Articles & Issues

Type II odontoid fractures are common in the elderly and represent a major management challenge, with diverging opinions of risks/benefits of surgical vs. nonoperative management. This lack of consens...

Adverse events with significant resultant morbidity are common during the acute hospital care of patients with traumatic spinal cord injury (TSCI). The Rick Hansen SCI Registry (RHSCIR) collects Canad...

Under normal conditions, the outer layers of the AF are innervated by sensory nerve endings from thedorsal root ganglion, whereas in patients with discogenic low back pain, sensory nerve endings and b...

Recurrent lumbar disc herniation after surgical discectomy is a common occurrence with reported rates as high as 25%. It is well established that full-thickness lesions of the annulus fibrosus (AF) ha...

Most ventral intradural extramedullary (IDEM) spinal cord tumors are meningiomas and schwannomas, which are separated from the spinal cord by a discrete anatomical barrier (the arachnoid or pia membra...

Metastatic Involvement with cauda compression of the Lumbo-Sacral junction and Sacrum usually signifies advanced disease and there is a relative paucity of available literature. We studied 14 patients...

While kyphoplasty was initially described as a bipedicular procedure, surgeons gradually employed in unilateral operations due to less operative time, radiation exposure and subsequently, less potenti...

There is little literature documenting erectile dysfunction in young patients with atraumatic lumbar spine disease.

Pelvic fixation provide biomechanical support to the base of the long constructs used for adult deformity.

Sexual dysfunction, such as impotence and retrograde ejaculation, are serious and feared complications of lumbar arthroplasty, and a significant reason why some patients (and surgeons) elect against t...

C5 nerve root palsy is a well-recognized but poorly understood complication following cervical decompression. The majority of the literature on this complication comes from review of posterior cervica...

Lumbar spine surgery utilization has increased globally since its inception with a growing number of indications and surgical options. The United States is the world leader in the number of lumbar spi...

There are much concerns about adjacent segment disease followed by lumbar spinal fusion with pedicle screw fixation. However there are controversies for the risk factors. Particularly, because posteri...

While there is a desperate need for effective treatments for acute spinal cord injury (SCI), the clinical validation of novel therapeutic interventions is severely hampered by the need to recruit rela...

Complications of Anterior Cervical Discectomy and Fusion (ACDF) have prompted introduction of cervical disc arthroplasty (CDA) in the treatment of myelopathy or radiculopathy caused by degenerative ce...

Regulators and payers increasingly look at cost-effectiveness analysis, aimed at demonstrating value for money when considering the introduction of technology such as cervical disc arthroplasty (CDA).

Cervical arthroplasty has emerged as one of the surgical treatment option for patients suffering from cervical radiculaopthy and myelopathy. The success rate of cervical arthroplasty depends on severa...

Recently results have been reported following the use of several cervical disc arthroplasty devices as an alternative to fusion after anterior cervical discectomy in the treatment of symptomatic cervi...

Though the spine correction surgery had been widely developed all over the world, massive intra-operative blood lossand the viral infections due to massive blood transfusion had perplexed orthopedists...

There have been sporadic reports about abnormal neurologic findings in Scheuermann’s kyphosis patients.

This study reports the incidence, risk factors, and natural course of proximal junctional kyphosis (PJK) in a long term follow-up of adult idiopathic scoliosis patients undergoing long instrumented sp...

There has been an appreciation in the spine surgery literature of frequent and occasionally catastrophic complications associated with use of rhBMP-2 in spine fusion surgeries of all types. These adve...

Vitamin D plays a pivotal role in mineral homeostasis and musculoskeletal health. Deficiency in the hormone predisposes to osteoporosis and subsequent fracture. It can also lead to generalized bone pa...

The use of a postoperative spinal drain for spine surgery patients is widely thought to increase the risk of postoperative infection. While antibiotics are commonly given postoperatively to decrease b...

The SPORT trial is a prospective, multicenter study of surgical treatment vs. nonoperative treatment for lumbar stenosis (SpS) and degenerative spondylolisthesis (DS). This subgroup analysis compared ...

To date, most reports on the incidence of adverse events in spine surgery have been retrospective and dependant on data abstraction from hospital based administrative databases. To our knowledge their...

The most common surgical treatment of symptomatic degenerative lumbar spondylolisthesis (DLS) is a decompression and instrumented fusion. However, contemporary, midline sparing micro-decompressive tec...

Proximal junctional kyphosis (PJK) develops as a result of stresses on the proximal mobile segment by the stiff instrumented vertebrae, ligamentous disruption & fractures are among factors implica...

This retrospective study compared pedicle screw vs. hybrid constructs in posterior spine fusion (PSF) patients in a region where resources are limited. There are no differences in curve correction or ...

Revision surgery for deformity correction in adults is not studied extensively. There are few reports that focus on the role of age in influencing clinical & functional outcomes.