Introduction: Intradural lumbar disc herniations (IDDH) are unusual and represent less than 0.3% of all lumbar disc herniations. They have a higher incidence of cauda equina syndrome.
View Article and Find Full Text PDFIntroduction: Langerhans cell histiocytosis (LCH) in spine is a benign disorder that mainly affects children and is rare in adults. The treatment of LCH in adults is still controversial. The literature is drought with reports regarding management of LCH in adults with pathological fracture.
View Article and Find Full Text PDFIntroduction: Burst fractures occur frequently in high energy trauma and are commonly associated with falls from height and road traffic accidents. While multiple burst fractures are not uncommon in thoracic spine, three or more contiguous level burst fractures are a relative rarity especially, in lumbar spine. The treatment of multilevel burst fractures must be individualized, and each fracture should be treated according to its inherent stability.
View Article and Find Full Text PDFIntroduction: While odontoid fractures frequently lead to non-union in elderly population, they are relatively rare in the younger age group. We present our management of a rare case of neglected odontoid fracture in an ankylosed spine of a young female.
Case Report: A 28-year-old female presented to our emergency department with neck deformity after a history of fall 1 year back.
Background: Ewing's sarcoma is a malignant primitive neuroectodermal tumor (PNET) of childhood and adolescence. Primary Ewing's sarcoma of the spine is uncommon, and even more rarely involves the C2 vertebra.
Case Description: A 14-year-old patient was admitted with a history of chronic neck pain, which exacerbated after playing contact sports 3 weeks before presentation.
Introduction: Cervical spine injuries in the children are unusual, and an incidence rate of 1.5-3% of all the spinal fractures has been reported. The cartilaginous end plate between the dens and the body of the axis usually ossifies at the age of 5-7 years.
View Article and Find Full Text PDFObjective: To evaluate the functional and radiological outcome of balloon kyphoplasty and to endorse the unilateral single balloon extrapedicular kyphoplasty as practically more feasible and safer method in comparison to the conventional methods.
Methods: Totally, 81 patients were presented to our center with osteoporotic vertebral compression fracture. Among these, 59 patients (61 vertebrae) were enrolled with stable wedge osteoporotic compression fracture.
Study Design: This was a retrospective study.
Purpose: To evaluate the short term outcomes of a novel self-developed technique of performing uninstrumented open-door cervical laminoplasty (ODCL) in patients with cervical myelopathy secondary to ossified posterior longitudinal ligament (OPLL).
Review Of Literature: Published literature on cervical laminoplasties largely focuses on the outcomes of instrumented variants.
Introduction: Bilateral facetal dislocation without facet fracture, although common in cervical spine, is a very rare entity in lumbar spine with <15 cases reported so far. Such injuries are very unstable involving all the three columns. Neurological insult and visceral affection are commonly associated with bilateral facetal dislocation.
View Article and Find Full Text PDFStudy Design: Retrospective study.
Purpose: To evaluate clinical and radiological outcomes of unstable subaxial cervical spine injuries managed by both posterior tension band column stabilization and anterior decompression, stabilization, and fusion.
Overview Of Literature: Unstable subaxial cervical spine injuries often involve disruption of the anterior column and posterior tension band osteoligamentous complex.