: Intraoperative image-guidance in spinal surgery has been influenced by various technological developments imaging science since the early 1990s. The technology evolved from simple fluoroscopic-based guidance to state-of-art intraoperative computed tomography (iCT)-based navigation systems. Although is more commonly used thoracolumbar spine surgery, this newer platform rapidly gained popularit...

BACKGROUND Traumatic fracture of the spine 'is a serious neurosurgical condition that has serious impact on the patient's quality of life. Thoracolumbar junction is the most common site of spinal injuries. The aims of management of thoracolumbar spinal fractures are to restore vertebral column stability, and to obtain spinal canal decompression. This ultimately leads to early mobilization of th...

STUDY DESIGN Direct removal of an ossified mass via an anterior approach carries good decompression, to one- or two-level ossification of the posterior longitudinal ligament (OPLL) of the cervical spine. Ossification occasionally involves not only the posterior longitudinal ligament (PLL) but also the underlying dura mater. Defect of the dura mater by resection of the dural ossification (DO) ca...

RATIONALE Tertiary syphilis can manifest as gummatous disease, but gumma of the spine has been extremely rarely reported. PATIENT CONCERNS A 61-year-old male complained of worsening pain and numbness in both lower legs for four weeks. DIAGNOSES Syphilis of the Lumbar Spine. INTERVENTIONS Pedicle screw fixation (L3-S1) and posterior decompression of the vertebral canal at L4-5 were perform...

INTRODUCTION Pott's disease is a common entity in our hospital. The authors report their experience in the surgical treatment of Pott disease. PATIENTS AND METHODS This is a retrospective study including all patients who underwent surgery for Pott's disease in our institution between November 1999 and November 2004. RESULTS Forty-three patients were included, including 23 men and 20 women (...

INTRODUCTION Patients with symptomatic spondylolisthesis are frequently treated with nerve root decompression, in addition to pedicle screw fixation and interbody fusion. Minimally invasive approaches are gaining attention in recent years, although there is no clear evidence supporting the proclamation of minimally invasive spine surgery (MISS) being better than open surgery. We present the des...

BACKGROUND Tuberculous infection causes destruction, caseation, and necrosis of cervical vertebrae or may present as an abscess. Complete recovery of neurological status is the rule after anterior surgical decompression and fusion, even in cases with complete paraplegia or tetraplegia. Neurological impairment and spinal deformity are the major concerns with spinal tuberculosis. Absolute nonoper...

Purpose: To review our experience with surgical management of basilar invagination causing foramen magnum compression, focusing on selection of the surgical approach. Methods: Twelve consecutive patients underwent posterior foramen magnum decompression with occipitocervical fixation and fusion for treatment of basilar invagination causing brain stem compression and instability. Gentle traction ...

The use of posterior cervical spine fixation has become increasingly popular in recent years. Dissatisfaction with lateral mass fixation, especially at the cervicothoracic junction, has led spine surgeons to use cervical pedicle screw fixation for reconstruction in numerous cervical spine disorders. The biomechanical advantage of a three-column fixation device implanted to secure an unstable ce...