INTRODUCTION If nonoperative treatment for lumbar stenosis fails, surgery may be considered. This traditionally includes decompression often combined with fusion. Desire for less extensive surgery led to developing new techniques and implants, including an interlaminar device designed with the goal of providing segmental stability without fusion, following decompression. The purpose of this stu...

Objective To find out the clinical outcome of posterior decompression with occipitocervical fixation and fusion in patients with Craniovertebral junction instability. Methods Eighty consecutive patients of cranio vertebral junction (CVJ) compression were treated in the department of neurosurgery, Jinnah Postgraduate Medical Centre (JPMC), Karachi over a period of 05 years from 1st January 201...

Boucher was the first to use screws that crossed through the strongest point of attachment of the facet joint into the pedicle and the body of the vertebra below. He declared a pseudorthrosis rate of 14% to 17% including multilevel fusions (1). The use of pedicle screw–assisted spinal stabilization has become increasingly popular worldwide. Pedicle screw systems engage all three columns of the ...

BACKGROUND Combination of surgery and radiotherapy in the treatment of primary spine tumour can be indicated in some cases where a satisfactory oncological margin cannot be achieved. The presence of metal hardware has always limited post-operative radiotherapy due to the scattering effects of ionizing radiation or particles. The use of a fixation system (including rods and screw) fully made in ...

BACKGROUND A postoperative magnetic resonance imaging (MRI) is performed as a routine to assess decompression of the spinal cord as well as to evaluate postoperative complications. The purpose of this study is to analyze the efficacy of postoperative MRI for hematoma in spinal decompression surgery. METHODS Between January 1, 2008 and January 31, 2015, 185 patients who underwent postoperative...

A major gap exists between fusion oriented surgeons and Pain Management leaders, bridged by transforaminal endoscopic surgeons represented by the International Intradiscal and Transforaminal Therapy Society (formerly IITS). Current surgical philosophy by key opinion leaders (KOL’s) focus on attaining fusion of the painful spinal segment by emphasizing femoral-pelvic and overall spine sagittal a...

BACKGROUND There have been rare cases of traumatic cervical spondyloptosis without neurological compromise. We report another case and provide a review of the literature, with a focus on appropriate management. CASE DESCRIPTION A 60-year-old male rode his bicycle into a stationary semi-truck. He reported initial bilateral upper extremity paresthesias that resolved. Imaging demonstrated C7 on ...

The study was to comprehensively compare the postoperative outcome and imaging parameter characters in a short/middle period between the percutaneous endoscopic lumbar discectomy (PELD) and the internal fixation of bone graft fusion (the most common form is posterior lumbar interbody fusion [PLIF]) for the treatment of adjacent segment lumbar disc prolapse with stable retrolisthesis after a pre...

Thirteen patients with fractures and/or dislocations of the middle and lower cervical spine were treated by transpedicular screw fixation using the Steffee variable screw placement system. Postoperative immobilization was either not used or simplified to short-term use of a soft neck collar. Recovery of nerve function and correction of kyphotic and/or translational deformities were satisfactory...

STUDY DESIGN A questionnaire survey. OBJECTIVE The aim of this study was to determine the effect of patient age, dynamic instability, and/or low back pain on the treatment of patients with a degenerative spondylolisthesis, and if the operative approach is affected by surgeon specialty, location, or practice model. SUMMARY OF BACKGROUND DATA The classic treatment for patients with symptomati...