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  Citation statistics : Table of Contents
   2016| January-March  | Volume 3 | Issue 1  
    Online since August 25, 2020

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An unusual case of dorsally sequestrated disk mimicking tumor with cauda equina syndrome
Batuk Damjibhai Diyora, Sachin Giri, Deepali Giri, Nitin Kotecha, Swapnil Patil
January-March 2016, 3(1):15-17
A 44-year-old male presented with acute onset retention of urine and low back pain. Magnetic resonance imaging (MRI) of the lumbar spine demonstrated an extradural mass extending from the lower border of the L3 vertebra to upper border of L5 vertebra. Axial imaging showed the posterolaterally located mass lesion on left side, producing significant compression and displacement of thecal sac and exiting nerve root. Following contrast administration, there was a peripheral ring enhancement. Diagnosis of extradural mass lesion was made. In view of urinary retention, urgent laminectomy was performed. The massive sequestrated lumbar disk was found on an exploration that was excised completely. This resulted in prompt relief of backache. Bladder took 2 weeks for complete recovery. Here, an unusual case of sequestrated dorsally placed lumbar disk mimicking tumor is presented.
[ABSTRACT]   Full text not available  [PDF] [CITATIONS]
  3 216 35
Primary ewing sarcoma of the body of cervical spine
Hemant V Savant, Srikant Balasubramaniam, Zafar Ahmed Sheikh, Vijay Mahajan
January-March 2016, 3(1):22-24
Primitive neuroectodermal tumors (PNETs) are malignant neoplasm originating from neural crest cells that generally affects children and young adults (4–15 years). Ewing sarcoma family of tumors occurs most commonly in the long bones of the extremity and less commonly in the spine. We present a case of a 21 years old male with acute onset neck and left upper extremity pain which rapidly progressed to spastic paraplegia without bladder bowel involvement. He underwent a C7 corpectomy and titanium cage fixation. Immunohistochemistry clinched the diagnosis of PNET/ Ewing sarcoma. Our case was unique in the primary involvement of the body of cervical vertebra in a young adult which was very similar to Kochs spine.
[ABSTRACT]   Full text not available  [PDF] [CITATIONS]
  1 215 31
Book Review
PS Ramani, Marcos Masini, Jung Keun Suh, Abbas Amirjamshidi, A Bambang Darwono, David T F Sun
January-March 2016, 3(1):27-28
Full text not available  [PDF]
  - 174 31
Cervical spondylotic myelopathy release by unilateral open-door laminoplasty with miniplate alone: Three years follow-up
Farid Yudoyono, Rossa Avrina, Farida Arisanti, Vitriana Noormeita, Benny Atmadja Wirjomartani
January-March 2016, 3(1):18-21
Objective: Cervical spondylotic myelopathy (CSM) is a common degenerative spine disease that requires surgical intervention if conservative failed. Currently, there is interest in various technical of laminoplasty. To review outcome of patients who underwent single-door cervical laminoplasty using titanium miniplates alone. Materials and methods: The author performed surgery in patients with CSM by unilateral open-door laminoplasty, which allows through decompression of the cervical spinal canal. Pain was measured with a visual analog scale (VAS). Surgical outcome was analyzed with the modified Japanese Orthopaedic Association (mJOA) score. Results: Visual analog scale scores and mJOA were significantly improved at 1, 2 and 3 years follow-up compared to preoperative levels. Recovery rate mJOA score 27,7%, excellent pain relief (100% of initial VAS score). Conclusion: Open-door laminoplasty is easily applied for young spine surgeon, allows good field visualization and decompression, single-door cervical laminoplasty using miniplates alone is a safe technique and achieves a high hinge union rate, good canal decompresion and neurological recovery.
[ABSTRACT]   Full text not available  [PDF]
  - 217 43
Reverse latissimus dorsi turnover muscle flap for coverage of a secondary midline lumbar defect following spinal surgery
Darshansingh U Rajput, Sudhir Beglihosahalli Muniswamy
January-March 2016, 3(1):12-14
The reconstruction of defects located in the midline lumbar region area is difficult, especially when occurring following a neurosurgical procedure. They display a high level of complexity with respect to dural exposure, exposure of implants, deep irregular contours and bacterial contamination of the wound. The difficulty is made more challenging by the fewer possible options of regional flaps available in the vicinity. In order to obtain a well-vascularized tissue, with good resistance to bacterial contamination and easy to shape into such defects, the reverse latissimus dorsi turnover muscle flap is a useful surgical option. In this article, we are reporting a case of post-traumatic spine surgery wound complication resulting in a midline lumar defect that was reconstructed with a reverse latissimus dorsi (LD) turnover muscle flap.
[ABSTRACT]   Full text not available  [PDF]
  - 298 63
Solitary symptomatic spinal extradural arachnoid cyst needing surgical treatment: A series of three cases
Srikant Balasubramaniam, Devendra K Tyagi, Hemant V Savant, Zafar Ahmed Sheikh
January-March 2016, 3(1):8-11
Extradural arachnoid cysts are rare lesions which may produce symptoms by compressing the spinal cord or nerve roots. Surgery is the treatment of choice in such lesions but asymptomatic patients can be managed conservatively. We present three cases of symptomatic extradural arachnoid cysts managed at our institute. Magnetic resonance imaging (MRI) done in all cases showed an extradural arachnoid cyst at Dorsal (2 cases) and cervical (1 case) level. All patients were operated with successful result. The pathophysiology, symptomatology, investigations and treatment options of this rare condition are described in relation to our cases.
[ABSTRACT]   Full text not available  [PDF]
  - 230 35
J K B C Parthiban
January-March 2016, 3(1):0-0
Full text not available  [PDF]
  - 193 38
The great neurosurgeon and spinal surgery
Deepu Banerji
January-March 2016, 3(1):25-26
Full text not available  [PDF]
  - 163 40
Microscopic lumbar diskectomy vs endoscopic diskectomy
S Balaji Pai
January-March 2016, 3(1):5-7
DOI:Diskectomy vs Endoscopic Diskectomy  
Full text not available  [PDF]
  - 165 43
Management protocol of patients with lumbar spinal stenosis, using the qualitative grading as a tool
Shardul Madhav Soman, Jayprakash Vrajlal Modi
January-March 2016, 3(1):1-4
Objectives: Several parameters exist for assessment of lumbar spinal stenosis (LSS) but these parameters lack clinical correlation. To formulate a protocol for management of these group of patients using the qualitative grading as a tool. Materials and methods: A prospective study was undertaken using the qualitative grading on magnetic resonance imaging (MRI) to assess the clinical outcome of LSS at a single level. Irrespective of the grade every patient underwent a minimum 3 months period of conservative management after which depending on the oswestry disability index (ODI) and visual analog scale (VAS) for pain he was grouped into success or failure and the failed patients were advised for decompression surgery at the involved level. These patients were then further assessed after a period of 3 months after surgery. A decrease in ODI by 10 points and a 20 points decrease in VAS was considered as a success. Results: Out of the 90 patients, there were 61 failures in conservative group, out of these 57 were operated of which only nine did not match the success criteria, while the other four either refused surgery or were lost to follow-up. In grades A1 to 3, only two patients failed conservative trial while from A4 to D, there was a gradual decline in success of conservative trial. Conclusion: Qualitative grading is a useful tool in LSS and correlates with the clinical outcome and to decision making of these patients.
[ABSTRACT]   Full text not available  [PDF]
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