The Journal of Spinal Surgery

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2014 | April-June | Volume 1 | Issue 2

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EDITORIAL

Editorial

[Year:2014] [Month:April-June] [Volume:1] [Number:2] [Pages:1] [Pages No:0 - 0]

   DOI: 10.5005/joss-1-2-v  |  Open Access |  How to cite  | 

604

RESEARCH ARTICLE

Amaresh Deginald

Can Research in Spinal Cord Injury will Blossom in India?

[Year:2014] [Month:April-June] [Volume:1] [Number:2] [Pages:1] [Pages No:0 - 0]

   DOI: 10.5005/joss-1-2-vi  |  Open Access |  How to cite  | 

824

RESEARCH ARTICLE

Siddhartha Ghosh, Anil Pande, Daniel Rajesh Babbu

Anterior Deformity Correction in Cervical Spondylotic Myelopathy

[Year:2014] [Month:April-June] [Volume:1] [Number:2] [Pages:7] [Pages No:53 - 59]

   DOI: 10.5005/jp-journals-10039-1012  |  Open Access |  How to cite  | 

Abstract

How to cite this article

Pande A, Babbu DR, Ghosh S. Anterior Deformity Correction in Cervical Spondylotic Myelopathy. J Spinal Surg 2014;1(2):53-59.

2,681

RESEARCH ARTICLE

Sushil Patkar

Anterior Fixation of Atlantoaxial Joints: Technique and Pitfalls

[Year:2014] [Month:April-June] [Volume:1] [Number:2] [Pages:9] [Pages No:60 - 68]

   DOI: 10.5005/jp-journals-10039-1013  |  Open Access |  How to cite  | 

Abstract

How to cite this article

Patkar S. Anterior Fixation of Atlantoaxial Joints: Technique and Pitfalls. J Spinal Surg 2014;1(2):60-68.

5,012

REVIEW ARTICLE

P Sai Sudarsan, I Dinakar

Odontoid Fractures: Management

[Year:2014] [Month:April-June] [Volume:1] [Number:2] [Pages:8] [Pages No:69 - 76]

   DOI: 10.5005/jp-journals-10039-1014  |  Open Access |  How to cite  | 

Abstract

How to cite this article

Sudarsan PS, Dinakar I. Odontoid Fractures: Management. J Spinal Surg 2014;1(2):69-76.

7,513

RESEARCH ARTICLE

Patrick Fransen

Laminoplasty for Cervical Spondylotic Myelopathy

[Year:2014] [Month:April-June] [Volume:1] [Number:2] [Pages:4] [Pages No:77 - 80]

   DOI: 10.5005/jp-journals-10039-1015  |  Open Access |  How to cite  | 

Abstract

Abbreviations

ASD: Adjacent segment degeneration; CSM: Cervical spondylotic myelopathy; FU: Follow-up; JOA: Japanese orthopedic association; ROM: Range of motion.

How to cite this article

Fransen P. Laminoplasty for Cervical Spondylotic Myelopathy. J Spinal Surg 2014;1(2):77-80.

337

CASE REPORT

A Shiju Majeed, Y Sherafudeen

Missed Chance Fracture of Lumbar Vertebra presenting as Cauda Equina Syndrome: A Case Report and Review of Literature

[Year:2014] [Month:April-June] [Volume:1] [Number:2] [Pages:3] [Pages No:81 - 83]

   DOI: 10.5005/jp-journals-10039-1016  |  Open Access |  How to cite  | 

Abstract

How to cite this article

Majeed AS, Sherafudeen Y. Missed Chance Fracture of Lumbar Vertebra presenting as Cauda Equina Syndrome: A Case Report and Review of Literature. J Spinal Surg 2014;1(2):81-83.

592

CASE REPORT

Don Mathew, Tinu Ravi Abraham, Ajith R Nair

Microsurgical Management of Intraspinal Tumors in the Lumbar Spine: Hemilaminectomy as an Alternative to Laminectomy

[Year:2014] [Month:April-June] [Volume:1] [Number:2] [Pages:7] [Pages No:84 - 90]

   DOI: 10.5005/jp-journals-10039-1017  |  Open Access |  How to cite  | 

Abstract

Introduction

Laminectomy is the classical surgical technique done for exposure of the spinal cord in the removal of intraspinal lesions. Here, we report a case where multilevel hemilaminectomy has been done to remove a long segment intraspinal tumor extending from D11 to L5.

Case report

A 47-year-old lady who had backache for 5 years, difficulty in walking for 6 month. She came to us with paraplegia (grade 0 power of both lower limbs), decreased sensation of both lower limbs and bladder incontinence. MRI revealed an intradural mass lesion extending from D11 to L5 level. multilevel hemilaminectomy was performed from D11 to L5 and near total resection of the tumor was done. Postoperatively, patient showed improvement with grade 1-2 power in lower limbs at the end of 3 months.

Advantages of hemilaminectomy

The main advantage of hemilaminectomy is the complete preservation of dorsal static structures of the vertebral column; such as the spinous process, the interspinous and supraspinous ligaments, and the unilateral preservation of the intervertebral joints, laminae, ligamentum flavae and the paraspinal muscles.

Conclusion

It is without doubt that patient morbidity and spine stability is better when surgery is performed through a narrow corridor. It can be concluded that hemilaminectomy is a safe and better alternative to laminectomy in the removal of long segment intradural tumors.

How to cite this article

Mathew D, Abraham TR, Nair AR. Microsurgical Management of Intraspinal Tumors in the Lumbar Spine: Hemilaminectomy as an Alternative to Laminectomy. J Spinal Surg 2014;1(2):84-90.

384

CASE REPORT

Robert S Laidlaw, John Turchini, Jonathan R Ball

Tumor-to-tumor Metastasis in the Spine

[Year:2014] [Month:April-June] [Volume:1] [Number:2] [Pages:3] [Pages No:91 - 93]

   DOI: 10.5005/jp-journals-10039-1018  |  Open Access |  How to cite  | 

Abstract

How to cite this article

Laidlaw RS, Turchini J, Ball JR. Tumor-to-tumor Metastasis in the Spine. J Spinal Surg 2014;1(2):91-93.

4,191

CASE REPORT

Rully H Dahlan, Akhmad Y Pramatirta, Agung B Sutiono, Ahmad Faried, Muhammad Z Arifin

Langerhan's Cell Histiocytosis of the Lumbar Spine during Pregnancy: A Rare Case with Literature Review

[Year:2014] [Month:April-June] [Volume:1] [Number:2] [Pages:4] [Pages No:94 - 97]

   DOI: 10.5005/jp-journals-10039-1019  |  Open Access |  How to cite  | 

Abstract

Background

Langerhan's cell histiocytosis (LCH), previously known as histiocytosis X, is a reactive proliferative dendritic cells of unknown pathogenesis characterized by the proliferation of Langerhan's cells and is extremely rare in the lumbar spines of adults. This condition is most common among young males under the age of 15 years old (with a peak incidence at 2-4 years old), and the most frequent site of these osteolytic bony lesions of the spine is the thoracic region.

Purpose

To highlight an interesting and rare presentation for Langerhans cell histiocytosis of the spinal cord in pregnant woman.

Study design

This is a case report of a single patient in whom a Langerhans cell histiocytosis was resected from the lumbal spine in pregnant woman with return to normal functioning.

Patient sample

A 26-year-old pregnant woman at 20 to 22 weeks presenting with acute cauda equina syndrome, a 1-month history of pain and numbness and paraparese of right limb had gradually progressed to involve all the lower limbs.

Outcome measures

Frankel grading of neural function and Visual Analogue Score are included to evaluate the therapeutic efficiency.

Methods

Magnetic resonance imaging revealed the widespread involvement of an extradural contrast-enhancing mass in the lumbar spine of L2-L5.

Results

The patient underwent decompression and surgical resection of the tumor in a three-quarters prone position, fetal heart monitoring was performed by our obstetrician; there was no fetal distress during the surgery. The diagnosis was confirmed by histological analysis. She entered spontaneous labor at 36 to 37 weeks and birthed a baby weighing 3000 gm. The child began crying immediately and had Apgar scores of 8 and 10 in the 1st and 5th minutes respectively. No residual disease or recurrence was noted at follow-up longer than 1 year.

Conclusion

Our case's unique presentation involves LCH in an adult pregnant patient at the lumbar spine with no osteolytic activity. The management of pregnant women and maintenance of fetal well-being should be coordinated among the spinal neurosurgeon, obstetrician and anesthesiologist.

How to cite this article

Dahlan RH, Yudoyono F, Ompusunggu SE, Pramatirta AY, Sutiono AB, Faried A, Arifin MZ. Langerhan's Cell Histiocytosis of the Lumbar Spine during Pregnancy: A Rare Case with Literature Review. J Spinal Surg 2014;1(2):94-97.

2,460

CASE REPORT

Vishwanath Sidram, PC Chandrakumar, M Varunkumar, Bellara Raghavendra

A Rare Case of Extraforaminal Schwannoma in Lumbar Region in an Elderly Male without Neurofibromatosis Operated by Transparaspinal Approach

[Year:2014] [Month:April-June] [Volume:1] [Number:2] [Pages:3] [Pages No:98 - 100]

   DOI: 10.5005/jp-journals-10039-1020  |  Open Access |  How to cite  | 

Abstract

Introduction

Schwannoma is a benign tumor arising from the neural crest-derived Schwann cells. These tumors usually grow within the spinal canal and produce compression of spinal cord and nerve root of origin.

Aim

To report a rare case of extraforaminal schwannoma in lumbar region in an elderly male operated by transparaspinal approach.

Case

A 65-year-old male, presented with pain which is characterized by radiation to right thigh and associated with pins and needles sensation, intermittent type.

Investigation

MRI scan demonstrated mixed intensity lesion in right paravertebral region L345 suggestive of extraforaminal schwannoma and disc bulge L3-4, L4-5 compressing anterior thecal sac and bilateral traversing nerve roots. Histology showed a tumor with features of schwannoma. The stroma at places shows myxoid change and hyalinization. Mononuclear cell infiltration is seen into the stroma.

Treatment

Complete removal of the mass done by transparaspinal approach.

Results

No residual tumor on follow-up scan and pain disappeared.

Conclusion

Extraforaminal schwannoma in lumbar region in an elderly male ia a rare condition. The rarity of extraforaminal schwannoma and transparaspinal excision was highlighted. Transparaspinal approach is the most feasible and directly accessible approach to remove tumor and relieve pressure symptoms and rare possibility of malignancy.

How to cite this article

Sidram V, Chandrakumar PC, Varunkumar M, Raghavendra B. A Rare Case of Extraforaminal Schwannoma in Lumbar Region in an Elderly Male without Neurofibromatosis Operated by Transparaspinal Approach. J Spinal Surg 2014;1(2):98-100.

5,930

CASE REPORT

Phani Kiran Surapuraju

A C7 Chordoma Masquerading as Spinal Tuberculosis

[Year:2014] [Month:April-June] [Volume:1] [Number:2] [Pages:3] [Pages No:101 - 103]

   DOI: 10.5005/jp-journals-10039-1021  |  Open Access |  How to cite  | 

Abstract

How to cite this article

Surapuraju PK, Parthiban JKBC. A C7 Chordoma Masquerading as Spinal Tuberculosis. J Spinal Surg 2014;1(2):101-103.

2,929

CASE REPORT

Farid Yudoyono, Rully Hanafi Dahlan, Sevline Esthetia Ompusunggu, Muhammad Zafrullah Arifin

Thoracic Solitary Plasmacytoma: Single Indonesian Teaching Hospital Experience

[Year:2014] [Month:April-June] [Volume:1] [Number:2] [Pages:3] [Pages No:104 - 106]

   DOI: 10.5005/jp-journals-10039-1022  |  Open Access |  How to cite  | 

Abstract

How to cite this article

Yudoyono F, Dahlan RH, Ompusunggu SE, Arifin MZ. Thoracic Solitary Plasmacytoma: Single Indonesian Teaching Hospital Experience. J Spinal Surg 2014;1(2):104-106.

1,769

CASE REPORT

Vinod Agrawal, Saurav Narayan Nanda, Himanshu Parmar

Osteoid Osteoma of Cervical Spine: A Rare Presentation

[Year:2014] [Month:April-June] [Volume:1] [Number:2] [Pages:3] [Pages No:107 - 109]

   DOI: 10.5005/jp-journals-10039-1023  |  Open Access |  How to cite  | 

Abstract

How to cite this article

Agrawal V, Tripathi S, Nanda SN, Parmar H. Osteoid Osteoma of Cervical Spine: A Rare Presentation. J Spinal Surg 2014;1(2):107-109.

2,953

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