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Journal of Craniovertebral Junction and Spine

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https://www.readbyqxmd.com/read/30008532/-de-novo-syrinx-formation-in-a-patient-with-type-i-chiari-malformation-case-report-and-review-of-the-literature
#1
David Stewart-Watson, Prynk Sinha, Thomas A Carroll
This report highlights the case of a 56-year-old woman with an incidental type I Chiari malformation who on initial presentation had no associated cervical syrinx on magnetic resonance imaging (MRI), but who on subsequent MRI 8 years later was found to have developed a de novo upper cervical cord syrinx.
April 2018: Journal of Craniovertebral Junction and Spine
https://www.readbyqxmd.com/read/30008531/technical-pearls-and-surgical-outcome-of-early-transitional-period-experience-in-minimally-invasive-lumbar-discectomy-a-prospective-study
#2
Suyash Singh, Jayesh C Sardhara, Deepak Khatri, Jeena Joseph, Abhijit N Parab, Kamlesh S Bhaisora, Kuntal Kanti Das, Anant Mehrotra, Arun Kumar Srivastava, Sanjay Behari
Background: There is growing indications of minimally invasive spine surgery. The inherent attitude and institutive learning curve limit transition from standard open surgery to minimally invasive surgery demanding understanding of new instruments and correlative anatomy. Materials and Methods: In this prospective study, 80 patients operated for lumbar disc prolapse were included in the study (between January 2016 and March 2018). Fifty patients (Group A) operated by various minimally invasive spine surgery (MISS) techniques for herniated disc disease were compared with randomly selected 30 patients (Group B) operated between the same time interval by standard open approach...
April 2018: Journal of Craniovertebral Junction and Spine
https://www.readbyqxmd.com/read/30008530/cadaveric-device-injected-very-high-viscosity-cement-during-vertebroplasty
#3
Waleed Awwad, Amna Baljoun, Yasir Alabdulkarim, Abdulrahman D Algarni, Chung-Hwan Kim, Demitri Giannitsios, Lorne Beckman, Jean Ouellet, Thomas Steffen
Introduction: Cement extravasation during vertebroplasty (VP) is the most commonly reported complication. Cement viscosity is considered the single most important predictor of the risk of extravasation. Certainly, injecting high-viscosity cement (HVC) is difficult to utilize in real practice. We invented a new device capable of injecting high-viscosity with ease and at a distance to avoid radiation. The aim of this study is to confirm the efficacy and safety of the new device on cadaveric vertebrae...
April 2018: Journal of Craniovertebral Junction and Spine
https://www.readbyqxmd.com/read/30008529/navigated-minimally-invasive-unilateral-laminotomy-with-crossover-for-intraoperative-prediction-of-outcome-in-degenerative-lumbar-stenosis
#4
Salvatore Massimiliano Cardali, Fabio Cacciola, Giovanni Raffa, Alfredo Conti, Maria Caffo, Antonino Germanò
Background: Different surgical techniques have been described for treatment of degenerative lumbar stenosis (DLS). Only postoperative measures have been identified as predictors of efficacy of decompression. The objective of this study is to assess the role of navigated unilateral laminotomy with crossover to achieve and predict a satisfying decompression and outcome in DLS. Materials and Methods: We enrolled patients with DLS who underwent navigation-assisted unilateral laminotomy with crossover...
April 2018: Journal of Craniovertebral Junction and Spine
https://www.readbyqxmd.com/read/30008528/lumbar-fusion-for-lytic-spondylolisthesis-is-an-interbody-cage-necessary
#5
Joseph Boktor, Tishi Ninan, Rhys Pockett, Iona Collins, Ahmed Sultan, Wael Koptan
Study Design: This study was a retrospective observational study. Purpose: The purpose of the study was to determine the radiological and clinical outcome of using locally sourced autologous bone graft in the surgical management of single-level lumbar lytic spondylolisthesis. Background: Many spinal surgeons supplement pedicle screw fixation of lumbar spondylolisthesis with cages. In developing countries, the high cost of interbody cages has precluded their use, with surgeons resorting to filling the interbody space with different types of bone graft instead...
April 2018: Journal of Craniovertebral Junction and Spine
https://www.readbyqxmd.com/read/30008527/application-and-use-of-subcutaneous-stay-sutures-in-anterior-cervical-spine-surgeries-with-a-transverse-neck-incision-a-technical-report
#6
Ashok Keshav Rathod, Rakesh Padmakar Dhake, Mohit Navinchand Muttha, Amit Indrasan Singh, Dattatray Vilas Thakur
Objective/Purpose: The objective of this study is to describe our experience with the use of stay sutures and transverse neck incision for anterior cervical spine surgeries involving multiple levels. Summary of Background Data: Transverse incisions on neck usually heal with minimal fibrosis resulting in cosmetically acceptable scars whereas vertical incision, although provides greater exposure, heals with extensive fibrosis resulting in ugly scars. Transverse incision is thus highly recommended...
April 2018: Journal of Craniovertebral Junction and Spine
https://www.readbyqxmd.com/read/30008526/late-appearance-of-low-back-pain-relating-to-modic-change-after-lumbar-discectomy
#7
Keyvan Mostofi, Babak Gharaei Moghaddam, Morad Peyravi
Background: In practice of neurosurgery, we find that a wide number of patients referred for refractory low back pain have a history of lumbar discectomy. In a large number of them, magnetic resonance imaging (MRI) studies detect Modic changes (MCs). The aim of this study is to determine the relationship between emergence of MC and low back after lumbar discectomy. Materials and Methods: Three hundred and fifty-eight patients with a medical history of discectomy had a MC at the level of the operated disc without any other discopathy...
April 2018: Journal of Craniovertebral Junction and Spine
https://www.readbyqxmd.com/read/30008525/long-term-clinical-and-radiological-outcomes-following-anterior-cervical-discectomy-and-fusion-by-zero-profile-anchored-cage
#8
Giovanni Grasso, Alessandro Landi
Objectives: The purpose of this study was to extend the results of our previous study providing a minimum of 4-year follow-up results of a prospective study following implantation of a cervical cage with an integrated fixation system. Summary of Background Data: The use of cervical intersomatic cages with an integrated fixation system for anterior cervical discectomy and fusion (ACDF) has increased rapidly in this last decade. In addition to immediate stabilization, these implants allow avoidance of anterior plating and iliac crest bone-grafting...
April 2018: Journal of Craniovertebral Junction and Spine
https://www.readbyqxmd.com/read/30008524/interlaminar-lumbar-device-implantation-in-treatment-of-baastrup-disease-kissing-spine
#9
Keyvan Mostofi, Babak Gharaei Moghadam, Morad Peyravi
Background: Baastrup disease (BD) is characterized by the degenerative changes of spinous processes and interspinous soft tissues. It is more common among aged persons. This disorder is a relatively common cause of low back pain. Its incidence is underestimated. A few studies have investigated BD epidemiology and proposed treatment efficacy. The aim of this paper is to establish impact and outcome evaluations of managing the patients with Baastrup disease who have been treated by implementing of floating interlaminar device (FID)...
April 2018: Journal of Craniovertebral Junction and Spine
https://www.readbyqxmd.com/read/30008523/is-the-symptom-of-cervical-or-lumbar-radiculopathy-an-evidence-of-spinal-instability
#10
EDITORIAL
Atul Goel
No abstract text is available yet for this article.
April 2018: Journal of Craniovertebral Junction and Spine
https://www.readbyqxmd.com/read/29755242/spinal-schistosomiasis-cases-in-egyptian-population
#11
Ahmed M Ashour, Tarek H Elserry, Mohamed S Nosser, Zeyad Y Fayed, Mohamed Wael Samir, Alaa Fakher, Maamoun M Ashour, Mamdouh M Salama
Background: Spinal cord involvement by schistosomiasis is considered to be rare. Clinical presentation of spinal schistosomiasis ranges from radicular pain to myelopathy causing flaccid paraplegia, bladder incontinence, and dysesthesia. We reported six cases with spinal schistosomiasis. Methodology: We did a retrospective analysis of the records in our department from March 1995 to March 2015, and we found that six cases of proved spinal schistosomiasis were documented, with follow-up period more than a year, aiming to find an assumption for a guideline for this ambiguous issue...
January 2018: Journal of Craniovertebral Junction and Spine
https://www.readbyqxmd.com/read/29755241/preoperative-manual-on-table-traction-for-the-reduction-of-thoracolumbar-burst-fractures-a-technical-note
#12
Petrini Carlo, Cacciola Francesco
Thoracolumbar burst fractures can frequently be treated either conservatively or surgically. Surgery is generally preferred when safe early mobilization with a reconstructed sagittal alignment is wanted without any external restraint. Various dedicated instruments are available on the market to perform reduction and distraction maneuvers on the spine intraoperatively to restore normal sagittal alignment after a fracture. The authors describe a simple but effective technique of proper patient positioning and preoperative on-table-traction that can effectively aid in the restoration of alignment and performance of surgery even with the most basic instrumentation...
January 2018: Journal of Craniovertebral Junction and Spine
https://www.readbyqxmd.com/read/29755240/comparison-of-thermal-spread-with-the-use-of-an-ultrasonic-osteotomy-device-sonopet-ultrasonic-aspirator-versus-misonix-bonescalpel-in-spinal-surgery
#13
Nadim Tarazi, Sudarshan Munigangaiah, Mutaz Jadaan, John P McCabe
Background: The development of high speed rotating burrs has greatly advanced spinal surgery in recent years. However, they produce unwanted frictional heat and temperature elevation during the burring process. We compare the misonix bone scalpel (MBS) and the Sonopet ultrasonic aspirator to assess which would be the safer device in terms of the risk of thermal injury following laminectomy. Methods: We describe an experimental nonrandomized study comparing two ultrasonic osteotomy devices...
January 2018: Journal of Craniovertebral Junction and Spine
https://www.readbyqxmd.com/read/29755239/type-iii-odontoid-fractures-a-subgroup-analysis-of-complex-high-energy-fractures-treated-with-external-immobilization
#14
Thomas E Niemeier, Adam R Dyas, Sakthivel R Manoharan, Steven M Theiss
Study Design: Retrospective cohort study. Objective: Type III odontoid fractures are classically treated nonoperatively, yet, the current literature on Type III odontoid fractures includes fractures of multiple etiologies and fracture morphologies. We hypothesize that a subgroup of complex, Type III fractures caused by high-energy mechanisms are more likely to fail nonoperative treatment. Materials and Methods: Acute Type III odontoid fractures were identified at a single institution from 2008 to 2015...
January 2018: Journal of Craniovertebral Junction and Spine
https://www.readbyqxmd.com/read/29755238/cervical-sagittal-balance-parameters-after-single-level-anterior-cervical-discectomy-and-fusion-correlations-with-clinical-and-functional-outcomes
#15
Ioannis Siasios, Evan Winograd, Asham Khan, Kunal Vakharia, Vassilios G Dimopoulos, John Pollina
Background: Normal sagittal cervical alignment has been associated with improved outcome after anterior cervical discectomy and fusion (ACDF). Objective: The aim of this study is to identify alterations of cervical sagittal balance parameters after single-level ACDF and assess correlations with postoperative functionality. Methods: A retrospective chart review was performed between January 2010 and January 2014 to identify adult patients with no previous cervical spine surgery who underwent ACDF at any one level between C2 and C7 for the single-level degenerative disease...
January 2018: Journal of Craniovertebral Junction and Spine
https://www.readbyqxmd.com/read/29755237/the-expandable-transforaminal-lumbar-interbody-fusion-two-years-follow-up
#16
Joseph Gamal Boktor, Rhys D Pockett, Navin Verghese
Study Design: This was a retrospective, observational study. Objectives: We hypothesize that the expandable transforaminal lumbar interbody fusion (TLIF) cage achieves satisfactory clinical outcomes while allowing for safe placement, improvement, and maintenance of foraminal and disc dimensions at 24 months postsurgery with low risk of cage migration, subsidence, and nerve injury. Methods: TLIF with expandable cages was performed in 54 patients (62 levels) over a 24-month-period using open midline or minimally invasive surgery techniques with placement of Globus Caliber, Rise, or Altera expandable cages...
January 2018: Journal of Craniovertebral Junction and Spine
https://www.readbyqxmd.com/read/29755236/posterior-identification-and-exposure-of-the-v3-segment-of-the-vertebral-artery
#17
Ali Nourbakhsh, Nicholas W Wiegers, Francis H Shen
Objective: The purpose of this study was to define the anatomy of the V3 segment of the vertebral artery (VA) from the posterior approach. Methods: Ten formalin-fixed cadavers were carefully dissected bilaterally using landmark features to identify and safely expose the VA from the posterior. Measurements regarding morphometric characteristics of landmark features and feasible resection quantifications were obtained and analyzed. The C2 pars was resected completely in all cadavers, averaging 15...
January 2018: Journal of Craniovertebral Junction and Spine
https://www.readbyqxmd.com/read/29755235/unusual-cause-of-high-cervical-myelopathy-c1-arch-stenosis
#18
Lokesh S Nehete, Dhananjay I Bhat, M S Gopalakrishnan, Dhaval Shukla, Subhas Konar, Prashant Singh, Bhagavatula Indira Devi
Introduction: High cervical myelopathy can be rarely caused by the developmental anomalies of atlas. Patients with C1 arch stenosis can present in early childhood or later in life. In symptomatic patients, posterior decompression at atlas is mandatory. We report the first clinical series of 20 patients of C1 arch stenosis in the English literature. Materials and Methods: This is retrospective case series having a cohort of 20 patients with congenital C1 arch stenosis...
January 2018: Journal of Craniovertebral Junction and Spine
https://www.readbyqxmd.com/read/29755234/the-substantiation-of-the-elastic-viscoplastic-model-of-the-human-spine-for-modeling-the-correction-process-of-kyphoscoliotic-deformation
#19
Konstantin S Sergeev, Valery V Piven
Purpose: The relevance of the problem is caused by an increase in the number of spine-related diseases among children, including scoliosis. Currently, there are no methodologies for the treatment of scoliosis, which ensure an unambiguous positive result. The purpose of the article is to justify the spinal model as an elastic viscoplastic body for further mathematical modeling of the process of spine correction and search for its optimal conditions. Methodology: The leading approach to the study of this problem is the development of techniques for the surgical treatment of deformities of the vertebral column with the aid of an external fixation device for the spine, providing for a rigid connection of the elements of the apparatus with each other and with the spine...
January 2018: Journal of Craniovertebral Junction and Spine
https://www.readbyqxmd.com/read/29755233/cervical-lift-up-laminoplasty-with-titanium-basket-plates-after-resection-of-intradural-tumor
#20
Keisuke Shirosaka, Kentaro Naito, Toru Yamagata, Masaki Yoshimura, Kenji Ohata, Toshihiro Takami
Background: Performing cervical laminoplasty after wide laminectomy may be technically demanding. The unique technique of cervical lift-up laminoplasty using titanium basket plates was applied for the reconstruction of cervical laminae after wide laminectomy for the resection of intradural tumors. Materials and Methods: This technical study included 14 cases that could be followed periodically for at least 6 months after surgery. Participants were 8 male and 6 female, with a mean age of 41...
January 2018: Journal of Craniovertebral Junction and Spine
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