Effects of different severities of disc degeneration on the range of motion of cervical spine
Conclusion: Closer follow-up times may be necessary in symptomatic patients with progressive disease, especially with BL involvements. (Source: Journal of Craniovertebral Junction and Spine)
Source: Journal of Craniovertebral Junction and Spine - November 26, 2020 Category: Orthopaedics Authors: Narayan Yoganandan Hoon Choi Yuvaraj Purushothaman Davidson Jebaseelan Jamie Baisden Shekar Kurpad Source Type: research

Lumbar facet distraction and fixation in patients with lumbar spinal stenosis: Long-term clinical outcome and reoperation rates
Conclusions: Interarticular spacers showed significant and clinically meaningful improvements in pain and disability, even in a long follow-up. (Source: Journal of Craniovertebral Junction and Spine)
Source: Journal of Craniovertebral Junction and Spine - November 26, 2020 Category: Orthopaedics Authors: Giovanni Grasso Atul Goel Source Type: research

Spinal extradural hemangioblastoma: A systematic review of characteristics and outcomes
Kirit Arumalla, Harsh Deora, Shilpa Rao, Abhinith Shashidhar, Malla Bhaskara RaoJournal of Craniovertebral Junction and Spine 2020 11(4):254-261 Extradural spinal nerve root hemangioblastoma is a rare entity with very few cases reported in the literature. A comprehensive picture of the treatments and outcomes of the same is thus not available. A systematic search was done according to PRISMA guidelines. Search criteria included terms: spinal extradural hemangioblastoma, extradural hemangioblastoma, and spinal root hemangioblastoma. The parameters considered were treatment, motor, and sensory outcome, association with von-...
Source: Journal of Craniovertebral Junction and Spine - November 26, 2020 Category: Orthopaedics Authors: Kirit Arumalla Harsh Deora Shilpa Rao Abhinith Shashidhar Malla Bhaskara Rao Source Type: research

Gliomas are & #8220;confined & #8221; to a named white matter tract: A revolution in understanding gliomas
Atul Goel, Abhidha Shah, Saswat Dandpat, Survendra Rai, Apurva PrasadJournal of Craniovertebral Junction and Spine 2020 11(4):252-253 (Source: Journal of Craniovertebral Junction and Spine)
Source: Journal of Craniovertebral Junction and Spine - November 26, 2020 Category: Orthopaedics Authors: Atul Goel Abhidha Shah Saswat Dandpat Survendra Rai Apurva Prasad Source Type: research

When is inclusion of C2 vertebra in the fixation construct necessary in cases with multi-level spinal degeneration ?
Atul GoelJournal of Craniovertebral Junction and Spine 2020 11(4):249-251 (Source: Journal of Craniovertebral Junction and Spine)
Source: Journal of Craniovertebral Junction and Spine - November 26, 2020 Category: Orthopaedics Authors: Atul Goel Source Type: research

Lessons learned from surgical management of craniovertebral instability in Morquio syndrome: A series of four unusual cases
We present a series of four cases (mean age 4.3 ± 0.4 years) operated through posterior-only approach (n = 2, C1-lateral mass to C2 pars-interarticularis [Goel's technique]; n = 1 sublaminar wiring followed by C1-lateral mass to C2 pars-interarticularis; and n = 1 suboccipital plate with pars-interarticularis of C2 screw and pedicle of C3 and rod fixation). All patients had acceptable outcome and doing well at the last follow-up (12–96-follow-up). None of our patient needed transoral decompression. Patients with MS frequently manifest with spastic quadrip...
Source: Journal of Craniovertebral Junction and Spine - August 13, 2020 Category: Orthopaedics Authors: Suyash Singh Jayesh Sardhara Vandan Raiyani Arun Kumar Srivastava Sanjay Behari Source Type: research

Silent stellate ganglion paraganglioma masquerading as schwannoma: A surgical nightmare
Saswat Kumar Dandpat, Survendra Kumar Rajdeo Rai, Abhidha Shah, Naina Goel, Atul H GoelJournal of Craniovertebral Junction and Spine 2020 11(3):240-242 A 28-year-old normotensive female presented with Horner's syndrome and paresthesia over the left side of the chest. Imaging study showed a large heterogeneous enhancing lesion in short-T1 inversion recovery sequence with flow voids in T2W sequence of magnetic resonance imaging. The lesion was located in the left-sided D1 and D2 regions extending into the neural foramina and apical part of the lung. During surgery, even minimal dissection of the tumor resulted in...
Source: Journal of Craniovertebral Junction and Spine - August 13, 2020 Category: Orthopaedics Authors: Saswat Kumar Dandpat Survendra Kumar Rajdeo Rai Abhidha Shah Naina Goel Atul H Goel Source Type: research

Rotational dislocation C1 & #8211;C2 after otoplasty under local anesthesia
Thiago Dantas Matos, Romulo Pedroza Pinheiro, Herton Rodrigo Tavares Costa, Helton Luiz Aparecido DefinoJournal of Craniovertebral Junction and Spine 2020 11(3):237-239 Non-traumatic rotational atlantoaxial subluxation (NTARS) is rare and mostly reported after infection of the upper respiratory tract and named Grisel's syndrome. NTARS has also been reported after head-and-neck surgery, but it is extremely rare after otoplasty. A case of NTARS after bilateral otoplasty is reported under local anesthesia, a 15-year-old female being presented with painful torticollis. The diagnosis of atlantoaxial rotatory subluxa...
Source: Journal of Craniovertebral Junction and Spine - August 13, 2020 Category: Orthopaedics Authors: Thiago Dantas Matos Romulo Pedroza Pinheiro Herton Rodrigo Tavares Costa Helton Luiz Aparecido Defino Source Type: research

Timing to surgery of Chiari malformation type 1 affects complication types: An analysis of 13,812 patients
This study aims to identify if early operation produces better perioperative outcomes or if there are benefits to delaying CM surgery. Aims and Objective: Assess outcomes for Chiari type I. Methods: The KID database was queried for diagnoses of Chiari Malformation from 2003-2012 by icd9 codes (348.4, 741.0, 742.0, 742.2). Included patients: had complete time to procedure (TTP) data. Patients were stratified into 7 groups by TTP: Same-day as admission (SD), 1-day delay (1D), 2-day delay (2D), 3-day delay (3D), 4-7 days delay (4-7D), 8-14 days delay (8-14D), >14 days delay (>14D). Differences in pre-o...
Source: Journal of Craniovertebral Junction and Spine - August 13, 2020 Category: Orthopaedics Authors: Sara Naessig Bhaveen H Kapadia Ashok Para Waleed Ahmad Katherine Pierce Burhan Janjua Shaleen Vira Bassel Diebo Daniel Sciubba Peter Gust Passias Source Type: research

Epidemiologic trend of mobile spine and sacrum chordoma: A National population-based study
Conclusion: Epidemiology characteristic of chordoma in Iran is similar to other studies; however, the total ASIR was lower and the incidence in sacrum is nearly twice respect to the mobile spine. While men affected by sacral chordoma in relatively older age, the female patients had higher mean age in case of mobile spine involvement. The survival rate of chordoma is significantly lower in comparison with other studies. (Source: Journal of Craniovertebral Junction and Spine)
Source: Journal of Craniovertebral Junction and Spine - August 13, 2020 Category: Orthopaedics Authors: Mohammadreza Chehrassan Adel Ebrahimpour Mehrdad Sadighi Mehdi Azizmohammad Looha Saber Barazandeh Rad Mohammad Esmaeil Akbari Source Type: research

Biomechanics of the upper cervical spine ligaments in axial rotation and flexion-extension: Considerations into the clinical framework
Conclusion: These outcomes supply relevant biomechanical characteristics of the UCS ligaments in flexion-extension and axial rotation by quantifying length and moment arm magnitude. Moreover, 3D anatomical modeling and motion representation can help in the process of understanding of musculoskeletal behaviors of the craniovertebral junction. (Source: Journal of Craniovertebral Junction and Spine)
Source: Journal of Craniovertebral Junction and Spine - August 13, 2020 Category: Orthopaedics Authors: Beno & #x000EE;t Beyer V & #x000E9;ronique Feipel Pierre-Michel Dugailly Source Type: research

Survival in patients with surgically treated spinal metastases
Conclusion: Survival was associated with the preoperative functional status defined by the KPS and ECOG scales and with the presence of nonresectable visceral metastases. (Source: Journal of Craniovertebral Junction and Spine)
Source: Journal of Craniovertebral Junction and Spine - August 13, 2020 Category: Orthopaedics Authors: Erion Junior de Andrade Cleiton Formentin Samilly Concei & #231; & #227;o Maia Martins Fernando Luis Maeda Ot & #x000E1;vio Turolo Victor Leal de Vasconcelos Enrico Ghizoni Helder Tedeschi Andrei Fernandes Joaquim Source Type: research

Conservative versus operative management of postoperative lumbar discitis
Conclusions: Operative management yielded better outcomes than traditional conservative treatment in terms of functional outcomes, length of hospital stays, and duration of antibiotic treatment as determined by both the pain and daily activity levels. (Source: Journal of Craniovertebral Junction and Spine)
Source: Journal of Craniovertebral Junction and Spine - August 13, 2020 Category: Orthopaedics Authors: Kamrul Ahsan Sariful Hasan Shahidul Islam Khan Naznin Zaman Saif Salman Almasri Nazmin Ahmed Bipin Chaurasia Source Type: research

Alternative technique of C1-2-3 stabilization-sectioning of muscles attached to C2 spinous process and C2-3 fixation
Conclusions: The discussed technique can be useful for cases undergoing multisegmental fixation that includes atlantoaxial joint. (Source: Journal of Craniovertebral Junction and Spine)
Source: Journal of Craniovertebral Junction and Spine - August 13, 2020 Category: Orthopaedics Authors: Atul Goel Abhinandan Patil Abhidha Shah Sandeep More Ravikiran Vutha Shashi Ranjan Source Type: research

Atlantoaxial fixation for failed foramen magnum decompression in patients with Chiari formation
Conclusions: Clinical results reinforce the belief that atlantoaxial instability is the nodal point of pathogenesis of Chiari formation. Atlantoaxial fixation is the treatment. (Source: Journal of Craniovertebral Junction and Spine)
Source: Journal of Craniovertebral Junction and Spine - August 13, 2020 Category: Orthopaedics Authors: Atul Goel Ravikiran Vutha Abhidha Shah Shashi Ranjan Neha Jadhav Dikpal Jadhav Source Type: research