JuniperPublishers_Head Neck & Spine Surgery

  Journal of Head Neck & Spine Surgery Juniper Publishers Author By:  Abdusattarov Khurshid Abstract There are several controversial challenges in the treatment of compression vertebral fractures in patients with osteoporosis, one of the main issues of treatment is the optimal surgical approach selection with the minimal risk of complications. Percutaneous vertebral augmentation modalities such as Percutaneous Vertebroplasty (PVP) and Percutaneous Kyphoplasty (PKP) are minimally invasive surgical procedures for treating painful compression vertebral fractures in patients with osteoporosis. Specific complications of vertebral augmentation modalities (PVP/PKP) are associated with the high risk of bone cement leakage. Prevention and management of complications related to the PVP/PKP are important challenges for the spine surgeons to date. The assessment of risk factors such as Intervertebral Cleft (IVC), cortical disruption, cement viscosity, and injected cement volume can pr...

  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...

  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 r...

  Juniper Publishers-Open Access  Journal of Head Neck & Spine Surgery Neck Surgery versus Neck Immunology Authored by Ibrahim M S A W Shnawa Opinion Smart Surgeon [1] should be smart anatomist and smart physiologist. This theme seems to be deficient unless immunologist similarly should have good knowledge in anatomy and physiology. The link between surgeon and immunologist is through the anatomy and physiology. Hence the trigon of head neck and spine surgery appeared to be linked to immunology through anatomy and physiology. Among this trigon neck perceive my personal attention, since it got several biologic bearings like terato-biology, structural and functional immunology (Table 1-3) [2-5]. So far the structural immunologic aspects is concerned it served as a niche for tonsils, cervical lymph node and passage way for cervical lymphatics .While for functional immunology it served as stage for natural immune drain for microbial invadors coming from mouth, oropharynx and d...

      Juniper Publishers-Open Access  Journal of                    Head Neck & Spine Surgery Dysphagia: Approach to Assessment and Treatment Authored by Lalsa Shilpa Perepa Introduction Dysphagia is a medical term used to describe a swallowing disorder. It may refer to a swallowing disorder involving any one of the 3 stages of swallowing: oral, pharyngeal, esophageal. It is not a primary medical diagnosis, but a symptom of a disease, & therefore is described most often by its clinical characteristics. Dysphagia is delay in or misdirection of a fluid or solid bolus as it moves from mouth to the stomach. Delay in or misdirection of the food bolus may interfere with functional oral intake. The nature of dysphagia Aspiration occurs whenever food enters the airway below the true vocal folds. Aspiration can occur before, du...