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The carotid sheath route: An option to approach retrocarotid prespinal tumors with paravertebral extension
Conclusions: The carotid sheath route is a safe and effective option to approach prespinal lesions with retrocarotid monolateral paravertebral extension. (Source: Journal of Craniovertebral Junction and Spine)
Source: Journal of Craniovertebral Junction and Spine - March 13, 2023 Category: Orthopaedics Authors: Filippo Gagliardi Leone Giordano Marzia Medone Silvia Snider Francesca Roncelli Edoardo Pompeo Pietro Mortini Source Type: research

The post spinal surgery syndrome: A review
R Ramnarayan, Bipin ChaurasiaJournal of Craniovertebral Junction and Spine 2023 14(1):4-10Post spinal surgery syndrome(PSSS) has always been considered only for the pain it causes. However, many other neurological deficits do happen after lower back surgery. The aim of this review is to look into the various other neurological deficits that could happen after a spinal surgery. Using the keywords, foot drop, cauda equina syndrome, epidural hematoma, nerve and dural injury in spine surgery, the literature was searched. Out of the 189 articles obtained, the most important were analyzed. The problems associated with spine surg...
Source: Journal of Craniovertebral Junction and Spine - March 13, 2023 Category: Orthopaedics Authors: R Ramnarayan Bipin Chaurasia Source Type: research

Joint & #8220;release & #8221; and joint & #8220;realignment: & #8221; Are they necessary for the treatment of basilar invagination ?
Atul GoelJournal of Craniovertebral Junction and Spine 2023 14(1):1-3 (Source: Journal of Craniovertebral Junction and Spine)
Source: Journal of Craniovertebral Junction and Spine - March 13, 2023 Category: Orthopaedics Authors: Atul Goel Source Type: research

Compensatory mechanisms in adult degenerative thoracolumbar spinal deformity & #8211; Radiographic patterns, their reversibility after corrective surgery, and the influence of pelvic morphology
Conclusions: Decreased TK represented a more consistent compensatory mechanism in patients with high and low PI when compared to an increase in PT. PI-LL mismatch induced more pronounced changes in TK than did PT in both subgroups. Patients with high PI relied more on increases in PT and a relative decrease in TK to compensate for PI-LL mismatch than patients with low PI. (Source: Journal of Craniovertebral Junction and Spine)
Source: Journal of Craniovertebral Junction and Spine - December 7, 2022 Category: Orthopaedics Authors: Nicholas Dietz Basil Erwin Gruter Edin Nevzati Samuel K Cho Mazda Farshad Brian Williams Peter Hollis Alexander Spiessberger Source Type: research

Six-year longitudinal prospective comparative study between preoperative and postoperative heart rate variability indices in congenital craniovertebral junction anomalies
Conclusion: HRV indices not only help in prognosticating but may also help in predicting outcomes. (Source: Journal of Craniovertebral Junction and Spine)
Source: Journal of Craniovertebral Junction and Spine - December 7, 2022 Category: Orthopaedics Authors: Hardik Lalit Siroya Dhananjaya Ishwar Bhat Bhagavatula Indira Devi Dhaval P Shukla Talakad Narasappa Sathyaprabha Thota Sai Laxmi Alekhya Source Type: research

Radiologic utility of the Gehweiler and AO spine classification systems for C1 Trauma: A retrospective review from a Level I trauma center
Conclusions: The Gehweiler and AO spine classifications demonstrated significant shortcomings in the accurate description of patients with C1 trauma. Whereas the Gehweiler system did not accurately describe the anatomic location of the various C1 fractures, the AO spine system was too broad and failed to radiologically classify fracture location. Moreover, there was a high number of patients with AO spine type B injuries without atlantoaxial translation that nevertheless required C1-C2 fusion for atlantoaxial instability. We suggest the need for an updated classification system that takes into account both the CT (fracture...
Source: Journal of Craniovertebral Junction and Spine - December 7, 2022 Category: Orthopaedics Authors: Peter Fiester Dinesh Rao Erik Soule Matthew Jenson Jeet Patel Emilio Supsupin Gazanfar Rahmathulla Daryoush Tavanaiepour Source Type: research

Comparison of value per operative time between anterior lumbar interbody fusion and lumbar disc arthroplasty: A propensity score-matched analysis
Conclusions: ALIF is associated with significantly higher RVUs per min compared to LDA. ALIF is also associated with higher rates of 30-day morbidity, DVT, and blood transfusions, while readmission and reoperation rates were statistically similar. (Source: Journal of Craniovertebral Junction and Spine)
Source: Journal of Craniovertebral Junction and Spine - December 7, 2022 Category: Orthopaedics Authors: Junho Song Austen Katz Alex Ngan Jeff Scott Silber David Essig Sheeraz A Qureshi Sohrab Virk Source Type: research

Cross-sectional area of the longus colli and cervical degenerative spondylolisthesis: A retrospective review evaluating this anatomic consideration
Conclusion: Smaller longus colli CSA is independently associated with a higher grade and degree of preoperative cervical spondylolisthesis, but this finding does not result in adverse postsurgical outcomes. (Source: Journal of Craniovertebral Junction and Spine)
Source: Journal of Craniovertebral Junction and Spine - December 7, 2022 Category: Orthopaedics Authors: Khoa S Tran Aditya Mazmudar Taylor Paziuk Mark J Lambrechts Eric Tecce Olivia Blaber Daniel Habbal Kamil Okroj Brian A Karamian Jose A Canseco Jeffrey A Rihn Alan S Hilibrand Christopher K Kepler Alexander R Vaccaro Gregory D Schroeder Source Type: research

Sagittal alignment differences on the operating room table compared to preoperative and postoperative imaging in anterior cervical discectomy and fusion
Conclusions: Intraoperative positioning predominantly affects the mobile upper cervical spine, particularly C0-C2 lordosis and C2 slope, but these changes do not persist postoperatively. (Source: Journal of Craniovertebral Junction and Spine)
Source: Journal of Craniovertebral Junction and Spine - December 7, 2022 Category: Orthopaedics Authors: Mark J Lambrechts Gregory R Toci Brian A Karamian Zachary Kozick John Prodoehl David Reiter Rahul Muchintala Eric Tecce Alexander Vaccaro Jr Patrick O & #39;Connor Amit Syal Dominic Lambo Jose A Canseco I David Kaye Barrett I Woods Alan S Hilibrand Christ Source Type: research

Concomitant cervical spine fractures are the primary driver of disability after traumatic vertebral artery dissection: A Case series of 123 patients
Conclusion: tVADs may be associated with stroke and/or cervical fracture. Presenting symptoms predict stroke, but baseline demographic and clinical characteristics do not. Comorbid cervical fractures, not stroke, drive negative outcomes (Source: Journal of Craniovertebral Junction and Spine)
Source: Journal of Craniovertebral Junction and Spine - December 7, 2022 Category: Orthopaedics Authors: Michael Brendan Cloney Anastasios G Roumeliotis Hooman A Azad Nikil Prasad Nathan A Shlobin Benjamin S Hopkins Babak S Jahromi Matthew B Potts Nader S Dahdaleh Source Type: research

Lumbar facet joint stabilization for symptomatic spinal degenerative disease: A systematic review of the literature
Conclusion: Our data demonstrate that facet joint arthrodesis appears to be effective in managing LSDD. These findings, however, are limited by the small sample size of patients. Accordingly, larger series are needed before formal recommendations can be made. (Source: Journal of Craniovertebral Junction and Spine)
Source: Journal of Craniovertebral Junction and Spine - December 7, 2022 Category: Orthopaedics Authors: Sofia Musso Felice Buscemi Lapo Bonossi Manikon Poulley Silven Fabio Torregrossa Domenico Gerardo Iacopino Giovanni Grasso Source Type: research

Surgical treatment of severe adolescent idiopathic scoliosis through one-stage posterior-only approach: A systematic review and meta-analysis
Matteo Traversari, Alberto Ruffilli, Francesca Barile, Giovanni Viroli, Marco Manzetti, Fabio Vita, Cesare FaldiniJournal of Craniovertebral Junction and Spine 2022 13(4):390-400 The aim of this meta-analysis was to analyze the results of one-stage all-posterior spinal fusion for severe adolescent idiopathic scoliosis (AIS). A systematic search of articles about one-stage posterior spinal fusion for severe AIS was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Data about population, pre-and postoperative radiographical data, surgical procedure details, and complic...
Source: Journal of Craniovertebral Junction and Spine - December 7, 2022 Category: Orthopaedics Authors: Matteo Traversari Alberto Ruffilli Francesca Barile Giovanni Viroli Marco Manzetti Fabio Vita Cesare Faldini Source Type: research

Patient-reported outcome measures in spine surgery: A systematic review
Conclusion: We found limited, though effective, use of PROMs targeting specific classes of disease within spine surgery. Therefore, we advocate for increased use of PROMs in spine surgery, in both the research and clinical settings. PROM usage can help physicians assess subjective outcomes in standard ways that can be compared across patients and institutions, more uniquely tailor treatment to individual patients, and engage patients in their own medical care. (Source: Journal of Craniovertebral Junction and Spine)
Source: Journal of Craniovertebral Junction and Spine - December 7, 2022 Category: Orthopaedics Authors: Adam Beighley Allen Zhang Brendan Huang Christopher Carr Mansour Mathkour Cassidy Werner Tyler Scullen Mitchell D Kilgore Christopher M Maulucci Robert F Dallapiazza James Kalyvas Source Type: research

C2 Screw fixation techniques in atlantoaxial instability: A technical review
Diwakar Shankar, Deepak Kumar Singh, Neha Singh, Rakesh Kumar Singh, Vipin Kumar ChandJournal of Craniovertebral Junction and Spine 2022 13(4):368-377 Atlantoaxial instability (AAI) is surgically a complex entity due to its proximity to vital neurovascular structures. C1-C2 fusion has been an established standard in its treatment for a considerable time now. Here, we have outlined the most common techniques for C2 screw fixation in practice at present such as C2 pedicle, C2 pars, C2 translaminar, C2 subfacetal, C2-C3 transfacetal, and C2 inferior facet screw. We have discussed in detail the technical as well as biomechani...
Source: Journal of Craniovertebral Junction and Spine - December 7, 2022 Category: Orthopaedics Authors: Diwakar Shankar Deepak Kumar Singh Neha Singh Rakesh Kumar Singh Vipin Kumar Chand Source Type: research

Is evidence of bone & #8220;formation & #8221; and & #8220;fusion & #8221; in the spinal segment an evidence of segmental spinal instability ?
Atul GoelJournal of Craniovertebral Junction and Spine 2022 13(4):365-367 (Source: Journal of Craniovertebral Junction and Spine)
Source: Journal of Craniovertebral Junction and Spine - December 7, 2022 Category: Orthopaedics Authors: Atul Goel Source Type: research