Publications by authors named "Chirag Panchal"
Objective: Patients with instability because of congenital craniovertebral anomalies often have complex C1-C2 osseovascular anomalies. C2 nerve root sacrifice has been described to address such difficult anatomy during posterior C1-C2 fixation and has its own downsides. Its preservation as a recent alternative poses greater surgical challenge, and the considerations differ from other causes of craniovertebral junctional instability; the pertaining outcomes have been scarcely studied.
View Article and Find Full Text PDFBackground: The COVID19 lockdown has altered the dynamics of living. Its collateral fallout on head injury care has not been studied in detail, especially from low- and middle-income countries, possibly overwhelmed more than developed nations. Here, we analyze the effects of COVID19 restrictions on head injury patients in a high-volume Indian referral trauma center.
View Article and Find Full Text PDFBackground: Posterior circulation stroke resulting from atlantoaxial dislocation (AAD), although uncommon, is a well-described entity. The normally coursed V3 segment of the vertebral artery (VA) is likely to be stretched because of C1-C2 dislocation and further compromised by the C1-C2 translational mobility. The persistent first intersegmental artery (PFIA), an anomalous variant does not course through the C1 transverse foramen, but rather crosses the posterior C1-C2 joints and is unlikely to be affected by the C1-C2 dislocation.
View Article and Find Full Text PDFArticle Synopsis
- A recent study evaluated the effectiveness of C1-C2 distraction and fusion without foramen magnum decompression in patients with Chiari malformations, revealing that 70% experienced improvement in neurological scores.
- Although there was some clinical improvement, it didn't strongly correlate with the severity of brainstem compression or bone deformities.
- The outcomes of this procedure appeared similar to traditional foramen magnum decompression, suggesting that improvements may result from indirect decompression rather than stabilization alone.
Introduction: A good dental cement used as repair material should possess chemical binding, easy handling characteristics, minimal marginal breakdown and minimal polymerization shrinkage, high resistance to wear, high cohesive strength, and good color stability. This study was undertaken to compare the in vitro microleakage and shear bond strength among the newly introduced Prime fill flow and Dyad flow.
Aim: The aim of this study was to determine the effect on shear bond strength and microleakage of two self-adhesive composite resin.