Indian Spine Journal最新文献

{"title":"Computer navigation-guided transpedicular excision of L4 vertebral body osteoblastoma","authors":"Karthik Ramachandran, AshishShankar Naik, A. Shetty, S. Rajasekaran","doi":"10.4103/isj.isj_80_22","DOIUrl":"https://doi.org/10.4103/isj.isj_80_22","url":null,"abstract":"Osteoblastoma is a benign bone tumor that accounts for 10% of all spinal tumors and mostly arises from the posterior spinal elements. Isolated vertebral body osteoblastoma is relatively rare and generally requires extensive surgery. We report a rare case of L4 vertebral body osteoblastoma, which was managed successfully by computer navigation-guided transpedicular excision. A 22-year-old female presented with progressive lower back pain for the past six months. Radiological investigation revealed a sclerotic lesion involving the anterior cortex with a prominent central nidus in the anterior part of the L4 vertebral body. Based on the lesion size, a diagnosis of benign osteoblastoma (Enneking stage 2) was made, and she underwent computer navigation-assisted intralesional excision of the lesion by the bilateral transpedicular route. Histopathological examination confirmed the diagnosis of osteoblastoma. In the immediate postoperative period, the patient was completely relieved of symptoms, and the final follow-up magnetic resonance imaging showed no evidence of recurrence at the end of seven years. The intraoperative 3D navigation technology allowed a transpedicular minimal access approach to excise an osteoblastoma of the L4 vertebral body while preserving intervertebral stability and decreasing morbidity.","PeriodicalId":34652,"journal":{"name":"Indian Spine Journal","volume":"6 1","pages":"175 - 180"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49378875","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Idiopathic spinal cord herniation—An extremely rare cause of paraparesis: Case report","authors":"Bernardo De Smet, T. Pinheiro, Lino Fonseca","doi":"10.4103/isj.isj_84_22","DOIUrl":"https://doi.org/10.4103/isj.isj_84_22","url":null,"abstract":"Idiopathic spinal cord herniation is a rare disorder, consisting of a ventral displacement of the spinal cord through a dural defect. The resulting adhesion and vascular compromise lead to neurological impairment. We report the case of a 54-year-old male, with a previous urological surgery resulting in chronic vesical catheterization, with a worsening paraparesis associated with anesthesia below T10. The magnetic resonance imaging showed a ventral displacement of the spinal cord at T7/T8 with an enlarged posterior subarachnoid space at that level. A four-level laminotomy was performed followed by spinal cord herniation reduction and closure of the anterior dural defect with a dural replacement. The patient had a partial recovery of his motor deficits regaining his ability to walk with the support of a single crutch. The purpose of this study was to highlight the existence of this extremely rare cause of paraparesis, which is often misdiagnosed.","PeriodicalId":34652,"journal":{"name":"Indian Spine Journal","volume":"6 1","pages":"186 - 189"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49450235","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Anterior cervical discectomy and fixation fusion for Hirayama disease in a young male: Case report","authors":"Aayushee Gupta, R. Bharti","doi":"10.4103/isj.isj_83_21","DOIUrl":"https://doi.org/10.4103/isj.isj_83_21","url":null,"abstract":"Hirayama disease (HD) is a rare, monomelic amyotrophy described by Hirayama in 1959. The condition is caused by chronic ischemic changes to the anterior horn cells of the cervical spine, caused by posterior dural sac laxity. It is a nonprogressive and self-limiting disease and has been noted to be a source of significant disability for affected young individuals. Early surgical intervention in HD limits the progression and thus decreases the degree of disability.","PeriodicalId":34652,"journal":{"name":"Indian Spine Journal","volume":"6 1","pages":"101 - 105"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46557137","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The perspectives of patients and spine surgeons on the effectiveness and reliability of telemedicine consultations for spine ailments—A glimpse at the Indian scenario","authors":"V. Viswanathan, A. Shetty, C. Murugan, Rohit Kavishkar, R. Kanna, S. Rajasekaran","doi":"10.4103/isj.isj_104_21","DOIUrl":"https://doi.org/10.4103/isj.isj_104_21","url":null,"abstract":"Introduction: In view of the ongoing pandemic, telemedicine has been increasingly adopted worldwide. This study was planned to evaluate the effectiveness of telemedicine for patients with spine ailments, and to assess the satisfaction rates and concerns of spine surgeons and patients regarding telemedicine consultations in the Indian scenario. Materials and Methods: Telemedicine appointments for spine patients were conducted through “Zoom Healthcare” online platform between April and December 2020 in a tertiary-care spine center. Questionnaires (including nine and five questions, respectively) were filled by patients and doctors after their consultations. The questionnaire included questions on overall satisfaction, time consumption, ease of setting-up appointment, ease of communication, influence on decision-making, and patient preference. Results: Overall, 70.1%, 23.6%, and 6.3% of patients replied that they were “very satisfied,” “satisfied,” and dissatisfied,” respectively, with their telemedicine appointments. Among postoperative follow-up patients, 69%, 30.2%, and 0.8% expressed that they were “very satisfied,” “satisfied,” and dissatisfied,” respectively, with telemedicine. At the end of session, 88.5% patients opined that they would still prefer a telemedicine appointment for the completed consultation, and 93.4% were happy to use telemedicine for future visits. In all, 100%, 94.1%, and 75% of patients, who belonged to other countries, other cities, and same city, respectively, were satisfied or very satisfied from telemedicine consultations. The doctor’s responses were “very satisfied” or “satisfied” on 96.5% of occasions overall. The doctors required approximately 24.1 min for conducting a telemedicine appointment. Three major concerns for doctors included difficulty in procuring good-quality magnetic resonance imaging (17%), problems with connectivity (14.6%), and difficulty in eliciting certain physical findings (13.2%). Conclusion: Telemedicine is an effective alternative to in-person visits for the assessment of patients with spine ailments. Patients belonging to more distant geographic locations (as compared with local residents) and those requiring postoperative follow-ups can be significantly benefited by this modality.","PeriodicalId":34652,"journal":{"name":"Indian Spine Journal","volume":"6 1","pages":"82 - 88"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45336395","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Contralateral sacral 1 root transection and transfer for lumbosacral plexus avulsion injuries: A systematic review","authors":"P. Agarwal, D. Sharma","doi":"10.4103/isj.isj_25_22","DOIUrl":"https://doi.org/10.4103/isj.isj_25_22","url":null,"abstract":"Contralateral sacral roots (cS1) transfer to treat avulsion injuries of lumbosacral plexus (LSP) has been described, however; concerns about its safety remain. We performed a systematic review of a hypothesis regarding safety of cS1 transection and transfer for treatment of LSP avulsion injuries from available studies. A literature search on Pub Med, Cochrane database and Goggle scholar was performed using appropriate key words for choosing relevant articles. Two authors independently assessed the methodological quality of selected articles using Brink’s criteria and results were analysed using level of evidence. The literature search retrieved a total of 877 publications; out of which 9 articles met the inclusion criteria and were reviewed. 6 articles were investigated for both the reliability and validity and 3 articles evaluated qualitatively; all were of limited quality. Though all studies showed that cS1 nerve root transfer leads to improvement in motor power of muscles and sensory recovery neurotised by cS1 with transient donor site morbidity however; evidence is limited. cS1 nerve root transection and transfer for the repair of LSP avulsion injury appears to be a safe option but the evidence is limited and further validation of this finding is needed.","PeriodicalId":34652,"journal":{"name":"Indian Spine Journal","volume":"6 1","pages":"76 - 81"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47543751","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Complications of growing rod technique for early onset scoliosis","authors":"A. Srivastava, Anuj Gupta, Vikas Hanasoge, A. Jayaswal","doi":"10.4103/isj.isj_73_22","DOIUrl":"https://doi.org/10.4103/isj.isj_73_22","url":null,"abstract":"Early onset scoliosis (EOS) is defined as scoliosis occurring in children less than 10 years of age. The EOS is a separate entity of discussion as development of lungs is restricted due to restricted growth of the chest wall, unlike in adolescent scoliosis which is more of a cosmetic problem. Therefore, in EOS, control of deformity at early stage and growth of the spine should go hand-in-hand. The most favored option in recent era is growing rods which allow growth of the spine but in a controlled manner. However due to fusionless nature, these techniques have high rate of complications. The complications primarily include implant related, wound related, and anesthetic complications. Recently impact of multiple surgeries on psychology of developing child has been reported. This narrative reviews the literature about complications associated with growing rod surgeries in EOS.","PeriodicalId":34652,"journal":{"name":"Indian Spine Journal","volume":"6 1","pages":"27 - 36"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41586342","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Spinal hemangioblastoma causing a holocord syrinx: A report of two cases and review of literature","authors":"Tungish Bansal, Devasheesh Kamra, S. Borkar","doi":"10.4103/isj.isj_17_22","DOIUrl":"https://doi.org/10.4103/isj.isj_17_22","url":null,"abstract":"Intramedullary spinal hemangioblastomas are often associated with syringomyelia. However, holocord syrinx associated with such lesions is a rare entity. We present two cases of dorsal spinal hemangioblastoma associated with holocord syrinx. Both the cases were treated with surgical excision which resulted in the resolution of holocord syrinx and good neurological recovery. In this case report, we discuss the various aspects of the diagnosis and surgical management in such cases. We also present an extensive review of literature of such lesions.","PeriodicalId":34652,"journal":{"name":"Indian Spine Journal","volume":"6 1","pages":"110 - 114"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43131430","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pre-operative halo-gravity traction in the treatment of complex spinal deformities: What do we know so far?: A systematic review","authors":"G. Pratheep, V. Viswanathan, S. Manoharan","doi":"10.4103/isj.isj_26_22","DOIUrl":"https://doi.org/10.4103/isj.isj_26_22","url":null,"abstract":"Spinal deformity surgeries are complex procedures associated with a high risk of complications. Halo-gravity traction (HGT) is a useful option that provides a gradual traction force to aid in deformity correction. Though its benefits are well-acknowledged, there still exist major ambiguities regarding its role in the management of complex spinal deformities. We performed a systematic review of the electronic databases including EMBASE, MEDLINE, PubMed, and Cochrane on November 12, 2021 to identify relevant articles on HGT; to analyze the existing literature on pre-operative HGT; and to compare the existing protocols for HGT in spinal deformity patients, its varied effects on the radiological parameters and general health status of the patients, and its associated complications. Among the 284 articles available in the literature, 34 articles were finally included and a total of 1151 patients [mean age, 14.6 years] were analyzed. Mean pre-traction coronal Cobb angle of 107° (72°–140.7°) was reduced by 24.8% [to a mean of 80.5° (42°–120.2°)] following HGT. Mean pre- and post-traction sagittal Cobb angles were 88° (56°–134.7°) and 65.4° (36°–113°; a reduction by 25.7%), respectively. Following HGT, mean body weight and body mass index (BMI) of patients improved by 7.2% and 9.1%, respectively. Mean improvement in forced vital capacity and forced expiratory volume has been reported to be 14.5% and 13.9%, respectively. Pre-operative HGT is a useful option in the treatment of spinal deformities. It aids in reducing curve magnitude and provides optimal time for improving general condition (pulmonary and nutritional status) of patients pre-operatively. It is a safe procedure with 2.1% neurological and 11.6% non-neurological complication rates.","PeriodicalId":34652,"journal":{"name":"Indian Spine Journal","volume":"6 1","pages":"65 - 75"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44670026","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Intraoperative neuromonitoring in spine surgery: Does it reduce neural complications? Current evidence","authors":"Saumyajit Basu, Kushal Gohil","doi":"10.4103/isj.isj_64_22","DOIUrl":"https://doi.org/10.4103/isj.isj_64_22","url":null,"abstract":"Abstract The objectives were to review the evidence on whether intraoperative neurophysiological monitoring (IONM) sensitively and specifically detects intraoperative neurologic injury during spine surgery and whether it reduces neurological complications in spine surgery. A systematic literature review and meta-analysis were conducted using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, and studies spanning 1990–2022 were searched. The diagnostic accuracy of somatosensory evoked potentials (SSEPs) and motor-evoked potential (MEP) in predicting postoperative neurologic outcomes in spine surgery was assessed. We also analyzed clinical comparative studies that compared patients who underwent spine surgery with and without IONM to determine the rate of new neurologic events. Fifty studies that provided exact SSEP or MEP changes and postoperative neurological outcomes were analyzed. The features of SSEP changes included low sensitivity (67.7%), high specificity (94.1%), and strong negative predictive value (NPV) (92.1%). For the assessed alarm criteria of a 50% reduction, a 65% reduction, an 80% reduction in amplitude, and a total signal loss, the sensitivity and specificity values for MEP were 87.4%, 100%, 100%, and 100%, and 94.8%, 97%, 94.5%, and 90.5%, respectively. A random effects model was used to assess six research that compared neurological events with and without the use of IONM. The pooled Odds ratio was 0.5746 (confidence interval = 0.48; 0.67), z = 6.637, and the P value was 0.0001. The usefulness of IONM in detecting neurological events during spine surgery is well demonstrated by a growing body of research. However, prospective trials with high-level data are lacking to establish its efficacy in preventing new neurological deficits.","PeriodicalId":34652,"journal":{"name":"Indian Spine Journal","volume":"6 1","pages":"15 - 26"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45627663","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Complication that resulted in a change in my practice: Case scenarios","authors":"Naresh Jambuladinne, Prajwal Gollahalli Shivashankar, B. Garg, A. Kulkarni, Priyambada Kumar, Pramod V. Lokhande, B. Dave","doi":"10.4103/isj.isj_85_22","DOIUrl":"https://doi.org/10.4103/isj.isj_85_22","url":null,"abstract":"Over recent decades, the surgeries for spinal disorders have grown exponentially. Overall reported occurrence of complications in spine surgery is 16.4%. With the increased incidence of complications in spine surgeries, clinicians focused on the prevention of risk factors related to the onset of complications. Here we discuss four case scenarios with varied complications occurring in each case, namely (1) a case of proximal junctional failure, (2) placement of pin or guide wire first in minimally invasive transforaminal lumbar interbody fusion surgery, (3) a case of complication with endoscopic posterior cervical discectomy, and (4) few cases of complications with vertebroplasty.","PeriodicalId":34652,"journal":{"name":"Indian Spine Journal","volume":"6 1","pages":"54 - 64"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46369603","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}