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There are few reported instances of intraspinal migration of a bullet fragment. The majority of these migrations occur caudally, typically below the level of T10. Even fewer cases demonstrate cephalad migration from the sacral spine to the lumbar spine. We report here for the first time a case of a cephalad migration intradurally from the thoracic spine to cervical spine.
Cervical spine (C-spine) injuries cause significant morbidity and mortality among the elderly. Although the population of older-adults ≥65 years in the US is expanding, estimates of the burden and outcome of C-spine injury are lacking.
The unique anatomy and biomechanical features of the cervical spine and sacrum may impact treatment outcomes following spine stereotactic body radiotherapy (SBRT). Current data for spine metastases are not specific for these locations.
Established in 1987, the Spine Surgery Hospital at Honghui Hospital is one of the oldest spinal surgical departments in China. The first chairman, Yuan Fuyong devoted himself to the development of the department. The current president, Hao Dingjun, assumed the position in November 2008. The current department consists of five wards and 235 beds, encompassing the entire spectrum of spinal surgical diseases, with 27 specialized faculty members and care teams. The remarkable growth of the hospital during the l...
The aim of this study was to quantitatively evaluate the surgical anatomy of the vertebral artery and the sub-axial spine to assess their influence on cervical spine surgery.
Aging of the population has prompted an escalation of service utilization and costs in many jurisdictions including North America. However, relatively little is known on the economic impact of old age on the management of acute spine trauma (AST).
A 36-year-old man was diagnosed with Langerhans cell histiocytosis (LCH) of the cervical spine with a unifocal expansive osteolytic lesion of C4. The surgical management with a 2-year follow-up and a review of the literature on LCH of the cervical spine are presented. Although a rare condition, LCH is an important differential diagnosis of any osteolytic lesion in the cervical spine with localized pain in a young adult patient. Review of the literature suggests a higher prevalence of LCH lesions affecting t...
Fluoroscopy use in spine surgery is increasing due to growing popularity of minimally invasive techniques. Protective barriers effectiveness and safe distance concept may commonly be misrepresented.
Total en bloc spondylectomy (TES) significantly decreases the rate of local recurrence and provides long-term survival in patients with malignant tumor of the spine. This procedure can be performed through a posterior-only approach. However, TES for lower lumbar spine through a posterior-only approach is technically challenging.
Necrotizing fasciitis (NF) is a surgical diagnosis characterized by a rapidly progressive soft tissue infection, widespread tissue necrosis, and associated systemic illness. Friability of the superficial fascia, dishwater-gray exudate, and absence of pus are surgical characteristics of this diagnosis. Due to the rapid progression of the infection, early recognition and aggressive surgical debridement are crucial to reduce mortality. Despite being commonly seen by general, plastic, and orthopedic surgeons, N...
To evaluate the surgical outcomes of metastatic spine hepatocellular carcinoma (HCC) and discuss the factors that may influence the outcome of metastatic HCC of the spine.
To determine the utility of mechanomyography (MMG) in detecting and preventing pedicle breach in instrumented lumbar spine surgery.
To assess the impact of fixation to pelvis on 30-day outcomes following posterior spinal fusions in pediatric spine deformities.
To perform a pilot study to quantify the radiation dose incident on operators during CT-guided interventional spine procedures, and provide a quick method to approximate it based on the total amount of radiation reported by the CT scanner.
Facet dislocations, or jumped facets, are part of a spectrum of flexion-distraction spine injuries. Bilateral and unilateral facet dislocations are commonly seen in the cervical spine. Traumatic jumped facets in the lumbar spine are rare injuries, and a majority of these involve the lumbosacral junction. Lumbar facet subluxations occur commonly in younger patients, due to the flexion-distraction forces on the lumbar spine at the time of the injury combined with ligamentous laxity that exists in these patien...
To describe the incidence of and characterize risk factors for CSF leak and symptomatic pseudomeningocele (CSFL/SP) following intradural spine surgery.
Pediatric spinal tuberculosis is characterized by rapid bone destruction and carries the risk of rapid onset neurological deficits and severe deformity of the spine. Behavior of spinal deformity over time is affected by growth of spine. Owing to this dynamic behavior of pediatric spinal tuberculosis both in active phase and in healed phase, it presents with challenges which are quite different from adults with caries spine. A clinician must have high index of suspicion for accurate and early diagnosis of sp...
Considerable variability exists in the cost of surgery following spine surgery for common degenerative spine diseases. This variation in the cost of surgery can affect the payment bundling during the postoperative 90 d.
The effect of regionalized trauma care (RT) on hospital-based outcomes for traumatic spine injury (TSI) in the United States is unknown.
Endoscopic spine surgery has become increasingly popular. However, no study has researched the predictive factors for different outcomes. This study is the first to evaluate the outcome predictors of the transforaminal endoscopic spine system (TESSYS) technique for lumbar disk herniation (LDH).