Postoperative Evaluation of Pain and Disability in Patients Undergoing Spinal Discectomy.

Background: A spinal discectomy surgery (SDS) is a common surgical procedure performed to treat lumbosacral radiculopathy.

Aim: To evaluate postoperative patterns of pain and disability in patients undergoing spinal discectomy.

Methods And Materials: This investigation was a retrospective longitudinal review of prospective information gathered from 543 enrolled patients for lumbar radiculoplasty.

Management of Post-craniotomy Pain in Elective Cases: A Randomized Controlled Trial.

Background: Craniotomy is associated with significant postoperative discomfort. Standardized pain management and enhanced recovery after surgery (ERAS) protocol could improve patient-reported outcomes and lower medical expenses.

Aim:  The aim of this study is to prospectively assess the effectiveness of an ERAS protocol for neurosurgery in the treatment of postoperative pain following elective craniotomies.

Laminectomy with Rib Shears: A Technical Note.

Introduction: Laminectomy/laminoplasty either free or vascularized pedicle flap is currently performed with a variety of expensive instruments. Use of Tudor Edwards rib shears to perform above procedure is described.

Materials And Methods: Tudor Edwards rib shear was used to cut lamina in 18 cases for a variety of spinal lesions.

Endodermal cyst: rare intraaxial brainstem location. Illustrative cases.

Background: This report detailed an extremely rare location of an endodermal cyst. Such location of the tumor can pose radiological confusion and a therapeutic dilemma. However, when identified, it can be a pleasant surprise for the surgeon and provide the possibility of a symptom-free long life for the patient.

Familial Giant Enchondroma of Thoracic Spine: A Rare Manifestation of a Rare Disease.

We present a rare case of spinal enchondromatosis in a 15-year-old boy. The patient presented with spastic paraparesis. He also had multiple bony swellings over the long bones.

Atlantoaxial fixation for failed foramen magnum decompression in patients with Chiari formation.

Background: Relationship of atlantoaxial instability with Chiari formation is further analyzed in the report.

Objective: The outcome of 25 patients who had failed conventional treatment for Chiari formation that included foramen magnum decompression surgery and were treated by atlantoaxial fixation is analyzed.

Materials And Methods: During the period January 2010 to November 2019, we treated 25 patients who had undergone conventionally described surgical procedures; all included foramen magnum decompression for Chiari formation.

Chiari 1 Formation Redefined-Clinical and Radiographic Observations in 388 Surgically Treated Patients.

Objective: The subject of Chiari formation is revisited and redefined. Results of surgical treatment of patients with Chiari formation by atlantoaxial fixation are presented.

Methods: Results were analyzed of 388 patients with Chiari formation surgically treated during 2010 to June 2019.

Is C2-3 fusion an evidence of atlantoaxial instability? An analysis based on surgical treatment of seven patients.

Objective: The authors analyze the rationale of atlantoaxial fixation in patients presenting with symptoms related to cervical myelopathy and wherein the radiological images depicted C2-3 fusion and presence of single or multiple level neural compression of the subaxial cervical spinal cord attributed to "degenerative" spine.

Materials And Methods: Seven adult males were analyzed who presented with long-standing symptoms of progressive cervical myelopathy and where imaging showed presence of C2-3 fusion, no cord compression related to odontoid process, and evidence of single or multiple level lower cervical cord compression conventionally attributed to spinal degeneration. There was no other bone or soft tissue abnormality at the craniovertebral junction.

Optimizing Burr Hole Placement for Craniotomy: A Technical Note.

 Usually, burr holes are placed along the line of a craniotomy. We describe a novel technique of burr hole placement to obtain smooth and beveled bony margin without any troughs and crests. Dural separation is obtained by minimizing the number of burr holes required.

Spinal Kyphoscoliosis Associated with Chiari Formation and Syringomyelia 'Recovery' Following Atlantoaxial Fixation: A Preliminary Report and Early Results Based on Experience with 11 Surgically Treated Cases.

Objective: Immediate postoperative and early clinical outcome of treatment of spinal kyphoscoliosis (SKS) associated with Chiari formation (CF) and syringomyelia (SM) and treated by atlantoaxial fixation is described.

Methods: During the period April 2016 to March 2018, 11 patients with SKS as a major presenting symptom in association with CF and SM were surgically treated and are analyzed retrospectively. The patients were 6 boys and 5 girls, and their ages ranged from 11-17 years (average 14 years).

Central or Axial Atlantoaxial Dislocation as a Cause of Cervical Myelopathy: A Report of Outcome of 5 Cases Treated by Atlantoaxial Stabilization.

Objective: The implications of diagnosis and treatment of central or axial atlantoaxial dislocation (CAAD) as a cause of symptoms of cervical myelopathy are evaluated.

Methods: This is a report of a series of 5 patients who presented with the primary symptoms of spasticity and motor weakness and paresthesias in all the limbs. There was no evidence of any significant compression of the dural tube or neural structures at the craniovertebral junction.