conclusions both dexmedetomidine and esmolol can be used as agents to control hypotension in patients undergoing lumbar spine decompression and fixation surgery; the dexmedetomidine group, however, was associated with better intraoperative hemodynamic stability and reduced intraoperative analgesic and volatile anaesthetic requirement. results the study results showed that dexmedetomidine had lo...

Introduction: Although perforation of the esophagus, in the anterior cervical spine fixation, is well established, cases with delayed onset, especially cases that present pseudodiverticulum, are not common. In addition, management of the perforation in this situation is debated.  Case Report:   Delayed esophageal pseudodiverticulum was managed in two patients with a history of anterior spine fi...

This article reviews the historical context, indications, techniques, and complications of four posterior fixation techniques to stabilize the subaxial cervical spine. Specifically, posterior wiring, laminar screw fixation, lateral mass fixation, and pedicle screw fixation are among the common methods of operative fixation of the subaxial cervical spine. While wiring and laminar screw fixation ...

pedicle screws provide rigid fixation for instabilities in the lumbar and lumbosacral spine. anatomical consideration and potential risk of neurologic complications are the reasons to hesitate using pedicle screws in the thoracic spine. twenty moulages similar to human vertebrae were instrumented with cotrel-dubousset (cd) system pedicle screw by intratransverse process, extrapedicular and intr...

background & aims: thuracolumbar unstable fractures (t, l.u.f) are common after spine truma. posterior pedicular fixation is a technique that is use for fixation of these fractures. this study evaluates the accuracy of pedicular screw placement in t, luf with the assistance of plain radiography in operation rooms. materials & methods: this study is a case-control and analytical study. 35 patien...

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...

Background: The aim of this study was to assess the pre-hospital emergency services, non-surgical interventions, and clinical outcomes in patients with traumatic spine referred to Poursina hospital in Guilan. Methods: Spine trauma registry of Poursina hospital of Rasht were used. Records of patients with traumatic spine were reviewed for pre-hospital emergency services, non-surgical interventi...

OBJECTIVE The objective of this review is to reveal the quality of published data and the effect size of DPFs compared to rigid fixation in lumbar spine. SUMMARY OF BACKGROUND DATA since 2002, several dynamic pedicle fixation (DPF) systems have been developed with the aim to stabilize the spine without the undesirable effects of rigid lumbar spine fixation. Nearly ten years later, there are s...

BACKGROUND Transarticular screw fixation is used in the upper cervical and lumbar spine to achieve posterior spinal stability, and its biomechanical performance has been proven to be similar to that of pedicle screw fixation. However, few studies have reported the use of transarticular screw fixation in the upper thoracic spine. OBJECTIVE To biomechanically compare transarticular screws with ...