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- Degenerative (8)
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- Cervical spondylotic myelopathy (2)
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Articles 1 - 20 of 20
Full-Text Articles in Medicine and Health Sciences
Partial Radial Nerve Transfer To The Axillary Nerve For Reconstruction Of Shoulder Abduction, Tariq Awad, Khaled Mohamed
Partial Radial Nerve Transfer To The Axillary Nerve For Reconstruction Of Shoulder Abduction, Tariq Awad, Khaled Mohamed
Advanced Spine Journal
Background Data: In cases of axillary nerve injury, surgical reconstruction is indicated when no spontaneous recovery is noted after three to six months. Surgical repair has been carried out by neurolysis, a nerve graft or nerve transfer. Purpose: The aim of this study was to report our results with reconstruction of the axillary nerve by transferring the branch of the triceps lower medial head to the anterior division of the axillary nerve. Study Design: A descriptive analytic cross section retrospective study. Patients and Methods: The authors retrospectively reviewed their data archive from 2011 through 2015, and seven patients who were …
Epidemiology Of Spina Bifida Cystica In Sohag: A Hospital-Based Study, Ahmed Saro, Magda Ali, Roshdy Elkhayat
Epidemiology Of Spina Bifida Cystica In Sohag: A Hospital-Based Study, Ahmed Saro, Magda Ali, Roshdy Elkhayat
Advanced Spine Journal
Background Data: Neural tube defects (NTDs) include a wide variety of pathologies due to the intrauterine failure of neural tube closure. It includes anencephaly which is incompatible with life, encephalocele and myelomeningocele and meningocele. Myelomeningocele (MMC) the commonest and worst form in which the spinal cord and the meningesprotrude from a defect in the spine. Meningocele is a less severe form in which only the meninges protrude into a sac. MMC represents a major health problem with a higher incidence in developing countries. It is one of the death associated diseases in infants and early childhood. It compromises the patient’s …
Free Hand Direct Posterior Screw Insertion Into Axis Body In High Vertebral Artery Groove, Mohamed El-Gaidi
Free Hand Direct Posterior Screw Insertion Into Axis Body In High Vertebral Artery Groove, Mohamed El-Gaidi
Advanced Spine Journal
Background Data: Transpedicular screw is an important fixation technique of axis. It does not depend on intact posterior components like sublaminar wires or translaminar screws. Unlike transarticular screw, transpedicular screw provides segmental fixation so each screw is inserted independently. Moreover, it is biomechanically superior to other fixation methods. However, high arched vertebral artery groove (VAG), an anatomical variant may be present unilaterally up to 18 % of cases, presents a challenge that makes screw insertion hazardous due to risk of vertebral artery injury.Purpose: The aim of this work is to assess the safety, feasibility and limitations of a new free-hand …
Post Spinal Surgery Pain: Management Begins Before Your Approach, Walid Abuzeid, Hytham Ali
Post Spinal Surgery Pain: Management Begins Before Your Approach, Walid Abuzeid, Hytham Ali
Advanced Spine Journal
Background Data: Patients scheduled for spinal surgeries are expected to experience severe postoperative pain. Thus, effective postoperative analgesia is necessary to obtain an enhanced functional outcome, early ambulation, short hospital stay and prevention of chronic pain. Although opioid is the key element of most postoperative analgesic regimens, multimodal therapy is currently an effective way to decrease opioid usage and the related adverse events. Pre-incision infiltration with local anesthetic is used to improve postoperative analgesia and reduce opioid consumption when given as a part of multimodal analgesia. Purpose: The purpose of this study was to prospectively evaluate the effectiveness of preemptive …
Functional Outcomes Following Surgical Management Of Intradural Extramedullary Spinal Cord Tumors, Mohamed Elzoghby, Abdel Aal Abdel Baky
Functional Outcomes Following Surgical Management Of Intradural Extramedullary Spinal Cord Tumors, Mohamed Elzoghby, Abdel Aal Abdel Baky
Advanced Spine Journal
Background Data: Intradural extramedullary tumors are mostly benign lesions that often present late due to their slow rate of growth. Recent advances in the field of neuro-imaging have greatly increased the ability to identify these tumors in early stages. The most effective treatment modality for these tumors is gross total resection, which can sometimes be associated with neurological morbidity and functional impairment. Purpose: to evaluate the functional outcomes following surgical excision of intradural extramedullary spinal tumors. Study Design: This is a retrospective cohort clinical case study. Patients and Methods: In this study the medical records of patients who underwent surgery …
High Density Pedicle Screws Through Posterior Only Approach For Surgical Correction Of Severe Adolescent Idiopathic Scoliosis > 70o, Belal Elnady, Mohammad El-Sharkawi, Mohamed El-Meshtawy, Faisal Adam, Khaled Hassan
High Density Pedicle Screws Through Posterior Only Approach For Surgical Correction Of Severe Adolescent Idiopathic Scoliosis > 70o, Belal Elnady, Mohammad El-Sharkawi, Mohamed El-Meshtawy, Faisal Adam, Khaled Hassan
Advanced Spine Journal
Background Data: The classic treatment of severe rigid adolescent idiopathic scoliosis (AIS) was performed by combined anterior and posterior surgery which carries higher morbidity to the patient. Recently, posterior only surgery using allpedicle screws has been used for treatment of severe AIS with many advantages over combined approaches.Purpose: To evaluate the safety and effectiveness of high density pedicle screws through posterior only approach in correction of severe cases of adolescent idiopathic scoliosis (AIS) with curves > 70o. Study Design: Prospective cohort study. Patients and Methods: Between 2012 and 2014, fourteen patients were surgically treated for severe AIS with curves > 70o and …
Posterior Cervicothoracic Stabilization Using Tapered Rods, Mohamed Elqazaz
Posterior Cervicothoracic Stabilization Using Tapered Rods, Mohamed Elqazaz
Advanced Spine Journal
Background Data: The cervicothoracic spine is a junction area with complex biomechanics. A variety of disorders affect this region, rendering it unstable. Numerous posterior constructs have been evaluated. The clinical efficacy of a screwrodsystem utilizing tapered (dual-diameter) rods in cervicodorsal stabilization is still not evident. Purpose: Our aim is to evaluate the clinical efficacy of dual diameter rods (5.5– 3.5mm taper), connecting 3.5-mm cervical lateral mass screws/pedicle screws and 5.5-mm thoracic pedicle screws used to instrument across the cervicothoracic junction for a variety of pathologies. Study Design: A retrospective descriptive clinical case study. Patients and Methods: The authors retrospectively reviewed …
Multilevel Anterior Cervical Fusion Versus Posterior Cervical Laminectomy And Lateral Mass Fixation Or Laminoplasty For Cervical Spondylotic Myelopathy, Ayman Galhom
Advanced Spine Journal
Background Data: Optimal surgical treatment of cervical myelopathy is timely essential before progressive spinal cord demyelination occurs. Purpose: To compare the neurological outcomes and associated complication of anterior and posterior approaches in the treatment of multilevel cervical spondylotic myelopathy (CSM). Study Design: Retrospective comparative clinical case study. Patients and Methods: Between January 2010 and January 2015, a total of 48consecutive patients with Multilevel CSM were operated in Suez Canal University hospital. Multilevel anterior cervical fusion (ACF) were performed in 25/48 patients, posterior laminectomy lateral mass fixation in 18/48, and laminoplasty in 5/48 patients. All patients had MRI and plain radiographs …
Anterior Column Reconstruction For Treatment Of Failed Short Segment Pedicular Fixation In Thoracic And Lumbar Spine Fractures, Khaled Hassan, Belal El Nady
Anterior Column Reconstruction For Treatment Of Failed Short Segment Pedicular Fixation In Thoracic And Lumbar Spine Fractures, Khaled Hassan, Belal El Nady
Advanced Spine Journal
Background Data: Short segment pedicular fixation is one of the most common operative techniques to treat unstable thoracolumbar burst fracture. However, it may be associated with pseudoarthrosis, progressive kyphosis, and a high rate of hardware failure. Different surgical techniques were described to deal with this failure. Biomechanical investigations have shown that anterior fusion provides superior stability as compared to single dorsal instrumentations.Study Design: A retrospective clinical case study. Purpose: To evaluate the outcomes of anterior column reconstruction for treatment of failed short segment pedicular fixation system in thoracolumbar fractures. Patients and Methods: This study included 25 patients with failed short …
Simultaneous Video- Assisted Thoracoscopic Debridement/ Fusion And Percutaneous Transpedicular Instrumentation In Prone Position For Thoracic And Thoracolumbar Infections, Hamdan Abdelrahman, Mohamed Hassan, Mohamed El-Meshtawy, Khalid Hassan, Mootaz Shousha, Heinrich Boehm
Simultaneous Video- Assisted Thoracoscopic Debridement/ Fusion And Percutaneous Transpedicular Instrumentation In Prone Position For Thoracic And Thoracolumbar Infections, Hamdan Abdelrahman, Mohamed Hassan, Mohamed El-Meshtawy, Khalid Hassan, Mootaz Shousha, Heinrich Boehm
Advanced Spine Journal
Background Data: with increased life expectancy, the incidence of spinal infections in elderly with debilitating disease is rising. The traditional operative therapy in this age group has several morbidities and increased mortality rate. The usage of minimally invasive surgeries in these patients give promising results to overcome or reduces those morbidities and to avoid devastating surgical complications. Study Design: A prospective observational study. Purpose: was to determine whether the combination of video- assisted thoracoscopic debridement and reconstruction with posterior percutaneous transpedicular instrumentation in prone position achieves treatment goals in thoracic and thoracolumbar spinal infections and minimizes the associated morbidities. Patients …
The Role Of Combined Anterior Retropharyngeal Approach And Posterior Fixation In Surgical Treatment Of Upper Cervical Lesions, Ahmed El-Kholy, Ebrahim Shamhoot
The Role Of Combined Anterior Retropharyngeal Approach And Posterior Fixation In Surgical Treatment Of Upper Cervical Lesions, Ahmed El-Kholy, Ebrahim Shamhoot
Advanced Spine Journal
Background Data: Surgical exposure of the upper cervical spine is considered difficult due to the presence of essential and vital nearby structures. Anterior retropharyngeal approach provides direct and wide exposure to treat different lesions in the upper cervical spine. These lesions usually associated with instability and posterior fixation is commonly used to treat this type of instability. Purpose: To evaluate the role of combined anterior retropharyngeal approach and posterior Fixation in treatment of upper cervical lesions. Study Design: A retrospective clinical case series Patients and Methods: This study included 10 patients with C2 neoplasm in 4 patients and spinal infection …
Chronic Painful Osteoporotic Vertebral Compression Fractures Of Thoracolumbar Spine: Percutaneous Vertebroplasty Versus Conservative Management Among Egyptian Patients, Khaled Hassan, Mohammad El-Sharkawi
Chronic Painful Osteoporotic Vertebral Compression Fractures Of Thoracolumbar Spine: Percutaneous Vertebroplasty Versus Conservative Management Among Egyptian Patients, Khaled Hassan, Mohammad El-Sharkawi
Advanced Spine Journal
Background Data: Vertebral augmentation procedures are widely used today in treating acute and subacute osteoporotic vertebral compression fractures (OVCFs). However, percutaneous vertebroplasty for patients with chronic painful OVCFs has been less well studied. Study Design: A prospective cohort study. Purpose: to compare the efficacy and safety of percutaneous vertebroplasty with conservative treatment for management of chronic painful OVCFs in thethoracolumbar spine among Egyptian patients. Patients and Methods: Ninety-eight patients presented with acute OVCFs during the period from October 2009 to December 2013. They were treated conservatively and followed for at least 3 months. Thereafter, 38 patients were excluded from this …
Evaluation Of Subsidence In Stand-Alone Cervical Cage: Incidence, Risk Factors And Effects On Clinical And Radiological Picture, Salah Hamada, Ahmed Abou-Zeid
Evaluation Of Subsidence In Stand-Alone Cervical Cage: Incidence, Risk Factors And Effects On Clinical And Radiological Picture, Salah Hamada, Ahmed Abou-Zeid
Advanced Spine Journal
Background Data: Anterior Cervical Discectomy and Fusion is the gold standard for treating cervical degenerative disc disease associated with radiculopathy and/or myelopathy. When indicated, surgery can achieve neural tissuedecompression and biomechanical stabilization through bony fusion. One of the known complications of stand-alone anterior cervical cage is cage subsidence. Published literature however, contains mixed results in terms of rate of cagesubsidence, loss of lordosis and its clinical effects. Purpose: We report our experience in stand-alone anterior cervical cage, our subsidence rate and its effect on loss of lordosis and clinical picture Study Design: Retrospective clinical case study. Patients and Methods: we …
Clinical And Surgical Correlation With Mri Findings In Herniated Lumbar Disc: Towards Clinical And Surgical Application Of The Current Classification Oriented Understanding Of The Morphology Of The Herniated Lumbar Disc, Salah Hamada, Ahmed Abou-Zeid
Clinical And Surgical Correlation With Mri Findings In Herniated Lumbar Disc: Towards Clinical And Surgical Application Of The Current Classification Oriented Understanding Of The Morphology Of The Herniated Lumbar Disc, Salah Hamada, Ahmed Abou-Zeid
Advanced Spine Journal
Background Data: Herniated lumbar discs requiring surgery are evaluated preoperatively by magnetic resonance imaging. This helps the surgeon to appreciate the size, direction and morphology of the herniated disc material and aids planningthe surgical procedure. The currently available MRI based classifications and terminology do correlate clinical, surgical and prognostic information. Purpose: Our study aims to find clinical and/or surgical correlation between the morphology of different disc herniations based on MRI findings with correlation to the clinical and surgical findings. Study Design: Retrospective analysis of 117 patients who had lumbar microdiscectomy for single level herniated lumbar discs.Patients and Methods: Preoperative MRI …
Surgical Excision Of Upper Lumbar Disc Herniations, Mohamed Elqazaz
Surgical Excision Of Upper Lumbar Disc Herniations, Mohamed Elqazaz
Advanced Spine Journal
Background Data: Disc herniations at the L1/2 and L2/3 levels are different from those at lower levels of the lumbar spine with regard to clinical characteristics and surgical outcome. Spinal canals are narrower than those of lower levels, which may compromise multiple spinal nerve roots or conus medullaris. Purpose: The aim of this study to evaluate the clinical features and surgical outcomes of upper lumbar disc herniations. Study Design: A prospective descriptive clinical case study. Patients and Methods: Thirty patients underwent surgeries for single fresh lumbar disc herniation at the L1/L2 or L2/3 levels. They were operated between 2011 and …
Management Of Incidental Lumbar Durotomy With Lumbar Drain And Fat Grafts, Wessam Soliman
Management Of Incidental Lumbar Durotomy With Lumbar Drain And Fat Grafts, Wessam Soliman
Advanced Spine Journal
Background: Although dural tears (DTs) are known potential intraoperative complications of spine surgery, there is a relative lack of information about the true incidence of this common occurrence. Various studies have reported incidencesranging from 1.6%-17.4%. The literature on iatrogenic DT during spine surgery is surprisingly sparse; and the management is controversial. Purpose: To evaluate the use of lumbar drain and fat graft following incidental durotomy in prevention of early CSF leak and pseudomeningocele formation later on. Study Design: Prospective clinical case study.Patients and Methods: 343 patients were included in this study with degenerative spinal diseases indicated for decompression (lumbar disc, …
Outcome And Incidence Of Spinal Instability Following Laminectomy For Cervical Spondylotic Myelopathy, Mohamed Nagy
Outcome And Incidence Of Spinal Instability Following Laminectomy For Cervical Spondylotic Myelopathy, Mohamed Nagy
Advanced Spine Journal
Background Data: Laminectomy for cervical spondylotic myelopathy with no signs of instability is a standard surgical option but it may be associated with postlaminectomy kyphosis. Study Design: Retrospective clinical case study.Purpose: To evaluate the clinical outcome in a series of patients who underwent laminectomy for cervical myelopathy with special stress on the incidence of postoperative spinal instability. Patients and Methods: This study included twenty two patients who underwent laminectomy at a single or more levels, without fusion, for cervical spondylotic myelopathy. The clinical assessment included history taking, neurological examination and postoperative clinical outcome. The radiological assessment included magnetic resonance imaging, …
Anterior Versus Posterior Approach For Multilevel Cervical Spondylotic Myelopathy, Ahmed Abou-Zeid, Salah Hamada
Anterior Versus Posterior Approach For Multilevel Cervical Spondylotic Myelopathy, Ahmed Abou-Zeid, Salah Hamada
Advanced Spine Journal
Background Data: Cervical spondylotic myelopathy (CSM) is a common spinal d isorder that we face in daily clinical practice. Both anterior and posterior approaches alone or in combination with one another have been used to treat thecondition. The ideal approach however is still not agreed on particularly when the levels involved are three or more.Purpose: We report our experience in managing multilevel CSM using both anterior and posterior approaches and compare the clinical and radiological outcome and also complications. Study Design: Retrospective analysis clinical case study.Patients and Methods: Forty-two patients who had surgery for multilevel CSM under our care were …
Value Of Laminoplasty In Children With Spinal Tumors, Mohamed Reda, Mohamed Nagy
Value Of Laminoplasty In Children With Spinal Tumors, Mohamed Reda, Mohamed Nagy
Advanced Spine Journal
Background Data: Post-laminectomy deformities after surgery for the spinal tumors in children are common and affect the functional outcome. Laminoplasty may decrease the incidence of postoperative progressive spinal deformityrequiring subsequent fusion. Study Design: Retrospective clinical case study. Purpose: To assess the outcome of laminoplasty in children with spinal tumors with special stress on the incidence of postoperative spinal instability.Patients and Methods: This study included fourteen children who underwent laminoplasty during resection of spinal tumors between January 2013 and September 2014. The Cobb angle was used to detect the development of spinal deformity in the sagittal plane. The modified McCormick scale …
Predictive Factors For Dural Tear In Lumbar Spine Surgery, Abdelaal Abdelbaky, Walid Younes, Mohammed Adawi
Predictive Factors For Dural Tear In Lumbar Spine Surgery, Abdelaal Abdelbaky, Walid Younes, Mohammed Adawi
Advanced Spine Journal
Background Data: Incidental durotomy is an undesirable but significant complication of lumbar spine surgery Knowing about the predisposing factors for Incidental durotomy and meticulous surgical technique is important to avoidincidental dural tears. Purpose: The purpose of this study is to clarify the risk factors for ID in lumbar spine surgery and to assess the incidence, treatment and outcome of ID. Study Design: Retrospective descriptive clinical case study.Patients and Methods: A retrospective review was conducted on 450 patients who underwent surgical procedure for the treatment of degenerative lumbar spinal disease. Cases included in this study were operated for disc herniation, spinalstenosis, …