BACKGROUND The importance of decreasing bleeding in spine surgery is not only important to maintain the patient's hemodynamic balance but also allow a better view of the surgical field. OBJECTIVES The current study aimed to compare dexmedetomidine and Esmolol™ as agents to induce hypotension in lumbar spine surgeries. PATIENTS AND METHODS A total of 50 patients aged 20 to 65 years belonging...

Objective: To summarize neurological outcome and complications after skull distraction combination of anterior cervical surgery managed with corpectomy, titanium mesh cage reconstruction, and cervical locking plate. Methods: A total of 42 patients with lower cervical spine fracture and dislocation were included in this study between May 2009 and September 2014. The average follow-up time was 18...

Background and Aim: Degenerative lumbar spine disease can lead to lumbar spine instability. The patients can present with Low Back Pain (LBP), radicular pain, and motor and sensory dysfunction. Age >50, female sex and pregnancies are among prevalent risk factors. The degeneration process usually starts from the intervertebral discs progressing to involve facet joints, ligaments, and vertebral b...

Tetanus is caused by clostridium tetani bacteria through skin breach. The tetanus characterized tonic contraction and muscle spasm which can cause vertebral fracture in some patients. we are reporting a young male patient who after ring circumcision technique had complicated into thoracic with severe kyphotic deformity lower limb functional impairment. surgical management was performed two stag...

Study Design Prospective clinical study. Purpose The purpose of this study was to evaluate the effect of interlaminar fusion and short segment pedicle screw fixation on thoracolumbar vertebral injuries for preventing pain and post-traumatic kyphosis. Overview of Literature The treatment of thoracolumbar injuries continues to be one of the most controversial areas in spine care. The main aim...

When ossification of the yellow ligament (OYL) occurs in the lumbar spine and extends to the lateral wall of the spinal canal, facetectomy is required to remove all of the ossified lesion and achieve decompression. Subsequent posterior fixation with interbody fusion will then be necessary to prevent postoperative progression of the ossification and intervertebral instability. The technique of l...

Harrington rods are a valuable adjunct for fusion of the lumbosacral spine. Major limits of distractions are achieved with these rods. Greater amounts of decompression are possible. Decompression, alignment, and stability are maintained. Intersegmental wiring increases security and eliminates the problem of hook and rod displacement and loss of lumbar lordosis. A variety of methods are availabl...

STUDY DESIGN This was a retrospective study. PURPOSE To study the surgical outcome of synovial cysts of the lumbar spine through posterior laminectomy in combination with transpedicular screw fixation. OVERVIEW OF LITERATURE Synovial cysts of the lumbar spine contribute significantly to narrowing of the spinal canal and lateral thecal sac and nerve root compression. Cysts form as a result o...

Tuberculosis of the spine is a very frequent case in the practice of spine surgeons in the developing world, and is set to pose a challenge to the developed world in near future. Only anterior surgery seems to be falling short in potential for correction of the kyphotic deformity as well as of preventing gradual collapse later on. Posterior fixation has shown an excellent potential for correcti...

This article presents an unusual case of arachnoiditis ossificans after spinal surgery. A case of arachnoiditis ossificans secondary to lumbar fixation and decompression surgery for the treatment of multilevel lumbar fractures is reported and the relevant literature is reviewed. A 29-year-old man who previously underwent posterior pedicle screw fixation and fusion for multiple lumbar spine frac...