Indian Spine Journal最新文献_第8页

C2 intraspinal osteochondroma causing spinal cord compression in a patient with multiple hereditary exostoses C2椎管内骨软骨瘤导致多发性遗传性外生性骨疣患者脊髓受压

Indian Spine Journal Pub Date : 2022-01-01 DOI: 10.4103/isj.isj_55_20

J. Aithala

引用次数: 0

Rare sudden hearing loss after lumbar spine decompression surgery: A case report and review of the literature 腰椎减压术后罕见突发性听力损失1例报告及文献复习

Indian Spine Journal Pub Date : 2022-01-01 DOI: 10.4103/isj.isj_36_21

S. Acharya, V. Khanna, N. Adsul, R. Chahal

引用次数: 0

Acute postoperative cauda equina syndrome following an elective gynecological procedure 选择性妇科手术后急性马尾综合征

Indian Spine Journal Pub Date : 2022-01-01 DOI: 10.4103/isj.isj_94_20

Conor B Garry, Woojin Cho, Alan Job, A. Sharan

{"title":"Acute postoperative cauda equina syndrome following an elective gynecological procedure","authors":"Conor B Garry, Woojin Cho, Alan Job, A. Sharan","doi":"10.4103/isj.isj_94_20","DOIUrl":"https://doi.org/10.4103/isj.isj_94_20","url":null,"abstract":"We report a patient with cauda equina syndrome who presented immediately following hysterectomy. Intraoperative cauda equina syndrome is very rare, and to our knowledge, this is the first case reported following a gynecological procedure, which was unequivocally caused by a herniated intervertebral disc. A 72-year-old woman with a history of chronic low back pain and degenerative disc disease was referred to the orthopedic service after developing urinary retention, decreased rectal tone, and diminished bilateral lower extremity sensory and motor function following hysterectomy for the management of endometrial carcinoma. Magnetic resonance imaging revealed a large central disc herniation at L2/3. Due to a delay in recognition of the progressive neurological deterioration that began immediately postoperatively, decompressive surgery was performed between 48 and 72 hours after the onset of symptoms. Emergent surgical decompression including laminectomy and microdiscectomy resulted in improved bowel and urinary function but no improvement in lower extremity strength or sensation. Cauda equina syndrome is a rare but devastating condition whose recognition and management requires vigilance, communication, and early surgical involvement. This case presents novel information that cauda equina syndrome can occur immediately postoperatively from disc prolapse during unrelated procedures.","PeriodicalId":34652,"journal":{"name":"Indian Spine Journal","volume":"5 1","pages":"125 - 128"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42253174","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}

引用次数: 0

Diagnosis and management of acute traumatic central cord syndrome: Present consensus and narrative review 急性创伤性中枢脊髓综合征的诊断和治疗:目前的共识和叙述回顾

Indian Spine Journal Pub Date : 2022-01-01 DOI: 10.4103/isj.isj_40_21

H. Chhabra, N. Jagadeesh, Kuldeep Bansal, P. Yelamarthy

{"title":"Diagnosis and management of acute traumatic central cord syndrome: Present consensus and narrative review","authors":"H. Chhabra, N. Jagadeesh, Kuldeep Bansal, P. Yelamarthy","doi":"10.4103/isj.isj_40_21","DOIUrl":"https://doi.org/10.4103/isj.isj_40_21","url":null,"abstract":"This is a narrative review to get an overview of the diagnosis and management of the acute traumatic cervical central cord syndrome (ATCCS) with an evidence-based approach. We considered articles that addressed the gray areas in the management of ATCCS, that is, the need for surgical intervention and its timing. The ATCCS is the most common form of incomplete spinal cord injury. The presence of instability and deteriorating neurology have been absolute indications for surgery. The opinion has been divided between early surgeries vis-à-vis monitoring for recovery and delayed surgery if neurological recovery plateaus. An extensive search revealed a low level of evidence. With the advent of modern anesthetic as well as surgical techniques and perioperative management, there may be better and faster neurological recovery with surgery. Considering the timing of surgery, even though many articles are propagating the need for early surgery the level of evidence remains low. This narrative review highlights the need for well-conducted prospective studies to resolve the controversy regarding early surgery versus conservative management and delayed surgery if recovery plateaus or on neurological deterioration. Since there is only a low level of evidence in favor of early surgery for ATCCS with no instability and deteriorating neurology, the decision of the surgery and its timing should be left to the surgeon’s judgment, with a plan tailored after assessing risks and benefits.","PeriodicalId":34652,"journal":{"name":"Indian Spine Journal","volume":"5 1","pages":"39 - 46"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41703992","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}

引用次数: 0

Presacral epidermoid: A rare case and meningocele mimick 肢前表皮样瘤：一例罕见病例和模拟脑膜膨出

Indian Spine Journal Pub Date : 2022-01-01 DOI: 10.4103/isj.isj_76_20

S. Mediratta

引用次数: 0

Cervical spine injury: A historical perspective 从历史的角度看颈椎损伤

Indian Spine Journal Pub Date : 2022-01-01 DOI: 10.4103/isj.isj_111_21

M. Chadha, R. Arora, Anil Jain

引用次数: 0

Controversies in cervical spine trauma: The role of timing of surgical decompression and the use of methylprednisolone sodium succinate in spinal cord injury. A narrative and updated systematic review 颈椎外伤的争议:手术减压时机和甲泼尼龙琥珀酸钠在脊髓损伤中的作用。叙述和更新的系统回顾

Indian Spine Journal Pub Date : 2022-01-01 DOI: 10.4103/isj.isj_26_21

Nader Hejrati, B. Rocos, M. Fehlings

{"title":"Controversies in cervical spine trauma: The role of timing of surgical decompression and the use of methylprednisolone sodium succinate in spinal cord injury. A narrative and updated systematic review","authors":"Nader Hejrati, B. Rocos, M. Fehlings","doi":"10.4103/isj.isj_26_21","DOIUrl":"https://doi.org/10.4103/isj.isj_26_21","url":null,"abstract":"Traumatic spinal cord injuries (SCIs) have devastating physical, social, and financial consequences for both patients and their families. SCIs most frequently occur at the cervical spine level, and these injuries are particularly prone to causing debilitating functional impairments. Unfortunately, no effective neuroregenerative therapeutic approaches capable of reversing lost neurologic and functional impairments exist, resulting in a large number of patients living with the persistent disability caused by a chronic cervical SCI. Over the past decades, a multitude of nonpharmacologic and pharmacologic neuroprotective strategies have been intensely investigated, including the timing of surgical decompression and the role of methylprednisolone sodium succinate (MPSS) in patients with acute SCI. These strategies have been the source of vibrant debate surrounding their potential risks and benefits. Our aim in this combined narrative and updated systematic review is to provide an assessment on the timing of surgical decompression as well as the role of high-dose MPSS treatment in patients with traumatic SCIs, with a special emphasis on the cervically injured subpopulation. Based on the current literature, there is strong evidence to support early surgical decompression within 24 h of injury to promote enhanced neurologic recovery. Meanwhile, moderate evidence supports the early initiation of a 24-h high-dose MPSS treatment within 8 h of injury, particularly in patients with a cervical SCI.","PeriodicalId":34652,"journal":{"name":"Indian Spine Journal","volume":"5 1","pages":"47 - 68"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41510531","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}

引用次数: 1

Predicting outcomes following cervical spine trauma 预测颈椎外伤后的预后

Indian Spine Journal Pub Date : 2022-01-01 DOI: 10.4103/isj.isj_29_21

G. Scivoletto

{"title":"Predicting outcomes following cervical spine trauma","authors":"G. Scivoletto","doi":"10.4103/isj.isj_29_21","DOIUrl":"https://doi.org/10.4103/isj.isj_29_21","url":null,"abstract":"Outcome prediction is fundamental for patients with spinal cord injury (SCI) to allow correct counselling of patients and their families and to determine resource allocation during and after rehabilitation immediately after the lesion. Furthermore, knowledge of the natural history of SCI is mandatory to project and assess the results of clinical trials.Thus, the aim of this narrative review was to provide a clear picture of the neurological and functional outcomes of subjects with cervical SCI.This review was based on MEDLINE, EMBASE, SCOPUS, Web of Science, and the Cochrane Central Register of Controlled Trials databases. The following search terms were used: prognosis prediction, SCI, tetraplegia/quadriplegia, neurologic recovery, and ambulation/gait/walking recovery. All article types of the manuscript were included with the exception of animal studies and studies in languages other than English.Both neurological and functional recovery could be prognosticated by the severity of the lesion as assessed by radiological findings and the International Standards for Neurological Classification of Spinal Cord Injury (ISNCSCI). The effect of other factors (such as age, gender and presence of specific syndromes) is also discussed in relation to neurologic and walking recovery.","PeriodicalId":34652,"journal":{"name":"Indian Spine Journal","volume":"5 1","pages":"69 - 81"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48521691","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}

引用次数: 0

Clinical and surgical outcomes of enneking stage III aneurysmal bone cysts of the spine 治疗脊柱III期动脉瘤性骨囊肿的临床和手术结果

Indian Spine Journal Pub Date : 2021-07-01 DOI: 10.4103/isj.isj_29_20

Sanjeev Pandey, E. Gandham, Krishna Prabhu

{"title":"Clinical and surgical outcomes of enneking stage III aneurysmal bone cysts of the spine","authors":"Sanjeev Pandey, E. Gandham, Krishna Prabhu","doi":"10.4103/isj.isj_29_20","DOIUrl":"https://doi.org/10.4103/isj.isj_29_20","url":null,"abstract":"Objective: To study the clinicoradiological characteristics and surgical outcomes in patients with aggressive aneurysmal bone cyst (ABC) of spine. Materials and Methods: In this retrospective study, data was collected from patients with aggressive ABC of spine managed between January 2007 and December 2016. Clinical findings, radiological, and histological characteristics were studied. Follow-up was done either in the outpatient clinic or through a telephonic interview. Results: Seven patients (mean age, 15.6 years, range, 6–23 years) diagnosed with Enneking stage III aneurysmal bone cyst of the spine were included in the study. Local pain with restriction of movement was the most common presenting complaint (100%). Four patients presented with myelopathy. Thoracic spine was the most common site of involvement (43%). Of the patients, 71% had involvement of all three columns. All patients underwent surgical management; gross total resection in four patients (57%) and subtotal in three patients (43%). Of the seven patients, six required instrumented fusion. None of the patients developed any perioperative complication except for one patient who developed transient hip flexion worsening. Two patients received conformal radiation therapy (RT) postoperatively. The follow-up ranged from 40 months to 108 months (mean follow-up was 4.5 years). There were no recurrences. At last follow-up, all patients were alive and had significant improvement. Conclusions: ABC of the spine is found predominantly in the pediatric population. Intralesional en bloc resection with instrumented stabilization provides effective and fast relief from pain, early mobility, good surgical, and long-term outcomes. Conformal RT following a planned subtotal excision prevents the progression of the disease.","PeriodicalId":34652,"journal":{"name":"Indian Spine Journal","volume":"4 1","pages":"155 - 162"},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49055251","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}

引用次数: 1

Direct Anterior Screw Fixation for a Pediatric Odontoid Fracture with Associated Skull Fracture: A Case Report 直接前路螺钉固定治疗小儿齿状突骨折合并颅骨骨折1例

Indian Spine Journal Pub Date : 2021-07-01 DOI: 10.4103/ISJ.ISJ_62_20

D. Dutta, Arjun Dasgupta

{"title":"Direct Anterior Screw Fixation for a Pediatric Odontoid Fracture with Associated Skull Fracture: A Case Report","authors":"D. Dutta, Arjun Dasgupta","doi":"10.4103/ISJ.ISJ_62_20","DOIUrl":"https://doi.org/10.4103/ISJ.ISJ_62_20","url":null,"abstract":"The upper cervical spine remains the most susceptible region for spinal trauma in children, with odontoid fractures being the most common ones in this age group. Concomitant traumatic brain injuries or skull fractures can pose therapeutic challenges in such cases. We report a case of an 11-year-old boy who presented in the semiconscious state with a deep scalp laceration in the left frontoparietal region. A computed tomography (CT) scan revealed a depressed skull fracture requiring an emergency left frontoparietal decompressive craniectomy and an associated fracture of the odontoid process at the base with anterior displacement. Odontoid fractures usually heal well after immobilization, and the use of instrumented fusion is still debated in view of skeletal immaturity. The usual management of Halo vest could not be instituted in his case owing to the skull fracture, and a single cannulated screw fixation was done under fluoroscopic guidance. Direct operative fusion of the odontoid process has been described in younger children with apophyseal fractures, but the evidence of such procedures is rare in elder children with a fused odontoid process. This case report, thus, confirms the anterior odontoid screw fixation as an effective mode of treatment in children of the 7- to 12-year age group.","PeriodicalId":34652,"journal":{"name":"Indian Spine Journal","volume":"4 1","pages":"234 - 239"},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44551155","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}

引用次数: 0