Journal of Craniovertebral Junction and Spine Journal of Craniovertebral Junction and Spine RSS feedThis is an RSS file. You can use it to subscribe to this data in your favourite RSS reader or to display this data on your own website or blog.

Atlantoaxial instability in a case of Maroteaux & #8211;Lamy syndrome
Abhidha Shah, Neha Jadhav, Saswat Dandpat, Atul GoelJournal of Craniovertebral Junction and Spine 2021 12(1):91-94 A relatively rare report of an 8-year-old girl with Maroteaux–Lamy syndrome that is Type VI mucopolysaccharidosis who presented with symptoms of spastic quadriparesis related to atlantoaxial instability is presented. Atlantoaxial stabilization resulted in rapid and sustained neurological recovery. (Source: Journal of Craniovertebral Junction and Spine)
Source: Journal of Craniovertebral Junction and Spine - March 4, 2021 Category: Orthopaedics Authors: Abhidha Shah Neha Jadhav Saswat Dandpat Atul Goel Source Type: research

Pediatric giant cell reparative granuloma of the lower clivus: A case report and review of the literature
We present a pediatric case of this lesion arising from the condyle and lower clivus. A 9-year-old girl presented with slowly progressive hoarseness and dysphagia. She showed left glossopharyngeal, vagus, and hypoglossal nerve palsy. An osteolytic lesion around the lower clivus and condyle joint was accompanied by deformation of the craniovertebral junction. An endoscopic endonasal approach was used to decompress the cranial nerve and confirm the pathological finding. The lesion around the condyle was not resected to preserve occipito-cervical stability. The residual lesion has been observed carefully for 6 months, and reg...
Source: Journal of Craniovertebral Junction and Spine - March 4, 2021 Category: Orthopaedics Authors: Honami Nakamura Hiroki Morisako Hiroki Ohata Yuko Kuwae Yuichi Teranishi Takeo Goto Source Type: research

C3 segmental vertebral artery and its surgical implication in craniovertebral junction anomalies: Insights from two cases
We report two cases of congenital CVJ anomaly (irreducible in one with C2/3 fusion and reducible in the other; without any subaxial fusion but with articular agenesis at C2/3 joint on the anomalous artery side). Computed tomographic angiography revealed intraspinal intradural entry of VA through the C2/3 intervertebral foramen on the right side with the contralateral artery found crossing the atlanto-axial joint. Both the patients underwent posterior approach and C2 was spared from instrumentation in both cases. Postoperatively, the patient with irreducible dislocation recovered well while the patient with reducible disloc...
Source: Journal of Craniovertebral Junction and Spine - March 4, 2021 Category: Orthopaedics Authors: Kuntal Kanti Das Suyash Singh Kamlesh Rangari Deepak Khatri Priyadarshi Dikshit Jayesh Sardhara Kamlesh Bhaisora Arun Kumar Srivastava Sanjay Behari Source Type: research

Intramedullary spinal cord metastasis of gastric cancer
We report an extremely rare form of ISCM from gastric cancer. This 83-year-old man who had a past medical history of gastric adenocarcinoma presented with acute onset of paraparesis. Spinal magnetic resonance imaging revealed an intramedullary lesion at the upper thoracic level. Due to rapid worsening of his paresis, we decided to perform tumor extirpation. Gross total resection of the tumor was successfully performed. Pathological examination revealed poorly differentiated adenocarcinoma, suggesting the diagnosis of ISCM from gastric cancer. He demonstrated gradual improvement of paraparesis soon after surgery, although h...
Source: Journal of Craniovertebral Junction and Spine - March 4, 2021 Category: Orthopaedics Authors: Hiroaki Matsumoto Nobuyuki Shimokawa Hidetoshi Sato Yasuhisa Yoshida Toshihiro Takami Source Type: research

A morphological analysis of the cervical spine of the dolphin
Conclusions: Despite the skeletal adaptations, the cervical spine is strongly resonant of a mammalian heritage with a remarkably similar form and structure to house neurovascular contents and to allow muscular attachments. (Source: Journal of Craniovertebral Junction and Spine)
Source: Journal of Craniovertebral Junction and Spine - March 4, 2021 Category: Orthopaedics Authors: Aimee Goel Abhidha Shah Santosh Gaikwad Source Type: research

Effect of age-adjusted alignment goals and distal inclination angle on the fate of distal junctional kyphosis in cervical deformity surgery
Conclusion: CD patients with severe baseline malalignment went on to develop postoperative DJK. Age-adjusted alignment targets did not capture differences in these populations, suggesting the need for cervical-specific goals. (Source: Journal of Craniovertebral Junction and Spine)
Source: Journal of Craniovertebral Junction and Spine - March 4, 2021 Category: Orthopaedics Authors: Peter Gust Passias Samantha R Horn Virginie Lafage Renaud Lafage Justin S Smith Breton G Line Themistocles S Protopsaltis Alex Soroceanu Cole Bortz Frank A Segreto Waleed Ahmad Sara Naessig Katherine E Pierce Avery E Brown Haddy Alas Han Jo Kim Alan H Dan Source Type: research

Bone-to-bone ligament preserving laminoplasty technique for reconstruction of laminae
Conclusion: BLP laminoplasty is a safe technique which preserves posterior ligamentous integrity. Furthermore, the use of ultrasonic bone scalpel provides a narrower gap between laminae and other bones, preventing dislocation, and allowing for more fusion, and consequently preventing kyphosis. (Source: Journal of Craniovertebral Junction and Spine)
Source: Journal of Craniovertebral Junction and Spine - March 4, 2021 Category: Orthopaedics Authors: Mehmet Re & #351;id & #214;nen Sait Naderi Source Type: research

Hybrid implants in anterior cervical decompressive surgery for degenerative disease
Conclusions: Although the optimal surgical technique for cervical DDD remains controversial, HS represents a safe and effective procedure in selected patients with multilevel cervical DDD, as demonstrated by biomechanical and clinical studies and the present series. Some technical aspects should be considered when dealing with this procedure, like the drilling of the endplate, and some radiological findings have to be detected because potentially predictive of future misplacement. (Source: Journal of Craniovertebral Junction and Spine)
Source: Journal of Craniovertebral Junction and Spine - March 4, 2021 Category: Orthopaedics Authors: Massimiliano Visocchi Salvatore Marino Giorgio Ducoli Giuseppe M.V. Barbagallo Pasqualino Ciappetta Francesco Signorelli Source Type: research

Fusion versus nonfusion treatment for recurrent lumbar disc herniation
Conclusions: Both convention revision discectomy (nonfusion) and discectomy with instrumented fusion (TLIF) surgery are effective in patients with RLDH. (Source: Journal of Craniovertebral Junction and Spine)
Source: Journal of Craniovertebral Junction and Spine - March 4, 2021 Category: Orthopaedics Authors: Kamrul Ahsan Shahidul Islam Khan Naznin Zaman Nazmin Ahmed Nicola Montemurro Bipin Chaurasia Source Type: research

Back to the future in traumatic fracture shapes of lumbar spine: An analysis of risk of kyphosis after conservative treatment
Conclusions: A burst type lumbar vertebral fracture affecting a patient with initial local kyphosis >10° and comminution and displacement of vertebral plate and vertebral body is at high risk to develop a local kyphosis >20° in the follow-up if treated conservatively. (Source: Journal of Craniovertebral Junction and Spine)
Source: Journal of Craniovertebral Junction and Spine - March 4, 2021 Category: Orthopaedics Authors: Federico Fusini Gabriele Col & #242; Salvatore Risitano Alessandro Mass & #232; Laura Rossi Angela Coniglio Massimo Girardo Source Type: research

Effectiveness and reliability of cannulated fenestrated screws augmented with polymethylmethacrylate cement in the surgical treatment of osteoporotic vertebral fractures
Conclusions: PMMA CSF seems to can guarantee good efficacy and effectiveness in the surgical treatment of vertebral fractures in osteoporosis. (Source: Journal of Craniovertebral Junction and Spine)
Source: Journal of Craniovertebral Junction and Spine - March 4, 2021 Category: Orthopaedics Authors: Angela Coniglio Alessandro Rava Federico Fusini Gabriele Col & #242; Alessandro Mass & #232; Massimo Girardo Source Type: research

Predictive value of intraoperative D-wave and m-MEP neurophysiological monitoring in patients with preoperative motor deficits in immediate and late postoperative period
Conclusions: D-wave has a better recordability than m-MEPs in neurologically compromised patients. D-wave predicts development of long-term deficits with 100% specificity, while m-MEPs have a high sensitivity for transient neurological deficit. A combination of D-wave and m-MEP is recommended for monitoring the integrity of the corticospinal tract in patients with preoperative motor deficits. (Source: Journal of Craniovertebral Junction and Spine)
Source: Journal of Craniovertebral Junction and Spine - March 4, 2021 Category: Orthopaedics Authors: Megha Bir Uditi Gupta Ashok Kumar Jaryal Akanksha Singh Ritesh Netam Shashank Sharad Kale Sarat P Chandra Manmohan Singh Girija Prasad Rath Source Type: research

Pulsatile cerebrospinal fluid dynamics in Chiari I malformation syringomyelia: Predictive value in posterior fossa decompression and insights into the syringogenesis
Conclusion: Syrinx and premedullary cistern velocities are related to an early improvement of symptoms in patients with CM-1 syringomyelia who underwent PFD. The existence of a biphasic pulsatile systolic–diastolic CSF pattern inside the syrinx validates the “transmedullary” theory about the syringogenesis. (Source: Journal of Craniovertebral Junction and Spine)
Source: Journal of Craniovertebral Junction and Spine - March 4, 2021 Category: Orthopaedics Authors: Sabino Luzzi Alice Giotta Lucifero Yasmeen Elsawaf Samer K Elbabaa Mattia Del Maestro Gabriele Savioli Renato Galzio Cristian Gragnaniello Source Type: research

Temporary spanning internal fixation for management of complex upper cervical spine fractures
Conclusion: Spanning internal fixation provides a safe and effective technique in the management of complex upper cervical spine injuries without the drawbacks of using a halo-vest orthosis. (Source: Journal of Craniovertebral Junction and Spine)
Source: Journal of Craniovertebral Junction and Spine - March 4, 2021 Category: Orthopaedics Authors: Khalid AlSaleh Muteb Abulras Osama Alrehaili Source Type: research

Anatomic, functional, and radiographic review of the ligaments of the craniocervical junction
Peter Fiester, Dinesh Rao, Erik Soule, Peaches Orallo, Gazanfar RahmathullaJournal of Craniovertebral Junction and Spine 2021 12(1):4-9 The craniocervical junction (CCJ) is a complex and unique osteoligamentous structure that balances maximum stability and protection of vital neurovascular anatomy with ample mobility and range of motion. With the increasing utilization and improved resolution of cervical magnetic resonance imaging, craniocervical injury is being more accurately defined as a spectrum of injury that ranges in severity from overt craniocervical disassociation to isolated injuries of one more of the craniocer...
Source: Journal of Craniovertebral Junction and Spine - March 4, 2021 Category: Orthopaedics Authors: Peter Fiester Dinesh Rao Erik Soule Peaches Orallo Gazanfar Rahmathulla Source Type: research