Management of acute 'pink pulseless' hand in pediatric supracondylar fractures of the humerus.

The management of a persistent pink pulseless hand after a satisfactory closed reduction in a pediatric supracondylar fracture of the humerus is controversial. Several recent publications have recommended vascular exploration in contrast to a more conservative approach accepted traditionally. We report the results of seven patients with a mean follow-up of 36.

Novel technique of reduction of a chronic atlantoaxial rotatory fixation using a temporary transverse transatlantal rod.

Background Context: Chronic atlantoaxial rotatory fixation (AARF) is uncommon as acute AARF is easily reduced either spontaneously or by conservative methods. Various anterior and posterior surgical approaches for a chronic AARF have been reported because of the difficulty encountered in obtaining reduction.

Purpose: To describe a novel technique of reduction of a chronic AARF using a temporary transverse transatlantal rod.

Acute spontaneous cervical epidural hematoma with neurological deficit after low-molecular-weight heparin therapy: role of conservative management.

Background Context: Spontaneous spinal hematoma (SSH) after low-molecular-weight heparin (LMWH) therapy is a rare cause of compressive myelopathy with neurological deficit. Emergent surgical decompression is commonly advocated for optimal neurological recovery. Only three cases of spontaneous spinal subdural hematomas after LMWH therapy have been reported in the literature, and this is the first report of a spontaneous cervical epidural hematoma (EDH).

Comparison of prognostic value of different MRI classifications of signal intensity change in cervical spondylotic myelopathy.

Background Context: Signal intensity (SI) changes of the spinal cord on magnetic resonance imaging (MRI) in cervical spondylotic myelopathy (CSM) are thought to be a predictor of surgical outcome. However, the clinical significance of SI change remains controversial. Although several classifications exist for SI change, there are no previous studies comparing their prognostic significance.

Isolated extraosseous epidural myeloma presenting with thoracic compressive myelopathy.

Background Context: Multiple myeloma is the commonest primary malignancy of the spine, but it rarely presents as an extraosseous epidural tumor with only five cases reported in literature so far.

Purpose: The purpose of this study was to heighten awareness and treatment options of a rare case of extraosseous epidural myeloma.

Study Design: The study design comprises a case report and literature review.

Isolated tuberculosis of the lumbar apophyseal joint.

Background Context: Posterior element tuberculosis is rare accounting for only 3% to 5% of all spinal tuberculosis. To our knowledge, no case of isolated facet joint tuberculosis with coronal decompensation has been reported in literature so far.

Purpose: The purpose of this study was to describe a case of tuberculous arthritis of the lumbar facet joint and its effect on coronal balance of the spine.

Diffusion tensor imaging in horizontal gaze palsy with progressive scoliosis.

Horizontal gaze palsy with progressive scoliosis (HGPPS) is a rare disorder characterized by absence of conjugate horizontal eye movements, preservation of vertical gaze and convergence, progressive scoliosis developing in childhood and adolescence. It is caused by mutations in the ROBO3 gene which are critical for the crossing of long ascending medial lemniscal and descending corticospinal tracts in the medulla. Diffusion tensor imaging on a 14-year-old boy with HGPPS revealed ipsilateral ascending and descending connectivity in the brainstem without any crossing over of the major tracts although normal interhemispheric connections in the corpus callosum was demonstrable.

Pediatric transverse sacral fracture with cauda equina syndrome.

Background Context: Transverse sacral fracture in pediatric patients is extremely uncommon with only nine cases reported in literature so far.

Purpose: The purpose of this study was to heighten awareness and treatment options of a rare injury of traumatic pediatric transverse sacral fracture with cauda equina syndrome.

Study Design: This is a clinical case report and literature review.