JuniperPublishers_Head Neck & Spine Surgery

  Juniper Publishers-Open Access  Journal of Head Neck & Spine Surgery Percutaneous Vertebroplasty as a Treatment for Osteoporotic Vertebral Compression Fractures Authored by  Alimov Ijod Abstract Percutaneous vertebroplasty is a minimally invasive procedure for the treatment of osteoporotic and neoplastic vertebral compression fractures; this procedure involves the injection of bone cement directly into the fractured vertebral body. The purpose of this study was to evaluate the efficacy of percutaneous vertebroplasty for patients with painful osteoporotic vertebral compression fractures. This was a retrospective single-center study; the total number 74 percutaneous vertebroplasty was performed in 41 patients with osteoporotic vertebral body compression fractures of the I and II degrees. Of these 41patients, 5 were male (12%) and 36(88%) were female; the average age of the patients was 66 years (range, 55-78 years). The overall procedure time was 51.2 ± 4.2 (range, 34-5

  Juniper Publishers-Open Access  Journal of Head Neck & Spine Surgery Posterolateral Percutaneous Endoscopic Discectomy with Partial Pediculotomy for the L1-L2 High-Grade Downward Migrated Disc Herniation Authored by Yoshihiro Kitahama  Abstract Background: Percutaneous endoscopic discectomy (PED) is one of the most useful minimally invasive surgical techniques for lumbar disc herniation (LDH). However, high-grade migrated disc is difficult to treat with only the standard posterolateral approach (posterolateral PED, PLPED). Purpose: To overcome this difficulty, we combined the pediculotomy with PLPED for the treatment of high-grade migrated LDH. The pediculotomy is the recent technic for PED that has been explored with development of high-speed drill. Case report: A 72-year-old man had a 6-month history of left L2 radiculopathy. His general state was too poor to perform general anesthesia and invasive surgery. The left L1-L2 downward migrated fragment compressed his

Juniper Publishers-Open Access  Journal of                 Head Neck & Spine Surgery   Osteitis Fibrosa Cystica (Brown Tumour) of the Cervical Spine in a Patient with Polycystic Kidney Disease Masquerading as Metastatic Malignant Bone Disease - Case Report Authored by Atul Vats Abstract Context: Osteitis fibrosa cystica (Brown Tumour) is a rare benign lesion of bone. It usually occurs in secondary hyperparathyroidism. Cervical spine involvement is very rare. Findings: We present one such rare case of Brown tumour of cervical spine due to secondary hyperparathyroidism. Conclusion: Brown tumour should be considered as a differential diagnosis in cases with multiple lytic lesions of the skeletal system. Keywords: Osteitis fibrosa cystica (Brown Tumour); Secondary hyperparathyroidism; Cervical spine Introduction Brown tumor is a rare benign lesion of the bone. It results from disturbed bone remodeling due to long-standing increase i

  Juniper Publishers-Open Access  Journal of                  Head Neck & Spine Surgery Incidence, Recurrence and Complications after Facial Skin Cancer Excision: Retrospective Analysis of Multi-Institutional Experiences Authored by Yasser Helmy Ali Abstract Objectives: Skin cancer varies in incidence according to Geography, sun exposure, genetic predilection, skin type and many other factors. Definite treatment of skin cancer requires multidisciplinary approach. Surgery is usually giving a strong hand in skin cancer management regardless to the size of the lesion. This study is designed to evaluate the incidence, recurrence and complications in patients, who had undergone facial skin cancer excision then reconstruction. Material and Methods: Retro analysis review was conducted for the complications that had happened in patients who were having facial skin cancer and underwent excision then reconstruction. Of 254 cases, 54, 25 and 175 cases were submitted to direc

Juniper Publishers-Open Access  Journal of                   Head Neck & Spine Surgery Rare Complications of Caudal Epidural Steroid Injections Authored by   Ebru Tarikci Kilic Opinion The caudal epidural steroid injection reported in 1952 helps to treat low back pain. It is a safe and effective tecnique under appropriate fluoroscopic visualization. Caudal epidural steroid injection (CESI) is a minimally invasive procedure includes both cortico steroid and a local anesthetic agent which can reduce inflammation and can be effective when delivered directly into the painful area. However, these injections are not free of complications [ 1 ]. Reported side effects are headache, backpain, the increase in blood sugar levels. Rare side effects are; weakness, dizziness, fatigue, skin changes, and osteoporosis. Extremely rare risks include infection, bleeding, dural puncture, a nerve damage, and hiccups. We observed persist ent hiccups and anosmia lasting for four months after CE

Juniper Publishers-Open Access  Journal of                 Head Neck & Spine Surgery   Spontaneous Pneumorrachis: A Complication of Nitrous Oxide Inhalation and Cocaine Snorting Authored by Atul Vats Abstract Context: Pneumorrhachis (PR) is an uncommon condition characterized by the presence of air within the spinal canal. Usually it results following trauma or surgery involving spinal instrumentation. Spontaneous pnemorrachis has also been described in association with spontaneous pneumomediastinum or secondary to marijuana smoking and cocaine snorting. Findings: We report a case of spontaneous pnemorrachis in a patient who was snorting cocaine along with nitrous oxide inhalation for recreation. Conclusion: It is helpful to elicit a history of illicit drug use, particularly regarding cocaine in a case of spontaneous pneumorrhachis. Keywords: Pnemothorax; Drug abuse; Spine non trauma Case Report A 19 year male came to emergenc

Juniper Publishers-Open Access  Journal of                 Head Neck & Spine Surgery Chiari Malformation Type III with Good Outcome: Case-Report and Review of Clinical and Radiological Findings Authored by Hosein Safari Abstract Chiari III malformation, one of the rare variants of Chiari malformations, is including a small dysplastic posterior fossa, hydrocephalus, medullary abnormalities, and hindbrain herniation into a low occipital/high cervical encephalocele. This type can be lethal if not treated and is related to severe neurological deficits, so surgical care should immediately be undertaken. We are presenting a 1.5-month-old male infant with Chiari III malformation that was managed surgically with good outcome in addition, review the radiological, clinical and pathogenesis of Chiari III malformation. Introduction Type III Chiari malformation is a very rare condition that is described by Chiari in 1891.