Study Design Retrospective, descriptive study. Objectives Managing early surgical site infection following elective lumbar spine surgery remains a challenge with controversy regarding retention of instrumentation and bone graft. Wound closure may also pose considerable challenges. We aim to report on our method of managing deep surgical site infections complicating elective spine surgery with...

PURPOSE The goal of this review is to identify criteria indicating implantation of hybrid system into lumbar spine and to evaluate general benefits of use. METHODS A systematic review of literature was performed using current randomized clinical trials, reviews, and meta-analyses. Data sources included relevant literature of human studies identified through searches of Medline Library until M...

BACKGROUND Knowledge of the morphometric anatomy of cervical pedicles is essential for the safe and accurate placement of pedicle screws during instrumentation of the cervical spine. Screw placement in the lumbar and thoracic vertebrae is considered as a safe practice, unlike the cervical vertebrae due to the risks involved. There are few reports on this technique. The little available informat...

Late complications of spinal cord injury can include Charcot arthropathy, in which spinal instability occurs as a result of repetitive trauma in the insensate spine. In rare cases, this can present as autonomic dysreflexia. We present the case of a 60-year-old man with longstanding C6 quadriplegia who presented with six months of hypertension, diaphoresis and dizziness. After an extensive worku...

INTRODUCTION Spinal simple bone cysts, also known as solitary cysts, are extremely unusual benign primary bone tumors with few cases reported in the literature. CASE PRESENTATION Incidental Magnetic Resonance Imaging (MRI) finding of a C2 Simple bone cyst in a 13-year-old female patient is reported. Complementary studies suggested the benign nature of the lesion. Patient underwent cervical cu...

Fixation of the axis may be necessary in cases of atlantoaxial instability, secondary to different causes, such as congenital, trauma, neoplasm or inflammatory diseases.1 Additionally, the axis may be included in the spinal instrumentation procedure requiring occipitocervical stabilization or even extension of the subaxial cervical spine surgeries.1 The classic fixation of the atlantoaxial regi...

Pediatric intramedullary spinal cord astrocytomas are rare, and the majority are low grade, typically carrying a low risk of mortality, but a high risk of morbidity. Quality of life is, therefore, an important consideration in treating concomitant progressive kyphoscoliosis. Compared with fusion-based spinal stabilization, fusionless techniques may limit some complications related to early inst...

Severe rigid curves pose a considerable challenge to the treating spine surgeon. In our practice, approximately 30%-40% of patients with scoliosis present late with severe rigid scoliosis (>90° and <30% correction on bending films). Controversy still exists with regard to the ideal surgical strategy for correcting these rigid curves. Rigid scoliosis often presents in the form of either sharp an...

fragments, secure ligaments or tendon to bone, and improve stability in weakened constructs.1–5 The spinous ligaments, ligamentum flavum, facet capsular ligament, and posterior longitudinal ligaments collectively form the natural posterior spinal tension band. The integrity of the posterior spinal ligamentous structures is critical, as they function to limit translation (anterior and posterior)...

With the development of the Harrington rod (Harrington, 1962) a long-segment rod and hook instrumentation was available for the first time, which became the worldwide standard procedure for many years in the surgical treatment of adolescent idiopathic scoliosis. According to a retrospective meta-analysis, Harrington rods were used in more than 85% of such cases between 1958 and 1993 (Haher et a...