BACKGROUND Pedicle screw instrumentation for treating spinal disorder is becoming increasingly widespread. Many studies have advocated its use to facilitate rigid fixation for spine; however, adjacent segmental disease is a known complication. Instrumented fusion for osteoporotic spines remains a significant challenge for spine surgeons. Prophylactic vertebroplasty for adjacent vertebra has bee...

In the book ”Contemporary Endoscopic Spine Surgery”, edited by Kai-Uwe Lewandrowski, Jorge Felipe Ramírez León, and Anthony Yeung, information on history of spinal endoscopy is provided. A number aspects surgery are covered, in particular pain, preoperative examination, indications for endoscopic surgery, anesthesia, outpatient surgery. New technologies described. Leading scientists presented c...

Traction therapy is one of the most common conservative treatments for low back pain. However, the effects of traction therapy on lumbar spine biomechanics are not well known. We investigated biomechanical effects of two-step traction therapy, which consists of global axial traction and local decompression, on the lumbar spine using a validated three-dimensional finite element model of the lumb...

Introduction: Posterior reduction probably reduces only the periphery of the endplate with its strong annular attachments while the central area remains depressed allowing for efficient realignment of the spine, direct and indirect decompression. With distraction force, restoration of vertebral body height and partial clearance of bone or discal fragments from within the spinal canal by ligamen...

BACKGROUND U-shaped sacral fractures are highly unstable, can cause significant neurological deficits, lead to progressive deformity and chronic pain if not treated appropriately. OBJECTIVE To report a case of a U-shaped sacral fracture treated with lumbopelvic fixation and decompression of sacral roots in a 23-year-old man. METHOD Decompression of the sacral roots combined with internal re...

Larsen syndrome is a rare genetic disorder that affects the connective tissue within body. The present narrative review aims to examine basis of syndrome, clarify its symptoms, and define all existing therapeutic approaches. A comprehensive search was performed in PubMed database. Inclusion criteria considered molecular clinical studies, management surgical treatment related deformities, case r...

in this study to determine whether spine stiffness is predictive of clinical results after lumbar spinal fusion for spinal stenosis, a total of 78 patients were measured intraoperatively with kocher clamp manual distraction technique to determine motion segment stiffness then spinal fusion was performed for any loose segment. ‎statistical analysis revealed that stiffness measurement correlate w...

Tuberculosis of the spine is the second most common extrapulmonary presentation of the disease and is associated with significant morbidity. The drainage of the abscess may be needed in patients who fail to respond to medical treatment and present with a significant or deteriorating neurologic status. The dorsal spine gives a unique opportunity for decompression alone as it is supported by the ...