JuniperPublishers_Head Neck & Spine Surgery

Juniper Publishers-Open Access  Journal of                  Head Neck & Spine Surgery   Surgical Management for Non-Traumatic Syringomyelia using Syringo-Subarachnoid Shunt “T-Tube”: An Experience of 6 Cases   Authored by Ghassen Gader Introduction The natural history of syringomyelia is highly variable. In some cases, patients do improve or stabilize without surgery, while others deteriorate even with aggressive interventions. Various surgical procedures for the treatment of syringomyelia have been introduced, including posterior fossa decompression, syringostomy, syringoperitoneal shunting. But even though satisfactory results have been reported for most of these procedures, some authors have been critical of these techniques. Through this paper, we will try to make our contribution by reporting the results we have got after surgical management of 6 patients operated for syringomyelia by syringo-subarachnoid shunt using T-Tube. Methods Pati

  Juniper Publishers-Open Access  Journal of                  Head Neck & Spine Surgery Autologous Bone Marrow Derived Stem Cell (BM-MNC) Therapy for Pressure Injury in Spinal Cord Injury - A Pilot Study Authored by Rajeshwar Nath Srivastava Abstract Ten Spinal cord injury (SCI) cases with grade 3 & 4 pressure injury (PI) were recruited. Five cases received autologous bone marrow derived mononuclear cells (BM-MNCs) therapy and five standard wound care. Significantly reduced surface area of PI in BM-MNC treated group was observed at week 6 (p=0.04) and at week 9 (p=0.001) as compared to standard wound care group. Similarly, significant reduction of depth was observed in BM-MNC group at week 9 (p<0.05) and exudate became significantly (p=0.001) lower from 3rd to 9th week. Clearance of slough and formation of red granulation tissue was significantly higher in BM-MNC group (p=0.001). The findings of this case series indicate that the use of autologous BM-MNCs could

  Juniper Publishers-Open Access  Journal of                  Head Neck & Spine Surgery Bandcizer - A Tool to Assess Dosage of Elastic Band Exercises Authored by Morzia Khatoon Introduction Home based treatment or rehabilitation is one the most blooming and evolving trend among budding and established physiotherapists as it gives improvement in pain intensity, quality of life and muscle strength at the comfort of being at home. Home based exercises are often carried out by patients with help of home-based exercise equipment’s. Bandcizer is a sensor for resistance Training. It helps to assess the dosage of Thera band resistance and Intensity Figure 1. What is the use of Bandcizer? Elastic band or resistive exercise ropes are used by many now a day as it provides the sufficient resistance for doing strengthening exercises. The duration, method, repetition and technique of using such exercises are a matter of concern for the physios who recommend home based exe

  Juniper Publishers-Open Access  Journal of                    Head Neck & Spine Surgery Intra-Thyroidal Thymic Tissue May Display Radiological Features Suggestive of Malignancy - A Case Report Authored by Rebecca Harrison Abstract Introduction: Thyroid “incidentalomas” are increasing in frequency, thought mainly to be a result of the enhanced sensitivity of ultrasonography and the increasing use of this imaging technique. We present two cases of thyroid nodules in paediatric patients which were found to be intrathyroidal thymic tissue. Case report: The first case displayed ultrasonographic features that were highly suspicious for papillary thyroid cancer with microcalcification, however following diagnostic hemithyroidectomy the lesion was diagnosed as intra-thyroidal ectopic thymic tissue. Histologically, calcified Hassall’s corpuscles would account for the calcified appearance of the nodule on ultrasound scan. We describe a further case of intra-thyroidal ecto

Juniper Publishers-Open Access  Journal of                 Head Neck & Spine Surgery Vertebral Body Changes in the Lower Spine of Basketball Players Authored by Mansoorehossadat Rozan Abstract Professional sport activities or work may exert considerable stress on the spine. We aimed to assess the effects of loading on the deformation of the vertebral body of the twelfth thoracic vertebra (T12) and the lumbar vertebrae (L1-L5), which are subjected to considerable stress in basketball players. A total of 20 basketball players were assigned to one of two groups, based on their experience with playing basketball: under 5 years, junior group; over 5 years, senior group. All participants underwent magnetic resonance imaging; the relevant geometric variables were measured using specialized software, and the outcome measures were calculated using specific formulas; the outcome measures were compared between the junior and senior groups. The results indicated a significant dif

Juniper Publishers-Open Access  Journal of               Head Neck & Spine Surgery Minimally Invasive Surgery for Adolescent Idiopathic Scoliosis: Anterior and Posterior Techniques Authored by Anne Tabard Fougere Abstract Purpose: Surgical gold standard for adolescent idiopathic scoliosis (AIS) is open posterior spinal instrumentation and fusion. This approach causes significant soft tissue disruption and paravertebral muscle detachment. This review attempts to provide an overview of the current state of knowledge of minimally invasive (MIS) surgery for AIS. Methods: The results of MIS for adult scoliosis are briefly reviewed as the rationale for its application to AIS. A review of the two currently available MIS techniques for AIS is then given, including indications, surgical technique, and results in the literature. Results: Thoracoscopic anterior spinal fusion and instrumentation (TASF) offers similar results and complication rates with decreased blood loss but