Post pacemaker insertion pericarditis is a rare form of post cardiac injury syndrome. It is an inflammatory process involving the pericardium and/or pleura due to a recent cardiac injury. Post cardiac injury syndrome may develop after myocardial infarction (Dressler syndrome), cardiac surgery or trauma. However, in rare cases it can occur following minor cardiac procedures. We report a case of ...

The authors report an unusual case of a fat embolism following an isolated lumbar vertebra wedge fracture. A 66-year-old gentleman sustained a lumbar wedge fracture following a fall. During routine mobilisation some days later he collapsed suddenly and became unresponsive. Shortly after, he suffered a fatal cardiac arrest. A post-mortem was performed which attributed the cause of death to fat e...

STUDY DESIGN A retrospective study. PURPOSE To determine the feasibility and effectiveness of revisional percutaneous full endoscopic discectomy for recurrent herniation after conventional open disc surgery. OVERVIEW OF THE LITERATURE: Repeated open discectomy with or without fusion has been the most common procedure for recurrent lumbar disc herniation. Percutaneous endoscopic lumbar discect...

BACKGROUND Although several authors have reported the use of endoscopic techniques to treat lumbar foraminal stenosis, the practical application of these techniques has been limited to soft disc herniation. OBJECTIVE To describe the details of the percutaneous endoscopic lumbar foraminotomy (ELF) technique for bony foraminal stenosis and to demonstrate the clinical outcomes. METHODS Two yea...

As our population ages and the rate of spine surgery continues to rise, the use epidural lysis of adhesions (LOA) has emerged as a popular treatment to treat spinal stenosis and failed back surgery syndrome. There is moderate evidence that percutaneous LOA is more effective than conventional ESI for both failed back surgery syndrome, spinal stenosis, and lumbar radiculopathy. For cervical HNP, ...

Iatrogenic neurologic deficits after lumbar spine surgery are rare complications, but important to recognize and manage. Complications such as radiculopathy, spinal cord compression, motor deficits (i.e. foot drop with L5 radiculopathy), and new onset radiculitis, while uncommon do occur. Attempts at mitigating these complications with the use of neuromonitoring have been successful. Guidance i...

The post cardiac injury syndrome is characterized by the development of a fever, pleuropericarditis, and parenchymal pulmonary infiltrates in the weeks following trauma to the pericardium or myocardium. According to previous reports, almost all cases develop after major cardiac surgery or a myocardial infarction. Recently, a few reports have described post cardiac injury syndrome as a complicat...