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 22, 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 22, 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 22, 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 22, 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 6, 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: ...
Source: Journal of Craniovertebral Junction and Spine - November 6, 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 6, 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 6, 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 6, 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 6, 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 6, 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 6, 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 6, 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 6, 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 6, 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