BACKGROUND Cervical spine fracture-dislocations in neurologically intact patients represent a surgical challenge due to the risk of inflicting iatrogenic spinal cord compression by closed reduction maneuvers. The use of MRI for early advanced imaging in these injuries remains controversially debated. CASE PRESENTATION A 54-year old man sustained a fall over the handlebars of his racing bicycl...

STUDY DESIGN A new surgical technique of cervical osteotomy to correct an extension deformity of the cervical spine is described, and a case is reported. OBJECTIVES To emphasize the disparate effect of osteotomy level on sagittal balance and gaze angle in surgical correction of global kyphotic deformity, and to describe a new surgical technique. SUMMARY OF BACKGROUND DATA Previous reports o...

Study Design Case study. Objective To describe a case of dislodgment and migration of the Bryan Cervical Disc (Medtronic Sofamor Danek, Memphis, Tennessee, United States) arthroplasty more than 6 months after implantation secondary to low-energy trauma. Methods The inpatient, outpatient, and radiographic medical records of a patient with traumatic migration of the Bryan Cervical Disc arthroplas...

STUDY DESIGN Retrospective study of 20 patients with degenerative cervical spinal canal stenosis who were treated with corpectomy followed by the placement of a distractable titanium cage (anterior distraction device [ADD]) (Ulrich GmbH & Co. KG, Ulm, Germany). OBJECTIVE To investigate the efficacy of distractable titanium cages for reconstruction following decompressive cervical corpectomy. ...

STUDY DESIGN A case series. OBJECTIVE The aim of this study was to evaluate the clinical outcomes of patients with osteomyelitis of the cervical spine who were treated with single-stage anterior debridement and fusion using titanium mesh cages along with anterior plates. SUMMARY OF BACKGROUND DATA There have been few studies in single-stage surgical treatment of osteomyelitis of the cervica...

Vertebral artery injury (VAI) is a rare but serious complication of cervical spine surgery. Instrumented posterior surgery of the upper cervical spine places the vertebral artery at the highest risk of injury. However, VAI during removal of cervical internal fixation is really rare and unexpected. We present a case of 52-year-old male patient who suffered VAI during removal of C1-C2 pedicle scr...

STUDY DESIGN An in vitro biomechanical study to compare 2 different dorsal screw fixation techniques in the cervical spine with respect to primary stability and stability after cyclic loading. OBJECTIVES To investigate if the biomechanical stability is better in pedicle screw or in lateral mass fixation. SUMMARY OF BACKGROUND DATA In patients with poor bone quality who require multisegmenta...

INTRODUCTION Dystrophic neurofibromatosis type I, involving upper cervical spines, is rare, which can cause serious complications. Myelopathy develops due to compression of the cord posteriorly. Surgical correction has its inherent risks and difficulties because of poor bone quality, difficult anterior approach because of bizarre deformities, and the necessary manipulation, which might cause mo...