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Cervical deformity patients with baseline hyperlordosis or hyperkyphosis differ in surgical treatment and radiographic outcomes
Conclusions: Hyperlodotic patients trended higher revision rates with greater radiographic malalignment at 1Y postoperative, perhaps due to undercorrection compared to kyphotic etiologies. (Source: Journal of Craniovertebral Junction and Spine)
Source: Journal of Craniovertebral Junction and Spine - September 8, 2021 Category: Orthopaedics Authors: Haddy Alas Peter Gust Passias Bassel G Diebo Avery E Brown Katherine E Pierce Cole Bortz Renaud Lafage Christopher P Ames Breton Line Eric O Klineberg Douglas C Burton Juan S Uribe Han Jo Kim Alan H Daniels Shay Bess Themistocles Protopsaltis Gregory M Mu Source Type: research

Intramedullary spinal cord tumors: A retrospective multicentric study
Conclusion: We conclude this work with some statements. In terms of functional results, age is not a significant factor. Presurgical functional state, the histological type, and the extent of surgical resection are the important factors. (Source: Journal of Craniovertebral Junction and Spine)
Source: Journal of Craniovertebral Junction and Spine - September 8, 2021 Category: Orthopaedics Authors: Anis Hachicha Ala Belhaj Nadhir Karmeni Abdelhafidh Slimane Sofiene Bouali Jalel Kallel Source Type: research

Risk-benefit assessment of major versus minor osteotomies for flexible and rigid cervical deformity correction
Conclusions: Cervical deformity patients who underwent a major osteotomy had similar clinical outcomes at 3-months but worse outcomes at 1-year as compared to minor osteotomies, likely due to differences in baseline deformity. Patients with rigid deformities who underwent a major osteotomy had higher complication rates and worse clinical improvement despite similar realignment at 1 year. (Source: Journal of Craniovertebral Junction and Spine)
Source: Journal of Craniovertebral Junction and Spine - September 8, 2021 Category: Orthopaedics Authors: Peter Gust Passias Lara Passfall Samantha R Horn Katherine E Pierce Virginie Lafage Renaud Lafage Justin S Smith Breton G Line Gregory M Mundis Robert Eastlack Bassel G Diebo Themistocles S Protopsaltis Han Jo Kim Justin Scheer Douglas C Burton Robert A H Source Type: research

Diagnostic Accuracy and Prognostic Significance of Point-Of-Care Ultrasound (POCUS) for Traumatic Cervical Spine in Emergency care setting: A Comparison of clinical outcomes between POCUS and Computed Tomography on a Cohort of 284 Cases and Review of Literature
Conclusion: POCUS for cervical spine is feasible using portable ultrasound machine and by neurosurgeons/radiologists/emergency physicians with basic training. It holds great potential in resource-starved settings and in unstable patients for ruling out unstable cervical spine injuries and injuries associated with the movement of fractured or dislocated particles. POCUS examination of the cervical spine was possible in the emergency setting and even in unstable patients and could be done without moving the neck. Future studies, ideally conducted as randomized control trials, are required to establish training and education ...
Source: Journal of Craniovertebral Junction and Spine - September 8, 2021 Category: Orthopaedics Authors: Reddy Ravikanth Source Type: research

Surgical treatment outcome on a national cohort of 176 patients with cervical manifestation of rheumatoid arthritis
Conclusion: The neurological outcome after fusion surgery is poor and the death rate is high in patients with cervical RA-related instability and deformity. (Source: Journal of Craniovertebral Junction and Spine)
Source: Journal of Craniovertebral Junction and Spine - September 8, 2021 Category: Orthopaedics Authors: Anna MacDowall Laszlo Barany Gergely Bodon Source Type: research

Evaluation of clinicoradiological outcomes of lateral vertebral notch referred pedicular screws entry point in subaxial cervical spine by freehand technique
Conclusion: The technique described in the study can be considered relatively safe, easy, and reliable method of inserting cervical pedicle screws with high accuracy (86.25%) and low complication rates (1.25%). However, meticulous preoperative planning is required. (Source: Journal of Craniovertebral Junction and Spine)
Source: Journal of Craniovertebral Junction and Spine - September 8, 2021 Category: Orthopaedics Authors: Sonone Sandeep Aditya Anand Dahapute Sai Gautham Balasubramanian Piyush Nashikkar Nandan Marathe Shalaka Ramesh Sonavane Source Type: research

First technical report of a pediatric case with thoracic Langerhans cell histiocytosis: Gross total tumor removal, corpectomy, and 360 & #176; stabilization via posterolateral approach at a single stage
Conclusion: Gross total tumor removal, corpectomy, and 360° stabilization via posterolateral approach at a single stage are safe, effective, and definite neurosurgical methods in terms of providing neurological recovery, long-term tumor-free survival, and spinal stability. (Source: Journal of Craniovertebral Junction and Spine)
Source: Journal of Craniovertebral Junction and Spine - September 8, 2021 Category: Orthopaedics Authors: Koral Erdogan Serdar Solmaz Ihsan Dogan Source Type: research

Predictive model for achieving good clinical and radiographic outcomes at one-year following surgical correction of adult cervical deformity
Conclusions: Achievement of a positive outcome in radiographic and clinical outcomes following surgical correction of CD can be predicted with high accuracy using a combination of demographic, clinical, radiographic, and surgical factors, with the top factors being baseline cSVA <20 mm, no prior cervical surgery, and posterior LIV at T1 or above. (Source: Journal of Craniovertebral Junction and Spine)
Source: Journal of Craniovertebral Junction and Spine - September 8, 2021 Category: Orthopaedics Authors: Peter Gust Passias Samantha R Horn Cheongeun Oh Gregory W Poorman Cole Bortz Frank Segreto Renaud Lafage Bassel Diebo Justin K Scheer Justin S Smith Christopher I Shaffrey Robert Eastlack Daniel M Sciubba Themistocles Protopsaltis Han Jo Kim Robert A Hart Source Type: research

Autonomous lumbar spine pedicle screw planning using machine learning: A validation study
Conclusion: The results of this experiment can be combined with an image-guided platform to provide an efficient and highly effective method of placing pedicle screws during spinal stabilization surgery. (Source: Journal of Craniovertebral Junction and Spine)
Source: Journal of Craniovertebral Junction and Spine - September 8, 2021 Category: Orthopaedics Authors: Kris B Siemionow Craig W Forsthoefel Michael P Foy Dominik Gawel Christian J Luciano Source Type: research

Clinical outcome following multisegmental cervical spinal fixation in patients who recovered partially following injury
Conclusions: Surgery for spinal stabilization can be indicated even in cases that improve in the neurological function. (Source: Journal of Craniovertebral Junction and Spine)
Source: Journal of Craniovertebral Junction and Spine - September 8, 2021 Category: Orthopaedics Authors: Atul Goel Aditya Lunawat Abhidha Shah Saswat Dandpat Akshay Hawaldar Hardik Darji Nishit Trivedi Source Type: research

Is disc herniation & #8220;secondary & #8221; to spinal instability ? Is it a protective natural response ?
Atul GoelJournal of Craniovertebral Junction and Spine 2021 12(3):213-215 (Source: Journal of Craniovertebral Junction and Spine)
Source: Journal of Craniovertebral Junction and Spine - September 8, 2021 Category: Orthopaedics Authors: Atul Goel Source Type: research

A report of two cases of familial occipitalization of the atlas in a father and his daughter
Shaveen Jayalathge, Lauren Tollefson, David Mackenzie, Siddharth PatelJournal of Craniovertebral Junction and Spine 2021 12(2):209-211 Occipitalization of the atlas (OA) (atlantooccipital assimilation) is a rare congenital anomaly that results in fusion of the C0-C1 complex. Here, we report the two cases of familial OA occurring in a father and his daughter and describe the pathologic features of this rare developmental anomaly. A 70-year-old father and his 30-year-old daughter seeking conservative care for musculoskeletal complaints presented to a chiropractic clinic. Radiographs of the cervical spine demonstrated OA. Th...
Source: Journal of Craniovertebral Junction and Spine - June 10, 2021 Category: Orthopaedics Authors: Shaveen Jayalathge Lauren Tollefson David Mackenzie Siddharth Patel Source Type: research

A comparative study of L4-L5-S1 and L5-S1 vertebral fusion in high-grade L5-S1 spondylolisthesis
Conclusion: Both L4-L5-S1 and L5-S1 were equally beneficial in improving short-term functional outcomes for patients with high grade L5-S1 spondylolisthesis. However, L4-L5-S1 was associated with statistically significant higher incidences of blood loss, but it was accompanied by a better reduction. Therefore, caution should be exercised when considering L4-L5-S1. (Source: Journal of Craniovertebral Junction and Spine)
Source: Journal of Craniovertebral Junction and Spine - June 10, 2021 Category: Orthopaedics Authors: Majid Rezvani Masih Sabouri Mehdi Mahmoodkhani Ali Mokhtari Donya Sheibani Tehrani Source Type: research

Increased cautiousness in adolescent idiopathic scoliosis patients concordant with syringomyelia fails to improve overall patient outcomes
Conclusions: These results indicate that patients concordant with AIS and SM may be treated more cautiously (lower invasiveness score and less fusions) than those without SM. (Source: Journal of Craniovertebral Junction and Spine)
Source: Journal of Craniovertebral Junction and Spine - June 10, 2021 Category: Orthopaedics Authors: Katherine E Pierce Oscar Krol Nicholas Kummer Lara Passfall Brooke O & #39;Connell Constance Maglaras Haddy Alas Avery E Brown Cole Bortz Bassel G Diebo Carl B Paulino Aaron J Buckland Michael C Gerling Peter G Passias Source Type: research

An alternative way of C1 screwing: Supralaminar C1 lateral mass screws
Conclusions: The proposed types of C1 LMS above or partially above the C1 arch can be useful alternative method of C1 screwing in selected patients. Indications for the use of the supralaminar C1 LMS method can be narrow C1 posterior arch and pedicle, pronounced C1-C2 venous plexus, some V3 segment anomalies at C1 level, small arthritic inferior part of lateral mass, and intraoperative failures of classic techniques application. (Source: Journal of Craniovertebral Junction and Spine)
Source: Journal of Craniovertebral Junction and Spine - June 10, 2021 Category: Orthopaedics Authors: Alexander V Burtsev Olga M Sergeenko Alexander V Gubin Source Type: research