Laryngeal dislocation during cervical spine surgery
Nabanita Ghosh, Prasad KrishnanJournal of Craniovertebral Junction and Spine 2020 11(1):57-58 (Source: Journal of Craniovertebral Junction and Spine)
Source: Journal of Craniovertebral Junction and Spine - April 4, 2020 Category: Orthopaedics Authors: Nabanita Ghosh Prasad Krishnan Source Type: research

Nonscalpel myelopathy: Cervical myelopathy secondary to neuromyelitis optica
Mohit Patel, Hesham Abboud, Manish K KasliwalJournal of Craniovertebral Junction and Spine 2020 11(1):55-56 (Source: Journal of Craniovertebral Junction and Spine)
Source: Journal of Craniovertebral Junction and Spine - April 4, 2020 Category: Orthopaedics Authors: Mohit Patel Hesham Abboud Manish K Kasliwal Source Type: research

Adjacent-segment & #8220;central & #8221; atlantoaxial instability and C2 & #8211;C3 instability following lower cervical C3 & #8211;C6 interbody fusion: Report of three cases
Conclusions: Identification and treatment of adjacent-segment central atlantoaxial and C2–C3 instability can lead to gratifying clinical outcome. (Source: Journal of Craniovertebral Junction and Spine)
Source: Journal of Craniovertebral Junction and Spine - April 4, 2020 Category: Orthopaedics Authors: Atul Goel Shashi Ranjan Abhidha Shah Survendra Rai Saswat Dandpat Abhinandan Patil Ravikiran Vutha Source Type: research

Is C2-3 fusion an evidence of atlantoaxial instability ? An analysis based on surgical treatment of seven patients
Conclusion: The presence of C2–3 fusion is an indication of atlantoaxial instability and suggests the need for atlantoaxial stabilization. Effects on the subaxial spine and spinal cord are secondary events and may not be surgically addressed. (Source: Journal of Craniovertebral Junction and Spine)
Source: Journal of Craniovertebral Junction and Spine - April 4, 2020 Category: Orthopaedics Authors: Atul Goel Dikpal Jadhav Abhidha Shah Survendra Rai Saswat Dandpat Neha Jadhav Tejas Vaja Source Type: research

Prevalence of facet joint arthritis and its association with spinal pain in mountain population & #8211; A cross-sectional study
Conclusions: People residing and actually ambulating in the mountain regions and exposed to the terrain have higher prevalence of Facet joint arthritis as compared to general population and this may be an independent risk factor for development of facet joint arthritis. However, a statistically significant relation between FJA and spinal pain exists only in cervical and dorsal spine. (Source: Journal of Craniovertebral Junction and Spine)
Source: Journal of Craniovertebral Junction and Spine - April 4, 2020 Category: Orthopaedics Authors: Punit Tiwari Harmeet Kaur Harpreet Kaur Vivek Jha Navneet Singh Arshad Ashraf Source Type: research

Validation of the concavity & #8211;convexity quotient as a new method to measure the magnitude of scoliosis
Conclusions: Our study provides Level III evidence that CCQ represents a promising alternative or a complementary method to the traditional Cobb angle due to its simple and reliable ability to measure the magnitude of the curve. (Source: Journal of Craniovertebral Junction and Spine)
Source: Journal of Craniovertebral Junction and Spine - April 4, 2020 Category: Orthopaedics Authors: Gonzalo Mariscal Jorge H Nu & #241;ez Paulo Figueira Ana Malo Ver & #243;nica Montiel Miguel A L & #243;pez Miguel Castro Carlos Barrios Pedro Domenech Fern Source Type: research

Sublaminar fixation versus hooks and pedicle screws in scoliosis surgery for Marfan syndrome
Conclusion: Our data suggest that scoliosis correction with sublaminar fixation is not inferior to treatment with hooks and/or pedicle screws. Level of Evidence: III. (Source: Journal of Craniovertebral Junction and Spine)
Source: Journal of Craniovertebral Junction and Spine - April 4, 2020 Category: Orthopaedics Authors: Alessandro Rava Eugenio Dema Matteo Palmisani Rosa Palmisani Stefano Cervellati Massimo Girardo Source Type: research

Cervicothoracic junction disc herniation: Our experience, technical remarks, and outcome
Conclusion: We did not find a great difference between the clinical features of cervicothoracic herniated disc and other cervical levels. The anterior approach seems more difficult to carry out in particularly in large patients with the short neck. The posterior approach can be used for all types of patients except in the case of medial disc herniation. (Source: Journal of Craniovertebral Junction and Spine)
Source: Journal of Craniovertebral Junction and Spine - April 4, 2020 Category: Orthopaedics Authors: Keyvan Mostofi Morad Peyravi Babak Gharaei Moghadam Source Type: research

Minimally invasive spinal fusion and decompression for thoracolumbar spondylodiscitis
Conclusion: The MIS procedure is a safe and effective method of the management of SD in the thoracolumbar spine. (Source: Journal of Craniovertebral Junction and Spine)
Source: Journal of Craniovertebral Junction and Spine - April 4, 2020 Category: Orthopaedics Authors: Thirumal Yeraagunta Vamsi Krishna Yerramneni Ramanadha Reddy Kanala Govind Gaikwad H D Pradeep Kumar Aniket Sharad Phutane Source Type: research

Incidence and risk factors of reoperation in patients with adjacent segment disease: A meta-analysis
Conclusions: We found that 8% of patients in our included studies required reoperation due to ASD. Our analysis also revealed that longer fusion constructs correlated with a higher rate of subsequent revision surgery. Therefore, the surgeon should limit the number of fusion levels if possible to reduce the risk of future reoperation due to ASD. Level of evidence: IV (Source: Journal of Craniovertebral Junction and Spine)
Source: Journal of Craniovertebral Junction and Spine - April 4, 2020 Category: Orthopaedics Authors: Major B Burch Nicholas W Wiegers Sonal Patil Ali Nourbakhsh Source Type: research

A review of discogenic pain management by interventional techniques
Reddy RavikanthJournal of Craniovertebral Junction and Spine 2020 11(1):4-8 This review article describes the various image guided interventional techniques used for treating chronic backache attributed to disc related pathologies. With the aim of minimum invasion and maximum relief, these procedures comprise predominantly of annuloplasty and disc decompression via different mechanisms. Newer therapies are discussed in this review article with the objective of restoring disc height and its biomechanical function by substitution of biochemical constituents, regeneration of cartilaginous end plate and finally artificial dis...
Source: Journal of Craniovertebral Junction and Spine - April 4, 2020 Category: Orthopaedics Authors: Reddy Ravikanth Source Type: research

Like anterior transoral decompression, will anterior cervical spine surgery find space in history books ?
Atul GoelJournal of Craniovertebral Junction and Spine 2020 11(1):1-3 (Source: Journal of Craniovertebral Junction and Spine)
Source: Journal of Craniovertebral Junction and Spine - April 4, 2020 Category: Orthopaedics Authors: Atul Goel Source Type: research

Integrated treatment of a lumbar vertebral hemangioma with spinal stenosis and radiculopathy: A case report and a review of the literature
We describe a comprehensive, multidisciplinary treatment approach for lumbar vertebral hemangiomas (VHs) with spinal stenosis and radiculopathy. A 59-year-old female presented with 1 year of pain predominantly in the lower back, with pain in the left buttock and proximal left anterior thigh as well and magnetic resonance imaging of the lumbar spine demonstrated lumbar scoliosis and an L3 vertebral lesion suspicious for hemangioma. A computed tomography guided biopsy was done, which supported the diagnosis. Definitive treatment entailed preoperative angiography and embolization, followed by L3 laminectomy, right L3 pedicle ...
Source: Journal of Craniovertebral Junction and Spine - January 23, 2020 Category: Orthopaedics Authors: Richard Samade Azeem Tariq Malik Nikhil Jain Thomas J Scharschmidt Elizabeth Yu Source Type: research

Stent augmentation of an anterior odontoid screw for type 2 odontoid fracture-dislocation in the elderly population: Report of two cases and literature review
Saurabh Kapoor, Oded Herschkovich, Corrado Lucantoni, Bronek BoszczykJournal of Craniovertebral Junction and Spine 2019 10(4):254-258 The fixation of type 2 odontoid fractures poses significant challenges in the elderly population due to coexistent osteoporosis and communition resulting in a high failure rate with conventional anterior screw fixation. Two elderly patients with unstable odontoid peg fractures and coexistent osteoporosis were treated with stentoplasty and anterior odontoid screw fixation. Additional anterior transarticular C1–2 screws were placed to address C1–2 instability. Both patients made a...
Source: Journal of Craniovertebral Junction and Spine - January 23, 2020 Category: Orthopaedics Authors: Saurabh Kapoor Oded Herschkovich Corrado Lucantoni Bronek Boszczyk Source Type: research

Chondrosarcoma of the dorsal spine & #8211; A rare case
Mihir Mohan Vaidya, Asha Sharad Shenoy, Naina Atul GoelJournal of Craniovertebral Junction and Spine 2019 10(4):250-253 Chondrosarcomas of the spine are rare tumors and represent <10% of all chondrosarcomas. In the spine, they may arise from vertebral bodies or posterior elements. They may occur in patients ranging from 13 to 78 years of age. Here, we present a case of a 25-year-old female who presented with complaints of lower backache, stiffness in both lower limbs, and tingling sensation in the right lower limb. On examination, both power and sensations were decreased below waist. Magnetic resonance imaging spi...
Source: Journal of Craniovertebral Junction and Spine - January 23, 2020 Category: Orthopaedics Authors: Mihir Mohan Vaidya Asha Sharad Shenoy Naina Atul Goel Source Type: research

Tethered cord and Chiari formation: Analysis of treatment in a relatively rare clinical situation
Atul Goel, Shashi Ranjan, Abhidha Shah, Sagar Bhambere, Hardik DarjiJournal of Craniovertebral Junction and Spine 2019 10(4):247-249 A 32-year-old male patient was operated for tethered cord associated with spinal lipoma. Further investigations showed the presence of basilar invagination, Chiari formation, and extensive syringomyelia. His neurological symptoms continued to worsen after the surgery, and over a 3-year period, he developed spastic quadriparesis and urinary retention and constipation. The patient was now treated by atlantoaxial fixation. Following the surgery, the patient improved in function in all four limb...
Source: Journal of Craniovertebral Junction and Spine - January 23, 2020 Category: Orthopaedics Authors: Atul Goel Shashi Ranjan Abhidha Shah Sagar Bhambere Hardik Darji Source Type: research

Impact of imaging modality, age, and gender on craniocervical junction angles in adults without structural pathology
Conclusion: There are significant differences in angular measurements of the CCJ between CT and MRI from the same patient, as well as changes in normative values based on age. (Source: Journal of Craniovertebral Junction and Spine)
Source: Journal of Craniovertebral Junction and Spine - January 23, 2020 Category: Orthopaedics Authors: Ibrahim Hussain Graham M Winston Jacob Goldberg Cloe Curri Nicholas Williams J Levi Chazen Jeffrey P Greenfield Ali A Baaj Source Type: research

The use of platelet-rich fibrin in lumbar interbody fusion in lytic spondylolisthesis
Conclusions: These preliminary results show that PRF accelerates the rate of fusion in low-grade lytic spondylolisthesis in short-term follow-up. (Source: Journal of Craniovertebral Junction and Spine)
Source: Journal of Craniovertebral Junction and Spine - January 23, 2020 Category: Orthopaedics Authors: Joseph Gamal Boktor Ahmed Maher Sultan Awf AlShahwani Ahmed Samir Barakat Wael Koptan Yasser Elmiligui Source Type: research

Frequency and characteristics of congenital intraspinal abnormalities in a cohort of 128 patients with congenital scoliosis
Conclusions: Our study showed a lower percentage of spinal anomalies compared to other series. As other studies, the progression of the scoliosis curve in patients with spinal anomalies seems primarily to be determined by the type of vertebral malformation. Level of Evidence: Level II. (Source: Journal of Craniovertebral Junction and Spine)
Source: Journal of Craniovertebral Junction and Spine - January 23, 2020 Category: Orthopaedics Authors: Gonzalo Mariscal Jorge H Nu & #241;ez Sanjay Bhatia Robert Marsh Carlos Barrios Pedro Domenech-Fern & #225;ndez Source Type: research

The impact of body mass index on severity of cervical spine fracture: A retrospective cohort study
Conclusions: Patients with higher BMI may be predisposed to more severe cervical spine fracture in rollover MVA, but not non-rollover MVA or falls. (Source: Journal of Craniovertebral Junction and Spine)
Source: Journal of Craniovertebral Junction and Spine - January 23, 2020 Category: Orthopaedics Authors: Stephanie Choo Nikhil Jain Azeem Tariq Malik Tania Gennell Elizabeth Yu Source Type: research

Surgical, clinical, and radiological outcomes of occipitocervical fusion using the plate & #8211;screw & #8211;rod system with allograft in craniocervical instability
Conclusion: Patients with occipitocervical instability can successfully undergo posterior OCF using plate–screw–rod construct supplemented with allograft with high fusion rate, good clinical and functional outcomes, and low complication rate. (Source: Journal of Craniovertebral Junction and Spine)
Source: Journal of Craniovertebral Junction and Spine - January 23, 2020 Category: Orthopaedics Authors: Mihir Upadhyaya Sanyam Jain Neilakuo Kire Zahir Merchant Vishal Kundnani Ankit Patel Source Type: research

Unstable Hangman & #39;s fracture: Anterior or posterior surgery ?
Conclusions: The unstable hangman's fractures can be effectively managed with both anterior and posterior approaches with comparable clinico-radiological outcome. A minimally invasive nature, earlier pain-free status, early mobilization with reduced hospitalization make the ACDF efficacious, particularly in cases with no medullary canal in C2 pedicles and traumatic C2–3 disc herniation with listhesis compressing the spinal cord. (Source: Journal of Craniovertebral Junction and Spine)
Source: Journal of Craniovertebral Junction and Spine - January 23, 2020 Category: Orthopaedics Authors: Jwalant Yogesh Kumar Patel Vishal G Kundnani Suraj Kuriya Saijyot Raut Mohit Meena Source Type: research

Lumbar radiculopathy: Outcome analysis following treatment by only fixation & #8211; A report of an early experience of 44 cases
Conclusions: Spinal segmental fixation without any manipulation of the herniated disc or osteophyte and without any kind of bone or soft-tissue decompression is a safe, effective, and rational method of treatment of lumbar radiculopathy related to intervertebral disc herniation. (Source: Journal of Craniovertebral Junction and Spine)
Source: Journal of Craniovertebral Junction and Spine - January 23, 2020 Category: Orthopaedics Authors: Atul Goel Abhinandan Patil Abhidha Shah Survendra Rai Ravikiran Vutha Shashi Ranjan Nilesh Bakale Tejas Vaja Source Type: research

Nasogastric tube in anterior cervical spine surgery, is it necessary ?
Conclusions: This study indicates that the use of a NG tube in primary anterior cervical spine surgery can be avoided. Comprehensive knowledge of anatomy and meticulous dissection may avoid the disastrous complication of esophageal rupture. This way the discomfort and complications associated with NG tube can be avoided. (Source: Journal of Craniovertebral Junction and Spine)
Source: Journal of Craniovertebral Junction and Spine - January 23, 2020 Category: Orthopaedics Authors: Arvind Gopalrao Kulkarni Tushar Satish Kunder Ashwinkumar V Khandge Source Type: research

Camille & #39;s transarticular technique of spinal fixation: An underused surgical technique
Atul GoelJournal of Craniovertebral Junction and Spine 2019 10(4):197-198 (Source: Journal of Craniovertebral Junction and Spine)
Source: Journal of Craniovertebral Junction and Spine - January 23, 2020 Category: Orthopaedics Authors: Atul Goel Source Type: research

An unusual case of solitary spinal intradural plasmacytoma: The unforeseen challenge
Suyash Singh, Ashutosh Kumar, Kamlesh Singh Bhaisora, Arun Kumar Srivastava, Sanjay BehariJournal of Craniovertebral Junction and Spine 2019 10(3):192-196 Localized proliferation of atypical plasma cells, either at bony or extramedullary, forms a rare subset of multiple myeloma (MM) disorders. The patients usually present with intractable pain and pathological fractures and respond well to radiotherapy. The clinical presentation is variable and radiologically is nonspecific. The spinal location is rare, and the solitary plasmacytoma in the intradural extramedullary (IDEM) region is unusual. Herein, we report the second ca...
Source: Journal of Craniovertebral Junction and Spine - November 7, 2019 Category: Orthopaedics Authors: Suyash Singh Ashutosh Kumar Kamlesh Singh Bhaisora Arun Kumar Srivastava Sanjay Behari Source Type: research

Atypical presentation of extraspinal neurofibroma presenting with acute-onset monoparesis and Horner & #39;s syndrome: Case report and review of literature
We report the case of a 55-year-old female who presented with acute-onset monoparesis of the left upper limb along with left-side drooping of the eyelid. Imaging revealed C6–D2 extraspinal solitary mass lesion lateral to spinous process with bleed without intraspinal component. The patient underwent an anterior cervical approach and excision of the tumor. Final biopsy report was a neurofibroma. At 3-year follow-up, she recovered from motor weakness, and Horner's syndrome subsided. Extraspinal neurofibroma can present with acute bleed, and surgical outcome is superior in early intervention. (Source: Journal of Cra...
Source: Journal of Craniovertebral Junction and Spine - November 7, 2019 Category: Orthopaedics Authors: Lokesh S Nehete Subhas K Konar BN Nandeesh Dhaval Shukla B Indira Devi Source Type: research

Hybrid and double insurance atlantoaxial facetal fixation
Atul Goel, Ravikiran Vutha, Abhidha Shah, Survendra Rai, Shashi RanjanJournal of Craniovertebral Junction and Spine 2019 10(3):184-187 The authors report a case of a 19-year-old female patient having basilar invagination with complex musculoskeletal abnormalities wherein atlantoaxial fixation was done with a combination of Goel and Magerl techniques on a single articulation on one side and two transarticular screws (Magerl technique) were deployed on the contralateral side articulation. The combination of Goel and Magerl techniques used in a novel fashion resulted in strong fixation and provided an environment for bone fu...
Source: Journal of Craniovertebral Junction and Spine - November 7, 2019 Category: Orthopaedics Authors: Atul Goel Ravikiran Vutha Abhidha Shah Survendra Rai Shashi Ranjan Source Type: research

PROMIS physical health domain scores are related to cervical deformity severity
Conclusions: PROMIS physical health domains were related to the Ames CD classification. Certain BL PROMIS thresholds can be connected to the severity of CD. (Source: Journal of Craniovertebral Junction and Spine)
Source: Journal of Craniovertebral Junction and Spine - November 7, 2019 Category: Orthopaedics Authors: Katherine E Pierce Haddy Alas Avery E Brown Cole A Bortz Brooke O & #39;Connell Dennis Vasquez-Montes Bassel G Diebo Renaud Lafage Virginie Lafage Aaron J Buckland Peter G Passias Source Type: research

Surgical treatment of spinal deformities in Marfan syndrome: Long-term follow-up results using different instrumentations
Conclusions: Our results shows that screws may guarantee a better correction of the deformities. Level of Evidence: III (Source: Journal of Craniovertebral Junction and Spine)
Source: Journal of Craniovertebral Junction and Spine - November 7, 2019 Category: Orthopaedics Authors: Matteo Palmisani Eugenio Dema Alessandro Rava Rosa Palmisani Massimo Girardo Stefano Cervellati Source Type: research

Spinopelvic parameters in patients with lumbar degenerative disc disease, spondylolisthesis, and failed back syndrome: Comparison vis- & #225;-vis normal asymptomatic population and treatment implications
Conclusion: PT and PI showed statistically significant difference in subjects having lumbar spondylolisthesis and failed back surgery syndrome as compared to healthy asymptomatic subjects. (Source: Journal of Craniovertebral Junction and Spine)
Source: Journal of Craniovertebral Junction and Spine - November 7, 2019 Category: Orthopaedics Authors: Sachin A Borkar Ravi Sharma Nasim Mansoori Sumit Sinha Shashank Sharad Kale Source Type: research

The impact of osteotomy grade and location on regional and global alignment following cervical deformity surgery
Conclusions: CD patients undergoing osteotomies in the cervical and upper thoracic spine experienced improvement in TS–−CL and C2 slope. In the upper thoracic spine, multiple minor osteotomies achieved similar alignment changes to major osteotomies at a single level, while a major osteotomy focused at T2 had the greatest overall impact in cervicothoracic and global alignment in CD patients. (Source: Journal of Craniovertebral Junction and Spine)
Source: Journal of Craniovertebral Junction and Spine - November 7, 2019 Category: Orthopaedics Authors: Peter G Passias Samantha R Horn Tina Raman Avery E Brown Virginie Lafage Renaud Lafage Justin S Smith Cole A Bortz Frank A Segreto Katherine E Pierce Haddy Alas Breton G Line Bassel G Diebo Alan H Daniels Han Jo Kim Alex Soroceanu Gregory M Mundis Themist Source Type: research

Global spinal deformity from the upper cervical perspective. What is & #8220;Abnormal & #8221; in the upper cervical spine ?
Peter G Passias, Haddy Alas, Renaud Lafage, Bassel G Diebo, Irene Chern, Christopher P Ames, Paul Park, Khoi D Than, Alan H Daniels, D Kojo Hamilton, Douglas C Burton, Robert A Hart, Shay Bess, Breton G Line, Eric O Klineberg, Christopher I Shaffrey, Justin S Smith, Frank J Schwab, Virginie LafageJournal of Craniovertebral Junction and Spine 2019 10(3):152-159 Hypothesis: Reciprocal changes in the upper cervical spine correlate with adult TL deformity modifiers. Design: This was a retrospective review. Introduction: The upper cervical spine has remarkable adaptability to wide ranges of thoracolumbar (TL) deformity. Met...
Source: Journal of Craniovertebral Junction and Spine - November 7, 2019 Category: Orthopaedics Authors: Peter G Passias Haddy Alas Renaud Lafage Bassel G Diebo Irene Chern Christopher P Ames Paul Park Khoi D Than Alan H Daniels D Kojo Hamilton Douglas C Burton Robert A Hart Shay Bess Breton G Line Eric O Klineberg Christopher I Shaffrey Justin S Smith Frank Source Type: research

Cervical spondylosis in patients presenting with & #8220;severe & #8221; myelopathy: Analysis of treatment by multisegmental spinal fixation & #8211; A case series
Conclusions: Multisegmental spinal fixation that includes atlantoaxial joint in most patients forms a rational treatment strategy for patients of cervical spondylosis presenting with severe symptoms of myelopathy. (Source: Journal of Craniovertebral Junction and Spine)
Source: Journal of Craniovertebral Junction and Spine - November 7, 2019 Category: Orthopaedics Authors: Atul Goel Ravikiran Vutha Abhidha Shah Abhinandan Patil Arjun Dhar Apurva Prasad Source Type: research

C1:C2 ratio is a potential tool assessing atlas fracture displacement and transverse ligament injury
Conclusions: A C1:C2 ratio >1.10 on plain radiographs showed a sensitivity of 80% in detecting atlas fractures with associated TL injury. All patients with a ratio of ≥1.15 had TL rupture subsequently confirmed by an advanced modality. A ratio calculation on radiographs is a potentially useful method of describing atlas lateral mass displacement. Level of evidence: Level III (Source: Journal of Craniovertebral Junction and Spine)
Source: Journal of Craniovertebral Junction and Spine - November 7, 2019 Category: Orthopaedics Authors: Peny Lin Tim Chung-Hsien Chuang Joseph F Baker Source Type: research

Klippel & #8211;Feil: A constellation of diagnoses, a contemporary presentation, and recent national trends
Conclusions: KFS patients were more likely to have other spinal abnormalities (19.1%) and nonnervous system abnormalities (13.63%). Compared to congenital fusions, KFS patients were more likely to have congenital abnormalities such as Sprengel's deformity. KFS patients are increasingly being treated with spinal fusion. Level of Evidence: III (Source: Journal of Craniovertebral Junction and Spine)
Source: Journal of Craniovertebral Junction and Spine - November 7, 2019 Category: Orthopaedics Authors: Peter L Zhou Gregory W Poorman Charles Wang Katherine E Pierce Cole A Bortz Haddy Alas Avery E Brown Jared C Tishelman Muhammad Burhan Janjua Dennis Vasquez-Montes John Moon Samantha R Horn Frank Segreto Yael U Ihejirika Bassel G Diebo Peter Gust Passias Source Type: research

& #8220;Water, fat, bone & #8221; in the spinal canal-all protective and all indicators of spinal instability
Atul GoelJournal of Craniovertebral Junction and Spine 2019 10(3):131-132 (Source: Journal of Craniovertebral Junction and Spine)
Source: Journal of Craniovertebral Junction and Spine - November 7, 2019 Category: Orthopaedics Authors: Atul Goel Source Type: research

Morphometry of organization of middle meningeal artery through the analysis of bony canal in human & #39;s skull: A clinico-anatomical and embryological insight
Conclusions: Morphometry of the bony canal of MMA shall be important for safely expose and preserve the artery during craniotomy with careful drilling and shall be useful for those who have interest in this anatomical site. (Source: Journal of Craniovertebral Junction and Spine)
Source: Journal of Craniovertebral Junction and Spine - July 16, 2019 Category: Orthopaedics Authors: Thittamaranahalli Muguregowda Honnegowda Vineeth Dineshan Ashwini Kumar Source Type: research

Posterior occiput-cervical fixation for metastasis to upper cervical spine
Conclusion: C2 body is the most common site of metastasis. Occiput-cervical fusion for unstable upper cervical metastasis offers a good palliative treatment for pain relief and improved quality of life. (Source: Journal of Craniovertebral Junction and Spine)
Source: Journal of Craniovertebral Junction and Spine - July 16, 2019 Category: Orthopaedics Authors: Tarush Rustagi Hazem Mashaly Ehud Mendel Source Type: research

Cervical rotation before and after hinge-door cervical laminoplasty for cervical spondylotic myelopathy
Conclusion: Cervical laminoplasty preserves cervical ROM and is a motion-preserving surgery as far as axial rotation is concerned. (Source: Journal of Craniovertebral Junction and Spine)
Source: Journal of Craniovertebral Junction and Spine - July 16, 2019 Category: Orthopaedics Authors: Sachin A Borkar Ravi Sreenivasan Ravi Sharma Sumit Sinha S Leve Joseph Ajay Garg Shashank Sharad Kale Source Type: research

Over 70 & #176; thoracic idiopathic scoliosis: Results with screws or hybrid constructs
Conclusions: The posterior approach proved to be an excellent technique for obtaining good clinical and radiographic results if the surgeon adopts the third-generation high-density implants. Level of Evidence: III. (Source: Journal of Craniovertebral Junction and Spine)
Source: Journal of Craniovertebral Junction and Spine - July 16, 2019 Category: Orthopaedics Authors: Pasquale Cinnella Alessandro Rava Antonio Abed Mahagna Federico Fusini Alessandro Masse Massimo Girardo Source Type: research

Posterior instrumented fusion surgery for adult spinal deformity: Correction rate and total balance
Conclusions: The surgical concept of ASD focusing on correction of LL was demonstrated. Although the surgery of ASD is still challenging, posterior instrumented fusion surgery using posterior side-loading system may be well applied for mild or moderate ASD without hyper-TK. The posterior side-loading system is practical and can be one of the surgical choices. (Source: Journal of Craniovertebral Junction and Spine)
Source: Journal of Craniovertebral Junction and Spine - July 16, 2019 Category: Orthopaedics Authors: Toru Yamagata Herve Chataigner Pierre-Marie Longis Toshihiro Takami Jo & #235;l Delecrin Source Type: research

Prevention of lumbar reherniation by the intraoperative use of a radiofrequency bipolar device: A case & #8211;control study
Conclusions: The low reherniation rate in patients treated by the coblation-assisted microdiscectomy suggests that this technique may reduce the reherniation risk. Clinical outcomes for pain and function at 4 years follow-up compared favorably with literature data. Randomized controlled trial could confirm these results. (Source: Journal of Craniovertebral Junction and Spine)
Source: Journal of Craniovertebral Junction and Spine - July 16, 2019 Category: Orthopaedics Authors: Giovanni Grasso Fabio Torregrossa Alessandro Landi Source Type: research

A limited unilateral transpedicular approach for anterior decompression of the thoracolumbar spinal cord in elderly and high-risk patients
Conclusion: The procedure described presents a compromise that fits the more elderly patient that might not be able to tolerate major deformity correction and at the same time provides similar results in the short and medium term to more extensive procedures. (Source: Journal of Craniovertebral Junction and Spine)
Source: Journal of Craniovertebral Junction and Spine - July 16, 2019 Category: Orthopaedics Authors: Khalid Alsaleh Amjad Alduhaish Source Type: research

Torticollis and rotatory atlantoaxial dislocation: A clinical review
Atul GoelJournal of Craniovertebral Junction and Spine 2019 10(2):77-87 Rotatory atlantoaxial instability can manifest as an acute episode following subtle or minor injury or even following a gentle tap on head in young children and can manifest as a painless deformity of the head. Goel technique of direct surgical opening of the atlantoaxial facet joint, manual manipulation of the facets can lead to reduction of rotatory atlantoaxial dislocation and recovery from torticollis. Torticollis can be a protective natural phenomenon in response to atlantoaxial instability and related basilar invagination. Only atlantoaxial fixa...
Source: Journal of Craniovertebral Junction and Spine - July 16, 2019 Category: Orthopaedics Authors: Atul Goel Source Type: research

Is the term degenerative & #8220;spinal canal stenosis & #8221; a misnomer ?
Atul GoelJournal of Craniovertebral Junction and Spine 2019 10(2):75-76 (Source: Journal of Craniovertebral Junction and Spine)
Source: Journal of Craniovertebral Junction and Spine - July 16, 2019 Category: Orthopaedics Authors: Atul Goel Source Type: research

& #8220;Only fixation & #8221;: Can it be the single remedy for all ?
Asifur RahmanJournal of Craniovertebral Junction and Spine 2019 10(1):72-74 (Source: Journal of Craniovertebral Junction and Spine)
Source: Journal of Craniovertebral Junction and Spine - April 9, 2019 Category: Orthopaedics Authors: Asifur Rahman Source Type: research

Symptomatic extradural spinal arachnoid cyst: More than a simple herniated sac
Conclusion: One should aim for preoperative or intraoperative localization of dural communication and try to disconnect the extradural cyst from the intradural connection to prevent recurrence. Surgical treatment is complete excision of the cyst. (Source: Journal of Craniovertebral Junction and Spine)
Source: Journal of Craniovertebral Junction and Spine - April 9, 2019 Category: Orthopaedics Authors: Suyash Singh Kamlesh Singh Bhaisora Jayesh Sardhara Kuntal Kanti Das Gagandeep Attri Anant Mehrotra Arun Kumar Srivastava Awadesh Kumar Jasiwal Sanjay Behari Source Type: research

Cranially migrated lumbar intervertebral disc herniations: A multicenter analysis with long-term outcome
Conclusions: Extraligamentous intervertebral disc fragments migrate more cranially than subligamentous intervertebral fragments. The anatomy of the PLL that varies along the corpus is the main reason for the weakness of the resistance of the disc material to the dorsolateral region, direction of discrete force vectors, and orientation of the disc fragment due to torsional vertebral movements. (Source: Journal of Craniovertebral Junction and Spine)
Source: Journal of Craniovertebral Junction and Spine - April 9, 2019 Category: Orthopaedics Authors: Sait Ozturk Hakan Cakin Fatih Demir Serdal Albayrak Bekir Akgun Yahya Turan Fatih Serhat Erol Metin Kaplan Source Type: research

Is cast an option in the treatment of thoracolumbar vertebral fractures ?
Conclusions: Closed reduction and casting is still a reliable treatment option in selected thoracolumbar fractures without spinal cord involvement. A correct fracture evaluation, patient compliance, and motivation are essentials. Level of evidence: IV. (Source: Journal of Craniovertebral Junction and Spine)
Source: Journal of Craniovertebral Junction and Spine - April 9, 2019 Category: Orthopaedics Authors: Alessandro Rava Federico Fusini Pasquale Cinnella Alessandro Mass & #232; Massimo Girardo Source Type: research