STUDY DESIGN  Case report. CLINICAL QUESTION  To report successful surgical therapy for spinal cord compression in a patient with spinal metastases from a pancreatic gastrinoma. METHODS  A 43-year-old man presented three times within 4 years with cervical and upper thoracic spinal cord compression because of metastatic gastrinoma. He had two previous spine metastases to the lower thoracic a...

Spinal tuberculosis is still prevalent in some developing countries. The purpose of this study is to investigate the efficacy and safety of one-stage posterior debridement, autogenous bone grafting, and transpedicular screw fixation in treating monosegmental thoracic and lumbar tuberculosis in adults. 37 patients were retrospectively reviewed in this study. The data of images, operative time an...

Definitive treatment of cervical spinal stenosis for patients with substantial or progressive impairment of neurologic function without any sustained remission is operative. The source of spinal compression, the number of vertebral levels involved in the spondylosis, sagittal alignment, and surgeon preference are criteria that must be factored into whether an anterior or posterior cervical appr...

OBJECT Posterior lumbar interbody fusion (PLIF) was developed to overcome the limitations of posterolateral fusion in correcting spinal deformity and maintaining lumbar lordosis. In this study the authors compare the biomechanical effects of three different posterior reconstructions on the adjacent motion segment. METHODS Ten calf spinal (L2-S1) specimens underwent nondestructive flexion-exte...

Debridement, spinal canal decompression, deformity correction, bone graft fusion and internal fixation are commonly used in the surgical treatment of spinal tuberculosis. A complete surgical plan for patients with spinal tuberculosis may include all or some of these five surgical procedures that involve both removing tuberculous lesions and re-establishing spinal stability and function. All fiv...

Calcinosis in CREST (calcinosis, Raynaud's phenomenon, esophageal dysmotility, sclerodactyly, and telangiectasia) syndrome can affect the spinal and paraspinal areas. We present the first case to our knowledge where a CREST syndrome patient required surgery for spinal calcinosis in both the cervical and lumbar areas. A 66-year-old female with a history of CREST syndrome presented with right-sid...

STUDY DESIGN In an in vivo sheep model, the effects of spinal fusion and kyphotic deformity on the neighboring motion segments were analyzed. OBJECTIVES To investigate the effects of spinal fusion and kyphotic deformity on the adjacent motion segment. SUMMARY OF BACKGROUND DATA The in vivo effects of kyphotic deformity on the neighboring motion segments have not been investigated in any stu...

The radiographic and clinical results of 105 patients with symptomatic spinal deformities were categorized retrospectively based on surgical approach and type of bone autograft or allograft used for each patient's fusion surgery into seven different groups and compared with one another. The three bone autograft control groups were posterior autograft only (n = 20), anterior autograft only (n = ...