INTRODUCTION Spinal epidural hematoma (SEH) is a rare disease that causes cord compression and neurologic deficit. Spontaneous SEH is related to minor trauma, bleeding disorders, and anticoagulant medications. Posttraumatic SEH has been associated with low-energy spine hyperextension injuries in patients with ankylosing spinal disorders such as ankylosing spondylitis and diffuse idiopathic skel...

The present study aimed to explore surgical treatments and assess the effects based on the features of cervical spine fracture in patients with ankylosing spondylitis (AS) and to summarize the experiences in perioperative management. Retrospective analysis was performed in 25 AS patients with cervical spine fracture treated in our hospital from January 2011 to December 2013. The patients were d...

Operative techniques for fusing an unstable portion of the lumbar spine or immobilizing a painful vertebral motion segment have been in use for many years. Lumbar fusion procedures initially were used to treat patients with infections (tuberculous spondylitis) or misaligned spines (isthmic spondylolisthesis) (1–8). Early techniques involving the use of harvested autogenous bone graft without in...

background: remifentanil is a narcotic drug used in anaesthesia for establishment of hemodynamic stability. the purpose of this study was to compare the effects of remifentanil and fentanyl on urine excretion. methods: in a randomized clinical trial, 60 patients, who were candidates for elective surgery for lumbar posterior spinal fusion, were divided randomly into two groups of 30 as remifenta...

BACKGROUND Blood loss in spine surgery is an important issue, even though it has been understudied compared with hip and knee arthroplasty. OBJECTIVES In this study, we evaluated the effect of oral clonidine as premedication on blood loss in lumbar spine fusion surgery under anesthesia with propofol and remifentanil. PATIENTS AND METHODS In this double-blind, randomized clinical trial, 30 p...

Early surgical treatment of the cervical spine for neural decompression used the posterior approach to perform cervical laminectomies for trauma and degenerative disease (44, 60, 88). Scoville et al. (72) and Frykholm (31) refined the posterior cervical approach for degenerative disc disease and introduced the laminoforaminotomy technique. About 20 years later, a number of surgeons introduced a...

bilateral vocal cord paralysis is a rare and preventable complication of anterior cervical discectomy and fusion. herein, we report a fatal case of bilateral vocal cord paralysis after anterior cervical discectomy and fusion (acd/f). a 65-year-old man with cervical spine trauma and anterior cord syndrome, following car overturn presented to our emergency department. the patient had c6-t10 prola...

Study design: An in vitro biomechanical flexibility and fatigue test comparing two different lumbar interbody fusion cages using mono segmental lumbar spine specimens. Objective: To investigate and compare the stabilizing effect of a transforaminal lumbar interbody fusion (TLIF) cage against an expandable posterior lumbar interbody fusion (PLIF) cage. Method: Six intact human lumbar spine segme...

Introduction: From the beginning several surgical techniques have been invented to treat herniated cervical intervertebral disc. Long term results with well-designed studies have not been evaluated. Variation in Surgical Technique: The surgical techniques have varied with several variable factors and different variables used for evaluation. Postoperative interscapular pain following ACD has var...