A randomised controlled trial of transforaminal endoscopic discectomy vs microdiscectomy.

Purpose: Transforaminal endoscopic discectomy (TED) minimises paraspinal muscle damage. The aim of this trial was to compare clinical outcomes of TED to Microdiscectomy (Micro).

Methods: 143 patients, age 25-70 years and <115 kg, with single level lumbar prolapse and radiculopathy, were recruited and randomised.

Smartphone apps for spinal surgery: is technology good or evil?

Purpose: The increased utilization of smartphones together with their downloadable applications (apps) provides opportunity for doctors, including spinal surgeons, to integrate such technology into clinical practice. However, the clinical reliability of the medical app sector remains questionable. We reviewed available apps themed specifically towards spinal surgery and related conditions and assessed the level of medical professional involvement in their design and content.

Septic shock after posterior spinal arthrodesis on a patient with Scheuermann kyphosis and multiple body piercings.

Study Design: A case report.

Objective: We report septic shock as postoperative complication following an instrumented posterior spinal arthrodesis on a patient with multiple body piercings. The management of this potentially catastrophic complication and outcome of treatment is been discussed.

Isolated fracture of the coracoid process associated with unstable shoulder.

We report on an unusual case where a seemingly trivial injury in a patient on immunosupressant therapy led to fracture of the coracoid and an unstable shoulder with a subscapularis tear. This was managed with open reduction and internal fixation. One year postoperatively, the patient had regained full function and range of motion.