Calcinosis is a well-recognized manifestation of systemic sclerosis. Paraspinal or intraspinal calcinosis is rare, with reports of calcinosis involving the cervical, thoracic and lumbar separately, but not together. We now report a case of limited cutaneous scleroderma with extensive paraspinal calcinosis of the cervical and lumbar spine.

IMPORTANCE Injection of contaminated methylprednisolone has resulted in an unprecedented nationwide outbreak of Exserohilum rostratum fungal infections, manifested initially as meningitis and/or basilar stroke. Insidious onset of spinal or paraspinal infection at the injection site has been increasingly reported and is occurring months after receipt of injection with the contaminated drug. The ...

BACKGROUND A nationwide outbreak of fungal infections was traced to injection of Exserohilum-contaminated methylprednisolone. We describe our experience with patients who developed spinal or paraspinal infection after injection of contaminated methylprednisolone. METHODS Data were assembled from the Michigan Department of Community Health, electronic medical records, and magnetic resonance im...

In this study, we compared the paramedian interfascial approach (PIA) and the traditional midline approach (MA) for lumbar fusion to determine which approach resulted in the least amount of postoperative back muscle atrophy. We performed unilateral transforaminal posterior lumbar interbody fusion via MA on the symptomatic side and pedicle screw fixation via PIA on the other side in the same pat...

=Abstract=The authors have performed paraspinal needle EMG studies in twenty five patients with thoracic myelopathy. They were divided into demonstrable thoracic lesions and non-demonstrable thoracic lesions by neuroimaging studies resulting in 1 2 cases of the former and 13 cases of the latter. There were abnormal paraspinal EMG findings in 8 3 % with demonstrable thoracic lesions. All five pa...

Introduction: Germ cell tumors account for 3.5 % of pediatric and yolk sac are the most common pure malignant germ in children. Testis ovary sites involvement children older than 2 years. Case Presentation: A 20-month-old boy with a complaint limping was described this case report. Abdominal ultrasonography showed 52 × 50 mm solid abdominal mass. pelvic computed tomography scans left paraspinal...

INTRODUCTION Low back disorders (LBDs) are one of the most prevalent and costly musculoskeletal problems in the United States. Abnormal paraspinal reflexes have been linked to low-back pain [1,2] and neuromuscular fatigue has been shown to affect reflexes in multiple muscle groups [3]. Therefore, the purpose of this study was to investigate the effect of lumbar extensor fatigue on paraspinal re...

PURPOSE: To determine whether paraspinal block reduces pain scores compared to placebo in women with chronic pelvic pain refractory to drug therapy. METHODS: Subjects with chronic pelvic pain due to benign conditions and refractory to drug therapy were invited to participate in a randomized, double blind, superiority trial at a tertiary reference center. Subjects were randomly allocated to rece...

A 51-year-old Caucasian female presented for evaluation of a superior posterior mediastinal mass. The lesion was incidentally found after the patient was involved in a motor vehicle collision. During her trauma evaluation, a computed tomography scan of the chest showed a left paraspinal lesion measuring 2.4 cm by 2 cm (Figure 1). The Hounsfield units were consistent with fluid versus low densit...

BACKGROUND Camptocormia is severe flexion of the thoracolumbar spine, exaggerated during standing and walking but minimized in supine position. Even though camptocormia is a relatively common condition during the course of Parkinson's disease, there is ongoing controversy concerning its mechanisms. The most widely accepted and yet still disputed one is dystonia. However, based on myopathic chan...