Osteotomies/spinal column resections in adult deformity.

Osteotomies may be life saving procedures for patients with rigid severe spinal deformity. Several different types of osteotomies have been defined by several authors. To correct and provide a balanced spine with reasonable amount of correction is the ultimate goal in deformity correction by osteotomies.

Simultaneous surgical treatment in congenital scoliosis and/or kyphosis associated with intraspinal abnormalities.

Study Design: Retrospective clinical study.

Objective: To show retrospective analysis of 21 consecutive patients who underwent simultaneous surgical treatment for progressive spinal deformity and coexisting intraspinal pathologies (tethered cord and/or diastematomyelia).

Summary Of Background Data: The classic advocated approach in patients with congenital spine deformity associated with intraspinal anomalies is first to perform surgery for the intraspinal pathologies and then surgery for correction and stabilization of the deformity 3 to 6 months later.

Posterior endoscopic discectomy for the treatment of lumbar disc herniation.

The procedure of posterior endoscopic discectomy (PED) is an attempt to allow for a standard familiar microsurgical discectomy to be performed using standard microsurgical techniques via a minimally invasive approach. The aim of this study was to evaluate our results with PED for lumbar disc herniation and to assess the advantages, disadvantages and clinical outcomes of the technique. Between February 2002 and August 2004, 71 patients with a mean age of 44 years (range : 24 to 73) underwent PED.

Cervical brucellosis mimicking cervical disc herniation.

Brucellar spondylitis may be difficult to diagnose. Initial plain radiographs of the spine may show mild degenerative lesions. Although, magnetic resonance imaging of spine is mostly helpful to establish the disease, in some cases, it may lead to misdiagnosis.

Far lateral thoracic disc herniation presenting with flank pain.

Background Context: Although thoracic disc herniations are rare, misdiagnosis is an undesirable situation, as it results not only in unnecessary diagnostic studies and surgical procedures, but also in progressive myelopathy and paralysis. Therefore, it is important to be aware of patients with thoracic disc herniations presenting with unusual or atypical symptoms mimicking other non-spinal disorders.

Purpose: A patient with left flank pain compatible with urinary system disorder, who proved to have thoracic disc herniation, is presented.

Results of surgical treatment for degenerative cervical myelopathy: anterior cervical corpectomy and stabilization.

Study Design: This retrospective study involves 26 patients with degenerative cervical myelopathy who were surgically treated by anterior corpectomy, titanium mesh cage (TMC) filled with autogenous bone, and anterior plate +/- posterolateral plate and fusion.

Objectives: This study was conducted to determine the indications, efficacy, and complication rate associated with performing corpectomy to achieve anterior decompression of neural elements or for removing anterior lesions.

Summary Of Background Data: This retrospective study involves patients with degenerative cervical myelopathy who were surgically treated by > or =2-level anterior corpectomy, TMC filled with autogenous bone, and anterior plate +/- posterolateral plate and fusion.