Changes in cervical sagittal alignment and the effects on cervical parameters in patients with cervical spondylotic myelopathy after laminoplasty
Conclusion: Cervical parameters and HRQOL values, which deteriorated in the early period, recovered in the late period in the long-term follow-up of patients undergoing laminoplasty. The important point is that preoperative cervical parameters suitable for laminoplasty should be present, and spinopelvic parameters should be normal. (Source: Journal of Craniovertebral Junction and Spine)
Source: Journal of Craniovertebral Junction and Spine - June 10, 2021 Category: Orthopaedics Authors: Ali Fahir Ozer Ozkan Ate & #351; Onder & #199;erezci Mehdi Hekimo & #287;lu Ahmet Levent Ayd & #305;n Tun & #231; & #214;kteno & #287;lu Mehdi Sasani Source Type: research

Morphometric analysis of posterior cranial fossa and surgical implications
Conclusion: According to our observations, the present study yielded detailed morphometry of the PCF and neurovascular relationship. It can facilitate successful instrumentation and minimize neurovascular injuries. Furthermore, it provides safe and suitable data for guiding neurosurgical procedures. The major limitation of this study was the lack of knowledge regarding the age and gender of the participants whose skull base was studied. (Source: Journal of Craniovertebral Junction and Spine)
Source: Journal of Craniovertebral Junction and Spine - June 10, 2021 Category: Orthopaedics Authors: Dan Zimelewicz Oberman Matias Baldoncini Nicollas Nunes Rabelo Pablo Ajler Source Type: research

Repair of spondylolysis using a pedicle screw U-shaped rod construct: A preliminary study of 25 young patients with a mean follow-up of 24 months
Conclusions: Polyaxial pedicular screws with a U-shaped rod offer an effective and reproducible treatment for spondylolysis with an appropriate fusion rate, predictable return to daily activities, and good pain relief in young adults. (Source: Journal of Craniovertebral Junction and Spine)
Source: Journal of Craniovertebral Junction and Spine - June 10, 2021 Category: Orthopaedics Authors: Ahmed Samir Barakat Wessam Samir Soliman Amr Farahat Elgharabawy Khaled Fawaz Nader M Diab Wissam Gaber Alinani Akram Azzam Ahmed Maher Sultan Source Type: research

Lateral mass intra-pedicular screw fixation for subaxial cervical spines - An alternative surgical technique
Conclusion: LMIS is a relatively simple and safe technique that can be performed for the fixation of subaxial cervical spines with screws that are longer than those used in LMS. We believe that this technique may join the two existing techniques to become a common alternative technique, particularly for patients with poor bone quality. (Source: Journal of Craniovertebral Junction and Spine)
Source: Journal of Craniovertebral Junction and Spine - June 10, 2021 Category: Orthopaedics Authors: Kota Kojima Masayuki Ishikawa Takahiro Endo Jun Muto Yasuyuki Fukui Shunji Asamoto Source Type: research

Redefining cervical spine deformity classification through novel cutoffs: An assessment of the relationship between radiographic parameters and functional neurological outcomes
Conclusions: Collectively, these radiographic values can be utilized in refining existing classifications and developing collective understanding of severity and surgical targets in corrective surgery for adult CD. (Source: Journal of Craniovertebral Junction and Spine)
Source: Journal of Craniovertebral Junction and Spine - June 10, 2021 Category: Orthopaedics Authors: Peter Gust Passias Katherine E Pierce Avery E Brown Cole A Bortz Haddy Alas Renaud Lafage Virginie Lafage Breton Line Eric O Klineberg Douglas C Burton Robert Hart Alan H Daniels Shay Bess Bassel Diebo Themistocles Protopsaltis Robert Eastlack Christopher Source Type: research

Roy-Camille Type 3 suicidal jumper & #39;s fractures: Case series and review of the literature
Conclusions: In our opinion, a modified Roy-Camille classification could be useful in the assessment of prognostic and therapeutic aspects of such fractures, In our opinion, a modified Roy-Camille classification could help assess the prognostic and therapeutic aspects of such fractures, in which the severity of the dislocation affects the surgical technique, the chance of neurological recovery, and the patient's life expectancy. (Source: Journal of Craniovertebral Junction and Spine)
Source: Journal of Craniovertebral Junction and Spine - June 10, 2021 Category: Orthopaedics Authors: Giuseppe Emmanuele Umana Marco Teli Bipin Chaurasia Maurizio Passanisi Gianfranco Longo Angelo Spitaleri Marco Fricia Santino Ottavio Tomasi Giancarlo Ponzo Giovanni Federico Nicoletti Salvatore Cicero Massimiliano Visocchi Gianluca Scalia Source Type: research

Factors affecting functional outcome after anterior cervical discectomy and fusion: A multicenter study
Conclusions: Female sex, two-level surgery, and the use of postoperative collars significantly correlate with worse functional outcomes after one- or two-level ACDF. (Source: Journal of Craniovertebral Junction and Spine)
Source: Journal of Craniovertebral Junction and Spine - June 10, 2021 Category: Orthopaedics Authors: Alba Scerrati Antonino Germano & #39; Nicola Montano Jacopo Visani Fabio Cacciola Giovanni Raffa Ilaria Ghetti Fabrizio Pignotti Michele Alessandro Cavallo Alessandro Olivi Pasquale de Bonis Source Type: research

Convolutional neural network-based automated segmentation and labeling of the lumbar spine X-ray
Conclusion: The results of the instance segmentation models on lumbar spine X-ray perform superior to semantic segmentation models in the recognition rates even by images of severe diseased spines by allowing the segmentation of overlapping vertebrae, in contrary to the semantic models where such differentiation cannot be performed due to the fused binary mask of the overlapping instances. These models can be incorporated into further clinical decision support pipelines. (Source: Journal of Craniovertebral Junction and Spine)
Source: Journal of Craniovertebral Junction and Spine - June 10, 2021 Category: Orthopaedics Authors: Sandor Konya T R Sai Natarajan Hassan Allouch Kais Abu Nahleh Omneya Yakout Dogheim Heinrich Boehm Source Type: research

Anthropometric evaluation for surgical feasibility of C1 & #8211;C2 transarticular screw stabilization in Indian population
Conclusion: This study provides a morphometric database which is characteristic of the C1–C2 vertebrae in the normal Indian population with regard to the anatomic feasibility of the TAS fixation for various C1–C2 pathologies. The C2 pars width and height measured in the current study can guide the selection of TAS screws in the Indian population. This study could serve in providing the baseline anatomic parameters assessed in the healthy individuals to design and develop customized screws and related implant assembly which might provide wider clinical applicability. (Source: Journal of Cranioverte...
Source: Journal of Craniovertebral Junction and Spine - June 10, 2021 Category: Orthopaedics Authors: Saijyot Raut Vishal G Kundnani Mohit Kumar Meena Jwalant Y Patel Sanjeev Asati Ankit Patel Source Type: research

Lumbar canal stenosis in & #8220;young & #8221; - How does it differ from that in & #8220;old & #8221; - An analysis of 116 surgically treated cases
Conclusions: LCS is confined to a lesser number of spinal segments in the Group A patients. The symptoms were radicular in nature and relatively severe in Group A than in Group B patients. (Source: Journal of Craniovertebral Junction and Spine)
Source: Journal of Craniovertebral Junction and Spine - June 10, 2021 Category: Orthopaedics Authors: Atul Goel Sagar Bhambere Abhidha Shah Saswat Dandpat Ravikiran Vutha Survendra Kumar Rajdeo Rai Source Type: research

Minimally invasive surgery for spinal fractures due to multiple myeloma
Conclusions: The heterogeneity of techniques used reflected the variety of spine involvement by MM. KP and VP led to shorter hospital stays and less complications, being adequate for lesions without major instability. More complex MISS techniques offer an effective treatment with short delay for starting MM adjuvant treatment. (Source: Journal of Craniovertebral Junction and Spine)
Source: Journal of Craniovertebral Junction and Spine - June 10, 2021 Category: Orthopaedics Authors: Rui Reinas Djamel Kitumba Leopoldina Pereira Oscar L Alves Source Type: research

Spondylectomy in the treatment of neoplastic spinal lesions & #8211; A retrospective outcome analysis of 582 patients using a patient-level meta-analysis
This study aims at identifying predictors of postoperative complications, lesion recurrence, and overall survival in patients undergoing en bloc spondylectomy (EBS) for spinal tumors. For this purpose a systematic review of the literature was conducted and patient-level data extracted. Linear-regression models were calculated to predict postoperative complications, lesion recurrence and overall survival based on age, tumor etiology, surgical approach, mode of resection (extra- vs. intralesional), tumor extension, and number of levels treated. A total of 582 patients were identified from the literature: 45% of fe...
Source: Journal of Craniovertebral Junction and Spine - June 10, 2021 Category: Orthopaedics Authors: Alexander Spiessberger Nicholas Dietz Varun Arvind Mansoor Nasim Basil Gruter Edin Nevzati Silvia Hofer Samuel K Cho Source Type: research

Indicators of atlantoaxial instability
Atul GoelJournal of Craniovertebral Junction and Spine 2021 12(2):103-106 (Source: Journal of Craniovertebral Junction and Spine)
Source: Journal of Craniovertebral Junction and Spine - June 10, 2021 Category: Orthopaedics Authors: Atul Goel Source Type: research

Rotatory atlantoaxial dislocation presenting as spinal kyphoscoliosis
Atul Goel, Ravikiran Vutha, Abhidha Shah, Survendra Kumar Rajdeo RaiJournal of Craniovertebral Junction and Spine 2021 12(1):99-101 A 16-year-old male presented with primary complaint of worsening dorsal spinal kyphoscoliosis (SKS) for 3 years. More recently, he developed spasticity in legs, breathlessness on mild exertion, and sleep apneas. Apart from SKS, investigations revealed rotatory atlantoaxial dislocation. Atlantoaxial fixation resulted in rapid recovery from all symptoms including from spinal deformity. Observations in this patient suggest that rotatory dislocation can be a cause of spinal deformity. (Source: Jo...
Source: Journal of Craniovertebral Junction and Spine - March 4, 2021 Category: Orthopaedics Authors: Atul Goel Ravikiran Vutha Abhidha Shah Survendra Kumar Rajdeo Rai Source Type: research

Report of two cases with omovertebral bone and Klippel & #8211;Feil syndrome with craniovertebral junction instability
We present a report of two patients having the association of omovertebra, Sprengel's deformity of the shoulder and Klippel–Feil abnormality with craniovertebral junctional instability. Our literature survey did not locate any report of such association. Significance of bone alterations is analyzed. Two young patients presented with neck pain, torticollis, webbed neck, and spastic quadriparesis. In both patients, the investigations revealed basilar invagination, Klippel–Feil abnormality and Sprengel's deformity of the shoulder. Apart from these relatively common associations,...
Source: Journal of Craniovertebral Junction and Spine - March 4, 2021 Category: Orthopaedics Authors: Abhidha Shah Akshay Hawaldar Aditya Lunawat Saswat Dandpat Atul Goel Source Type: research