Certain cases of thyroid-related orbitopathy may require surgical decompression of the orbit. The purpose of this paper is to highlight new techniques of orbital decompression in thyroid-related orbitopathy. We present two illustrative cases selected from our recent surgical experience. The techniques of combined-approach decompression, transcaruncular approach to the medial orbital wall, drill...

Introduction. Occipitocervical (OC) fusion is a method for fixation of the OC junction when there instability that segment. Arnold Chiari malformation congenital disorder where cerebellar tonsils descend through foramen magnum, which can lead to corticomedullar compression and formation syrinx. While treating this condition, purpose decompression, magnum expanded, potentially harm stability jun...

BACKGROUND CONTEXT The incidence of violent crimes has risen over the past decade. With it, gunshot injuries have become increasingly more common in the civilian population. Among the most devastating injuries are gunshot wounds to the spine. PURPOSE The purpose of this article is to provide a thorough review of the pathomechanics, diagnosis and treatment of gunshot wounds to the spine. STU...

The metallic fixations used in surgical procedures to support the spine mechani-cally usually consist of high-density materials. Radiation therapy to palliate spinal cord compression can include prophylactic inclusion of potential tumor around the site of such fixation devices. Determination of the correct density and shape of the spine fixation device has a direct effect on the dose calculatio...

BACKGROUND The most common site of fractures in patients with ankylosing spondylitis (AS) is the cervical spine, especially the lower cervical spine and cervicothoracic junction. The optimal treatment for cervical spine fractures secondary to AS is controversial. This study aimed to explore the effects of posterior pedicle screw fixation alone on fractures of the lower cervical spine in patient...

ity in the acute phase following lumbar spine surgery. Wound infections of the spine can have devastating consequences on the outcome after procedures such as a simple discectomy or a multilevel decompression and instrumentation fusion. Once identified, rapid and definitive treatment offers the best hope for restoring the patient to the normal recovery process. Prevention is clearly better than...

Background data: Posterior cervical laminectomy and lateral mass screw-rod fusion techniques were classically recommended in flexible sagittal alignment relying on indirect decompression via posterior cord shift. Purpose: This study aims to investigate the efficacy of with fixation for treating multisegmental spondylotic myelopathy alignment. Study Design: Prospective clinical cohort study. Pat...

OBJECTIVE To analyze the clinical results of a partial vertebrectomy with titanium mesh implantation and pedicle screw fixation using a posterior approach to reconstruct the spine in the treatment of thoracolumbar burst fractures. METHOD From January 2006 to August 2008, 20 patients with severe thoracolumbar fractures were treated.For vertebral bodies associated with one injured intervertebra...

Descriptive case report.To report a case of a diffuse idiopathic skeletal hyperostosis (DISH) patient with both massive ossification of the anterior longitudinal ligament (OALL) leading to severe dysphagia as well as ossification of the posterior longitudinal ligament (OPLL) causing mild cervical myelopathy, warranting not only an anterior approach but also a posterior one.Although DISH can cau...