Standalone titanium/polyetheretherketone interbody cage for anterior lumbar interbody fusion: Clinical and radiological results at 24 months
Conclusions: A Ti/PEEK cage, with allograft and bone morphogenetic protein-2 (BMP-2), achieved rapid interbody progression to fusion and is an effective implant for use in anterior lumbar surgery with high early fusion rates and no peri-endplate lucency. Supercritical CO2 allograft provided an osteoconductive scaffold and combined well with BMP-2 to facilitate fusion. (Source: Journal of Craniovertebral Junction and Spine)
Source: Journal of Craniovertebral Junction and Spine - March 9, 2022 Category: Orthopaedics Authors: Ralph J Mobbs Tajrian Amin Kevin Phan Darweesh Al Khawaja Wen Jie Choy William C. H. Parr Vedran Lovric William R Walsh Source Type: research

Cervical facet joint effusion: A sign of instability in cervical degenerative spondylolisthesis
Conclusion: The current study acknowledges the association of “cervical facet effusion” and CDS. Clinically measurable facet joint effusion on MRI suggests the need for further attempts to diagnose CDS. (Source: Journal of Craniovertebral Junction and Spine)
Source: Journal of Craniovertebral Junction and Spine - March 9, 2022 Category: Orthopaedics Authors: Arvind G Kulkarni Shrikant S Sagane Source Type: research

Vertebral artery dissection in acute cervical spine trauma
Conclusion: There is a significant contribution of biomechanics of CST and evolution of VAD. This is an important consideration to prevent significant morbidity and mortality. Hence, a diagnostic algorithm which can be applied in any hospital setup is the need of the hour. (Source: Journal of Craniovertebral Junction and Spine)
Source: Journal of Craniovertebral Junction and Spine - March 9, 2022 Category: Orthopaedics Authors: Rahul Gupta Hardik Lalit Siroya Dhananjaya Ishwar Bhat Dhaval P Shukla Nupur Pruthi Bhagavatula Indira Devi Source Type: research

Complications of adult spinal deformity surgery: A literature review
Conclusion: Good patient evaluation before surgery and careful planning of the surgery are essential in avoiding complications of adult spinal deformity. (Source: Journal of Craniovertebral Junction and Spine)
Source: Journal of Craniovertebral Junction and Spine - March 9, 2022 Category: Orthopaedics Authors: Nevhis Ak & #305;nt & #252;rk Mehmet Zileli Onur Yaman Source Type: research

Traumatic cervical spine spondyloptosis: A systematic review
Conclusion: Traumatic cervical spine spondyloptosis predominates in the lowest levels of the cervical spine, allowed in all cases by a failure in posterior elements. It is a lesion with the worst clinical presentation. Traumatic cervical spine spondyloptosis is highly instable, imposing urgent reduction followed by surgical stabilization. At the limit of the reviewed cases, outcome is in general good, but mortality is still important. (Source: Journal of Craniovertebral Junction and Spine)
Source: Journal of Craniovertebral Junction and Spine - March 9, 2022 Category: Orthopaedics Authors: Adel Khelifa Lakhder Berchiche Fay & #231;al Aichaoui Nadia Lagha Nadjib Asfirane Abdelhalim Morsli Source Type: research

C2/3 Transfacetal fixation: An underutilized technique of C2 fixation in the management of atlantoaxial dislocation & #8722; A technical note with review of literature
Conclusion: C2-3 transfacetal screw with standard C1 lateral mass fixation is an effective alternative to routine C1 lateral mass and C2 pedicle/pars screw fixation in cases of atlantoaxial dislocation complicated with high riding or posteriorly placed vertebral artery and thin pedicle of C2 vertebra. (Source: Journal of Craniovertebral Junction and Spine)
Source: Journal of Craniovertebral Junction and Spine - March 9, 2022 Category: Orthopaedics Authors: Deepak Kumar Singh Diwakar Shankar Rakesh Kumar Singh Mohammad Kaif Kuldeep Yadav Source Type: research

Spinal cord injuries - Instability is the issue-stabilization is the treatment
Atul GoelJournal of Craniovertebral Junction and Spine 2022 13(1):1-3 (Source: Journal of Craniovertebral Junction and Spine)
Source: Journal of Craniovertebral Junction and Spine - March 9, 2022 Category: Orthopaedics Authors: Atul Goel Source Type: research

Anterior cervical meningocele with craniovertebral junction instability & #8211; A case report and literature review
We report a case of ACM with high cervical instability in a case of neurofibromatosis 1. Unlike other reported cases, torticollis and instability due to ACM were the major concerns in this case. We aim to discuss the management strategy and surgical nuances of such cases. (Source: Journal of Craniovertebral Junction and Spine)
Source: Journal of Craniovertebral Junction and Spine - December 11, 2021 Category: Orthopaedics Authors: Ashutosh Kumar Anant Mehrotra Pawan Kumar Verma Kuntal Kanti Das Awadhesh Kumar Jaiswal Sanjay Behari Source Type: research

Unilateral C1 split fracture osteosynthesis using a patient-specific three-dimensional-printed guide: Technique report
We present the case of a 57-year-old female patient with a C1 lateral mass split fracture. Considering the amount of fragment translation, primary osteosynthesis was proposed. To purchase both fragments, placement of a lag screw was assisted intraoperatively by a custom 3D-printed composite guide plate, which enabled us to accurately place the screw. After an uneventful procedure, the patient was discharged from hospital after 72 h. Computed tomography scan performed at 12 months showed good fracture consolidation. The use of a patient-specific guide to place a lag screw through a split fracture of the atlas proved to be a...
Source: Journal of Craniovertebral Junction and Spine - December 11, 2021 Category: Orthopaedics Authors: Ignacio J Barrenechea Luis M & #225;rquez Andr & #233;s E Bruna Source Type: research

Correction of degenerative lumbar coronal deformity using asymmetrical interbody cages: Surgical technique and case report
Gloria Hui Min Cheng, Wayne Ming Quan Yap, Arun-Kumar Kaliya-Perumal, Jacob Yoong-Leong OhJournal of Craniovertebral Junction and Spine 2021 12(4):432-436 In adult degenerative spondylosis, much emphasis has been placed upon recognizing the sagittal plane deformity and techniques to restore this alignment. However, the coronal plane deformity has not received much attention and, if left uncorrected, may lead to poorer outcomes. Here, we present a case of degenerative lumbar scoliosis with a rigid coronal malalignment secondary to a dysplastic sacrum. We performed staged T11–pelvis lateral and posterior approa...
Source: Journal of Craniovertebral Junction and Spine - December 11, 2021 Category: Orthopaedics Authors: Gloria Hui Min Cheng Wayne Ming Quan Yap Arun-Kumar Kaliya-Perumal Jacob Yoong-Leong Oh Source Type: research

Craniovertebral junction chordomas: Case series and strategies to overcome the surgical challenge
Conclusion: EEA could represent a safe route to avoid injuries to neurovascular structure in clival locations, while a combined approach could be considered when tumor spreads laterally. Tumor involvement or surgical procedures could give raise to CVJ instability with the need of complementary posterior instrumentation. Thus, a tailored preoperative planning should play a key role, especially when aggressive bone removal and implant positioning are needed. (Source: Journal of Craniovertebral Junction and Spine)
Source: Journal of Craniovertebral Junction and Spine - December 11, 2021 Category: Orthopaedics Authors: Bianca Maria Baldassarre Giuseppe Di Perna Irene Portonero Federica Penner Fabio Cofano Raffaele De Marco Nicola Marengo Diego Garbossa Giancarlo Pecorari Francesco Zenga Source Type: research

Outcomes of chordomas of the sacrum and mobile spine: Clinical series with average 6-year follow-up
Conclusions: Recurrence and survival rates of mobile spine and sacral chordomas are not different. Sacral chordomas tend to metastasize. Sacrectomy is successful for sacral chordomas at S2 and below. (Source: Journal of Craniovertebral Junction and Spine)
Source: Journal of Craniovertebral Junction and Spine - December 11, 2021 Category: Orthopaedics Authors: Mehmet Zileli Habib Tadayyon Einaddin Karako & #231; Source Type: research

Foramen magnum meningioma: Series of 20 cases. Complications, risk factors for relapse, and follow-up
Conclusion: Anterior and bilateral FMMs seem to be related to a worse prognosis. A gross total resection can reduce the recurrence rates. The KPS is worse in patients with recurrence. (Source: Journal of Craniovertebral Junction and Spine)
Source: Journal of Craniovertebral Junction and Spine - December 11, 2021 Category: Orthopaedics Authors: Maick Willen Fernandes Paulo Henrique Pires De Aguiar Giovanna Zambo Galafassi Pedro Henrique Simm Pires De Aguiar Paulo Eduardo Albuquerque Zito Raffa Marcos Vin & #237;cius Calfat Maldaun Source Type: research

What are the major drivers of outcomes in cervical deformity surgery ?
Conclusions: Categorical weight demonstrated radiographic as the strongest predictor of both improved (global alignment) and PO (regional deformity/deterioration). Radiographic factors carry the most weight in determining an improved or PO, and can be ultimately utilized in preoperative planning and surgical decision-making to optimize outcomes. (Source: Journal of Craniovertebral Junction and Spine)
Source: Journal of Craniovertebral Junction and Spine - December 11, 2021 Category: Orthopaedics Authors: Peter Gust Passias Katherine E Pierce Bailey Imbo Oscar Krol Lara Passfall Peter Tretiakov Kevin Moattari Tyler Williamson Rachel Joujon-Roche Brandon Passano Waleed Ahmad Sara Naessig Bassel Diebo Source Type: research

The impact of postoperative neurologic complications on recovery kinetics in cervical deformity surgery
Conclusions: 18% of patients undergoing CD surgery experienced a neurologic complication, with 15% within 3 months. Patients who experienced any neurologic complication had worse mJOA recovery kinetics by 1 year and trended toward worse recovery at 2 years. Of the neurologic complications, central neurologic deficits and spinal cord deficits were the most detrimental. (Source: Journal of Craniovertebral Junction and Spine)
Source: Journal of Craniovertebral Junction and Spine - December 11, 2021 Category: Orthopaedics Authors: Peter Gust Passias Avery E Brown Haddy Alas Katherine E Pierce Cole A Bortz Bassel Diebo Renaud Lafage Virginie Lafage Douglas C Burton Robert Hart Han Jo Kim Shay Bess Kevin Moattari Rachel Joujon-Roche Oscar Krol Tyler Williamson Peter Tretiakov Bailey Source Type: research