The Journal of Spinal Surgery

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2016 | January-March | Volume 3 | Issue 1

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EDITORIAL

Editorial

[Year:2016] [Month:January-March] [Volume:3] [Number:1] [Pages:1] [Pages No:0 - 0]

   DOI: 10.5005/joss-3-1-iv  |  Open Access |  How to cite  | 

1,427

RESEARCH ARTICLE

Shardul Madhav Soman, Jayprakash Vrajlal Modi

Management Protocol of Patients with Lumbar Spinal Stenosis, using the Qualitative Grading as a Tool

[Year:2016] [Month:January-March] [Volume:3] [Number:1] [Pages:4] [Pages No:1 - 4]

   DOI: 10.5005/jp-journals-10039-1074  |  Open Access |  How to cite  | 

Abstract

Objectives

Several parameters exist for assessment of lumbar spinal stenosis (LSS) but these parameters lack clinical correlation. To formulate a protocol for management of these group of patients using the qualitative grading as a tool.

Materials and methods

A prospective study was undertaken using the qualitative grading on magnetic resonance imaging (MRI) to assess the clinical outcome of LSS at a single level. Irrespective of the grade every patient underwent a minimum 3 months period of conservative management after which depending on the oswestry disability index (ODI) and visual analog scale (VAS) for pain he was grouped into success or failure and the failed patients were advised for decompression surgery at the involved level. These patients were then further assessed after a period of 3 months after surgery. A decrease in ODI by 10 points and a 20 points decrease in VAS was considered as a success.

Results

Out of the 90 patients, there were 61 failures in conservative group, out of these 57 were operated of which only nine did not match the success criteria, while the other four either refused surgery or were lost to follow-up. In grades A1 to 3, only two patients failed conservative trial while from A4 to D, there was a gradual decline in success of conservative trial.

Conclusion

Qualitative grading is a useful tool in LSS and correlates with the clinical outcome and to decision making of these patients.

How to cite this article

Soman SM, Modi JV. Management Protocol of Patients with Lumbar Spinal Stenosis, using the Qualitative Grading as a Tool. J Spinal Surg 2016;3(1):1-4.

2,485

RESEARCH ARTICLE

BG Srihari

Microscopic Lumbar Diskectomy vs Endoscopic Diskectomy

[Year:2016] [Month:January-March] [Volume:3] [Number:1] [Pages:3] [Pages No:5 - 7]

   DOI: 10.5005/jp-journals-10039-1075  |  Open Access |  How to cite  | 

Abstract

How to cite this article

Pai SB. Microscopic Lumbar Diskectomy vs Endoscopic Diskectomy. J Spinal Surg 2016;3(1):5-7.

2,747

CASE REPORT

Srikant Balasubramaniam, Devendra K Tyagi, Hemant V Savant, Zafar Ahmed Sheikh

Solitary Symptomatic Spinal Extradural Arachnoid Cyst Needing Surgical Treatment: A Series of Three Cases

[Year:2016] [Month:January-March] [Volume:3] [Number:1] [Pages:4] [Pages No:8 - 11]

   DOI: 10.5005/jp-journals-10039-1076  |  Open Access |  How to cite  | 

Abstract

Key messages

Extradural arachnoid cysts are rare lesions which may produce symptoms by compressing the spinal cord or nerve roots. Surgery is the treatment of choice in such lesions but asymptomatic patients can be managed conservatively. Symptomatic patients have good results with surgical excision of the cyst.

How to cite this article

Balasubramaniam S, Tyagi DK, Savant HV, Sheikh ZA. Solitary Symptomatic Spinal Extradural Arachnoid Cyst Needing Surgical Treatment: A Series of Three Cases. J Spinal Surg 2016;3(1):8-11.

2,178

CASE REPORT

Darshansingh U Rajput, Sudhir Beglihosahalli Muniswamy

Reverse Latissimus Dorsi Turnover Muscle Flap for Coverage of a Secondary Midline Lumbar Defect following Spinal Surgery

[Year:2016] [Month:January-March] [Volume:3] [Number:1] [Pages:3] [Pages No:12 - 14]

   DOI: 10.5005/jp-journals-10039-1077  |  Open Access |  How to cite  | 

Abstract

How to cite this article

Rajput DU, Muniswamy SB. Reverse Latissimus Dorsi Turnover Muscle Flap for Coverage of a Secondary Midline Lumbar Defect following Spinal Surgery. J Spinal Surg 2016;3(1):12-14.

1,935

CASE REPORT

Nitin Kotecha, Sachin Giri

An Unusual Case of Dorsally Sequestrated Disk Mimicking Tumor with Cauda Equina Syndrome

[Year:2016] [Month:January-March] [Volume:3] [Number:1] [Pages:3] [Pages No:15 - 17]

   DOI: 10.5005/jp-journals-10039-1078  |  Open Access |  How to cite  | 

Abstract

How to cite this article

Diyora BD, Giri S, Giri D, Kotecha N, Patil S. An Unusual Case of Dorsally Sequestrated Disk Mimicking Tumor with Cauda Equina Syndrome. J Spinal Surg 2016; 3(1):15-17.

1,846

CASE REPORT

Farid Yudoyono, Rossa Avrina, Vitriana Noormeita, Benny Atmadja Wirjomartani

Cervical Spondylotic Myelopathy Release by Unilateral Open-Door Laminoplasty with Miniplate Alone: Three Years Follow-up

[Year:2016] [Month:January-March] [Volume:3] [Number:1] [Pages:4] [Pages No:18 - 21]

   DOI: 10.5005/jp-journals-10039-1079  |  Open Access |  How to cite  | 

Abstract

Objective

Cervical spondylotic myelopathy (CSM) is a common degenerative spine disease that requires surgical intervention if conservative failed. Currently, there is interest in various technical of laminoplasty. To review outcome of patients who underwent single-door cervical laminoplasty using titanium miniplates alone.

Materials and methods

The author performed surgery in patients with CSM by unilateral open-door laminoplasty, which allows through decompression of the cervical spinal canal. Pain was measured with a visual analog scale (VAS). Surgical outcome was analyzed with the modified Japanese Orthopaedic Association (mJOA) score.

Results

Visual analog scale scores and mJOA were significantly improved at 1, 2 and 3 years follow-up compared to preoperative levels. Recovery rate mJOA score 27,7%, excellent pain relief (100% of initial VAS score).

Conclusion

Open-door laminoplasty is easily applied for young spine surgeon, allows good field visualization and decompression, single-door cervical laminoplasty using miniplates alone is a safe technique and achieves a high hinge union rate, good canal decompresion and neurological recovery.

How to cite this article

Yudoyono F, Avrina R, Arisanti F, Noormeita V, Wirjomartani BA. Cervical Spondylotic Myelopathy Release by Unilateral Open-Door Laminoplasty with Miniplate Alone: Three Years Follow-up. J Spinal Surg 2016;3(1):18-21.

2,773

CASE REPORT

Srikant Balasubramaniam, Hemant V Savant, Zafar Ahmed Sheikh, Vijay Mahajan

Primary Ewing Sarcoma of the Body of Cervical Spine

[Year:2016] [Month:January-March] [Volume:3] [Number:1] [Pages:3] [Pages No:22 - 24]

   DOI: 10.5005/jp-journals-10039-1080  |  Open Access |  How to cite  | 

Abstract

How to cite this article

Savant HV, Balasubramaniam S, Sheikh ZA Mahajan V. Primary Ewing Sarcoma of the Body of Cervical Spine. J Spinal Surg 2016;3(1):22-24.

2,171

RESEARCH ARTICLE

Deepu Banerji

The Great Neurosurgeon and Spinal Surgery

[Year:2016] [Month:January-March] [Volume:3] [Number:1] [Pages:2] [Pages No:25 - 26]

   DOI: 10.5005/jp-journals-10039-1081  |  Open Access |  How to cite  | 

3,332

Book Review

Yashbir Dewan

WFNS Spine Committee: Textbook on Thoracic Spine

[Year:2016] [Month:January-March] [Volume:3] [Number:1] [Pages:2] [Pages No:27 - 28]

   DOI: 10.5005/joss-3-1-27  |  Open Access |  How to cite  | 

1,074

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