A 15-year-old teenager with Type 1 Neurofibromatosis presented with grade 4 spondylolisthesis over T12/L1 junction resulting paraparesis (Frankel D). Radiograph showed a Cobb angle of 88 degrees. Computed tomography scan showed dysplastic vertebral bodies, pedicles and facet joints of T11, T12 and L1 vertebra with complete T12/L1 facets dislocation. Magnetic resonance imaging confirmed presence...

Cervical fusion is a traditional procedure for the treatment of singleand multi-level spondylotic myleopathy or radiculopathy. The stand-alone graft has been shown to be less effective in providing the stability to construct especially with multi-level decompression. Additional stabilization of stand-alone grafting with anterior instrumentation (plate and screws), posterior instrumentation (rod...

Background: Post operative lumbar disc space infection is relatively uncommon. The anterior approach has been the traditional surgical approach for treatment of this complication. Posterior approach was sometimes added for instrumentation only. Purpose: To present the results and clinical outcome, at a minimum of twelve months, following transforaminal lumbar interbody fusion (TLIF) and posteri...

BACKGROUND Lumbar spine fusion rates can vary according to the surgical technique. Although many studies on spinal fusion have been conducted and reported, the heterogeneity of the study designs and data handling make it difficult to identify which approach yields the highest fusion rate. This paper reviews studies that compared the lumbosacral fusion rates achieved with different surgical tech...

abstract   objective: to evaluate and review our experience with pediatric spinal injuries and factors affecting outcome, the authors conducted a retrospective clinical study of 43 cases (32 boys, 11 girls) of pediatric spine injuries treated during four years (january 1999 to december 2003).   methods: forty-three children with spinal injuries were studied retrospectively over four years and w...

Spinal stabilization with fusion is the widely used method for traumatic or pathologic fracture of spine, spinal stenosis, and spondylolisthesis. Complications may emerge during or after the operations. Infection, hematoma and neurological deficits are early noticed findings. Screw and/or rod fractures present in long-term after surgery. Rod migration in out of the spinal column is a rare entit...

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...

BACKGROUND Cervicothoracic spinal tuberculosis is a rare disease. Due to its difficult and challenging surgical exposure, its surgical treatment approach remains inconclusive. Long-term follow-up studies to address this puzzling issue are rarely seen in the literature. The purpose of this study was to explore the selection of surgical treatment approaches for cervicothoracic spinal tuberculosis...

Study design: A retrospective review of the morbidity associated with 250 consecutive cases of spinal instrumentation carried out in a neurosurgical spine unit. Objectives: To examine associated risk factors and results of treatment of those patients who sustained morbidity as a result of spinal instrumentation. Methods: The case records and imaging of all patients who had undergone spinal inst...

Lumbar spinal stenosis (LSS) is primarily found in an older population. This is a similar demographic group that develops both osteoporosis and vertebral compression fractures (VCF). This report reviewed a series of patients treated for VCF that had previous lumbar surgery for symptomatic spinal stenosis. Patients that only underwent laminectomy or fusion without instrumentation had a similar d...