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JAYPEE JOURNALS
International Scientific Journals from Jaypee
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List of All Articles
1.  Case Report
Epidermoid Cyst of the Thoracic Spine: A Rare Case
Nilesh Jain, Sharadendu Narayan, Harshad Patil, Abhishek Songara
[Year:2016] [Month:April-June] [Volume:3 ] [Number:2] [Pages:45] [Pages No:59-62] [No of Hits : 757]
Full Text PDF | Abstract | DOI : 10.5005/jp-journals-10039-1089 | FREE

ABSTRACT

Intraspinal epidermoid cyst is a rare tumor. The incidence in adults is lesser than 1% and in children lesser than 3%. Epidermoid cyst is predominantly seen at the dorsal spinal level. A large percentage of epidermoid cysts are intradural extramedullary. Intramedullary epidermal cysts are rarer, with about 70 cases reported in the literature. These may be congenital or acquired with known association with spinal dysraphism. We hereby report a case of thoracic epidermoid cyst in a 22-year-old male with an extramedullary exophytic component and intramedullary cyst with accompanying split cord malformation at the level of lesion.

Keywords: Epidermoid cyst, Intramedullary, Intraspinal, Split cord, Thoracic.

How to cite this article: Jain N, Narayan S, Patil H, Songara A. Epidermoid Cyst of the Thoracic Spine: A Rare Case. J Spinal Surg 2016;3(2):59-62.

Source of support: Nil

Conflict of interest: None

 
2.  Review Article
Minimally Invasive Techniques for the Treatment of Primary Spinal Column Lesions
Gopalakrishnan Balamurali, Ajay Ramesh Kothari, Amjad Nasr Anaizi, Jean-Marc Voyadzis, John O’toole, Richard G Fessler
[Year:2015] [Month:October-December] [Volume:2 ] [Number:4] [Pages:40] [Pages No:132-140] [No of Hits : 1164]
Full Text PDF | Abstract | DOI : 10.5005/jp-journals-10039-1069 | FREE

ABSTRACT

Minimally invasive spine surgery is becoming more prevalent as surgeons seek to provide definitive treatment without the morbidity and dysfunction associated with traditional, open surgical procedures. Minimally invasive surgery has been applied with success to the treatment of degenerative disease and traumatic injuries of the spine. Approaches to metastatic and primary spinal column tumors have also evolved rapidly as clinicians seek to minimize tissue disruption, postoperative pain and blood loss in these susceptible patient populations who may also require adjuvant therapies. The various noninvasive and minimally invasive techniques available for the treatment of these primary spinal tumors are reviewed, and their indications, benefits, and limitations discussed.

Keywords: Corpectomy, Minimally invasive spinal surgery, Percutaneous, Vertebral tumors.

How to cite this article: Balamurali G, Kothari AR, Anaizi AN, Voyadzis JM, O’toole J, Fessler RG. Minimally Invasive Techniques for the Treatment of Primary Spinal Column Lesions. J Spinal Surg 2015;2(4):132-140.

Source of support: Nil

Conflict of interest: None

 
3.  Original Article
Percutaneous Posterior Stabilization with Vertebroplasty in Painful Thoracolumbar Spinal Metastatic Disease: A Retrospective Study
Anil Chander Vodur Chandrasekar, Vignesh Jayabalan, Karthik Kailash Kannan, Sitsabesan Chokkalaingam
[Year:2015] [Month:October-December] [Volume:2 ] [Number:4] [Pages:40] [Pages No:113-117] [No of Hits : 658]
Full Text PDF | Abstract | DOI : 10.5005/jp-journals-10039-1066 | FREE

ABSTRACT

Objective: To do a retrospective evaluation of clinical outcome of the patients with spinal metastases treated with minimally invasive posterior spinal stabilization and vertebroplasty.

Methods and results: We retrospectively analyzed 22 patients with biopsy proven metastatic thoracolumbar spinal lesion treated with percutaneous posterior stabilization with pedicle screws and vertebroplasty operated in Ramachandra Medical University from June 2006 to May 2012. Neurologically intact patients with Tokuhashi’s score of 9 or and Spine instability neoplastic score of more than 6 were included. Average age group was 61.8 years with 14 males and eight females. Clinical outcome was assessed using pre- and postoperative visual analog score (VAS), intraoperative blood loss, duration of surgery, time taken to mobilize the patients after surgery and length of hospital stay.
The average VAS decreased from 9.2 preoperatively to 4.1 postoperatively (p < 0.001) and 2.2 (< 0.04) at 3 months postoperative period. The mean Karnofsky’s performance index increased from 45% preoperatively to 70% postoperatively. Average blood loss was 80 ml and the average duration of surgery was 85 minutes. Fifteen patients were mobilized on the second postoperative day with most patients discharged on 4th day. No patients had evidence of implant loosening and failure. Three patients had radiological evidence of cement extravasation. No patient had neurological deficit postoperatively and none had radiological evidence of deformity or adjacent level fracture in follow-up X-rays.

Conclusion: Percutaneous pedicle screw stabilization with vertebroplasty provided good pain relief and short-term clinical improvement in patients with thoracolumbar spinal metastasis with minimal postoperative morbidity.

Keywords: Metastasis, Pedicle screws, Percutaneous, Stabilization, Vertebroplasty.

How to cite this article: Chandrasekar ACV, Jayabalan V, Kannan KK, Chokkalaingam S. Percutaneous Posterior Stabilization with Vertebroplasty in Painful Thoracolumbar Spinal Meta- static Disease: A Retrospective Study. J Spinal Surg 2015;2(4): 113-117.

Source of support: Nil

Conflict of interest: None

 
4.  Review Article
Scaffolds for Cell Transplantation in Neurology — The Suitability of a Thermoreversible Gelation Polymer: Our Perspectives
Vidyasagar Devaprasad Dedeepiya, Justin Benjamin William, Jutty KBC Parthiban, Hiroshi Yoshioka, Yuichi Mori, Satoshi Kuroda, Masaru Iwasaki, Senthilkumar Preethy, Samuel JK Abraham
[Year:2014] [Month:January-March] [Volume:1 ] [Number:1] [Pages:52] [Pages No:16-24] [No of Hits : 1963]
Full Text PDF | Abstract | DOI : 10.5005/jp-journals-10039-1003 | FREE

ABSTRACT

Clinical translation of cell-based therapies in neurology, especially the spinal cord injury and damage to the brain, have been marred by several hurdles [Dedeepiya VD et al Expert Opinion on Biological Therapy (In print)] and one significant among them is the need for a suitable biocompatible scaffold, which can retain the transplanted cells, give an active or passive support to the cells, enable their proliferation, differentiation when needed and integration into the local niche until the restoration of the damage are complete, without any adverse reactions to the vicinity or to any of the systems of the animal or human being where it is applied. Scaffolds for neurological applications need to be biocompatible, biodegradable, non-immunogenic, must provide contact guidance for neurite outgrowth, should have porosity for vascularization and cell migration. Several natural scaffolds like collagen, alginate, silk fibroin, hyaluronic acid, chitosan, etc. and synthetic scaffolds like poly (lactic acid) (PLA), poly (glycolic acid) (PGA), poly (lactic-co-glycolic acid) (PLGA), polyethylene glycol (PEG), poly (lactide-co-caprolactone) (PLCL) have been employed for cell transplantation in neurology primarily for nerve injuries and stroke. In this review, we briefly outline the different studies utilizing these scaffolds employed for cell transplantation in neurology and we document the suitability of a unique poly (N-isopropylacrylamide-co-n-butyl methacrylate) (poly NIPAAmco- BMA) and polyethylene glycol (PEG)-based thermoreversible gelation polymer for cell therapy applications in neurology.

Keywords: Scaffolds, Neurology, Regenerative medicine, Cell therapy, Thermoreversible gelation polymer (TGP).

How to cite this article: Dedeepiya VD, William JB, Parthiban JKBC, Yoshioka H, Mori Y, Kuroda S, Iwasaki M, Preethy S, Abraham SJK. Scaffolds for cell Transplantation in Neurology- The Suitability of a Thermoreversible Gelation Polymer: Our Perspectives. J Spinal Surg 2014;1(1):16-24.

Source of support: Nil

Conflict of interest: Prof Yuichi Mori, Dr Hiroshi Yoshioka and Dr Samuel JK Abraham are applicants to and/or assignees of patents on the Thermoreversible gelation polymer.

 
5.  Original Article
Dilemma in the Surgical Management of Lumbar Canal Stenosis
PS Ramani, Sumeet Pawar, Sudhendoo Babhulkar
[Year:2014] [Month:January-March] [Volume:1 ] [Number:1] [Pages:52] [Pages No:1-11] [No of Hits : 1723]
Full Text PDF | Abstract | DOI : 10.5005/jp-journals-10039-1001 | FREE

ABSTRACT

For a long time wide decompressive laminectomy, direct visualization and decompression of affected nerve roots, foraminotomy and when necessary discectomy had remained the gold standard to operate patients with lumbar canal stenosis. There was confusion in the literature concerning the role of fusion even in the presence of instability in degenerative lumbar canal stenosis due to absence of prospective randomized clinical trials. This has led to uncertainty about the correct choice of surgical strategy as no evidence based recommendations on the role of instrumented PLIF in older patients. Such thoughts have compelled some to try minimally invasive instrumentation with micro decompression, transforaminal interbody fusion and percutaneous pedicle screws. It has the advantage of short incision, less morbidity, shortened bed rest and early ambulation which is so essential in older patients with comorbid conditions. In this study we discuss the pathogenesis of development of spinal conditions and their treatment options through the history of spinal surgery. Also discussed is the dilemma that exists in spinal surgeons regarding the selection of appropriate treatment strategy for stenosis amongst the elderly.

Keywords: Lumbar canal stenosis, elderly, surgical management, IDSS, PLIF.

How to cite this article: Ramani PS, Pawar S, Babhulkar S. Dilemma in the Surgical Management of Lumbar Canal Stenosis. J Spinal Surg 2014;1(1):1-11.

Source of support: Nil

Conflict of interest: None

 
6.  Case Report
Concurrent Miller Fisher Syndrome Variant in Ossification of Posterior Longitudinal Ligament
Alexander Cahyadi, Arwinder Singh, PS Ramani, Sudhendoo Babhulkar, Sumeet Pawar, Amrita Shenoy
[Year:2014] [Month:January-March] [Volume:1 ] [Number:1] [Pages:52] [Pages No:32-34] [No of Hits : 1336]
Full Text PDF | Abstract | DOI : 10.5005/jp-journals-10039-1006 | FREE

ABSTRACT

Introduction: Miller fisher syndrome (MFS) could be found in coincidence with ossification of posterior longitudinal ligament. High index of suspicion is required that lead to further investigation.

Case report: A 56-year-old male presented with four days history of loss of sensation on both lower and upper extremity. The complaint was felt more on the lower than upper extremity. The patient felt imbalance during walking. Muscle strengh of all extremity was normal, but sensory lost was found in all extremity. Deep tendon reflexes were absent in all extremity.

Investigations: Computed tomography (CT) scan and MRI showed canal stenosis due to of the posterior longitudinal ligament. Nerve conduction velocity suggested peripheral neuropathy on both upper and lower extremity. Antibody anti GQ1b was positive. Cerebrospinal fluid examination showed cytoalbuminemic dissociation.

Treatment: Patient was treated conservatively.

Results: Improvement was achieved in 5 days, and progressively return to normal condition.

Conclusion: Peripheral polineuropathy could be found in coincident with of the posterior longitudinal ligament and required specific management.

Keywords: Ossification, posterior longitudinal ligament, Miller fisher syndrome.

How to cite this article: Cahyadi A, Singh A, Ramani PS, Babhulkar S, Pawar S, Shenoy A. Concurrent Miller Fisher Syndrome Variant in Ossification of Posterior Longitudinal Ligament. J Spinal Surg 2014;1(1):32-34.

Source of support: Nil

Conflict of interest: None

 
7.  Original Article
Anterior Fixation of Atlantoaxial Joints: Technique and Pitfalls
Sushil Patkar
[Year:2014] [Month:April-June] [Volume:1 ] [Number:2] [Pages:57] [Pages No:60-68] [No of Hits : 1180]
Full Text PDF | Abstract | DOI : 10.5005/jp-journals-10039-1013 | FREE

ABSTRACT

Both the atlantoaxial joints can be exposed adequately by an unilateral extrapharyngeal approach from the right side. The atlantoaxial dislocation can be reduced, joints can be decorticated and bone graft can be introduced into the joint. The odontoid process can be drilled and removed. The C1-C2 joint can be fixed either by (1) C1 lateral mass and C2 body screw plate bilaterally, or (2) bilateral anterior C2-C1 transarticular screws.

Keywords: Atlantoaxial fusion, Anterior transarticular screws, Anterior screw plate fixation, Atlantoaxial dislocation.

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

Source of support: Nil

Conflict of interest: None

 
8.  Case Report
Progressive Quadriplegia from Kyposis in Pediatric Patient after Laminectomy for Cervical Intramedullary Tumor Excision: Case Report and Literature Review in Short
Forhad Hossain Chowdhury, Mohammod Raziul Haque, Khandkar Ali Kawsar, AFM Momtazul Haque
[Year:2014] [Month:January-March] [Volume:1 ] [Number:1] [Pages:52] [Pages No:35-38] [No of Hits : 1175]
Full Text PDF | Abstract | DOI : 10.5005/jp-journals-10039-1007 | FREE

ABSTRACT

Cervical spinal deformities with progressive neurological deficit after laminectomy is relatively uncommon. But, it can happen more commonly after resection of intramedullary spinal cord lesions than other spinal lesion. Postlaminectomy cervical spinal deformity is most common in children with an immature skeletal system. Many factors such as the extent of laminectomy and facetectomy, number of laminae removed, location of laminectomy, preoperative loss of lordosis, postoperative radiation therapy, etc. can precipitate such deformities. We report a pediatric patient with who underwent successful complete removal of long segment cervical intramedullary spinal tumor. Postoperatively he developed progressive kyphosis in cervical spine with progressive neurological deficit. We went for second operation (anterior cervical spinal cord decompression by two segments corpectomy followed by iliac crest strut graft fusion and stabilization). Postoperatively patient recovered well. He had loss of cervical spinal lordosis with mild kyphosis before first operation. Such a case report in the literature is relatively uncommon. Here, we also go for short review of literature on this topic.

Keywords: Cervical spinal deformity, neurological deterioration, post laminectomy, intramedullary spinal tumor, pediatric patient.

How to cite this article: Chowdhury FH, Haque MR, Kawsar KA, Haque AFMM. J Spinal Surg 2014;1(1):35-38.

Source of support: Nil

Conflict of interest: None

 
9.  Original Article
Utility of 99mTc-MDP Bone Scan in Comparison to MRI and Plain Radiographs for the Diagnosis of Early Spondyloarthropathy
Ajit S Shinto, KK Kamaleshwaran, M Anjali, V Rajamani, SG Thirumalaisamy, N Sreedharan
[Year:2014] [Month:January-March] [Volume:1 ] [Number:1] [Pages:52] [Pages No:12-15] [No of Hits : 1138]
Full Text PDF | Abstract | DOI : 10.5005/jp-journals-10039-1002 | FREE

ABSTRACT

Introduction: Spondyloarthropathy as a cause of inflammatory lower back ache often goes undiagnosed for long. Though various clinical criteria have been developed, evidence of sacroiliitis is considered the basis for diagnosis. As sacroiliitis may become apparent on plain radiographs after a long duration, it is important to evaluate the efficacy of other imaging techniques to make an early diagnosis. Magnetic resonance imaging (MRI) and development of various specific sequences have helped in picking up structural changes as well as inflammation in sacroiliitis. The present study is to assess the role of MRI and radionuclide bone scan in patients with early SpA of less than 3 years.

Materials and methods: Patients with inflammatory LBA, defined according to the Calin criteria and satisfying the European Spondyloarthropathy Study Group (ESSG) criteria for SpA of less than 3 years duration, were included. Controls had mechanical LBA. A detailed clinical assessment and assessment of disease activity and functional impairment was done with validated measures. Radiological assessment included conventional radiograph of the pelvis, radionuclide scan and MRI of sacroiliac joints (SI joints). The sensitivity, specificity and predictive value of each modality in contributing to the diagnosis of SpA were assessed.

Results: Assessment of 136 SI joints in 42 patients [(Age 29 (± 5.6) and 26 controls (Age 32.1 (± 8.91)] was done. The mean disease duration of cases was 12.5 (± 10.2) months. Conventional radiograph failed to pick up sacroiliitis in any of the cases. Positive bone scan was present in 34 cases (28 bilateral sacroiliitis, 6 unilateral sacroiliitis). Bone scan had a sensitivity of 81.8% and a specificity of 87%. Magnetic resonance imaging abnormality was present in 37/42 (88%) (bilateral in 27 and unilateral in 10) and in none of the controls. This accounted for a sensitivity of 87% and a specificity of 100%. The MRI changes included bone marrow edema (82%), synovial enhancement (60%), subchondral edema (42%), erosions (46%) and sclerosis (38%).

Conclusion: In patients with early SpA of less than 3 years duration, conventional radiographs did not pick up sacroiliitis; however, both the radionuclide scan and MRI were useful.

Keywords: Sacroiliitis, Bone scan, Spondyloarthropathy, MRI, 99mTc-MDP, SPECT CT, Two phase.

How to cite this article: Shinto AS, Kamaleshwaran KK, Anjali M, Rajamani V, Thirumalaisamy SG, Sreedharan N. Utility of 99mTc-MDP Bone Scan in Comparison to Mri and Plain Radiographs for the Diagnosis of Early Spondyloarthropathy. J Spinal Surg 2014;1(1):12-15.

Source of support: Nil

Conflict of interest: None

 
10.  Case Report
A Rare Complication of Cirrhosis: Hepatic Myelopathy
Sofiene Bouali, Adenane Boubaker, Asma Bouhoula, Jalel Kallel, Aoiuj Lassaad, Hafedh Jemel
[Year:2014] [Month:January-March] [Volume:1 ] [Number:1] [Pages:52] [Pages No:49-51] [No of Hits : 1113]
Full Text PDF | Abstract | DOI : 10.5005/jp-journals-10039-1011 | FREE

ABSTRACT

Introduction: Hepatic myelopathy is characterized by spastic paraparesis and minimal sensory abnormalities in patients with cirrhosis, particularly those with portosystemic shunts that have been created surgically or have occurred spontaneously.

Materials and methods: We described a patient who presented with spastic paraparesis and diagnosed as hepatic myelopathy when all the other possible diagnoses were ruled out with a review of literature in the goal of promoting prompt recognition and enhancing understanding of HM.

Results: We reported a patient aged 51 years who presented with spastic paraparesis with insidious onset and progressive course and diagnosed as hepatic myelopathy.

Conclusion: Unlike hepatic encephalopathy, hepatic myelopathy is usually considered irreversible.

Keywords: Hepatic myelopathy, Cirrhosis, Spastic paraparesis.

How to cite this article: Bouali S, Boubaker A, Bouhoula A, Kallel J, Lassaad A, Jemel H. A Rare Complication of Cirrhosis: Hepatic Myelopathy. J Spinal Surg 2014;1(1):49-51.

Source of support: Nil

Conflict of interest: None

 
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