1 Koichi Tomita, MD, PhD Megumi Yokoi-Fukai, MD Takayoshi Ishihara, MD Kosuke Morita, MD Ko Hosokawa, MD, PhD Department of Plastic and Reconstructive Surgery Graduate School of Medicine Osaka University Osaka, Japan Sir: R of large defects in the gluteal region remains challenging. Although regional flaps (eg, anterolateral thigh flap) or myocutaneous flaps (eg, tensor fasciae latae) are optio...

Malpositioning of cervical screws risks neurovascular injury. A cervical screw fixation system can provide proper rigidity, alignment correction, and high rates of fusion afforded by high pullout biomechanical strength. The objective is to assess the dimensions and axis of the C3-C7 cervical pedicles. A 1-mm slice thickness computed tomography (CT) scan of the cervical spine of 30 patients (15 ...

We reported a technical report of traumatic lower cervical spondylolisthesisca used by bilateral pedicle fracture, without neurological compression. The patient was treated with the minimally invasive technique of percutaneous pedicle screw fixation. Fracture healing and normal cervical motion were confirmed by plain films and physical examinations on the 18-monthpostoperatively. The technique ...

Boucher was the first to use screws that crossed through the strongest point of attachment of the facet joint into the pedicle and the body of the vertebra below. He declared a pseudorthrosis rate of 14% to 17% including multilevel fusions (1). The use of pedicle screw–assisted spinal stabilization has become increasingly popular worldwide. Pedicle screw systems engage all three columns of the ...

BACKGROUND Latissimus dorsi musculocutaneous flap is one of the most frequently performed reconstructive techniques in surgery. Latissimus dorsi muscle has two arcs of rotation. It is classified as type V muscle. This muscle can be elevated on the thoracodorsal artery to cover large defects in the anterior chest and also, the muscle can be elevated on the segmental vessels to cover midline defe...

Most unilateral pedicle stress fractures occur on the contralateral side of patients with unilateral spondylolysis. However, there are few reports of unilateral pedicle stress fractures in patients with bilateral spondylolysis and spondylolisthesis. We report a unique case of unilateral pedicle stress fracture in a long-term hemodialysis patient with isthmic spondylolisthesis. A 65-year-old man...

Correct screw placement is especially difficult in the upper thoracic vertebrae. At the cervicothoracic junction (C7-T2), problems can arise because of the narrowness of the pedicle and the difficulty of using a lateral image intensifier there. Other upper thoracic vertebrae (T3-6) pose a problem for screw insertion also because of the narrower pedicle. We inserted 154 pedicle screws into 78 ve...

Madelung’s disease (MD) is a rare characterized by diffuse, non-encapsulated, multiple fat masses in different areas of the body. In this case report, we present MD Asia and its management. A 66-year-old man with history hypertension presented massive growth soft tissue around neck, breasts, upper back, lower abdomen. Preoperative MRI revealed remarkably hypertrophic neck anterior chest wall, w...