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Journal of Craniovertebral Junction and Spine

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https://read.qxmd.com/read/30783357/giant-cell-glioblastoma-with-spinal-and-spinal-leptomeningeal-metastasis-in-a-child-a-rare-presentation-of-a-rare-tumor
#1
Mahmood Dhahir Al-Mendalawi
No abstract text is available yet for this article.
October 2018: Journal of Craniovertebral Junction and Spine
https://read.qxmd.com/read/30783356/isolated-enchondroma-of-the-atlas
#2
Necati Ucler
Periosteal enchondromas located in the spine are rare. We reported an even more infrequent occurrence of a periosteal enchondroma in the cervical spine of a 19-year-old girl. During the operation, a giant (>8 cm × 5.5 cm × 5 cm) ossified periosteal enchondroma with involvement of posterior structures and muscles of the axis was resected. The pathological examination revealed that the tumor consisted of enchondroid tissue with typical chondrocytes, confirming the diagnosis of periosteal enchondroma. Early identification of the initial lesion should be coupled with total surgical resection, as a definitive treatment, to prevent malignant transformation...
October 2018: Journal of Craniovertebral Junction and Spine
https://read.qxmd.com/read/30783355/unprecedented-complication-of-odontoid-regeneration-after-transoral-odontoidectomy
#3
Manish Garg, M S Sridhar, Saurabh Verma, Jitendra Bhadoria
Transoral odontoidectomy followed by occipitocervical fixation is a widely used approach to relieve ventral compressions at the craniovertebral junction. Despite the large amount of literature on this approach and its complications, odontoid process regeneration and causing the worsening of symptoms of brainstem dysfunction and upper cervical cord were not found in the English literature. We report the case of odontoid regeneration in a 12-year-old girl. She presented with torticollis and symptoms of brainstem dysfunction and upper cervical cord compression with syringohydromyelia and underwent transoral resection of dens and posterior occipitocervical fusion at the age of 7 years...
October 2018: Journal of Craniovertebral Junction and Spine
https://read.qxmd.com/read/30783354/performing-the-screw-fixation-from-c3-to-odontoid-process-in-a-patient-with-klippel-feil-syndrome-and-type-ii-odontoid-fracture
#4
Mustafa Ogden, Ulas Yuksel, Ibrahim Akkurt, Bulent Bakar
A 56-year-old female patient was admitted with a history of pain during neck movements after cervical injury. Computerized tomography scan revealed type II odontoid fracture and fusion anomaly between C2 and C3 vertebrae. At surgery, the anteroinferior part of C2 vertebra corpus could not be reached; therefore, transodontoid screw was advanced from C3 vertebra toward odontoid process. At follow-up examination, the complaints of the patient had recovered, and fracture line was completely fused. Advancing screw from C3 to odontoid process via anterior cervical approach could be thought an alternative treatment option in the patient with short neck caused from vertebra fusion anomaly and/or obesity...
October 2018: Journal of Craniovertebral Junction and Spine
https://read.qxmd.com/read/30783353/autostabilization-of-neglected-high-grade-fracture-dislocation-in-the-cervical-spine
#5
Kunal Shah, Akshay Gadiya, Abhay Nene
Neglected cervical spine trauma is rare with very few case series reported in literature. There are no clear guidelines for its treatment. If operative treatment is sought, the role of skull traction, type of approach (anterior only, posterior only, or combined), sequence of surgery, type of instrumentation, etc., have to be considered. Hence, the treatment is challenging. Autostabilization has been described in the natural history of degenerative lumbar spondylolisthesis. As a result, many patients are treated nonoperatively, obviating need of surgery...
October 2018: Journal of Craniovertebral Junction and Spine
https://read.qxmd.com/read/30783352/transthoracic-approach-for-ventrally-situated-paraspinal-extradural-hydatid-cyst-of-the-dorsal-spine
#6
Mohnish P Dighe, Srikant Balasubramaniam, Trimurti D Nadkarni
A 40-year-old female presented with back pain without any neurological deficits. Radiological investigations revealed a ventrally situated paraspinal lesion causing widening of the right D4 neural foramen. She underwent a right posterolateral thoracotomy and excision of the lesion in toto, which was reported as a hydatid cyst on histology. Ventrally situated paraspinal extradural hydatid cysts are rare. A Transthoracic surgical exposure offers a direct approach for complete excision of the lesion, minimizing the chances of rupture and spillage...
October 2018: Journal of Craniovertebral Junction and Spine
https://read.qxmd.com/read/30783351/the-repair-using-a-fibular-graft-of-cervical-vertebral-collapse-due-to-renal-cell-carcinoma-late-results-with-a-case-report
#7
Vaner Köksal, Hüseyin Eren, Hasan Güçer
The most common cause of spinal tumors is metastases, but the cervical vertebra is the least common region of spinal metastasis, and relatively, little is published about surgery in metastasis to the cervical vertebra. While spinal metastasis is most often caused by neoplasms originating from the lung, breast, and prostate, renal cell carcinoma (RCC) metastasis is very rare. A 47-year-old patient introduced here presented with severe pain spontaneously on his neck and in his arm. In the radiology of the patient without neurological deficit, a pathologic vertebral collapse was detected in the C6 vertebral corpus...
October 2018: Journal of Craniovertebral Junction and Spine
https://read.qxmd.com/read/30783350/clinical-and-radiological-union-rate-evaluation-of-type-2-odontoid-fractures-a-comparison-between-anterior-screw-fixation-and-halo-vest-in-elderly-patients
#8
Massimo Girardo, Alessandro Rava, Giosuè Gargiulo, Angela Coniglio, Stefano Artiaco, Alessandro Massè, Federico Fusini
Purpose: Odontoid fracture is a very common cervical injury, especially in elderly patients. Despite the high frequency, the appropriate management is still debated. The aim of this study is to evaluate clinical and radiological outcomes after anterior screw fixation or halo vest (HV) in type II odontoid fracture in elderly patients. Materials and Methods: Between January 2013 and December 2015, 135 consecutive patients affected by odontoid process were found. According to inclusion and exclusion criteria, 57 patients were included in the study...
October 2018: Journal of Craniovertebral Junction and Spine
https://read.qxmd.com/read/30783349/a-novel-technique-for-the-subfascial-insertion-of-magnetically-controlled-growing-rods-the-alder-hey-technique
#9
Sudarshan Munigangaiah, Phil Brown, Mohamed Mohamed, Colin E Bruce, Jayesh M Trivedi, Neil T Davidson
Purpose: In this study, we would like to describe a novel technique for subfascial insertion of magnetically controlled growing rods using chest drain during surgery for early-onset scoliosis. Materials and Methods: Posterior approach, surgical dissection to the spine is performed exposing the relevant anatomy to allow placement of pedicle screws always in the distal construct and pedicle screws or hooks in the proximal construct. To allow easy passage of the Magnetic Expansion Control (MAGEC) rod, as well as easy maneuvering of the rod in either the cranial to caudal direction, we use a chest drain of size 24 French diameter as a tunnel...
October 2018: Journal of Craniovertebral Junction and Spine
https://read.qxmd.com/read/30783348/on-the-linear-sizes-of-vertebrae-and-intervertebral-discs-of-children-in-the-beginning-of-puberty
#10
Mikhail Dudin, Yuri Baloshin, Igor Popov, Nikita Lisitsa, Stepan Bober
Study Design: We collected experimental data concerning vertebrae sizes and performed an investigation of these data for different patient ages by methods of mathematical statistics. Purpose: The standard dimensions of vertebrae and intervertebral discs are of major importance for obtaining a comprehensive understanding of spine diseases and their successful treatment. The purpose is to study these sizes for children at the age of 9-14 years. Overview of Literature: Unfortunately, this issue is poorly presented in the corresponding literature...
October 2018: Journal of Craniovertebral Junction and Spine
https://read.qxmd.com/read/30783347/ability-of-magnetic-resonance-imaging-to-accurately-determine-alar-ligament-integrity-in-patients-with-atlanto-occipital-injuries
#11
Adam R Dyas, Thomas E Niemeier, Gerald Mcgwin, Steven M Theiss
Objective: The objective of this study is to evaluate the the reliability of magnetic resonance imaging (MRI) in diagnosing alar ligament disruption in patients with potential atlanto-occipital dissociation (AOD). Materials and Methods: Three-blinded readers performed retrospective review on 6 patients with intra-operative confirmed atlanto-occipital dissocation in addition to a comparison cohort of patients with other cervical injuries that did not involve the atlanto-occipital articulation...
October 2018: Journal of Craniovertebral Junction and Spine
https://read.qxmd.com/read/30783346/lumbar-disk-herniation-how-far-should-efforts-go-to-minimally-invasive-procedure
#12
Keyvan Mostofi, Babak Gharaei Moghadam, Morad Peyravi, Reza Karimi Khouzani
Background: Minimally invasive surgery (MIS) of lumbar disk herniation allows avoiding less of a mess in crossing structures, reducing muscular and cutaneous scarring, postoperative pain, lengthy recovery times, and the rate of infection. The aim of this study is to explain our experience in MIS of disc herniation. We compare the outcome of three different surgical techniques used for the treatment of lumbar disc herniation. Materials and Methods: A total of 1147 patients have been operated from July 2008 to December 2015 for lumbar disk herniation by posterior endoscopic approach...
October 2018: Journal of Craniovertebral Junction and Spine
https://read.qxmd.com/read/30783345/who-benefits-more-in-osteoporotic-fractures-pedicle-screw-instrumentation-or-kyphoplasty-for-american-society-of-anesthesiologists-ii-iii-patients
#13
Tjark Tassemeier, Marcel Haversath, Moritz Schutzbach, Marcus Jäger
Purpose: Osteoporotc fractures with posterior wall injury are commonly treated with a pedicle srcrew instrumentation (PSI) or a ballonkyphoplasty (BKP). A predictor for complications for these patients is the American Society of Anesthesiologists (ASA) class. Clinical results in ASA II/III patients who underwent BKP and PSI due to OF were evaluated to find the optimal treatment regimen. Materials and Methods: In a retrospective study design, ASA Class II and III patients with OF type OF 2 and OF 3 according to the German Society of Orthopedics and Trauma Surgery classification who underwent surgery between 2011 and 2016 were enrolled...
October 2018: Journal of Craniovertebral Junction and Spine
https://read.qxmd.com/read/30783344/timing-for-surgical-intervention-in-dishphagia
#14
Waeel Ossama Hamouda
Introduction: Dysphagia in old patients secondary to diffuse idiopathic skeletal hyperostosis (DISH) syndrome is underdiagnosed. Surgical resection of the offending osteophytes is the definitive treatment. However, the timing of surgery in the course of the disease is still controversial. The study tries to find a correlation if any, between the timing of osteophytectomy surgery aimed to relieve DISH syndrome-induced dysphagia and the surgical outcome. Methods: During the period from 2010 to 2015, clinical and radiological data of patients who presented with dysphagia attributed to DISH syndrome were retrospectively reviewed along with their management and outcome...
October 2018: Journal of Craniovertebral Junction and Spine
https://read.qxmd.com/read/30783343/suboccipital-pain-in-chiari-formation-its-cause-and-significance
#15
EDITORIAL
Atul Goel
No abstract text is available yet for this article.
October 2018: Journal of Craniovertebral Junction and Spine
https://read.qxmd.com/read/30783342/from-only-decompression-to-only-fixation-a-century-long-journey-of-surgical-treatment-for-spinal-spondylosis
#16
EDITORIAL
Atul Goel
No abstract text is available yet for this article.
October 2018: Journal of Craniovertebral Junction and Spine
https://read.qxmd.com/read/30443145/nonunited-secondary-ossification-centers-of-the-spinous-processes-of-vertebrae-at-multiple-levels-presenting-as-aberrant-articulations-in-an-adult
#17
Reddy Ravikanth, Rijesh Pottangadi
No abstract text is available yet for this article.
July 2018: Journal of Craniovertebral Junction and Spine
https://read.qxmd.com/read/30443144/basilar-impression-in-osteogenesis-imperfecta-treated-with-staged-halo-traction-and-posterior-decompression-with-short-segment-fusion
#18
Mutlu Cobanoglu, Jennifer M Bauer, Jeffrey W Campbell, Suken A Shah
Basilar impression is a cranial base abnormality associated with osteogenesis imperfecta (OI) with serious neurologic implications but controversial treatment options. Combined anterior and posterior decompression with long-segment posterior fusion is often recommended. We report a patient with OI (Sillence type III) with basilar impression treated with halo traction followed by posterior surgery. The patient was a 12-year-old female with a presentation of hiccups and change in upper extremity function. Diagnostic imaging revealed syringomyelia, compensated hydrocephalus, basilar impression, and Chiari type I malformation...
July 2018: Journal of Craniovertebral Junction and Spine
https://read.qxmd.com/read/30443143/rare-manifestation-of-common-disease-with-an-unique-method-of-minimally-invasive-spine-stabilization-cervical-2-3-facet-lesion
#19
Parichay J Perikal, Umesh Srikantha, Aniruddha T Jagannath, Kiran Khanapure, Ravi Gopal Varma, A S Hegde
Cervical granulomatous infections of the posterior elements are very rare, it is often difficult to diagnose due to rarity and variable presentation of symptoms. Any cervical surgical procedure carries a certain morbid risk to the patient. We present a case of cervical 2-3 facet joint lesion which was managed by a minimally invasive technique with a favorable outcome.
July 2018: Journal of Craniovertebral Junction and Spine
https://read.qxmd.com/read/30443142/giant-cell-tumor-with-pathological-fracture-of-c2-with-c1-c2-instability-a-rare-case-with-review-of-literature
#20
Abhijeet B Kadam, Ashok K Rathod, Anoop C Dhamangaonkar
Giant cell tumor (GCT) or osteoclastoma is a benign, locally aggressive tumor with a tendency to recur. Involvement of the axial skeleton is very rare and majority of them are seen in the sacrum. The authors report a rare case of a 19-year-old female who presented with a C2 dens GCT with a pathological fracture and atlantoaxial dislocation. The patient was operated in two stages: first stage, with posterior instrumentation and stabilization followed by the second stage, tumor resection by anterior transoral approach...
July 2018: Journal of Craniovertebral Junction and Spine
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