Outcomes of Geriatric Hip Fractures in a Tertiary Referral Center in Malaysia During the COVID-19 Pandemic.

Introduction With the advancing age of the population, there are an increasing number of patients with geriatric hip fractures. Despite the advancement of surgical knowledge and improvement of implant designs to treat geriatric hip fractures, mortality and morbidity remain high among these frail patients. In conjunction with the COVID-19 pandemic, the collateral damage dealt to these patients remains unknown as scarce resources are funneled to deal with the pandemic.

Thoracic Extraosseous Epidural Venous Haemangioma Arising From Nerve Root in a Nasopharyngeal Carcinoma Survivor: A Case Report.

A 66-year-old man presented to the outpatient clinic with back pain and progressive bilateral lower limb weakness over a period of 6 months. Magnetic resonance imaging showed a large extraosseous epidural lesion at T6-T7 arising from the left T6 spinal nerve root complicated with cord compression leading to cord oedema. The lesion was excised en bloc and histopathological examination revealed benign venous haemangioma.

Diagnostic Accuracy and Adequacy of Computed Tomography Versus Fluoroscopy-Guided Percutaneous Transpedicular Biopsy of Spinal Lesions.

Background Transpedicular biopsy of spinal lesions is imperative for the generation of a definite diagnosis. Thus far, literature comparing the accuracy and adequacy between fluoroscopy-guided and computed tomography (CT)-guided transpedicular biopsy of spinal lesions is scarce. We aim to compare the accuracy and adequacy of samples collected with the two techniques at the largest tertiary hospital in Malaysia.

Spinopelvic Fixation Supplemented With Gullwing Plate for Multiplanar Sacral Fracture With Spinopelvic Dissociation: A Case Series With Short Term Follow Up.

We describe a series of three patients who sustained multiplanar sacral fracture with spinopelvic dissociation treated with bilateral triangle osteosynthesis supplemented with a gullwing plate. Multiplanar sacral fracture causes the sacrum to divide into two parts which in severe cases, fracture displacement results in neurological injury. Spinopelvic fixation supplemented with a gullwing plate surgical treatment is still a viable option with an acceptable outcome.

Spinal growth modulation with an anterolateral flexible tether in an immature bovine model: disc health and motion preservation.

Study Design: An immature bovine model was used to evaluate multilevel anterolateral flexible tethering in a growing spine.

Objective: To evaluate radiographic, biochemical, histologic, and biomechanical results of tethered spinal growth.

Summary Of Background Data: An anterolateral flexible tether has been shown to create a kyphotic and scoliotic spinal deformity in calves.

Perioperative complications after surgical correction in neuromuscular scoliosis.

Purpose: To evaluate the perioperative complications associated with surgical correction in neuromuscular scoliosis and to identify the risk factors associated with these complications.

Methods: A retrospective review of the hospital charts of patients with neuromuscular scoliosis who underwent surgical correction at a medical center was performed.

Results: Data was available on a total of 175 patients.

Biomechanical comparison of the screw-bone interface: optimization of 1 and 2 screw constructs by varying screw diameter.

Study Design: In vitro biomechanical investigation of 1 and 2-screw anterior scoliosis constructs with varying screw diameters.

Objective: To determine a possible optimal configuration of screw number and diameter at varying levels within the thoracic spine for anterior vertebral body fixation.

Summary Of Background Data: Single-rod systems are typical in anterior thoracic and thoracolumbar correction of adolescent idiopathic scoliosis; although dual rod systems may offer more flexural stability.

Multilevel spinal growth modulation with an anterolateral flexible tether in an immature bovine model.

Study Design: A bovine model was used to evaluate the effects of a multilevel anterolateral flexible tether in a growing spine.

Objective: To evaluate the radiographic changes in a growing spine with a multilevel anterolateral tether.

Summary Of Background Data: Spinal growth modulation has long been considered as a conceptually attractive and elegant possible alternative to arthrodesis in the treatment of idiopathic scoliosis.

Thoracic vertebral screw impingement on the aorta in an in vivo bovine model.

Study Design: A bovine model was used to evaluate the effects of thoracic vertebral screw impingement of the aorta.

Objectives: To evaluate the histologic and biomechanical changes in aortic wall tissue that was severely impinged by abutting instrumentation.

Summary Of Background Data: Case reports of vascular injury associated with spinal instrumentation generally describe intraoperative injury; some report delayed presentation of large vessel damage.