Abstract Background To compare the diseased verses non-diseased intervertebral surgery used in treatment of thoracolumbar and lumbar spinal tuberculosis to explore best choice fusion fixation range. Methods Two hundred twenty-one patients with were categorized into two groups. One eighteen underwent (lesion vertebral pedicle fixation, Group A) 103 (1 or 2 above below affected vertebra, group B)...

Translaminar facet screw fixation (TLFS) achieves stabilization of the vertebral motion segment by screws inserted at the base of the spinous process, through the opposite lamina, traversing the facet joint, and ending in the base of the transverse process. It is simple, does not require any specialized equipment, and has the advantages of being a procedure of lesser magnitude, lesser operative...

INTRODUCTION We present a case of a patient with a previously undescribed complication: intertrochanteric femoral neck insufficiency fracture after long-segment instrumented spinopelvic fusion to the ilium for Charcot spine. CASE PRESENTATION A 42-year-old Caucasian man with post-traumatic complete T6 paraplegia presented to our institution after developing Charcot spinal arthropathy at L3 an...

A 59-year-old female presented to our institution with paraparesis caused by medullar compression secondary to multiple myeloma. Spinal cord decompression and transpedicular spine fixation were performed. A month later, the patient complained of sudden pain in her middle back. A CT scan revealed screw impingement on the aortic wall at T8 level. A thoracic stent-graft was deployed before removin...

Identification of the source of pain in patients with chronic low back pain remains a challenging subject. The non-invasive investigations lack specificity. The value of invasive tests has also been controversial. At one time discograms used to be considered as the only specific investigation identifying the source of pain prior to fusion surgery; many studies however proved that this is not tr...

BACKGROUND Pyogenic spondylodiscitis represents a potentially life-threatening condition. Due to the low incidence, evidence-based surgical recommendations in the literature are equivocal, and the treatment modalities remain controversial. CASE PRESENTATION A 59 year-old patient presented with a history of thoracic spondylodiscitis resistant to antibiotic treatment for 6 weeks, progressive se...

Purpose: Traumatic posterior dislocation of the upper thoracic spine without neurological deficit has rarely been reported previously in the literature and most surgeons have less experience for surgical treatment for this kind of injury. We described a case of complete posterior dislocation of the T3 thoracic spine without neurological deficit, and its management with pedicle screw fixation an...

Purpose: Traumatic posterior dislocation of the upper thoracic spine without neurological deficit has rarely been reported previously in the literature and most surgeons have less experience for surgical treatment for this kind of injury. We described a case of complete posterior dislocation of the T3 thoracic spine without neurological deficit, and its management with pedicle screw fixation an...

BACKGROUND The use of pedicle screws is the gold standard for supplemental posterior fixation in lateral interbody fusion. Information about the performance of transfacet pedicle screws compared to standard pedicle screws and rods in the upper lumbar spine with or without a lateral interbody fusion device in place is limited. METHODS Fifteen fresh frozen human cadaveric lumbar spine segments ...

STUDY DESIGN This technique article describes accomplishing multilevel posterior cervical decompression and lateral mass screw placement through a tubular retraction system. OBJECTIVE Multilevel foraminotomy and instrumented fusion using lateral mass screw fixation can be achieved through a minimally invasive technique using specialized retractors and intraoperative fluoroscopic imaging. SU...