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View article: Postoperative left-sided chylothorax following posterior approach in late-onset idiopathic scoliosis surgery
Postoperative left-sided chylothorax following posterior approach in late-onset idiopathic scoliosis surgery Open
Background: Chylothorax is an extremely rare complication of spinal surgery. We were only able to identify 15 previous cases overall, with only 5 involving a posterior approach. Case Description: A 16-year-old female presented with a chylo…
View article: A rare case of full recovery following delayed presentation of paraplegia secondary to thoracic epidural abscess: A case report and review of the literature
A rare case of full recovery following delayed presentation of paraplegia secondary to thoracic epidural abscess: A case report and review of the literature Open
Background: Timely diagnosis and prompt management of thoracic epidural abscesses are vital to preventing the onset of irreversible paralysis and death. Case Description: A 39-year-old female was managed initially for non-specific chest pa…
View article: Rare Sudden Hearing Loss after Lumbar Spine Decompression Surgery
Rare Sudden Hearing Loss after Lumbar Spine Decompression Surgery Open
Sensorineural hearing loss (SNHL) is a known but rare complication of non-otological surgeries. SNHL after spinal decompression also remains a rare occurrence with a handful of reports in the literature. The exact mechanism is not clearly …
View article: Reactivation of herpes simplex labialis following adult spine deformity correction surgery
Reactivation of herpes simplex labialis following adult spine deformity correction surgery Open
Background: A depressed host defense is a major contributor to the oral shedding of herpes simplex virus (HSV) type 1. Here, we present an instance in which herpes simplex labialis was reactivated following major spinal deformity surgery. …
View article: A Case Series of Acute Painless Bilateral Foot Drop Without Cauda Equina Syndrome
A Case Series of Acute Painless Bilateral Foot Drop Without Cauda Equina Syndrome Open
Introduction:Acute painless bilateral foot drop without bowel/bladder involvement is a very rare presentation of lumbar degenerative disorders. Only a few cases have been published on it in the literature. An early intervention could prove…
View article: Morphometric parameters of the odontoid process of C2 vertebrae, in Indian population, a CT evaluation
Morphometric parameters of the odontoid process of C2 vertebrae, in Indian population, a CT evaluation Open
Background: Osteosynthesis of odontoid fractures, especially for type II odontoid fractures, is often achieved by the placement of screws. Here, utilizing CT, we evaluated the normal anatomy of the odontoid process in an Indian population …
View article: Delayed asymptomatic retroperitoneal dislodgement into the pouch of Douglas of a TLIF cage: A case report and review of the literature
Delayed asymptomatic retroperitoneal dislodgement into the pouch of Douglas of a TLIF cage: A case report and review of the literature Open
Background: Intraoperative anteropulsion of a transforaminal lumbar interbody fusion (TLIF) cage is infrequent but may have disastrous complications. Here, we present an 80-year-old female whose L5-S1 TLIF cage extruded anteriorly and late…
View article: Misdiagnosis of “White Cord Syndrome” following posterior cervical surgery for ossification of the posterior longitudinal ligament: A case report
Misdiagnosis of “White Cord Syndrome” following posterior cervical surgery for ossification of the posterior longitudinal ligament: A case report Open
Background: Following decompressive cervical surgery for significant spinal cord compression/myelopathy, patients may rarely develop the “White Cord Syndrome (WCS).” This acute postoperative reperfusion injury is characterized on T2W MRI i…
View article: Incidental unintentional breakage of epidural catheter in supralaminar area: A case report
Incidental unintentional breakage of epidural catheter in supralaminar area: A case report Open
Background: Among some of the known complications, breakage of epidural catheter, though is extremely rare, is a well-established entity. Visualization of retained catheter is difficult even with current radiological imaging techniques, an…
View article: Tophaceous gout in thoracic spine mimicking meningioma: A case report and literature review
Tophaceous gout in thoracic spine mimicking meningioma: A case report and literature review Open
Background: Gout is a common metabolic disorder of purine metabolism, causing arthritis in the distal joints of the appendicular skeleton. Spine involvement is rare, and very few cases of spinal gout have been reported. The authors present…
View article: Traumatic posterior dislocation of sacrococcygeal joint: A case report and review of the literature
Traumatic posterior dislocation of sacrococcygeal joint: A case report and review of the literature Open
Background: Sacrococcygeal joint dislocation is very rare. There are seven cases of sacrococcygeal joint dislocation found in the literature; most are anterior, and only one prior case of posterior dislocation was reported involving the mi…
View article: Progressive dysphagia and dysphonia secondary to DISH-related anterior cervical osteophytes: A case report
Progressive dysphagia and dysphonia secondary to DISH-related anterior cervical osteophytes: A case report Open
Background: Dysphagia due to diffuse idiopathic skeletal hyperostosis (DISH)-related anterior cervical osteophytes is not uncommon. However, this rarely leads to dysphonia and/or dysphagia along with life- threatening airway obstruction re…
View article: <i>Mycobacterium abscessus</i> mimicking tubercular spondylodiscitis following ozone therapy: A case report and review of literature
<i>Mycobacterium abscessus</i> mimicking tubercular spondylodiscitis following ozone therapy: A case report and review of literature Open
Background: The incidence of Mycobacterium abscessus (MA), a rapidly growing species of nontuberculous mycobacteria (NTM)-related infections, has been steadily rising over the past decade. Despite the increased prevalence of NTM-related in…
View article: <i>Mycobacterium abscessus</i> mimicking tubercular spondylodiscitis following ozone therapy: A case report and review of literature
<i>Mycobacterium abscessus</i> mimicking tubercular spondylodiscitis following ozone therapy: A case report and review of literature Open
Background: The incidence of Mycobacterium abscessus (MA), a rapidly growing species of nontuberculous mycobacteria (NTM)-related infections, has been steadily rising over the past decade. Despite the increased prevalence of NTM-related in…
View article: <i>Stenotrophomonas maltophilia</i> spondylodiscitis following lumbar microdiscectomy mimicking a cotton granuloma: A case report and literature review
<i>Stenotrophomonas maltophilia</i> spondylodiscitis following lumbar microdiscectomy mimicking a cotton granuloma: A case report and literature review Open
Background: Vertebral osteomyelitis caused by Stenotrophomonas maltophilia is very rare. There are only two cases reported in literature. Here, we present a 48-year-old immunocompetent male who, following a lumbar microdiscectomy, develope…
View article: Congenital absence of a lumbosacral facet joint: A case report
Congenital absence of a lumbosacral facet joint: A case report Open
Background: Congenital absence of the lumbosacral facet joint is extremely rare, with only 26 cases reported in the literature. Here, we present a patient with the unilateral absence of the left fifth lumbar inferior articular process and …
View article: <p>Advantages of the Combination of Conscious Sedation Epidural Anesthesia Under Fluoroscopy Guidance in Lumbar Spine Surgery</p>
Advantages of the Combination of Conscious Sedation Epidural Anesthesia Under Fluoroscopy Guidance in Lumbar Spine Surgery Open
We demonstrate the safety and feasibility of utilizing conscious sedation in conjunction with fluoroscopy-guided epidural anesthesia in the lumbar spinal surgery.
View article: A comparative study of interventions in spinal extranodal Non-Hodgkin's lymphoma: A single-center case series from North India
A comparative study of interventions in spinal extranodal Non-Hodgkin's lymphoma: A single-center case series from North India Open
Introduction: Non-Hodgkin's lymphoma (NHL) is highly sensitive to chemotherapy and responds to adjuvant chemotherapy within days. Review of literature reveals very limited studies with low statistical significance that compare the surgical…
View article: A Rare Aetiology of Spinal Epidural Abscess
A Rare Aetiology of Spinal Epidural Abscess Open
Spinal epidural abscess (SEA) due to Streptococcus pneumoniae is a rare entity, but it is associated with high mortality. Here, we describe a rare case of pneumococcal SEA in an immunocompetent adult who presented with fever, lower back pa…
View article: X-rays and scans can fail to differentiate hip pathology from lumbar spinal stenosis: Two case reports
X-rays and scans can fail to differentiate hip pathology from lumbar spinal stenosis: Two case reports Open
Background: Occasionally, hip pathologies may present alone or combined with lumbar spine pathology, especially lumbar stenosis. Although the history and clinical examination may help differentiate between the two, hip X-rays alone without…
View article: A Degenerative Intraspinal Cyst Mimicking a Nerve Root: A Case Report on an Intraoperative Challenge
A Degenerative Intraspinal Cyst Mimicking a Nerve Root: A Case Report on an Intraoperative Challenge Open
Various intraspinal cysts have been described in the literature. Sometimes these cysts are difficult to recognize intraoperative and can place a surgeon in dilemma. We report a case of a degenerative intraspinal cyst with severe adhesion w…
View article: Redefining the evolution of spinal discal cyst under percutaneous endoscopy: Report of two cases
Redefining the evolution of spinal discal cyst under percutaneous endoscopy: Report of two cases Open
Discal cyst has been recognized as a distinct cause of back pain and radiculopathy. The clinical features are similar to other pathologies as disc prolapse and stenosis. Various treatment modalities have been described, ranging from nerve …
View article: Thoracic cryptococcal osteomyelitis mimicking tuberculosis: A case report
Thoracic cryptococcal osteomyelitis mimicking tuberculosis: A case report Open
Background: Isolated cryptococcal osteomyelitis of the spine is extremely uncommon; there have been only seven cases identified in literature. The majority were originally misdiagnosed as tuberculosis. Here, we present a patient with crypt…
View article: Full endoscopic treatment of unusual spontaneous degenerative epidural cyst: A case report
Full endoscopic treatment of unusual spontaneous degenerative epidural cyst: A case report Open
Background: Extensive studies have been performed about the synovial cyst and intraspinal extradural ganglion cyst. Here, we describe a new type of the cyst with entirely different histological characteristics, which we are now calling a “…
View article: Anatomical Relationship of the Vertebral Artery With the Lateral Recess: Clinical Importance for Posterior Cervical Foraminotomy
Anatomical Relationship of the Vertebral Artery With the Lateral Recess: Clinical Importance for Posterior Cervical Foraminotomy Open
The vertebral artery is closer to the lateral recess at higher cervical levels than at lower cervical levels. The largest distances were found at the C5-6 and C6-7 levels, and the left vertebral arteries were closer to the lateral recess t…
View article: Evolution of Spinal Endoscopic Surgery
Evolution of Spinal Endoscopic Surgery Open
Innovations in the development of endoscopic spinal surgery were classified into different generations and reviewed. Future developments and directions for endoscopic spinal surgery were discussed. Surgical therapy for spinal disease has b…