International Journal of Spine Research

Journal Information
EISSN : 2692-4692
Published by: Peertechz Publications Inc. (10.17352)
Total articles ≅ 22
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Feng Dachang, Liu Zhaofa, Chen Haitao
International Journal of Spine Research, Volume 4, pp 009-012; https://doi.org/10.17352/ijsr.000022

Abstract:
Ankle fracture is one of the common injuries in the orthopedic department, the Maisonneuve fracture is a specific type of ankle injury. This fracture is usually caused by rotational force. According to the Lauge -Hansen classification, it is a pronation and external rotation type injury, often resulting in inferior tibiofibular injury. Because it is extremely unstable, it is usually treated surgically. Operative treatment includes medial malleolus fixation, reduction of the inferior tibiofibular joint and screw fixation. When the fibula fractured is without shortening or dislocation, it is still controversial if the inferior tibiofibular joint needs fixation. This study aims to introduce a new method-Maisonneuve without transsyndesmotic fixation and analysis the follow-up result.
Altun Idiris
International Journal of Spine Research, Volume 4, pp 001-008; https://doi.org/10.17352/ijsr.000021

Abstract:
Objective: We aimed to present our experience with a modified laminoplasty technique that allows stabilization of the spine without instrumentation during tumor surgery. Methods: This retrospective study was performed in the neurosurgery department of a university hospital and data were collected from the medical files who were treated surgically for spinal tumors. The same surgical team operated on the patients using the same procedure without any instrumentation for stabilization of the spine. Demographic and clinical data were collected. It was checked whether radiological and clinical instability developed at the 6th and 12th months postoperatively. Results: Our series comprised 41 patients (20 females, 21 males) with an average age of 47.122±20.33 (range: 11 to 86 years). The most common complaints detected in this series were diminution of motor power in lower extremities (20,47.62%), radicular pain (9,21.43%), and hypoesthesia (2,4.76%). The most frequent sites of involvement were L1-L2 (5,11.90%), L2 (4,9.52%), and T5-T6-T7 (2,4.76%), respectively. Histopathologically, schwannoma (8,19.94%), ependymoma (7,16.64%), meningioma (6,14.28%), and metastatic carcinoma (5,11.90%). The distribution of tumors was intradural and extramedullary (27,64.28%), intradural and intramedullary (13,30.95%), and extradural and extramedullary (2,4.77%), respectively. Conclusion: Our results imply that stability of the spinal cord can be preserved without fixation or instrumentation during surgical procedures for spinal tumors. However, longer periods of follow-up, as well as prospective, controlled, multi-centric trials on larger populations, are warranted to evaluate the safety and efficacy of the novel technique.
Isart Anna, Vila-Canet Gemma, Cancer David, Covaro Augusto, Caceres Enric, De Frutos Ana Garcia, Ubierna Maite
International Journal of Spine Research pp 004-010; https://doi.org/10.17352/ijsr.000020

Abstract:
Objective: To study the behaviour of Lumbar Lordosis (LL) after non-instrumented decompression surgery in patients diagnosed with Lumbar Spinal Stenosis (LSS). Methods and materials: Retrospective analysis of patients undergoing non-lumbar instrumented decompression surgery for lumbar spine stenosis, operated on between January 2011 and December 2017. The variables collected were age, sex, affected segment, and presence or not of degenerative spondylolisthesis (ELS). The Lumbar Lordosis (LL) parameter was analysed using conventional radiology in standing position pre and postoperatively. Results: 64 patients were selected, 17 women and 47 men, with an average age of 68 (35-83). 65% stenosis was located in a single level, and 39.1% had degenerative ELS grade I. The average follow-up was 26 months (6m-104m). A preoperative LL angle of 43.2º (9.8º-70.8º) and 47º (8º-76º) were found at the postoperative follow-up, with an average difference of 3.8º (-15.7º-20.2º). 9.4% (6 patients) of degenerative ELS evolved to grade II, and 8 patients needed reoperation for different reasons. In patients with ELS, we found a greater increase in postoperative LL (5.59º) than in patients without ELS (2.61º) (p = 0.08). No statistically significant relationship was found between the behaviour of the LL with the number of decompressed levels (p = 0.43) and the need for reoperation (p = 0.26). Conclusions: According to our study, the technique of posterior decompression without instrumentation of the lumbar spine stenosis is not associated with a decrease of lumbar lordosis parameter. Conversely, there is a slight tendency for LL to increase in cases where a degenerative ELS is present.
Amer Ahmad, Issa Yazan, Higginbotham Devan O, Zalikha Abdul, McCarty Scott
International Journal of Spine Research, Volume 3, pp 004-010; https://doi.org/10.17352/ijsr.000019

Shibayama Motohide, Li GuangHua, Guanghua Li, Ito Zenya, Ito Fujio
International Journal of Spine Research, Volume 2, pp 064-069; https://doi.org/10.17352/ijsr.000017

, Pesce E, Gala R, Bandiera S, Tedesco G, Brodano G Barbanti, Terzi S, Ghermandi R, Girolami M, Pipola V, et al.
International Journal of Spine Research, Volume 2, pp 054-059; https://doi.org/10.17352/ijsr.000015

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