We have performed simple bone grafting in four elderly patients with pain due to unstable pseudarthroses in the osteoporotic spine after compression fracture. At operation, we observed abnormal movement of the affected vertebral body which was covered with a hypertrophic membrane; this seemed to inhibit the blood supply to the lesion. The thick membrane and avascular granulation in the false jo...

The use of posterior cervical spine fixation has become increasingly popular in recent years. Dissatisfaction with lateral mass fixation, especially at the cervicothoracic junction, has led spine surgeons to use cervical pedicle screw fixation for reconstruction in numerous cervical spine disorders. The biomechanical advantage of a three-column fixation device implanted to secure an unstable ce...

An 80-year-old woman presented with neck pain and paraparesis of Frankel C in her upper and lower extremities after falling. Imaging revealed an ankylosing cervical spine and a fracture line running obliquely from the anterior C3-4 to the posterior C4-5 level. Posterior fixation from the occi pit to T3 was performed using the RRS Loop Spine System and concomitant polyethylene tape fixation. Thi...

We report a rare case of an unstable flexion-distraction spine fracture with ligament involvement that occurred during a professional female soccer game. There were no neurological déficit. The patient had a painful midline gap which suggested ligamentar injury that was not immediately recognized. Despite that, proper immobilization and referral to hospital for further evaluation avoided additi...

Study design: A retrospective review of the morbidity associated with 250 consecutive cases of spinal instrumentation carried out in a neurosurgical spine unit. Objectives: To examine associated risk factors and results of treatment of those patients who sustained morbidity as a result of spinal instrumentation. Methods: The case records and imaging of all patients who had undergone spinal inst...

OBJECTIVE Report the invention and structural analysis of the new model of anterior spinal instrumentation (KKU expandable cage) that is expandable for space filling after vertebral body resection while simultaneously stabilize the upper vertebra with the lower vertebra, to tolerate the thoracolumbar physiologic load and augment the interbody arthrodesis of the spine. MATERIAL AND METHOD The ...

2 Division of Orthopaedic Surgery, The Children’s Hospital of Philadelphia, Philadelphia, PA Image guidance in spine surgery has evolved from static modalities such as the plain radiograph to navigation systems such as the O-arm. Commonly used modalities include CT scan based navigation systems, 3D fluoroscopy, and most recently the O-arm. Each of these navigation systems improved on the capabi...