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Surgical management of spinal meningiomas: A retrospective case analysis based on preoperative surgical grade
Date of publication: 28-Aug-2014
Background:Although spinal meningiomas respond favorably to surgical excision, their surgical management is impacted by several factors. This study utilized a surgery-based grading system to discuss the optimal surgical strategy.
Biomechanical impact of C2 pedicle screw length in an atlantoaxial fusion construct
Date of publication: 28-Aug-2014
Background:Posterior, atlantoaxial (AA) fusions of the cervical spine may include either standard (26 mm) or short (16 mm) C2 pedicle screws. This manuscript focused on an in vitro biomechanical comparison of standard versus short C2 pedicle screws to perform posterior C1-C2 AA fusions.
Biomechanical impact of C2 pedicle screw length in an atlantoaxial fusion construct
Date of publication: 28-Aug-2014
Background:Posterior, atlantoaxial (AA) fusions of the cervical spine may include either standard (26 mm) or short (16 mm) C2 pedicle screws. This manuscript focused on an in vitro biomechanical comparison of standard versus short C2 pedicle screws to perform posterior C1-C2 AA fusions.
Commentary on NIH Guidelines for research on chronic low back pain
Date of publication: 28-Aug-2014
Tisseel utilized as hemostatic in spine surgery impacts time to drain removal and length of stay
Date of publication: 28-Aug-2014
Background:Although fibrin sealants (FSs) and fibrin glues (FGs) are predominantly utilized to strengthen repairs of cerebrospinal fluid (CSF) fistulas (deliberate/traumatic) during spinal surgery, they are also increasingly utilized to achieve hemostasis. Here, we investigated whether adding Tisseel (Baxter International Inc., Westlake Village, CA, USA), utilized to address increased bleeding during multilevel lumbar laminectomies with non-instrumented fusions, would reduce or equalize the time to drain removal and length of stay (LOS) without contributing to infections or prolonging time to fusion.
Tisseel utilized as hemostatic in spine surgery impacts time to drain removal and length of stay
Date of publication: 28-Aug-2014
Background:Although fibrin sealants (FSs) and fibrin glues (FGs) are predominantly utilized to strengthen repairs of cerebrospinal fluid (CSF) fistulas (deliberate/traumatic) during spinal surgery, they are also increasingly utilized to achieve hemostasis. Here, we investigated whether adding Tisseel (Baxter International Inc., Westlake Village, CA, USA), utilized to address increased bleeding during multilevel lumbar laminectomies with non-instrumented fusions, would reduce or equalize the time to drain removal and length of stay (LOS) without contributing to infections or prolonging time to fusion.
Prospective validation of a blood ordering protocol for elective spine arthrodesis and its impact on cost reduction
Date of publication: 28-Aug-2014
Background:On the basis of an institutional audit, the authors published an individual patient-based protocol for preoperative arrangement of blood products in patients undergoing elective spine arthrodesis. The present study was conducted for the prospective validation of the proposed protocol in reducing cross match to transfusion ratio, and its implications on overall cost.
Complications corner: Quadriplegia after a minor hyperextension injury with severe OPLL teaching case and illustrative images
Date of publication: 28-Aug-2014
Background:A previously healthy and asymptomatic male surviving well into his ninth decade (86 years of age) was rendered immediately and completely quadriplegic after a minor fall associated with cervical hyperextension.
Acute spontaneous cervical disc herniation causing rapidly progressive myelopathy in a patient with comorbid ossified posterior longitudinal ligament: Case report and literature review
Date of publication: 28-Aug-2014
Background:Ossification of the posterior longitudinal ligament (OPLL) and cervical disc herniation are commonly encountered neurosurgical conditions. Here we present an unusual case of nontraumatic rapidly progressive myelopathy due to cervical disc herniation with comorbid OPLL and conduct a literature review focusing on the frequency and management of disc herniations with OPLL.
Primary Extradural Tumors of the Spine – Case Review with Evidence-guided Management
Date of publication: 28-Aug-2014
Background:Primary extradural tumors of the spine comprise only a small percentage of all spinal tumors. However, given their relative radioresistance and their typical malignant, invasive nature, surgery may be associated with fairly high morbidity and mortality rates. Furthermore, it may be especially difficult to achieve gross total resections with tumor-free margins.
