A patient with a severe kyphotic deformity presented for Stereotactic radiosurgery. In the supine position with the apex of the patient's kyphosis on the treatment couch, his head and buttocks were found to be approximately 30 cm from the table. Pretreatment consultation with the physicist and engineer was arranged. By creating a modified table mount for the head ring and a custommolded Styrofo...

We describe two patients with an atypical congenital kyphosis in which a hypoplastic lumbar vertebral body lay in the spinal canal because of short pedicles. There were no defects in the posterior elements, or any apparent instability of the facet joints. Both patients were treated successfully by anterior fusion to the levels immediately above and below the affected vertebra, and posterior fus...

Vertebral anomalies may also distort the normal regional or global spinal alignment and necessitate some therapeutic interventions. Hemiepiphysiodesis is a traditional procedure usually described for these young patients but in more severe cases some type of osteotomy seems to be necessary. In this technical note, we describe a 5-year-old boy with failed previous hemiepiphysiodesis surgery, who...

The authors report the cases of 3 patients with tuberculous spondylodiscitis. All patients suffered from severe back or low back pain. Posterolateral endoscopic debridement and irrigation were performed followed by retention of a drainage tube at the affected sites. Additional puncture and drainage were conducted at the same time when extensive cold abscesses were identified around the paravert...

The standard treatment for symptomatic spinal extradural arachnoid cyst (SEAC) is complete surgical removal of cyst and closure of the dural defect. In most cases, total laminectomy has been performed at affected vertebra for complete removal of the SEAC. However, this invasive surgery may result in postoperative kyphosis and back pain. We report a case of large SEAC involving T10-L1 which was ...

Ankylosing spondylitis of the cervical spine is associated with stiff kyphosis and increased risk of transversal unstable fracture. A spine surgeon may be involved mainly in the management of trauma cases, but in some situations, corrective surgery of a kyphotic cervical deformity is needed. Both types of cases carry specific aspects and rely on principles that differ from those associated with...

Expansive cervical laminoplasty began its evolution in the 1970s in Japan for the treatment of cervical spondylotic myelopathy secondary to ossification of posterior longitudinal ligament or cervical spondylosis. The goal of the procedure is to reduce the complications associated with the inherent destabilization associated with laminectomy while preserving cervical spine range of motion [1]. I...