Spine fractures in patients with ankylosing spondylitis frequently extend to all 3 columns, which can lead to displacement and deformity with severe instability. Cervical spine fractures occasionally cause severe kyphotic deformities, such as chin-on-chest deformities. In such cases, the patients typically exhibit a chronic progression of hyperkyphosis after the traumatic event. This article de...

we evaluated the specific pattern of pre- and postoperative neurological signs and symptoms of cervical spondylotic myelopathy (csm) to determine [mdings which had a predictive value for surgical outcome. consecutive patients with csm caused by osteophytic ridge or intervertebral disc herniation who underwent anterior cervical decompression and fusion in loghman hakim hospital from 1999-2003 we...

External fixation of the cervical spine is usually obtained by means of a “ Minerva” plaster-of-Paris jacket, a device by no means always satisfactory. The patient usually finds it heavy, and frequently hot and uncomfortable. Even the best fitting “ Minerva “ plaster allows more cervical movement than the surgeon may desire, and though immobilisation may be improved by the incorporation of a sk...

Cervical spinal synovial and/or ganglion cysts can occur at various periarticular sites and should be considered in the differential diagnosis of intraspinal-extradural or paraspinal masses of the cervical spine. The first report of a ganglion cyst of the cervical anterior longitudinal ligament presenting as a retropharyngeal mass, is presented. The histopathology, etiology, and clinical aspect...

For patients with AS and lower cervical spine fractures, surgical methods have mainly included the single anterior approach, single posterior approach, and combined anterior-posterior approach. However, various surgical procedures were utilized because the fractures have not been clearly classified according to presence of displacement in these previous studies. Consequently, controversies have...

BACKGROUND The "ideal" timing and modality of fracture fixation for unstable thoracolumbar spine fractures in multiply injured patients remains controversial. The concept of "damage control orthopedics" (DCO), which has evolved globally in the past decade, provides a safe guidance for temporary external fixation of long bone or pelvic fractures in multisystem trauma. In contrast, "damage contro...

Cervical pedicle screw has been shown to provide stronger fixation than other methods. Due to these virtue of biomechanical characteristic, pedicle screw fixation can be used in a wide range of cervical spinal disorders, and excellent clinical results have been reported. However, this procedure is technically demanding because of the great variation in pedicle dimension and angulations between ...

Atlantoaxial involvement is rare in metastatic tumors of the spine. We report a case of atlantoaxial metastatic adenocarcinoma of pulmonary origin, which was treated as cervical spondylosis because the first clinical manifestations were cervical pain followed by limitation of rotation. In the literature, most authors stated that in patients with cervical spine metastases but without neurologica...

We report the case of a 20-year-old patient with a C5 cervical spine fracture and an undetected ligamentous lesion between C1 and C2. Cervical spine lesion protocols and the rates of lesions that are not diagnosed with standard evaluation protocols are reviewed, with particular emphasis on comatose patients. Dynamic studies during the surgical procedure for fixation of the fracture are recommen...

Degenerative cervical spondylolisthesis (DCS) had previously been thought to be a rare condition when compared to degenerative lumbar spondylolisthesis. However, with consequences from untreated spondylolisthesis including pain, myelopathy, and radiculopathy, it has now become recognized as an under-studied condition which may be more prevalent than previously thought. Spondylolisthesis of the ...