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 3, 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 3, 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 3, 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 3, 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 3, 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 3, 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 22, 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 p...
Source: Journal of Craniovertebral Junction and Spine - January 22, 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 resonan...
Source: Journal of Craniovertebral Junction and Spine - January 22, 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 22, 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 22, 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 22, 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 22, 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 22, 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 22, 2020 Category: Orthopaedics Authors: Mihir Upadhyaya Sanyam Jain Neilakuo Kire Zahir Merchant Vishal Kundnani Ankit Patel Source Type: research