AUTHOR LOGIN Close
Please enter author credentials to view Author Manual
Username:
Password:  
   
for New Author Registration
JAYPEE JOURNALS
International Scientific Journals from Jaypee
IndexCopernicus Value: 84.00
Home Instructions Editorial Board Current Issue Pubmed Archives Subscription Advertisement Contact Us
 
LOGIN  
Username: Password:
 
New Author Registration | Forgot Password ?
 
 
 
Most Downloaded Articles of the Journal
 
 
List of All Articles
1.  HISTORY
The Great Neurosurgeon and Spinal Surgery— Professor Vijendra K Jain: The Innovative Spinal Surgeon
Sanjay Behari
[Year:2017] [Month:January-March] [Volume:4 ] [Number:1] [Pages:45] [Pages No:33-37] [No of Hits : 725]
Full Text PDF | Abstract | DOI : 10.5005/jp-journals-10039-1123 | FREE

ABSTRACT

Dr VK Jain has been one of the most innovative surgeons of this era. His seminal contributions to surgery for spinal diseases, particularly related to the craniovertebral junction (CVJ), have been a great boon for his patients.

 
2.  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 : 885]
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

 
3.  Reflection
Atlantoaxial Fixation - Anterior or Posterior Approach: Critical Review
Vinu V Gopal
[Year:2016] [Month:April-June] [Volume:3 ] [Number:2] [Pages:45] [Pages No:51-54] [No of Hits : 865]
Full Text PDF | Abstract | DOI : 10.5005/jp-journals-10039-1087 | FREE

ABSTRACT

Atlantoaxial facet joints have been proposed as the center of mobility and also center for instability of the atlantoaxial region. Because of the high mobility of the atlantoaxial (C1-C2) motion segment, fusion rates at this level have been substantially lower than those at the subaxial spine. The success of craniovertebral junction surgery depends on adequate reduction, decompression of craniovertebral (CV) junction followed by immediate fixation of atlantoaxial joint followed by bone grafting with compression for solid bony fusion. Current options for atlantoaxial fixation include anterior or posterior approaches. The biomechanical stability and fusion rates of posterior fixation surgery had been proved beyond doubt. The main disadvantages of posterior surgery involve disruption of posterior ligamentous complex which are essential for stability. C2 root denervation also aggravates the paraspinal muscle atrophy leading to instability So now advances in spinal surgery made neurosurgeons to think of an anterior technique which can establish fusion and fixation at the same time avoiding the above mentioned complications. The advantages are that there are no anatomical constraints like posterior approach in reaching C1-C2 joint. The risk of neuralgia, bleeding from venous plexus is avoided along with practically no damage to vertebral artery. Newer techniques of anterior transarticular screw and bilateral atlantoaxial fixation and fusion through unilateral right sided retropharyngeal approach had been described in literature. Anterior approach still needs further randomized controlled trials for level 1 evidence, Further research on along with biomechanical feasibility using anatomical ex vivo and in vivo constructs need to be done to further validate the appropriateness and safety of anterior approach for C1-C2 fixation and fusion.

Keywords: Anterior, Atlantoaxial, Posterior.

How to cite this article: Gopal VV. Atlantoaxial Fixation- Anterior or Posterior Approach: Critical Review. J Spinal Surg 2016;3(2):51-54.

Source of support: Nil

Conflict of interest: None

 
4.  Original Article
Clinical Methods of Spinal-level Localization in Lumbar and Lumbosacral Spine Surgeries through Posterior Approach
Deepak K Jha, Pranjal Pandey, Mukul Jain, Arvind Arya, Suman Kushwaha, Rima Kumari
[Year:2016] [Month:April-June] [Volume:3 ] [Number:2] [Pages:45] [Pages No:34-39] [No of Hits : 554]
Full Text PDF | Abstract | DOI : 10.5005/jp-journals-10039-1083 | FREE

ABSTRACT

Aims: Clinical methods of palpations of iliac crests and spinous processes for spinal-level localization (SLL) were evaluated for accuracy in lumbar and lumbosacral (LS) spinal surgeries through the posterior approach.

Materials and methods: Hundred and seven successive patients operated for lumbar and LS diseases operated through the posterior approach in the last 2 years were evaluated prospectively for the accuracy of clinical methods for SLL. There were 76 males and 31 females. Age ranged from 16 to 70 years (average 43.5 years). Clinical methods for SLL included palpation of iliac crests and spinal processes in correlation with midline sagittal MR images. Surgical incision and further surgery were undertaken after confirmation of spinal level by intraoperative lateral radiograph of LS spine. Accuracy of SLL by clinical methods and surgical findings at various spinal levels was observed.

Results: Spinous processes for SLL were accurate in 94.39% (n = 101) cases. The level of iliac crests were seen at or just below L3 and L4 spinous processes in 89.71% (n = 96) and 10.29% (n = 11) cases respectively. Various anatomical features like posterior surfaces of laminae, thecal sac, and positions of roots in the spinal canal were helpful in differentiating L5 to S1 level than levels above. Six errors in SLL in the study included five females with L4 to L5 prolapsed inter-vertebral disk (PIVD) and one male with L5 to S1 PIVD.

Conclusion: Spinal-level localization by clinical methods in correlation with MR images is unreliable especially in women and L4 to 5 level. Intraoperative findings of L5 to S1 interspace and S1 lamina show features that may help in SLL during surgery.

Keywords: Herniated lumbar disk, Lumbar spine, Spine, Wrong-level disk surgery, Wrong-level surgery.

How to cite this article: Jha DK, Pandey P, Jain M, Arya A, Kushwaha S, Kumari R. Clinical Methods of Spinal-level Localization in Lumbar and Lumbosacral Spine Surgeries through Posterior Approach. J Spinal Surg 2016;3(2):34-39.

Source of support: Nil

Conflict of interest: None

 
5.  History
The Great Neurosurgeon and Spinal Surgery
Anil Kumar Peethambaran, Thomas Varghese
[Year:2016] [Month:April-June] [Volume:3 ] [Number:2] [Pages:45] [Pages No:66-67] [No of Hits : 534]
Full Text PDF | Abstract | DOI : 10.5005/jp-journals-10039-1091 | FREE

ABSTRACT

Padmashree Dr. A Marthanda Pillai: A Neurosurgeon Par Excellence

Padmashree (Dr.) Ananthanarayanan Marthanda Pillai is the current Chairman and Managing Director of Ananthapuri Hospitals and Research Institute, a 300-bedded superspecialty hospital in Thiruvananthapuram, the capital city of Kerala. He was awarded the Padmashree award for his excellence in the field of neurosurgery and social work by IMA, in the year 2011.

 
6.  CASE REPORT
Reverse Latissimus Dorsi Turnover Muscle Flap for Coverage of a Secondary Midline Lumbar Defect following Spinal Surgery
Darshansingh U Rajput, Sudhir Beglihosahalli Muniswamy
[Year:2016] [Month:January-March] [Volume:3 ] [Number:1] [Pages:28] [Pages No:12-14] [No of Hits : 519]
Full Text PDF | Abstract | DOI : 10.5005/jp-journals-10039-1077 | FREE

ABSTRACT

The reconstruction of defects located in the midline lumbar region area is difficult, especially when occurring following a neurosurgical procedure. They display a high level of complexity with respect to dural exposure, exposure of implants, deep irregular contours and bacterial contamination of the wound. The difficulty is made more challenging by the fewer possible options of regional flaps available in the vicinity. In order to obtain a well-vascularized tissue, with good resistance to bacterial contamination and easy to shape into such defects, the reverse latissimus dorsi turnover muscle flap is a useful surgical option. In this article, we are reporting a case of post-traumatic spine surgery wound complication resulting in a midline lumar defect that was reconstructed with a reverse latissimus dorsi (LD) turnover muscle flap.

Keywords: Midline lumbar defect, Reverse LD, Turnover flap.

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.

Source of support: Nil

Conflict of interest: None

 
7.  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 : 1307]
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

 
8.  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 : 808]
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

 
9.  HISTORY
The Great Neurosurgeon and Spinal Surgery—Vijay Kumar Kak
Manoj K Tewari
[Year:2015] [Month:April-June] [Volume:2 ] [Number:2] [Pages:33] [Pages No:61-64] [No of Hits : 665]
Full Text PDF | Abstract | FREE

ABSTRACT

Prof Vijay Kumar Kak was born on 15 October 1938 at Saharanpur in Uttar Pradesh. He had his initial schooling in DAV institutions at Muzaffarnagar, Kanpur and Allahabad. He joined SN Medical College, Agra, in 1955, and graduated in 1960 with distinctions in seven subjects, several gold medals and first position at all the three professional examinations. He was awarded the Chancellor’s Medal for the best graduate in Faculty of Medicine of Agra University.

 
10.  Research Article
Timing of Surgery in Bladder Functional Outcome of Cauda Equina Syndrome of Lumbar Disk Disease: A Prospective Study
Rajesh Kumar Barooah, Zakir Hussain
[Year:2015] [Month:October-December] [Volume:2 ] [Number:4] [Pages:40] [Pages No:125-131] [No of Hits : 637]
Full Text PDF | Abstract | DOI : 10.5005/jp-journals-10039-1068 | FREE

ABSTRACT

Objectives: Cauda equina syndrome (CES) is a complex of clinical symptoms/signs secondary to prolapsed intervertebral disk. The clinical presentation depends on varying combinations of lower extremity weakness, sensory loss in the lower extremities and/or saddle area, pain in the low back and/or lower extremities, and visceral impairment of bladder, rectal and/or sexual function. Although CES is sometimes used to describe a syndrome without impairment of bladder and bowel function, generally in the literature the term ‘cauda equina syndrome’ means a syndrome that includes impairment of urinary function and saddle sensory deficits.

Materials and methods: We have taken all the discogenic CES cases that presented to the Department of Neurosurgery at Gauhati Medical College and Hospital for a period of 2 years. All the patients were subjected to thorough clinical evaluation and requisite investigations specifically magnetic resonance imaging (MRI). All underwent surgery followed by analysis of the surgical outcome.

Results: Out of the total of 30 patients, male outnumber female, maximum incidence being 4th decade, age incidence ranging from 17 to 70 years. Clinically, patients presented with history of recent onset and an earlier less well-defined history of pre-existing symptoms. Low backache being the most common symptoms followed by radiculopathy, saddle anesthesia. Urinary straining/retention was the most common autonomic disturbance followed by incontinence urinary function outcome was poor in two patients, fair 10 patients, normal 18 patients. Time interval to surgery after autonomic involvement range from 5 to 200 days, mainly due to delayed referral. The most common level was L4-L5 followed by L5-S1, laminectomy single level done in 17 cases, fenestration one cases followed by discectomy.

Conclusion: Surgical intervention should be done in CES irrespective of the duration and severity of clinical symptom and autonomic symptoms. Timing of surgical intervention from autonomic involvement does not affect outcome. It is the severity of deficit which is the major determinant of outcome.

Keywords: Autonomic, Cauda equina syndrome, Discogenic.

How to cite this article: Barooah RK, Hussain Z. Timing of Surgery in Bladder Functional Outcome of Cauda Equina Syndrome of Lumbar Disk Disease: A Prospective Study. J Spinal Surg 2015;2(4):125-131.

Source of support: Nil

Conflict of interest: None

 
   Previous |  Next  
Logo
 
     
 
© Jaypee Brothers Medical Publishers (P) Ltd.
logo