Introduction: Although frequently observed in magnetic resonance images, symptomatic thoracic disc herniations are rare. Surgical treatment is indicated when patients suffer from functional symptoms with no response to medical treatment, neurologic appear or worsen the event of myelopathy. Posterolateral approaches commonly accepted as for lateral and mediolateral non-calcified medial herniatio...

STUDY DESIGN A multicentered retrospective case series. OBJECTIVE To determine the incidence and circumstances surrounding the development of a symptomatic postoperative epidural hematoma in the cervical spine. METHODS Patients who underwent cervical spine surgery between January 1, 2005, and December 31, 2011, at 23 institutions were reviewed, and all patients who developed an epidural hem...

epidural abscess of the spinal column is a rare condition that can be fatal if left untreated. it promptly progresses and can cause neurologic paralysis, urinary retention or cauda equina syndrome. compromised immune system that occurs in patients with diabetes mellitus, aids, chronic renal failure, alcoholism, or cancer is a predisposing factor. it mostly occurs in adults. here we would like t...

OBJECTIVE To evaluate the improvement in neurological deficit following late decompression and stabilization of the fractured thoracolumbar spine. METHODS Between January 2001 and August 2004 neurological recovery in 120 thoracolumbar fractures was studied after posterior stabilization at the Hospital for Bone & Joint Surgery, Srinagar, India. There were 88 male and 32 female patients. Fall f...

STUDY DESIGN Prospective, multicenter, international observational study. OBJECTIVE To evaluate motor neurologic outcomes in patients undergoing surgery for complex adult spinal deformity (ASD). SUMMARY OF BACKGROUND DATA The neurologic outcomes after surgical correction for ASD have been reported with significant variability and have not been measured as a primary endpoint in any prospecti...

OBJECTIVE Patients undergoing surgical resection of medial frontal lesions may present a transient postoperative deficit that remains largely unpredictable. The authors studied the role of the supplementary motor area (SMA) in the occurrence of this deficit using fMRI. METHODS Twenty-three patients underwent a preoperative fMRI before resection of medial frontal lesions. Tasks included self-p...

BACKGROUND AND PURPOSE When medication fails to improve symptoms of atherosclerotic stenosis of the intracranial vertebral and basilar arteries, percutaneous transluminal angioplasty (PTA) is considered. However, because investigators disagree on the usefulness of this procedure, we conducted a retrospective study to evaluate the indications, efficacy, and safety of PTA. METHODS Twenty patien...