Multiple techniques exist for the fixation of C2, including axial pedicle screws and bilateral translaminar screws. We describe a novel method of incorporating both the translaminar and pedicle screws within C2 to improve fixation to the subaxial spine in patients requiring posterior cervical instrumentation for deformity correction or instability. We report three cases of patients with cervica...

Introduction: We detail the rare clinical presentation of an extramedullary plasmacytoma as a rapidly growing lateral neck mass. The pathology and its management are discussed. A infiltrating cervical spine. Case Report: 53-year-old male presented to our emergency room with one-month history worsening left-sided pain enlarging Evaluation imaging laboratory analysis were performed. patient under...

Paraspinal muscles are commonly affected during spine surgery. The purpose of this study was to assess the potential factors that contribute to paraspinal muscle atrophy (PMA) after lumbar spine surgery. A comprehensive review of the available English literature, including relevant abstracts and references of articles selected for review, was conducted to identify studies that reported PMA afte...

conclusions application of pedicular screw in unstable upper and middle thoracic spine fractures is an effective method that can correct kyphotic deformity and anterolisthesis and improve neurologic deficit. background treatment of unstable upper and middle thoracic spine fractures remains controversial. there is no consensus regarding optimal treatment. objectives in this study, we evaluated t...

The paper suggests a case of radical correction scoliosis complicated with syringomyelia. They were expounded stages operative treatment of spine without using neurosurgical methods of CNS decompression. The study concludes that at absence of pronounced disturbances of the motor sphere in the initial neurologic status of the patients, and in the absence of stable deterioration in the neurologic...

Os odontoideum can lead to atlantoaxial instability, which can be either reducible or a fixed dislocation. We present surgical management in four patients with os odontoideum at our center. Two of these had reducible dislocations and were managed by posterior transarticular screw fixation. Other two had fixed dislocations necessitating posterior decompression and occipitocervical fixation.

STUDY DESIGN  A case report. OBJECTIVE  To report a rare case of acute spinal subdural hematoma (SSH) complicating lumbar spine surgery, its characteristic presenting symptoms, diagnostic imaging, possible cause, and pitfall in management. METHODS  A 59-year-old woman with lumbar spinal instability and stenosis underwent laminectomy and decompression at L3-L5 with instrumentation and fusion...

with decompression of the spinal cord, is now widely used for the surgical management of infection, especially tuberculosis (Hodgson and Stock 1960), spinal tumours (Harrington 1981) and congenital spinal deformity (LeathermanandDickson1979). Therehasthusbeenan increasing interest in a direct surgical approach to vertebral bodies. Surgical approaches which allow exposure of the anterior aspect ...

Osteoporosis is the most common contributing factor of spinal fractures, which characteristically are not generally known to produce spinal cord compression symptoms. Recently, an increasing number of medical reports have implicated osteoporotic fractures as a cause of serious neurological deficit and painful disabling spinal deformities. This has been corroborated by the present authors as wel...

Degenerative cervical spondylosis and cervical compression myelopathy are common causes of morbidity in middle-aged and elderly individuals. Clinical presentations include progressive spastic quadriparesis, sensory loss at or below the neck, and urinary incontinence. Although nonoperative treatment is acceptable in mild nonprogressive myelopathy, surgical decompression or stabilization is indic...