BACKGROUND The importance of decreasing bleeding in spine surgery is not only important to maintain the patient's hemodynamic balance but also allow a better view of the surgical field. OBJECTIVES The current study aimed to compare dexmedetomidine and Esmolol™ as agents to induce hypotension in lumbar spine surgeries. PATIENTS AND METHODS A total of 50 patients aged 20 to 65 years belonging...

INTRODUCTION Osteochondroma is the most common benign bone tumor. However, the incidence of osteochondroma in the spine is reported to be very rare. CASE DESCRIPTION This report presents the case of a 57-year-old man who suffered from osteochondroma of the cervical spine. He had bilateral lower extremity pain for 3 years, developing pain of right upper extremity and gait disturbance. Plain ra...

RATIONALE Malposition of cervical pedicle screw (CPS) has a risk of vertebral artery (VA) injury which sometimes may cause unexpected and catastrophic outcome. A rare case of delayed onset of cerebral infarction caused by malposition of CPS was reported. PATIENT CONCERNS A 23-year-old man who underwent a posterior cervical reduction and fusion of C4-5 using CPS fixation and allograft for cerv...

OBJECTIVE Surgical site infection (SSI) is the one of the most frequent complications in hospitalized patients, and it extends hospital stays and causes extra morbidities. To reduce SSI after spine surgery, we applied the gentamicin-impregnated collagen sponge (Collatamp G) during the operation and analyzed the results retrospectively. METHODS Between October 2012 and December 2015, we collec...

BACKGROUND The authors assumed that advanced lumbar disk disease contributes to disorders of body balance and asymmetry of foot pressure force on the ground. Surgery improves biomechanical relations in the lumbar spine, thus decreasing the disturbance of postural balance and foot load. MATERIAL AND METHODS The study was carried out among 40 patients treated in Military Clinical Hospital in Wr...

STUDY DESIGN Retrospective clinical study. OBJECTIVE To assess the accuracy of multilevel registration for skip pedicle screw placement during image-guided, computer-assisted spine surgery, in the setting of adolescent idiopathic scoliosis (AIS). SUMMARY OF BACKGROUND DATA Computerized frameless stereotactic image-guidance has been used recently to improve pedicle screw placement accurately...

BACKGROUND A retrospective study of staged surgery for severe rigid scoliosis. The purpose of this study was to evaluate the result of staged surgery in treatment of severe rigid scoliosis and to discuss the indications. METHODS From 1998 to 2006, 21 cases of severe rigid scoliosis with coronal Cobb angle more than 80 degrees were treated by staged surgeries including anterior release and hal...

Background Wound complications, including surgical site infections (SSIs) and wound dehiscence, are among the most common complications following spine surgery often leading to readmission. The authors sought to identify preoperative characteristics predictive of wound complications after spine surgery. Methods The American College of Surgeons National Surgical Quality Improvement Program dat...

Advanced age is a well-known risk factor for spinal surgery-related complications. Decisions on spine surgery in the elderly are difficult due to higher morbidity and mortality than younger groups. In addition, kind of ‘functional surgery’ which does not directly affect survival patients. recent years, individualized stratification has gained ground over simple chronological age-based assessmen...