Herein we discuss a rare variant of hangman’s fracture in an eighty year old male presenting without any neurological deficits. We performed X-ray and magnetic resonance imaging (MRI) of the cervical spine to confirm the diagnosis. The patient was placed on a cervical traction which showed good reduction. We performed posterior occipitocervical fusion with bone graft fusion followed by early mo...

Introduction Posterior C1-C2 fusion is a highly successful treatment for atlantoaxial instability and other pathologies of the cervical spine, with fusion rates approaching 95%-100%. However, poor visualization of the lateral masses of C1 secondary to the course of the C2 nerve root along with blood loss from the venous plexus and compression of the C2 nerve from lateral mass screws are technic...

Herein we discuss a rare variant of hangman's fracture in an eighty year old male presenting without any neurological deficits. We performed X-ray and magnetic resonance imaging (MRI) of the cervical spine to confirm the diagnosis. The patient was placed on a cervical traction which showed good reduction. We performed posterior occipitocervical fusion with bone graft fusion followed by early mo...

Nonoperative and operative management for early onset scoliosis has changed significantly since the Harrington era 50 plus years ago. Surgeons learned quickly that a spine fusion in growing child can result short thorax development of thoracic insufficiency syndrome. Techniques were developed refined over subsequent decades to allow spinal growth, control chest wall deformity, limit pulmonary d...

We present a case of untreated type II odontoid fracture, which evolved in severe dislocation 18 months later. Delayed dislocations fractures are already reported literature. The singularity our is that CT-scan showed signs fusion the right C1-C2 articulation, could have required more complex surgical procedure to realign upper cervical spine. Surprisingly, CT scan performed extension position ...

Instability following sagittal distraction and rotational injuries of the cervical spine has been widely reported. We here report a case of post-traumatic segmental instability in the coronal plane. Case report. A 66-year-old farmer presented with painful torticollis having fallen into a ditch the previous day. He experienced immediate neck pain, but did not lose consciousness. He had a left te...

Lumbar interbody fusion can be performed anteriorly or posteriorly. An anterior approach generally requires an access surgeon and often is combined with a posterior fusion. A traditional posterior interbody fusion can destabilize the spinal motion segment and requires neural retraction. A new surgical technique, a transforaminal lumbar interbody fusion (TLIF), was recently described. It require...

Methods This is a cohort of 43 patients (all female) with AIS who underwent posterior spine fusion. The patients were divided into two group which were thoracic curve group (n=30, Lenke 1, 2, 3, 4) with a mean age of 14.6 years and a mean Cobb angle of 54° and lumbar/thoraco-lumbar group (n=14, Lenke 5, 6) with a mean age of 14.6 years and a mean Cobb angle of 56° Each was compared for preopera...

There have been no standards or guidelines for the treatment of ossification of posterior longitudinal ligament, especially multilevel ossification of posterior longitudinal ligament. The purpose of this study was to compare results of major surgical treatment for multilevel ossification of posterior longitudinal ligament. Databases including MEDLINE, EMBASE, the Cochrane library, and bibliogra...

Fractures of the odontoid process are common, accounting for 10% to 20% of all cervical spine fractures. Odontoid process fractures are classified into three types depending on the location of the fracture line. Various treatment options are available for each of these fracture types and include application of a cervical orthosis, direct anterior screw fixation, and posterior cervical fusion. I...