C1 lateral mass reduction screws for treating atlantoaxial dislocations: Bringing ease by modification
Conclusion: C1 lateral mass reduction screw in C1-C2 fixation helps in reduction of AAD and BI (Type A) even in difficult cases of CVJ anomalies with intraoperative technical ease, reduced operative time, no need for special instruments or complex maneuvers, and avoiding potential neurological injury. (Source: Journal of Craniovertebral Junction and Spine)
Source: Journal of Craniovertebral Junction and Spine - June 13, 2022 Category: Orthopaedics Authors: Deepak Kumar Singh Vipul Pathak Neha Singh Rakesh Kumar Singh Mohammad Kaif Kuldeep Yadav Source Type: research

Does change in focal lordosis after spinal fusion affect clinical outcomes in degenerative spondylolisthesis ?
Conclusions: The change in focal lordosis not a significant predictor of change in PROMs for disability, pain, or physical function. Proportioned patients based on the GAP score had worse MCID for Oswestry Disability Index. Level of Evidence: III (Source: Journal of Craniovertebral Junction and Spine)
Source: Journal of Craniovertebral Junction and Spine - June 13, 2022 Category: Orthopaedics Authors: Brian A Karamian Stephen DiMaria Mark J Lambrechts Nicholas D D & #39;Antonio Andrew Sawires Jose A Canseco I David Kaye Barrett I Woods Mark F Kurd Jeffery A Rihn Joseph K Lee Alan S Hilibrand Christopher K Kepler Alexander R Vaccaro Gregory D Schroeder Source Type: research

Unilateral spacer distraction of the subaxial cervical facet joint for the treatment of fixed coronal malalignment of the craniovertebral junction
Conclusions: USD of the concave side with unilateral PCO of the convexity side in the subaxial cervical spine is a promising alternative treatment for fixed coronal malalignment of the craniovertebral junction from different causes. (Source: Journal of Craniovertebral Junction and Spine)
Source: Journal of Craniovertebral Junction and Spine - June 13, 2022 Category: Orthopaedics Authors: Luis E Carelli Alderico Gir & #227;o & #205;gor Cechin Juan P Cabrera Source Type: research

Ozone disc nucleolysis in cervical intervertebral disc herniation: A nonrandomized prospective analysis in 246 patients
Conclusion: This study showed that ozone disc nucleolysis significantly reduces the pain related to cervical disc herniation along with a significant reduction in disability. (Source: Journal of Craniovertebral Junction and Spine)
Source: Journal of Craniovertebral Junction and Spine - June 13, 2022 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

Incidence of recurrent lumbar disc herniation: A narrative review
Conclusion: This study answers the question of how much, when, and where in lumbar recurrent disc herniation. (Source: Journal of Craniovertebral Junction and Spine)
Source: Journal of Craniovertebral Junction and Spine - June 13, 2022 Category: Orthopaedics Authors: Gonzalo Mariscal Elena Torres Carlos Barrios Source Type: research

Artificial atlantoaxial and subaxial facetal joint - Proposal of models
Atul GoelJournal of Craniovertebral Junction and Spine 2022 13(2):107-109 (Source: Journal of Craniovertebral Junction and Spine)
Source: Journal of Craniovertebral Junction and Spine - June 13, 2022 Category: Orthopaedics Authors: Atul Goel Source Type: research

Extraforaminal lumbar herniated disc mimicking foraminal tumor: Case report, literature review, and the role for minimally invasive approach for resection
We present such case and a review of similar cases in the scientific literature. A 71-year-old male who presented with back pain and right-side sciatic pain. Magnetic resonance imaging revealed a fusiform enhancing 3 cm × 2 cm lesion that was concerning for a nerve sheath tumor. A minimally invasive lateral trans-psoas approach was performed for a biopsy that revealed disc fragments and a full resection was performed. The patient's symptoms improved at follow-up. Although uncommon, extraforaminal disc herniations can be mistaken for peripheral nerve tumors on imaging. The spine surgeon should remain ...
Source: Journal of Craniovertebral Junction and Spine - March 9, 2022 Category: Orthopaedics Authors: Mauricio J Avila Richard V Chua Source Type: research

The impact of preoperative neurological symptom severity on postoperative outcomes in cervical spondylotic myelopathy
Conclusions: Although patients with moderate-to-severe myelopathy improved for all outcomes, they did not achieve normal absolute neurological function, indicating potential irreversible spinal cord changes. Early surgical intervention should be considered in patients with mild myelopathy if they seek to prevent progressive neurological decline over time. (Source: Journal of Craniovertebral Junction and Spine)
Source: Journal of Craniovertebral Junction and Spine - March 9, 2022 Category: Orthopaedics Authors: Gregory R Toci Jose A Canseco Brian A Karamian Michael Chang Giovanni Grasso Kristen Nicholson Emily M Pflug Glenn S Russo Daniel Tarazona I David Kaye Mark F Kurd Alan S Hilibrand Barrett I Woods Jeffrey A Rihn D Greg Anderson Kris E Radcliff Christopher Source Type: research

Epidemiology of atlas fractures in the United States: A 20-year analysis
Conclusions: Atlas fractures occur in older patients and are often associated with concomitant injuries to the head and spine. These types of fractures are increasing in the US, especially among the elderly. The annual incidence increased nearly 700% over the course of the study period and in 2020 was over 13 per million overall. In elderly patients >80 years old, the most recent annual incidence rate was over 157 per million. (Source: Journal of Craniovertebral Junction and Spine)
Source: Journal of Craniovertebral Junction and Spine - March 9, 2022 Category: Orthopaedics Authors: Joseph Gabriel Lyons Humza Moghis Mian Source Type: research

Saradhi & #39;s single stage, anterior sequential reduction utilizing C3 for type III hangman & #39;s fracture: A novel technique
Conclusion: The anterior alone approach with a longer cantilever for primary internal stabilization is a technically safe and suitable option for unstable Type III Hangman's fracture. (Source: Journal of Craniovertebral Junction and Spine)
Source: Journal of Craniovertebral Junction and Spine - March 9, 2022 Category: Orthopaedics Authors: Vijaya Saradhi Mudumba S Pavan Rajesh Alugolu Source Type: research

EuroQol-5 dimensions health-related quality of life questionnaire in craniovertebral instability treated with posterior fixation with or without occipital plating: A comparative study with matched datasets
Conclusions: HRQoL is significantly reduced in CCI. Although this can be improved with posterior fixation, it is still worse than the age-matched population. Occipital plating may not influence HRQoL. HRQoL of the elderly might not increase as much as of the younger subjects. The longer hospitalization, the worse HRQoL could be expected. Preoperative Wackenheim parameter could correlate with HRQoL at follow-up. (Source: Journal of Craniovertebral Junction and Spine)
Source: Journal of Craniovertebral Junction and Spine - March 9, 2022 Category: Orthopaedics Authors: Tomasz Klepinowski Leszek Sagan Source Type: research

Do the newly proposed realignment targets bridge the gap between radiographic and clinical success in adult cervical deformity corrective surgery
Conclusions: Newly proposed CD modifiers based on mJOA were closely associated with outcomes. Improvement and deterioration in the modifiers significantly impacted the HRQL. (Source: Journal of Craniovertebral Junction and Spine)
Source: Journal of Craniovertebral Junction and Spine - March 9, 2022 Category: Orthopaedics Authors: Katherine E Pierce Oscar Krol Jordan Lebovic Nicholas Kummer Lara Passfall Waleed Ahmad Sara Naessig Bassel Diebo Peter Gust Passias Source Type: research

Cervical and spinopelvic parameters can predict patient reported outcomes following cervical deformity surgery
Conclusions: While the impact of preoperative sagittal and cervical parameters on mJOA was strong, the BL radiographic factors did not impact NDI scores. PostOp HRQL was significantly associated with sagittal parameters for mJOA (both worsening and improvement) and NDI scores (improvement). When cervical surgery has been indicated, radiographic alignment is important for postoperative HRQL. (Source: Journal of Craniovertebral Junction and Spine)
Source: Journal of Craniovertebral Junction and Spine - March 9, 2022 Category: Orthopaedics Authors: Peter Gust Passias Katherine E Pierce Bailey Imbo Lara Passfall Oscar Krol Rachel Joujon-Roche Tyler Williamson Kevin Moattari Peter Tretiakov Ammar Adenwalla Irene Chern Haddy Alas Cole A Bortz Avery E Brown Shaleen Vira Bassel G Diebo Daniel M Sciubba R Source Type: research

Comparison of in vivo kinematic and radiological parameters of three cervical disc prostheses
Conclusion: Although the optimal range of motion for CTDR has not been established, short-term differences in the range of motion may guide the selection of CTDR prosthesis. Further studies with longer follow-up and consideration of clinical outcome measures are necessary. (Source: Journal of Craniovertebral Junction and Spine)
Source: Journal of Craniovertebral Junction and Spine - March 9, 2022 Category: Orthopaedics Authors: Nicholas Chang Ralph Mobbs Nicholas Hui Henry Lin Source Type: research

Retrospective evaluation of cervical fusion with DTRAX (R) cervical cage
Conclusion: The findings of this retrospective study of 14 patients who received the DTRAX facet system over the last 8 years support the conclusions of previous studies that DTRAX is safe and effective. In addition, this is the first study to look for differences in outcomes between single and multi-level DTRAX operations, of which there were none. Further investigation with larger cohorts should be conducted as DTRAX becomes more widely adopted in order to verify its safety and efficacy in various clinical scenarios. (Source: Journal of Craniovertebral Junction and Spine)
Source: Journal of Craniovertebral Junction and Spine - March 9, 2022 Category: Orthopaedics Authors: Hamed Yazdanshenas Ethan Osias Richard Hwang Don Y Park Elizabeth Lord Arya N Shamie Source Type: research