Spinal dural cerebrospinal fluid fistula as a cause of spontaneous intracranial hypotension syndrome: Diagnosis and surgical treatment
Anton Konovalov, Fyodor Grebenev, Dmitry Asyutin, Bahromon Zakirov, Nikolay Konovalov, Igor Pronin, Shalva Eliava, Bipin ChaurasiaJournal of Craniovertebral Junction and Spine 2023 14(1):108-112 Spontaneous intracranial hypotension (SIH) syndrome most often occurs following a cerebrospinal fluid (CSF) fistula that develops in the spinal space. Neurologists and neurosurgeons lack an understanding of the pathophysiology and diagnosis of this disease, which can make timely surgical care difficult. With the correct diagnostic algorithm, it is possible to identify the exact location of the liquor fistula in 90% of c...
Source: Journal of Craniovertebral Junction and Spine - March 13, 2023 Category: Orthopaedics Authors: Anton Konovalov Fyodor Grebenev Dmitry Asyutin Bahromon Zakirov Nikolay Konovalov Igor Pronin Shalva Eliava Bipin Chaurasia Source Type: research

Our experiences in patients with atlanto-occipital dislocation: A case series with literature review
Abdoulhadi Daneshi, Abolfazl Rahimizadeh, Arash Fattahi, Saina Darvishnia, Omid Masoudi, Seyed Mohammad Reza MohajeriJournal of Craniovertebral Junction and Spine 2023 14(1):103-107 Atlanto-occipital dislocation (AOD) is an injury to the upper cervical spine that occurs after trauma. This injury is associated with a high mortality rate. According to studies, 8%–31% of deaths caused by accidents are due to AOD. Due to the improvement in medical care and diagnosis, the rate of related mortality has decreased. Five patients with AOD were evaluated. Two cases had type 1, one case had type 2,...
Source: Journal of Craniovertebral Junction and Spine - March 13, 2023 Category: Orthopaedics Authors: Abdoulhadi Daneshi Abolfazl Rahimizadeh Arash Fattahi Saina Darvishnia Omid Masoudi Seyed Mohammad Reza Mohajeri Source Type: research

A rare case of & #8220;Brown tumor & #8221; of the axis with parathyroid adenoma and tertiary hyperparathyroidism
Umesh Srikantha, Akshay Hari, Yadhu K Lokanath, DM MaheshJournal of Craniovertebral Junction and Spine 2023 14(1):97-102 “Brown tumors (BTs)” of the spine are benign rare lesions, seen in about 5%–13% of all patients with chronic hyperparathyroidism (HPT). They are not true neoplasms and are also known as osteitis fibrosa cystica or occasionally osteoclastoma. Radiological presentations are often misleading and may mimic other common lesions such as metastasis. A strong clinical suspicion is therefore necessary, especially in the background of chronic kidney dis...
Source: Journal of Craniovertebral Junction and Spine - March 13, 2023 Category: Orthopaedics Authors: Umesh Srikantha Akshay Hari Yadhu K Lokanath DM Mahesh Source Type: research

Osteoradionecrosis of the occipitocervical junction: A rare case of C1 anterior arch disruption
We report the case of a 57-year-old man who developed osteoradionecrosis (ORN) at the occipitocervical (OC) junction after radiation therapy for nasopharyngeal carcinoma. During soft-tissue debridement using a nasopharyngeal endoscope, the anterior arch of the atlas (AAA) was spontaneously disrupted, which was later spat out. Radiographic examination revealed complete disruption of the AAA that caused OC instability. We performed posterior OC fixation. The patient experienced successful postoperative pain relief. AAA disruption secondary to ORN at OC junction can cause severe instability. Posterior OC fixation alone may be...
Source: Journal of Craniovertebral Junction and Spine - March 13, 2023 Category: Orthopaedics Authors: Masaki Sakamoto Takayoshi Shimizu Atsushi Suehiro Shuichi Matsuda Source Type: research

Age- and gender-related radiological changes of the cervical spine: A study with largest magnetic resonance imaging database of 5672 consecutive patients
Conclusions: Intervertebral disc degeneration was more severe in males than in females as age increased. For both genders, cervical lordosis, decreased significantly as age increased. T/TL, ADD, and P/CT did not significantly differ with age. The present study indicates that structural and radiological changes are possible reasons for cervical pain at advanced ages. (Source: Journal of Craniovertebral Junction and Spine)
Source: Journal of Craniovertebral Junction and Spine - March 13, 2023 Category: Orthopaedics Authors: Ali Riza Guvercin Erhan Arslan Cigdem Hacifazlioglu Ayhan Kanat Elif Acar Arslan Ugur Yazar Source Type: research

Evaluation of long-term clinical outcomes and the incidence of adjacent proximal segment degenerative disease with algorithmic transforaminal interbody fusion: A multicenter prospective study
Conclusions: The prospective use of a clinical-instrumental algorithm for preoperative planning of rigid stabilization, depending on the biometric parameters of the proximal adjacent segment, significantly reduced the incidence of ASDd and improved long-term clinical outcomes compared with the retrospective group. (Source: Journal of Craniovertebral Junction and Spine)
Source: Journal of Craniovertebral Junction and Spine - March 13, 2023 Category: Orthopaedics Authors: Vadim A Byvaltsev Andrei A Kalinin Yurii Ya Pestryakov Alexey V Spiridonov Artem V Krivoschein Source Type: research

Location variance of the great vessels while undergoing side-bend positioning changes during lateral interbody fusion
Conclusion: Our results suggest that RLD positioning may be safer for LLIF as it affords greater distance away from critical venous structures, however, surgical positioning should be assessed at the discretion of the spine surgeon on a patient-specific basis. (Source: Journal of Craniovertebral Junction and Spine)
Source: Journal of Craniovertebral Junction and Spine - March 13, 2023 Category: Orthopaedics Authors: Aaron Joiner Gilberto Gomez Sohrab K Vatsia Tyler Ellett Douglas Pahl Source Type: research

Sarcopenia and osteopenia are independent risk factors for proximal junctional disease after posterior lumbar fusion: Results of a retrospective study
Conclusions: Sarcopenia and osteopenia, as measured by PLVI and M-score, proved to be independent risk factors for PJD in patients who undergo lumbar fusion for degenerative diseases. Clinical Trial Registration: The present study was approved by the Institutional Review Board, CE AVEC 208/2022/OSS/IOR. (Source: Journal of Craniovertebral Junction and Spine)
Source: Journal of Craniovertebral Junction and Spine - March 13, 2023 Category: Orthopaedics Authors: Alberto Ruffilli Francesca Barile Tosca Cerasoli Marco Manzetti Giovanni Viroli Marco Ialuna Matteo Traversari Francesca Salamanna Antonio Mazzotti Milena Fini Cesare Faldini Source Type: research

Arthrodesis versus dynamic neutralization: A short/mid- and long-term retrospective evaluation in degenerative disk disease treatment
Conclusions: We are confident in recommending arthrodesis and DN as effective techniques for lumbar DDD treatment. Both techniques are potentially burdened, with similar frequency, by the development of long-term adjacent segment disease. (Source: Journal of Craniovertebral Junction and Spine)
Source: Journal of Craniovertebral Junction and Spine - March 13, 2023 Category: Orthopaedics Authors: Leonard Meco Simone Stefano Finzi Dalila Scoscina Silvia Amico Francesco Saverio Sirabella Marco Rotini Monia Martiniani Nicola Specchia Antonio Pompilio Gigante Source Type: research

Traumatic spinopelvic dissociation: A case series
Conclusion: Spinopelvic dissociation injuries represent a variety of injuries that are commonly associated with high-energy trauma. The triangular fixation method has proven to be a stable construct in dealing with such injuries. (Source: Journal of Craniovertebral Junction and Spine)
Source: Journal of Craniovertebral Junction and Spine - March 13, 2023 Category: Orthopaedics Authors: Sami I Aleissa Abdullah Al Zahrani Faisal Konbaz Khalid Alsheikh Fahad H Alhelal Ali Alshehri Majed Abalkhail Faisal Alzahrani Abdulaziz Almowina Abdullah Al Harbi Faris Al Wahhabi Firas M Alsebayel Source Type: research

Safety and effectiveness of a posterior approach alone for surgical treatment of sacral-presacral tumors
Conclusion: A posterior approach is safe and effective in the surgical treatment of sacral-presacral tumors independent of tumor localization, size, or pathology and is a feasible first-line treatment option. (Source: Journal of Craniovertebral Junction and Spine)
Source: Journal of Craniovertebral Junction and Spine - March 13, 2023 Category: Orthopaedics Authors: Fatih Demir Metin Kaplan Bekir Akg & #252;n Selman K & #246;k Sait & #214;zt & #252;rk Fatih Serhat Erol Source Type: research

Surgical approach to single-level symptomatic thoracic disc herniations through costotransversectomy: A report of ten case series
Conclusion: Costotransversectomy represents a valuable tool for spine surgeons. The major limit of this technique is the possibility to approach the anterior spinal cord. (Source: Journal of Craniovertebral Junction and Spine)
Source: Journal of Craniovertebral Junction and Spine - March 13, 2023 Category: Orthopaedics Authors: Dalila Scoscina Silvia Amico Edoardo Angeletti Monia Martiniani Leonard Meco Nicola Specchia Antonio Pompilio Gigante Source Type: research

Prevalence of lumbosacral transitional vertebra among 4816 consecutive patients with low back pain: A computed tomography, magnetic resonance imaging, and plain radiographic study with novel classification schema
Conclusions: LSTV is a fairly common pathology of the lumbosacral junction, occurring in 8.1% of the patients in our series (389 out of 4,816 cases). The most common types were Castellvi's type IIA (30.9%) and IIIA (34.9%) and were O'Driscoll's III (40.1%) and IV (35.8%). (Source: Journal of Craniovertebral Junction and Spine)
Source: Journal of Craniovertebral Junction and Spine - March 13, 2023 Category: Orthopaedics Authors: Vadim A Byvaltsev Andrei A Kalinin Valery V Shepelev Yurii Ya Pestryakov Marat A Aliyev Dmitriy V Hozeev Mikhail Y Biryuchkov Rustem A Kundubayev K Daniel Riew Source Type: research

Neurosurgical management of patients with Ehlers & #8211;Danlos Syndrome: A descriptive case series
Conclusions: EDS patients are prone to instability, especially in the occipital-cervical region, which may predispose these patients to require a higher rate of revision procedures and may require modifications in neurosurgical management that should be further explored. (Source: Journal of Craniovertebral Junction and Spine)
Source: Journal of Craniovertebral Junction and Spine - March 13, 2023 Category: Orthopaedics Authors: Mitchell B Rock David Y Zhao Daniel R Felbaum Faheem A Sandhu Source Type: research

Ozone disc nucleolysis in the management of herniated lumbar intervertebral disc: A retrospective analysis
Conclusion: This retrospective analysis confirms that ozone disc nucleolysis is an optimally effective and least invasive treatment option for herniated lumbar intervertebral disc with a significant reduction in disability. (Source: Journal of Craniovertebral Junction and Spine)
Source: Journal of Craniovertebral Junction and Spine - March 13, 2023 Category: Orthopaedics Authors: Sharad Balasaheb Ghatge Rohit Pannalal Shah Nirmal Surya Suresh Sankhala Chetan Jagjivandas Unadkat Gulam M Khan Dhaval B Modi Source Type: research