Respiratory stridor developed rapidly during an interscalene brachial plexus block for shoulder arthroscopy in an obese woman. Extensive cervicothoracic edema due to tissue diffusion of the arthroscopic fluid was suspected. The outcome of patient after conservative management was satisfactory. We give a brief review of how this complication develops, the ultrasound findings, and briefly discuss...

A 70-year-old woman with a history of motor vehicle versus train accident, previous thoracic and lumbar fusion, and recent cervical fusion was admitted for severe upper back pain, difficulty with balance, weakness of lower extremities, and progressive kyphosis. On examination, the patient was found to have diffused myelopathy and paraparesis throughout her lower extremities. She requires a walk...

Herein, we report on an inferior migration of an intervertebral disc C6-7 to the cervicothoracic junction manifesting as acute paraplegia. The patient showed a remarkable recovery after the surgery. The diagnostic dilemma and management difficulties of such an entity are briefly discussed.

The cervicothoracic junction (CTJ) is a region of the spine submitted to significant mechanical stress. peculiar anatomical and biomechanical characteristics make posterior surgical stabilization this area particularly challenging. We present discuss our series highlighting specific challenges provided by spine. have analyzed reported retrospective data from patients who underwent instrumentati...