Spatial Computing for preoperative planning and postoperative evaluation of single-position lateral approaches in spinal revision surgery
Galal A Elsayed, Raj Swaroop Lavadi, Sangami Pugazenthi, Vinay Jaikumar, Rida Mitha, Daniel M Hafez, John O Ogunlade, Nitin AgarwalJournal of Craniovertebral Junction and Spine 2023 14(2):208-211 Spatial computing (SC) in a surgical context offers reconstructed interactive four-dimensional models of radiological imaging. Preoperative and postoperative assessment with SC can offer more insight into personalized surgical approaches. Spine surgery has benefitted from the use of perioperative SC assessment. Herein, we describe the use of SC to perform a perioperative assessment of a revision spinal deformity surgery. A 79-yea...
Source: Journal of Craniovertebral Junction and Spine - June 13, 2023 Category: Orthopaedics Authors: Galal A Elsayed Raj Swaroop Lavadi Sangami Pugazenthi Vinay Jaikumar Rida Mitha Daniel M Hafez John O Ogunlade Nitin Agarwal Source Type: research

Basilar invagination associated with brainstem tumor opposite the odontoid process
Abhidha Shah, Ravikiran Vutha, Atul GoelJournal of Craniovertebral Junction and Spine 2023 14(2):205-207 An 8-year-old girl presented with the symptom of nasal regurgitation and hoarseness of voice. Investigations revealed severe basilar invagination and a large intra-axial pons-medulla brainstem tumor adjoining the tip of the odontoid process. The child underwent lateral mass plate and screw atlantoaxial fixation and attempted craniovertebral junction realignment. Biopsy of the brainstem tumor was done during the same surgical procedure. Histology of the brainstem tumor revealed it to be a pilocytic astrocytoma. Simultan...
Source: Journal of Craniovertebral Junction and Spine - June 13, 2023 Category: Orthopaedics Authors: Abhidha Shah Ravikiran Vutha Atul Goel Source Type: research

Unilateral facet fixation as a salvage procedure: Report of two cases with cervical primary bone tumors with extensive bone destruction
We describe cases of two patients with primary cervical bone tumors that resulted in extensive destruction of bones of the region. In the first patient, the tumor and its growth resulted in the destruction of C3–C5 vertebral bodies and the unilateral destruction of facets and pedicles. In the second case, there was focal destruction of the body and odontoid process and unilateral pedicle and facet of C2. Tumor resection and spinal stabilization were the aims of the surgery. In both cases, unilateral fixation of facets was done. In the first patient, multi-segmental transarticular fixation by Camille&#39...
Source: Journal of Craniovertebral Junction and Spine - June 13, 2023 Category: Orthopaedics Authors: Abhidha Shah Apurva Prasad Ravikiran Vutha Atul Goel Source Type: research

The impact of demineralized bone matrix characteristics on pseudarthrosis and surgical outcomes after posterolateral lumbar decompression and fusion
Conclusion: Our study found no significant differences between DBM containing glycerol, sodium hyaluronate, or no carrier regarding fusion rates or surgical outcomes after single-level PLDF. Bone particulates versus bone fibers also had no significant differences regarding the likelihood of bony fusion. (Source: Journal of Craniovertebral Junction and Spine)
Source: Journal of Craniovertebral Junction and Spine - June 13, 2023 Category: Orthopaedics Authors: Jeremy C Heard Yunsoo Lee Mark J Lambrechts Emily Berthiaume Nicholas D D & #39;Antonio John Bodnar John Paulik John J Mangan Jose A Canseco Mark F Kurd I David Kaye Alexander R Vaccaro Christopher K Kepler Gregory D Schroeder Alan S Hilibrand Source Type: research

Epidemiology of C2 fractures in the United States: A National Electronic Injury Surveillance System database study
Conclusion: C2 fractures occur at higher rates than previous years, with especially high IR in elderly individuals. Emphasis of public health efforts toward osteoporosis and coordination difficulties in elderly individuals would likely significantly reduce the overall IR of these injuries. (Source: Journal of Craniovertebral Junction and Spine)
Source: Journal of Craniovertebral Junction and Spine - June 13, 2023 Category: Orthopaedics Authors: Fehmi Berkay Arjun Minhas Joseph G Lyons Elizabeth Fonte Norah Foster Source Type: research

Posterior longitudinal ligament suturation after lumbar discectomy provides postoperative a large intradural area: First report
Conclusions: This study first time indicates that suturing PLL has a protective and supportive role in patients who were operated on for LDH. (Source: Journal of Craniovertebral Junction and Spine)
Source: Journal of Craniovertebral Junction and Spine - June 13, 2023 Category: Orthopaedics Authors: Osman Ersegun Batcik Ayhan Kanat Serdar Durmaz Bulent Ozdemir Mehmet Beyazal Source Type: research

The modified occipital condyle screw: A quantitative anatomic study investigating the feasibility of a novel instrumented fixation technique for craniocervical fusion
Conclusion: The modified occipital condyle screw connects the condyle with the clivus through the pars basilaris and represents a safe and technically feasible approach to achieve craniocervical fusion in skeletally mature individuals. This cephalad anchor point serves as an alternate fixation point of the occipitocervical junction with increased strength of construct and decreased risk of hardware failure or pseudarthrosis given cortical bone purchase and longer screw instrumentation. (Source: Journal of Craniovertebral Junction and Spine)
Source: Journal of Craniovertebral Junction and Spine - June 13, 2023 Category: Orthopaedics Authors: Nicholas Dietz Basil Erwin Gruter Joshua Haegler Samuel K Cho R Shane Tubbs Alexander Spiessberger Source Type: research

Navigated versus conventional pediatric spinal deformity surgery: Navigation independently predicts reoperation and infectious complications
Conclusions: On a national scale, navigation predicted increased odds of reoperation and infectious-related events and yielded greater median relative value units (RVUs) per case but had longer operating room (OR) time and fewer RVUs-per-minute. After controlling for operative year, RVUs-per-minute and reoperation rates were similar between groups. The NSQIP navigated surgery group was associated with significantly higher operative time and transfusion rates compared to the single-institution groups. (Source: Journal of Craniovertebral Junction and Spine)
Source: Journal of Craniovertebral Junction and Spine - June 13, 2023 Category: Orthopaedics Authors: Austen D Katz Junho Song Sayyida Hasan Jesse M Galina Sohrab Virk Jeff Scott Silber David Essig Vishal Sarwahi Source Type: research

Reasons for transfer and subsequent outcomes among patients undergoing elective spine surgery at an orthopedic specialty hospital
Conclusion: Overall, this study demonstrates a low transfer rate following spine surgery. Risk factors should continue to be optimized in order to decrease patient risks in the postoperative period at an OSH. (Source: Journal of Craniovertebral Junction and Spine)
Source: Journal of Craniovertebral Junction and Spine - June 13, 2023 Category: Orthopaedics Authors: Tristan Blase Fried Yunsoo Lee Jeremy C Heard Nicholas S Siegel Tariq Z Issa Mark J Lambrechts Caroline Zaworski Jasmine Wang Taylor D & #39;Amore Amit Syal Charles Lawall John J Mangan Jose A Canseco Barrett I Woods Ian David Kaye Alan S Hilibrand Alexan Source Type: research

Patient-reported outcomes after posterior surgical stabilization for thoracolumbar junction fractures: A pilot study with combined patient-reported outcome measure methodology
Conclusion: A combined PROM methodology showed supportive evidence for safety and efficacy in the surgical stabilization of burst TLJFs. This alleviated significant pain and prevented neurological deficit and major disability. The preliminary widespread correlation between these PROMs supports further larger studies of their combined use in clinical practice, to measure the outcomes of spine trauma patients. (Source: Journal of Craniovertebral Junction and Spine)
Source: Journal of Craniovertebral Junction and Spine - June 13, 2023 Category: Orthopaedics Authors: Andreas K Demetriades Sirajam Munira Chowdhury Georgios Mavrovounis Source Type: research

Anterior selective scalenectomy for periforaminal exposure in the ventral supraclavicular approach
Conclusions: ASS represents an effective and safe alternative to traditional ASM section techniques for the exposure of periforaminal area in anterolateral cervical routes. It is indicated in case of lesions with paravertebral development and minimal intraforaminal component in the C3-C6 segment. (Source: Journal of Craniovertebral Junction and Spine)
Source: Journal of Craniovertebral Junction and Spine - June 13, 2023 Category: Orthopaedics Authors: Filippo Gagliardi Marzia Medone Leone Giordano Silvia Snider Martina Piloni Edoardo Pompeo Francesca Roncelli Luca Ruffino Pietro Mortini Source Type: research

Optimal anatomical angle and distance for drilling in cervical oblique corpectomy: A surgical anatomical study
Conclusions: For an optimum cervical oblique corpectomy that provides adequate spinal cord decompression and maintains spinal stability, it is necessary to operate under a surgical microscope positioned at an acute angle and to know the horizontal drilling distance. (Source: Journal of Craniovertebral Junction and Spine)
Source: Journal of Craniovertebral Junction and Spine - June 13, 2023 Category: Orthopaedics Authors: Oguz Baran Tahsin Saygi Naci Balak Source Type: research

Top-ten most-cited articles on anterior column release in the context of minimally invasive lumbar interbody fusion
Conclusions: The lateral ACR approach has enjoyed significant scholarly attention since its advent. Higher-level analyses with robust control groups, larger sample sizes, and long-term follow-up are necessary to improve our understanding of this approach. (Source: Journal of Craniovertebral Junction and Spine)
Source: Journal of Craniovertebral Junction and Spine - June 13, 2023 Category: Orthopaedics Authors: Paulomi Gohel Kevin P Patel Raj Swaroop Lavadi Daryl P Fields Nitin Agarwal Nima Alan Source Type: research

The anatomy of death
Lopa MehtaJournal of Craniovertebral Junction and Spine 2023 14(2):116-126 Medical science does not treat death as an independent physiological phenomenon. It believes that disease is the cause of death and treats both as preventable phenomena. Doctors and relatives nurture a guilt complex when death occurs. The moment of natural death is robbed of its poignancy. There is no cause of death. Death of the physical body is an intrinsic, time governed, built-in ontolytic program. It completes the biologic trajectory of the individual organism which begins at conception and ends with death. In this article, the actual built-in...
Source: Journal of Craniovertebral Junction and Spine - June 13, 2023 Category: Orthopaedics Authors: Lopa Mehta Source Type: research

High-grade gliomas & #8211; Is radical resection needed ? Is radical resection possible ? Is surgery necessary ?
Atul GoelJournal of Craniovertebral Junction and Spine 2023 14(2):113-115 (Source: Journal of Craniovertebral Junction and Spine)
Source: Journal of Craniovertebral Junction and Spine - June 13, 2023 Category: Orthopaedics Authors: Atul Goel Source Type: research