Spinal Cord injury is a disabling condition which affects the respiratory system. The most affected neurological level cervical spine. Many patients with spinal cord are unable to sustain independent ventilation and require mechanical ventilation. Long term use of associated poor quality life, increased morbidity, mortality. In intact phrenic nerve, diaphragmatic pacing can be used help wean of...

Traumatic injury to an adjacent segment of a previously fused spine is a rare complication of scoliosis surgery. The adjacent spinal segments may be more vulnerable to traumatic fracture or dislocation due to increased strain. We present a patient with prior C2 to sacrum fusion who suffered a C2 fracture/dislocation after falling. A 52-year-old female with a previous C2 to the sacrum fusion for...

IntroductionSpine injury is one of the leading caused for disability in Nepal. Patients with trauma relatedspine leads to neurological dysfunction, focal deficits and even fatal life threating events.The timely intervention acute spinal could save patients from andmortality risk. Imaging modalities like Xray, CT Scan MRI helps diagnosis managementof trauma. plays crucial role detection cord sof...

Anterior surgical approaches have been used for lower cervical, thoracic, and upper lumbar vertebrae since the beginning of the second half of the 20th century. Hodgson et al. were the first surgeons to perform spinal fusion with anterior approach for the treatment of a paraplegic patient with Pott’s disease in 1956. Cauchoix and Binet reported access to vertebral corpuses from C7 to T4 using a...

● Morbidity and mortality resulting from cervical spine injury depend on the mechanism of its level . They are higher in case levels injury, craniocervical junction injuries have highest mortality. ● The fracture predictivity standard radiograph is low when severity high, MDCT has replaced radiography as initial imaging modality with much sensitivity to evaluate suspected injuries.● Multidetect...

Osteoporotic patients can present with either single or multiple fractures secondary to repeated falls and progressive osteoporosis. Multiple fractures often lead to additional spinal deformity and are a sign of more severe osteoporosis. In the thoracic spine, multiple fractures are associated with the development of gradual thoracic kyphosis but neurologic deficits are uncommon. In the lumbar ...

A sudden loss of motor function in segments of the spinal cord results in immobilisation and is complicated by bone loss and fractures in areas below the level of injury. Despite the acceptance of osteoporosis and fractures as two major public health problems, in people with spinal cord injuries, the mechanisms are not adequately investigated. Multiple risk factors for bone loss and fractures a...

Spinal stenosis may rarely involve both cervical and lumbar spines. An alternative surgical strategy used for the treatment of combined cervical and lumbar spinal stenosis is presented. Two cases with symptomatic combined stenosis of the cervical and lumbar spinal canal are described. Simultaneous surgery was performed in both cases. The combined stenosis of the cervical and lumbar spinal canal...

BACKGROUND Ossification of the posterior longitudinal ligament (OPLL) may increase the risk of spinal cord injury (SCI) with various neurological deficits after minor trauma. However, few studies have investigated the influence of OPLL on neurological outcome after acute cord injury. We examined whether severe spinal canal stenosis caused by OPLL affects neurological outcome after SCI based on ...

To determine the aetiology, pattern and prognosis of fractures of the spine in Dar es Salaam, Tanzania we studied a total of 54 patients who had sustained fractures of the spine and were managed by the Orthopaedic/Trauma Department of Muhimbili Medical Centre from January to December 1992. Of these patients 50 were males and four females. Their ages ranged between 12 and 69 years with a mean of...