman, Md Sumon Rana, Paawan Bahadur Bhandari, Dewan Shamsul Asif, Abu Naim Wakil Uddin, Abu Saleh Mohammad Abu Obaida, Md Atikur Rahman, Md Shamsul Alam
AIM AND OBJECTIVE: In this article, we describe a novel technique of reconstruction of posterior fossa by cranioplasty with use of preshaped titanium mesh following posterior fossa decompression (PFD) for Chiari malformation type I (CMI) with syringomyelia (SM) in symptomatic adults. MATERIALS AND METHODS: Eleven patients underwent limited PFD and expansive cranioplasty with preshaped titanium mesh, what we term as "Stealth Cranioplasty" (SCP), following arachnoid preserving duraplasty (APD) and hexagonal tenting of the duraplasty with the cranioplasty (HTDC) for the management of symptomatic adult CMI with SM...
July 2017: Journal of Craniovertebral Junction and Spine
https://www.readbyqxmd.com/read/29021675/surgical-treatment-of-bilateral-nondisplaced-isthmic-lysis-by-interlaminar-fixation-device
#13
Keyvan Mostofi, Reza Karimi Khouzani
STUDY DESIGN: Spondylolysis is a defect in the portion of pars interarticularis. The latter affects approximately 6% of the population. It is caused by repetitive trauma in hyperextension. Low back pain is the most common symptom. METHODS: We implanted interspinous process devices in 12 patients with isthmic lysis without spondylolisthesis for low back pain. The purpose of the surgery was to conduct a minimally invasive procedure. RESULTS: In eight cases, patients became asymptomatic...
July 2017: Journal of Craniovertebral Junction and Spine
https://www.readbyqxmd.com/read/29021674/the-efficacy-of-sagittal-cervical-spine-subtyping-investigating-radiological-classification-methods-within-150-asymptomatic-participants
#14
Lee Daffin, Max C Stuelcken, Mark G L Sayers
AIMS: The aim of this study is to (1) compare and contrast cervical subtype classification methods within an asymptomatic population, and (2) identify inter-methodological consistencies and describe examples of inconsistencies that have the potential to affect subtype classification and clinical decision-making. METHODS: A total of 150 asymptomatic 18-30-year-old participants met the strict inclusion criteria. An erect neutral lateral radiograph was obtained using standard procedures...
July 2017: Journal of Craniovertebral Junction and Spine
https://www.readbyqxmd.com/read/29021673/risk-factors-for-30-day-outcomes-in-elective-anterior-versus-posterior-cervical-fusion-a-matched-cohort-analysis
#15
John K Yue, Pavan S Upadhyayula, Hansen Deng, David C Sing, Joseph D Ciacci
OBJECTIVE: Cervical spine fusion is the preferred treatment modality for a variety of degenerative and/or myelopathic disorders. Surgeons select between two approaches (anterior or posterior cervical fusion [ACF; PCF]) based on pathoanatomical features and spinal levels involved. Complications and outcome profiles between the approaches following elective surgery have not been systematically investigated. METHODS: Adult patients undergoing elective ACF or PCF were extracted from the American College of Surgeons National Surgical Quality Improvement Program years 2011-2014...
July 2017: Journal of Craniovertebral Junction and Spine
https://www.readbyqxmd.com/read/29021672/the-size-and-shape-of-the-foramen-magnum-in-man
#16
Matthew J Zdilla, Michelle L Russell, Kaitlyn N Bliss, Kelsey R Mangus, Aaron W Koons
BACKGROUND: The foramen magnum (FM) has garnered broad interest across the disciplines of anthropology, comparative anatomy, evolutionary biology, and clinical sciences. Most studies regarding the structure of the FM in humans have been intrapopulation morphometric studies rather than interpopulation morphologic studies. The few studies assessing the morphology of the foramen have utilized ambiguous and subjective descriptors to describe foraminal shape and are, consequently, difficult to reproduce...
July 2017: Journal of Craniovertebral Junction and Spine
https://www.readbyqxmd.com/read/29021671/atlantoaxial-langerhans-cell-histiocytosis-radiographic-characteristics-and-corresponding-prognosis-analysis
#17
Lihua Zhang, Liang Jiang, Huishu Yuan, Zhongjun Liu, Xiaoguang Liu
BACKGROUND: Langerhans cell histiocytosis (LCH) may affect atlas and axis, and there were very few published cases describing a characteristic of LCH of atlantoaxial. OBJECTIVE: The objective of the study is to investigate the image manifestations of atlantoaxial LCH to improve the in-depth comprehension on it. MATERIALS AND METHODS: A retrospective study was done of computed tomography (CT) and magnetic resonance imaging in atlas and axis and prognosis was analyzed...
July 2017: Journal of Craniovertebral Junction and Spine
https://www.readbyqxmd.com/read/29021670/preliminary-experience-with-lumbar-facet-distraction-and-fixation-as-treatment-for-lumbar-spinal-stenosis
#18
Giovanni Grasso, Alessandro Landi
OBJECTIVES: To assess the properties of facet fixation with the Facet Wedge system in patients affected by lumbar spinal stenosis (LSS). SUMMARY OF BACKGROUND DATA: Implant of intra-articular spacers is an emerging technique for lumbar degenerative disease. METHODS: This study included forty patients (Group 1) with symptomatic LSS in whom intra-articular spacers have been implanted along with microdecompression (MD) of the neural structures...
July 2017: Journal of Craniovertebral Junction and Spine
https://www.readbyqxmd.com/read/29021669/is-there-a-correlation-between-the-spinal-instability-neoplastic-score-and-mechanical-pain-in-patients-with-metastatic-spinal-cord-compression-a-prospective-cohort-study
#19
Rodrigo Ac Cavalcante, Yvens B Fernandes, Romulo Al Marques, Vinícius G Santos, Edésio Martins, Vladimir A Zaccariotti, João B Arruda, Claúdio E Tatsui, Andrei F Joaquim
INTRODUCTION: The decision for selecting patients for surgical treatment of metastatic spinal cord compression (MSCC) is challenging even for experienced surgeons. Recently, the spinal instability neoplastic score (SINS) has been proposed to help surgeons in the evaluation of spinal stability in the setting of spinal metastases. This study aimed to evaluate the correlation between SINS and preoperative visual analog scale (VAS), as well as the pre- and post-operative association of the VAS and neurological function...
July 2017: Journal of Craniovertebral Junction and Spine
https://www.readbyqxmd.com/read/29021668/influence-of-prevertebral-soft-tissue-swelling-on-dysphagia-after-anterior-cervical-discectomy-and-fusion-using-a-rectangular-titanium-stand-alone-cage
#20
Toru Yamagata, Kentaro Naito, Masaki Yoshimura, Kenji Ohata, Toshihiro Takami
BACKGROUND: Postoperative oropharyngeal complications such as dysphagia after anterior cervical spine surgery are some of the least discussed surgery-related complications. The purpose of this retrospective study is to investigate the incidence and possible risk factors for 30-day postoperative dysphagia after anterior cervical discectomy and fusion (ACDF). MATERIALS AND METHODS: This study included 152 consecutive patients who underwent 1- or 2-level ACDF using a rectangular titanium stand-alone cage in our institutes...
July 2017: Journal of Craniovertebral Junction and Spine
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