RATIONALE Severe post-laminectomy spinal deformity associated with late-onset paraplegia is a complex and rare disorder. Little is known about revision surgery in post-laminectomy rotokyphoscoliosis associated with late-onset paraplegia treated by the single stage posterior-only vertebral column resection (VCR) procedure. PATIENT CONCERNS AND DIAGNOSES The patient was a 14-year-old male diagn...

Introduction: Children with severe kyphosis are prone to developing neurologic compromise, poor respiratory function and possible early death. Early identification and surgical intervention has proven to be effective. However they carry the highest surgical risk of all the spine deformities. Objectives: To present the surgical results and complications of patients with severe kyphosis treated a...

Actinomvcosis seldom involves the vertebral column. Only four out of 670 patients with actinomycosis reviewed by Sanford and Voelker (1925) had rib or vertebral involvement. It is clear that in the past the diagnosis has been difficult and that tile condition has often been mistaken for Potts disease. Among the reports of sixty cases of mycosis of the vertebral column Meyer and Gall (1935) foun...

BACKGROUND A solitary fibrous tumour (SFT) is an unusual neoplasm typically found in soft tissues. Although SFTs can arise in the bones, they very rarely arise in the vertebral arch. Here, we describe a case of a SFT that arose in the vertebral arch of the first lumbar (L1) spinal vertebrae and mimicked osteosarcoma. CASE PRESENTATION A 49-year-old woman presented with a 2-month history of lo...

Pancoast tumors account for less than 5% of all bronchogenic carcinomas. These tumors are located in the apex of the lung and involve through tissue contiguity the apical chest wall and/or the structures of the thoracic inlet. The tumors become clinically evident with the characteristic symptoms of the "Pancoast-Tobias syndrome" which includes Claude-Bernard-Horner syndrome, severe pain in the ...

Neoplastic cervical spine lesions are seen infrequently by the spinal surgeon. The surgical management of these tumors, particularly with associated neurovascular compromise, is challenging in terms of achieving proper resection and spinal stabilization and ensuring no subsequent recurrence or failure of fixation. In this report we highlight some of the problems encountered in the surgical mana...

Introduction: Vertebral arteries arise from the root of the neck as the first branches from the superior-posterior aspect of the subclavian arteries. They ascend the neck to enter the cranial cavity and supply blood to the brain. Methods: A total of 20 cadavers (in 10 years) were dissected for the study of variations in the origin of the vertebral artery. This study was conducte...

En-bloc resection of spine tumors is difficult to achieve compared extremities for anatomical reason. Several surgical techniques have been described, such as combined multiple approaches or an enlarged single posterior approach. These demanding strategies correlate with high rate intraoperative/postoperative complications. The current case about a patient treated posterior-lateral approach per...

Introduction: Thermal ablation by microwave (MWA) has proven efficacy in treatment of primary and metastatic cancers. Soft tissue tumors could be ablated completely using MWA. However, bony tissue metastasis particularly spinal vertebral metastasis ablation has not reported yet. Case presentation: A 50 year old male patient with primary diagnosed colon cancer undergone surgical resection of ...