JuniperPublishers_Head Neck & Spine Surgery

  Journal of Head Neck & Spine Surgery Juniper Publishers Author By:  Laura-Nanna Lohkamp Abstract Objective:  Surgical management of cervical instability and obtaining solid bone fusion in children is technically challenging due to smaller and immature anatomy besides the lack of pediatric-adapted instrumentation. Optimizing fusion via additional bone grafting and postoperative HALO device application has been a topic of controversy. We describe our experience with posterior cervical spine fusion techniques and re-visit the role of autologous bone grafting. Methods:  We performed a retrospective chart review of children, who underwent rigid instrumentation and/or onlay bone graft fusion between 2008 and 2019. The primary outcome was solid bone fusion at 2 years after surgery. Secondary outcomes were neurological outcome and adverse events, including surgical and postoperative complications, graded according to the Spinal Adverse Events Severity System, version 2 (SAVES-V2). Result

  Journal of Head Neck & Spine Surgery Juniper Publishers Author By:  Dr. Abhijit Kumar, Abstract Cysticercosis in human is caused by infection with the larval stage of Taenia solium. Muscular infestation is common in developing countries like India, but it rarely involves the head and neck region, and is often seen as a diagnostic dilemma for the clinician. Therefore, parotid cysticercosis is an uncommon entity, a diagnostic challenge especially in endemic regions of Asia, Africa and Latin America [1]. We report a rare case of 64-year-old man presented with a firm nodular swelling in left parotid region that was diagnosed as cysticercosis after all thorough investigations and managed medically.. Keywords:  Cysticercosis; Taenia solium; Parotid swelling; Anthelmintic drugs; Parasitism Abbreviations:  CT: Computed Tomography; MRI: Magnetic Resonance Imaging Introduction Cysticercosis is a parasitic disease caused by larvae of Taenia solium also known as pork tapeworm. The etiopathog

  Journal of Head Neck & Spine Surgery Juniper Publishers Author By:  Mudit Mehrotra Abstract Intra operative reduction of dislocated C1-C2 joints involves joint manipulation and varying degrees of distraction, compression and extension components. This holds good in cases of congenital Atlanto-axial dislocation (AAD) with Basilar invagination (BI). In cases of traumatic AAD associated with fracture of C1-C2 vertebrae, the joints may be hypermobile and grossly unstable because of the injured osseous-ligamentous complex. Distraction in these cases can cause traction on the brain stem or cervical cord, as well as over reduction of the C1-C2 joints leading to spinal canal compromise. We report a case of traumatic AAD (translation / rotatory/ lateral tilt) with fractures of C1-C2 vertebrae. While performing intra operative reduction, there was over reduction of C1-C2 joints. The management and available literature is discussed. Keywords:  Traumatic; Atlanto-axial dislocation; Distracti

  Journal of Head Neck & Spine Surgery Juniper Publishers Author By:  Abhishek Chaturbedi Abstract Background:  The efficacy of Dexamethasone as a method of conservative management for CSDH to avoid surgery remains inconclusive even after “Dex-CSDH” randomized controlled trial as almost all patients underwent an initial operation to remove the hematoma. Current study aims to determine the efficacy and safety of Dexamethasone alone therapy in comparison with the surgical drain of CSDH. Methods:  A multicenter, prospective study on mild to moderately symptomatic adult patients with CSDH were performed from January 2019 to December 2020. The patients were enrolled in a 1:1 ratio to receive a 3-weeks tapering course of oral Dexamethasone, starting at 4 mg thrice daily, or surgical drain of CSDH. The patient was assigned to a particular therapy based on their preference. The primary outcome was functional outcome in each group at 6 months determined by mRS, and cure rate (symptomatic re