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- Degenerative (11)
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- Anterior cervical discectomy (1)
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- Anterior odontoid fixation (1)
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- Atlantoaxial rotatory fixation (1)
- Atlantoaxial rotatory subluxation (1)
Articles 1 - 30 of 31
Full-Text Articles in Medicine and Health Sciences
Radiofrequency Nucleoplasty For Contained Lumbar Disc Herniation. A Prospective Cohort Clinical Case Study., Hossam Taha
Radiofrequency Nucleoplasty For Contained Lumbar Disc Herniation. A Prospective Cohort Clinical Case Study., Hossam Taha
Advanced Spine Journal
Background Data: A number of percutaneous techniques have been used in the management of lumbar disk herniation. Radiofrequency coablation is gaining popularity. Purpose: To define the safety and efficacy of radiofrequency Nucleoplasty in the management of contained lumbar disk herniation, to better define the indications and predictors of a good outcome and to report the clinical results. Study Design: A prospective cohort of patients with contained lumbar disk herniationthat have failed conservative treatment will undergo radiofrequency Nucleoplasty. Material and Methods: Thirty four patients with contained lumbar disc herniation underwent radiofrequency Nucleoplasty. These were 23 males and 11 females. Mean age …
Anterior Column Reconstruction Using Titanium Mesh Cages After Thoracolumbar Corpectomy: Clinical And Radiological Outcome, Khaled Abdeen, Mohammed Alghazaly
Anterior Column Reconstruction Using Titanium Mesh Cages After Thoracolumbar Corpectomy: Clinical And Radiological Outcome, Khaled Abdeen, Mohammed Alghazaly
Advanced Spine Journal
Background Data: The optimal treatment of unstable thoracolumbar spine due to trauma, tumors, and tuberculous spondylitis remains controversial. Treatment goals of thoracolumbar corpectomy are: to prevent neurological deterioration; enhance neurological recovery; stabilization, and to prevent late pain and deformity.Purpose: This retrospective study was conducted to determine the safety and efficacy of stabilization using titanium mesh cage reconstruction filled with autogenous bone graft and anterior plating after thoracolumbar corpectomy due to trauma, tumors or tuberculous spondylitis. Study Design: A retrospective clinical case study. Patients and Methods: A series of patients underwent reconstruction of the anterior column after thoracolumbar corpectomy between June …
Complete Intra-Lesional Resection For Aneurysmal Bone Cyst Of The Spine. A Personal Experience Of 15 Consecutive Cases, Hossam Taha
Advanced Spine Journal
Background Data: Several methods of treatment have been reported for the management of aneurysmal bone cyst (ABC) of the spine. Incomplete excision has been associated with a high local recurrence rate. Purpose: To review a personal case series of fifteen cases of ABC of the spine treated by complete intralesional resection and to present the clinical and radiological results. Study Design: Retrospective review of the clinical and radiological data. Patients and Methods: Fifteen patients, 8 males and seven females with mean age of 12.7 years underwent complete intralesional resection of ABC lesions of the spine with reconstruction. All patients presented …
Cervical Facet Dislocations. Outcome Of Reduction & Anterior Plating In A Series Of 21 Patients, Ahmed Salah, Hossam Taha
Cervical Facet Dislocations. Outcome Of Reduction & Anterior Plating In A Series Of 21 Patients, Ahmed Salah, Hossam Taha
Advanced Spine Journal
Background Data: treatment of cervical facet dislocations has varied from closed reduction and external immobilization to combined anterior and posterior instrumentation and fusion. Purpose: to evaluate single level anterior fixation for the management of cervical facet dislocations following closed or open reduction. Study Design: retrospective analysis of a case series. Patients and Methods: twenty-one patients (12 unilateral and 9 bilateral) with cervical facet dislocation were treated by reduction and anterior plate fixation. Results: the male to female ratio was 3.2:1. The mean age was 44 years. The commonest affected level was C5-6 (48.2%). Closed reduction by traction and open reduction …
Percutaneous Stabilization Of Thoracic And Lumbar Spine Fractures. Clinical And Radiological Outcome., Hossam Taha
Percutaneous Stabilization Of Thoracic And Lumbar Spine Fractures. Clinical And Radiological Outcome., Hossam Taha
Advanced Spine Journal
Background Data: Management of thoracolumbar fractures remains controversial. Little has been published in the literature about the use of percutaneous pedicle screws in the management of thoracic and lumbar spine fractures.Purpose: To assess the efficacy and safety of percutaneous pedicle screw fixation in the management of thoracic and lumbar spine fractures and to report the clinical and radiological results. Study Design: A prospective cohort of thoracic and lumbar spine fractures treated by percutaneous fixation. Patients and Methods: Seventy eight patients with thoracic and lumbar spine fractures, 60% males and 40% females, with mean age of 31.5 years, without neurologic deficit,were …
Anterior Approach For Lesions In The Thoracolumbar Area: Evaluation Of The Clinical And Radiological Outcome, Alaa Farag, Moataz Elawady
Anterior Approach For Lesions In The Thoracolumbar Area: Evaluation Of The Clinical And Radiological Outcome, Alaa Farag, Moataz Elawady
Advanced Spine Journal
Background Data: The primary indications for anterior approach in vertebral surgery include the conditions associated with the destruction of one or more vertebral bodies and intervertebral discs, vertebral fractures, and deformities.Purpose: To evaluate the clinical and radiological outcome of the anterior surgical approach in the management of lesions of the thoracolumbar area. Study Design: A retrospective clinical case study and a literature review.Patients and Methods: Between January 2007 and January 2011 a total of 15 patients admitted and surgically treated for thoracolumbar spine lesion. All patients underwent anterior thoracolumbar fixation surgery. Data were analyzedretrospectively. The outcome was evaluated with (ASIA) …
Clinical Improvement After Spontaneous Partial Or Complete Absorption 0f Herniated Lumbar Disc., Alaa Abdelraouf, Ahmed Yehya, Mohamed Eshra
Clinical Improvement After Spontaneous Partial Or Complete Absorption 0f Herniated Lumbar Disc., Alaa Abdelraouf, Ahmed Yehya, Mohamed Eshra
Advanced Spine Journal
Background Data: Intervertebral disc herniation is a common disease that usually occurs in middle aged active persons. It presents by back pain and involved nerve root radiculopathy. Some neurologic symptoms in the majority of patients improve after a period of conservative therapy due to regression in the size of the herniated disc. The exact mechanism of disc regression is not yet clear, however clinical improvement and MRI follow up can document this condition.Study Design: Retrospective clinical case review. Purpose: To assess the clinical improvement of patients with herniated lumbar disc if it occurred by the conservative treatment due to partial …
Atlantoaxial Rotatory Fixation In Children. A Clinical Case Study And Review Of The Literature., Ali Abou-Madawi, Esam Elkhatib, Mohamed El-Qazaz
Atlantoaxial Rotatory Fixation In Children. A Clinical Case Study And Review Of The Literature., Ali Abou-Madawi, Esam Elkhatib, Mohamed El-Qazaz
Advanced Spine Journal
Background Data: Atlantoaxial rotatory fixation is a relatively uncommon condition. It remains a poorly understood entity despite many reports in the literature. There is no consensus about the best imaging modality for the diagnosis and the best therapeutic modality the patients benefit from. Purpose: This study was conducted to determine the efficacy of imaging modality and treatment measures and to determine risk factors for recurrence in consideration of the cause, management, and outcome. Study Design: This is a retrospective clinical case study and a literature review.Patients and Methods: Our hospital records were reviewed between January 1995 and December 2011. We …
The Use Of Lateral Mass C1 And Pedicle C2 Screw For Fixation Of Post Traumatic Upper Cervical Instability: Surgical Technique And Operative Outcome, Ahmed Yehya
Advanced Spine Journal
Background Data: The atlantoaxial segment of the cervical spine is a complex anatomic and functional structure. There are many diseases that can affect this segment and lead to instability as trauma, degenerative, inflammatory,neoplastic, or congenital diseases. It requires fusion for adequate immobilization and stabilization. Many surgical methods used for treatment of C1-C2 instability as posterior wiring techniques, C1–2 transarticular screws and lastly, C-1 lateralmass and C-2 pedicle screws fixation which has more advantages than other methods of C1–2 fixation.Study Design: Retrospective clinical case review. Purpose: The aim of this work is to evaluate the surgical technique and early outcome of …
Safety And Efficacy Of Anterior Odontoid Screw For The Management Of Odontoid Fractures. A Series Of 22 Patients., Hossam Taha, Hesham Facharzt
Safety And Efficacy Of Anterior Odontoid Screw For The Management Of Odontoid Fractures. A Series Of 22 Patients., Hossam Taha, Hesham Facharzt
Advanced Spine Journal
Background Data: Several methods of treatment of odontoid fractures have been used. These have ranged from rigid immobilization to atlantoaxial fusion. Odontoid screw osteosynthesis is gaining popularity. Purpose: To define the efficacy and safety of odontoid screw fixation in the management of odontoid fractures and to report the clinical and radiological results. Study Design: A prospective cohort study of odontoid fractures treated with odontoid screw osteosynthesis. The study was conducted in Cairo university hospital, Egypt and AOA Neuro-spinal Centre, Libya in the period from January 2007 to October 2010. Patients and Methods: Over the period from January 2007 to October …
Instrumented Reduction And Tlif For Adult Grade Four Isthmic Spondylolisthesis., Hossam Taha
Instrumented Reduction And Tlif For Adult Grade Four Isthmic Spondylolisthesis., Hossam Taha
Advanced Spine Journal
Background Data: The management of high grade spondylolisthesis remains controversial; with advocates for in-situ fusion and others for reduction. Purpose: To report the clinical and radiological results and the operative techniqueof a personal case series of adult Grade 4 isthmic spondylolisthesis that underwent instrumented reduction and TLIF.Study Design: Retrospective clinical and radiological evaluation of a case series. Patients and Methods: Twelve patients with grade 4 isthmic spondylolisthesis were retrospectively reviewed. All patients presented with disabling back pain, 83% with leg pain, 66% crouched while walking and 16.5% presented with caudae quina syndrome. They all underwent posterior decompression, instrumented reduction and …
Alternate Pedicle Screws Technique Versus Hybrid Construct For The Correction Of Adolescent Idiopathic Scoliosis: A Prospect Ive Randomized Study, Ahmad Fouad, Wael Koptan, Yasser Elmiligui, Mohammad El-Sharkawi
Alternate Pedicle Screws Technique Versus Hybrid Construct For The Correction Of Adolescent Idiopathic Scoliosis: A Prospect Ive Randomized Study, Ahmad Fouad, Wael Koptan, Yasser Elmiligui, Mohammad El-Sharkawi
Advanced Spine Journal
Background Data: The use of all pedicle screws technique, instead of hybrid constructs,for the treatment of AIS became more popular over the past several years. Studies to compare both techniques were usually retrospectively performed.Purpose: To compare between an alternate all pedicle screws technique and hybrid constructs in correction of AIS in a prospective trial. Study Design: Prospective, non-randomized. Patients and Methods: The study included 50 patients with adolescent idiopathic scoliosis divided into 2 groups; 27 patients had surgical correction using alternate pedicle screws technique (Group 1) and 23 patients had surgical correction using hybrid constructs (Group 2). The age at …
The Left Bending Stable Vertebra; A Method For Determining The Lower Instrumented Vertebra In Single Thoracic (Lenke Ia And Ib) Adolescent Idiopathic Scoliosis, Hossam Taha
Advanced Spine Journal
Background Data: The selection of the lower instrumented vertebra (LIV) in single thoracic (Lenke1A and B) Adolescent Idiopathic Scoliosis (AIS) remains controversial. Purpose: To report a new method of selecting the LIV and report the results of surgery based upon this method. Study Design: Retrospective radiological analysis of Lenke 1A and B AIS patients. Patients and Methods: Fifty six patients met the inclusion criteria, 4 (7.1%) male and 52 (92.9%) females. Mean age at time of surgery was 14.7 years. The following data were recorded on preoperative, immediate postoperative andlatest follow up x-rays: the lower end vertebra (EV), the stable …
Simultaneous Posterior Fusion With Video Assisted Thoracoscopic Surgery (Vats) For Treatment Of Kyphotic Deformities In Prone Position. A Series Of 86 Cases, Mohamed Wafa, Fady Michael, Ahmed El Badrawi
Simultaneous Posterior Fusion With Video Assisted Thoracoscopic Surgery (Vats) For Treatment Of Kyphotic Deformities In Prone Position. A Series Of 86 Cases, Mohamed Wafa, Fady Michael, Ahmed El Badrawi
Advanced Spine Journal
Background Data: The traditional position of the patient during VATS procedureis the lateral decubitus. This make the surgeon oriented to the field since this thesame position of the traditional thoracotomy and make it easy for conversionto open surgery if needed. Prone position; although may be difficult; has theadvantage of performing two major procedures; posterior fusion and anteriorreconstruction by at same time with minimized morbidity and mortality.Purpose: To evaluate the efficacy and safety of VATS in management of differentdorolumbar spine pathologies.Study Designs: Prospective clinical case study.Patients and Methods: Eighty six cases of kyphotic deformities due to variouspathologies (28 cases of fractures, …
Injury Of The Synchondrosis Of The Dens. Case_Report, Mahmoud Yaser, Hesham Elsengaby, Mostafa Hassab, Hesham Elsaghir
Injury Of The Synchondrosis Of The Dens. Case_Report, Mahmoud Yaser, Hesham Elsengaby, Mostafa Hassab, Hesham Elsaghir
Advanced Spine Journal
Background Data: Injuries of the synchondrosis of the dens are very rare and are commonly unstable injuries.Purpose: To report a case of fracture of the synchondrosis of the dens. Study Design: case_report. Patients and Methods: The parents of a 1.5 years old boy reported pain and limitation of neck movements of their child following a minor fall. Imaging studies revealed displaced fracture of the synchondrosis of the base of the dens. The fracture was notamenable to closed reduction. Reduction of the fracture was only possible through direct transoral reduction. Internal fixation was done using one screw using Bohler technique. Results: …
Recurrent Atlantoaxial Rotatory Fixation After Failed Posterior Fusion: A Case_Report & Review Of The Literature., Ali Abou-Madawi, Sherif El-Khateeb
Recurrent Atlantoaxial Rotatory Fixation After Failed Posterior Fusion: A Case_Report & Review Of The Literature., Ali Abou-Madawi, Sherif El-Khateeb
Advanced Spine Journal
Background Data: AARF is a well-known disease entity as well as its recurrent form. However, recurrent AARF after posterior fusion was not reported before. This is the first report of a case of revisited recurrent AARF2 years after posterior fusion. Purpose: To describe the clinical and radiographic featuresand management of revisited recurrent AARF.Study Design: case_report. Methods: A type II AARF as described by Fielding recurred shortly after external orthosisin an 8 years old girl. She was subjected to traction until reduction and modified Sonntag fusion. The condition recurred after 2 years. She was put into traction for reduction. She was …
Segmental Derotation Using Alternating Pedicular Screws In Treatment Of Adolescent Idiopathic Scoliosis, Mohamed Wafa, Fady Michael, Ahmed Elbadrawi, Yasser Eloksh
Segmental Derotation Using Alternating Pedicular Screws In Treatment Of Adolescent Idiopathic Scoliosis, Mohamed Wafa, Fady Michael, Ahmed Elbadrawi, Yasser Eloksh
Advanced Spine Journal
Background Data: The use of pedicle screw implants for the treatment of Adolescent Idiopathic Scoliosis (AIS) has gained popularity over the past several years. Pedicle screws have been shown to be safe and effective in the treatment of AIS as well as having greater correction power in the coronal, sagittal, and axial planes over hybrid constructs.Purpose: To assess the effectiveness and safety of segmental derotation using alternative posterior segmental fixation in managing adolescent idiopathic scoliosis. Study Design: A prospective clinical_study enrolled 26 patients with adolescent idiopathic scoliosis who were treated by segmental derotation using alternative posterior segmental fixation. The study …
Pedicle Subtraction Osteotomies For Correcting Sagittal Imbalance, Mohammad El-Sharkawi, Essam El-Sherif, Wael Koptan, Yasser Elmiligui
Pedicle Subtraction Osteotomies For Correcting Sagittal Imbalance, Mohammad El-Sharkawi, Essam El-Sherif, Wael Koptan, Yasser Elmiligui
Advanced Spine Journal
Background Data: Restoration of sagittal balance typically involves Smith Peterson osteotomy (SPO) or pedicle subtraction osteotomy (PSO). Since 2008, PSO was used for patients with kyphosis at our centers. Purpose: The aim of this study is to report the results of PSO for correcting fixed sagittal imbalance at a minimum follow up of 24 months. Study Design: Prospective descriptive study. Methods: Twenty four consecutive patients with sagittal imbalance (9 females/15 males), with a mean age at surgery of 33.4 years, were treated with 25 PSOs and prospectively followed for a mean of 36 months. The etiology for imbalance was posttraumatic …
Transforaminal Lumbar Interbody Fusion (Tlif) For Revision Of Failed Posterolateral Spinal Fusion, Mohammad El-Sharkawi, Wael Koptan, Yasser Elmiligui
Transforaminal Lumbar Interbody Fusion (Tlif) For Revision Of Failed Posterolateral Spinal Fusion, Mohammad El-Sharkawi, Wael Koptan, Yasser Elmiligui
Advanced Spine Journal
Introduction: Posterolateral fusion is commonly used for managing many degenerative spinal problems. Reported pseudarthrosis rate varies between 5-56%. Several approaches have been used for revision, including re-grafting, ALIF, PLIF, and TLIF. Purpose: The aim of this work is to evaluate the radiographic and functional results of TLIF for the management of symptomatic lumbar pseudarthrosis and to compare between revising posterolateral fusion by re-grafting and by TLIF using autogenous iliac bone graft. Study Design: This is prospective comparative study Methods: Forty-three patients with symptomatic pseudarthrosis after previous posterolateral fusion were revised using TLIF technique and were prospectively evaluated and followed for …
Multiple-Level Anterior Cervical Discectomy And Fusion Using Peek Cages In Cervical Myelopathy. Is Anterior Platting Necessary?, Ahmad Fouad, Wael Koptan, Yasser Elmiligui, Talaat Elhadidi, Mohammad El-Sharkawi
Multiple-Level Anterior Cervical Discectomy And Fusion Using Peek Cages In Cervical Myelopathy. Is Anterior Platting Necessary?, Ahmad Fouad, Wael Koptan, Yasser Elmiligui, Talaat Elhadidi, Mohammad El-Sharkawi
Advanced Spine Journal
Background Data: The use of anterior cervical discectomy and fusion (ACDF) is common in the surgical treatment of cervical myelopathy and radiculomyelopathy. Additional anterior plating is usually performed in multiple ACDF to overcomeseveral possible complications. Purpose: To assess the safety and effectiveness of PEEK interbody fusion cages forthe treatment of cervical disc disease and their application in multilevel surgery without anterior plating.Study Design: Prospective study. Patient Sample: Eight patients with cervical myelopathy and twelve with radiculomyelopathy; the study included fourteen females and six males and the mean age at surgery was 58.4±7.1 (range 50-69). Outcome Measures: Total blood loss and …
Treatment Of Far Lateral Lumbar Disc Herniation Via A Minimally Invasive Approach, Yasser Allam, Tarek El-Fiky
Treatment Of Far Lateral Lumbar Disc Herniation Via A Minimally Invasive Approach, Yasser Allam, Tarek El-Fiky
Advanced Spine Journal
Back Ground Data: Far lateral lumbar disc herniation is a unique entity. It needs special care in designing the best surgical approach. Many limited approached have been advocated. We report a case series treated by a minimally invasive approach. Purpose: to evaluate the efficacy and safety of minimally invasive approach in treatment of far lateral lumbar disc herniation. Study Design: Prospective analytic study. Methods: 25 patients suffering from far lateral disc herniation (extra-foraminal) were operated according to this technique. Through a small skin incision (1.5 cm), the paraspinalmuscles are spread by dilators, until a working channel of 11 mm inner …
Surgical Outcome Of Minimally Invasive Transforaminal Lumbar Interbody Fusion, Mohamed Sawan, Ibrahim Elganzoury
Surgical Outcome Of Minimally Invasive Transforaminal Lumbar Interbody Fusion, Mohamed Sawan, Ibrahim Elganzoury
Advanced Spine Journal
Back Ground Data: Minimally invasive transforaminal lumbar interbody fusion (MTLIF) has become increasingly popular arthrodesis procedure. It is preferred to treat mechanical back pain due to the advantage of obtaining a circumferential arthrodesis via a unilateral approach with minimal retraction of neural elements. Purpose: The purpose of this study was to describe this new surgical MTLIF using a single cage with pedicular screws and to assess the surgical outcome regarding safety, efficacy, and possible complications in the management of degenerative disorders or isthmic spondylolisthesis of the lumbar spine. Study Design: A retrospective descriptive analytic study. Methods: This retrospective study reviewed …
Cervical Spondylotic Myelopathy Treated With Multilevel Oblique Corpectomy. A Review Of 29 Cases., Mohamed Sawan, Khaled Anbar
Cervical Spondylotic Myelopathy Treated With Multilevel Oblique Corpectomy. A Review Of 29 Cases., Mohamed Sawan, Khaled Anbar
Advanced Spine Journal
Study Design: We reviewed our surgical experience and results in 29 patients operated upon by multiple oblique corpectomy without fusion for cervical spondylotic myelopathy. Objective: To review the safety, efficacy and surgical experience of multiple oblique corpectomy in carefully selected 29 patients, through anterolateral corridor to thecervical spine without the need for vertebral fusion or stabilization. Methods: Between March 2007 and April 2011, 29 patients have been treated with multiple oblique corpectomy technique for cervical spondylotic myelopathy.The functional status was assessed using the modified Japanese Orthopedic Association Score preoperatively and at 1,6,12 months postoperatively. Radiological Assessment was done preoperatively with …
Results Of Surgical Fixation Of Occipitocervical Instability Using Polyaxial Plate/Rod System. Report Of 14 Cases., Mohamed Sawan, Ashraf Moharam
Results Of Surgical Fixation Of Occipitocervical Instability Using Polyaxial Plate/Rod System. Report Of 14 Cases., Mohamed Sawan, Ashraf Moharam
Advanced Spine Journal
Background Data: Occipitocervical junction instability has always been a challenging surgical problem owing to the unique anatomical and biomechanical characteristics of this region. Purpose: To detect the safety, efficacy and related complications using polyaxial screw-based constructs with rod / plate system for occipitocervical instability.Study design: This is a retrospective study for 14 patients underwent occipitocervical fusion for instability using polyaxial screw-based constructs with rod / plate system during the period from January 2007 to September 2011 in Cairo University Hospitals and Nasser Institute Hospital. Methods: Our study reviewed the surgical technique, the variety ofinstrumentation, the postoperative outcome, various complications and …
Unilateral Transforaminal Lumbar Interbody Fusion For High Grade Isthmic Spondylolisthesis, Wael Koptan, Yasser Elmiligui, Mohamad El-Sharkawi, Mohmad Ramadan
Unilateral Transforaminal Lumbar Interbody Fusion For High Grade Isthmic Spondylolisthesis, Wael Koptan, Yasser Elmiligui, Mohamad El-Sharkawi, Mohmad Ramadan
Advanced Spine Journal
Background Data: Several controversies exist over the most appropriate approach for managing high grade spondylolisthesis; classic interbody fusions (PLIF) are associated with a considerable degree of complications.Purpose: The aim of this work is to determine the safety and efficacy of unilateral TLIF in managing high grade isthmic spondylolisthesis.Study Design: Prospective, randomized, between 2000 and 2008. Patient Sample:44 patients with high grade isthmic spondylolisthesis (Meyerding grades III and IV).The mean age was 24y (range 17-38y). All patients had severe back and radicular symptoms that failed to conservative treatment. Eighteen were at L4/5 and 26 atL5/S1. Outcome measures; total blood loss, operative …
Dorsal Spinal Chronic Subdural Hematoma Complicating Warfarin/Asprin Anticoagulation Therapy: A Case_Report Study., Emad Ghanem, Ahmad Elayouty
Dorsal Spinal Chronic Subdural Hematoma Complicating Warfarin/Asprin Anticoagulation Therapy: A Case_Report Study., Emad Ghanem, Ahmad Elayouty
Advanced Spine Journal
Background Data: Spinal chronic subdural hematoma is an extremely rare condition nevertheless it can results in a disastrous neurological status.Purpose: To report a case of dorsal chronic subdural hematoma with acute paraplegia.Study Design: case_report. Methods: Our 61-year-old female patient presented with a one day history of sudden onset of motor weakness in both lower limbs. The patient had previous cerebrovascular ischemic attack two year earlier and combined aspirin (150 mg per day) and warfarin (10 mg per day) therapy was prescribed as secondary prophylaxis since that time. Dorsal spine MRI was done and it revealed an extensive dorsal spinal chronic …
Partial Pedicle Subtraction Osteotomy (Ppso): A Modification For Pso In Treatment Of Sagittal Deformities., Mohamed Wafa, Ahmed El-Badrawi, Fady Michael
Partial Pedicle Subtraction Osteotomy (Ppso): A Modification For Pso In Treatment Of Sagittal Deformities., Mohamed Wafa, Ahmed El-Badrawi, Fady Michael
Advanced Spine Journal
Background data: Pedicle subtraction osteotomy is used for treatment of sagittal deformities. It has the advantages of being accomplished completely through a posterior approach. Neurological deficits that accompany the procedure are believed to be the result of a combination of subluxation, residual dorsal impingement, and dural buckling.Purpose: To introduce a new modification of the traditional pedicle subtraction osteotomy, in which we perform partial pedicle osteotomy; preserving the inferior third of the pedicle. This allows more smooth correction of the deformity,minimizes the injury or irritation of the nerve root below this pedicle, and decreases the incidence of subluxation and dorsal impingement. …
Lumbar Disc Surgery In Pediatric Population, Is It A Special Entity Distinct From Adult?, Ali Abou-Madawi
Lumbar Disc Surgery In Pediatric Population, Is It A Special Entity Distinct From Adult?, Ali Abou-Madawi
Advanced Spine Journal
Background data: Lumbar disc prolapse is rare in pediatric patients though it may lead to significant pain and disability. Due to different structural properties and environmental and occupational exposures, pediatric LDP may be considered as a separate entity distinct from adult.Aim: This retrospective analytic outcome study was undertaken to determine theclinical outcome and the peculiar characteristics of LDP in pediatric patients.Methods: The medical records of patients younger than 18 years old who were operated for LDP between 1996 and 2011 were reviewed. Patients’ preoperativeclinical and radiographic data, operative, early and late postoperative data were reviewed.Results: 17 patients were enrolled in …
Thoracoscopic Anterior Reconstruction Combined With Posterior Pedicle Screw-Based Fixation In Management Of Thoracolumbar Junction Fractures, Hazem Elkosha, Nabil Ali, Hesham Elsaghir, Ashraf Ezz- Edeen, Mohamed Ebrahim
Thoracoscopic Anterior Reconstruction Combined With Posterior Pedicle Screw-Based Fixation In Management Of Thoracolumbar Junction Fractures, Hazem Elkosha, Nabil Ali, Hesham Elsaghir, Ashraf Ezz- Edeen, Mohamed Ebrahim
Advanced Spine Journal
Background: Video-assisted thoracoscopic surgery is a minimally invasive procedure applied to the field of spine surgery since 1990s. Purpose: To explore the feasibility, safety, efficacy, and cosmetic results of thoracoscopy in management of thoracolumbar fractures. Methods: We used both the Thoracolumbar Injury Classification and Severity (TLICS) score and the Load Sharing Classification Score for selection of cases. Cases were operated on by a combined approach of posterior pedicle screw fixation and anterior thoracoscopic reconstruction and fusion with follow up of cases up to 12 months as regard clinical and radiological results. Results: Patients’ ages ranged from 22-56 years, including 8 …
Extraforaminal Intraradicular Disc Herniation. Case_Report, Joerg Silbermann, Yasser Allam
Extraforaminal Intraradicular Disc Herniation. Case_Report, Joerg Silbermann, Yasser Allam
Advanced Spine Journal
Background data: The intraradicular penetration of a disc fragment was first reported in 1984 and is much less frequent than the intradural disc herniation. Both types of disc herniation are predominantly found in lumbar spine and rarely in the thoracic and cervical spine. The pathogenesis of lumbar intradural disc herniation is most likely related to dense adhesions between the ventral dura mater and the posterior longitudinal ligament. The adhesions can apparently result either from repeated minor trauma or from prior surgery.Purpose: In this report, the authors presented the first case of extraforaminal intraradicular disc herniation, which was at first misdiagnosed …