Loss of proprioception following an anterior cruciate ligament (ACL) injury has been well documented. We evaluated in both the injured and uninjured limb 25 patients with ACL healthy controls, as assessed by joint position sense (JPS), threshold for detection passive movement (TDPM) postural sway during single-limb stance on a force plate. There were significant proprioceptive deficits ACL-deficient knees compared control knees, angle reproduction test (on JPS) single stance. The degree loss...

Study Design Retrospective clinical series. Purpose To assess whether titanium cages are an effective alternative to tricortical iliac crest bone graft for anterior column reconstruction in patients with active pyogenic and tuberculous spondylodiscitis. Overview of Literature The use metal spinal infections, though described, is not without controversy. Methods Seventy either or vertebral osteomyelitis underwent a single staged debridement, the mesh cage adjuvant posterior instrumentation....

Gorham's disease is a rare disorder characterized by clinical and radiological disappearance of bone proliferation non-neoplastic vascular tissue. The was first reported Jackson in 1838 boneless arm. then described detail 1955 Gorham Stout. Since then, about 200 cases have been the literature, with only 28 involving spine. We report 2 spine review related literature to gain more understanding this disease.

Study Design: Prospective cohort study.Purpose: To evaluate the association between nutritional parameters related to postoperative surgical site infections and duration of hospital stay intensive care unit (ICU) in patients undergoing major spine surgery.Overview Literature: Malnutrition is highly prevalent patients. Malnourished are considered be at higher risk for morbidity mortality due impaired wound healing, delayed inflammation, fibroblast proliferation, collagen synthesis. Decreased...

Background Infectious spondylodiscitis is a debilitating condition and evidence-based medicine dictates confirming the diagnosis before treatment. Computed tomography-guided spinal biopsy plays major role hence we would like to determine its utility in current clinical practice. Purpose The purpose of this study percentage confirmatory positives CT-guided patients who were clinicoradiologically diagnosed with infectious spondylitis. Material Methods A retrospective analysis underwent for...

Study Design Retrospective case series. Purpose The aim of the study is to report clinical characteristics, early diagnosis, management, and outcome children with multidrug-resistant (MDR) tubercular spondylodiscitis assess detection rifampicin resistance using Xpert MTB/ RIF assay. Overview Literature MDR tuberculosis on rise, especially in developing countries. incidence rate has been reported as 8.9% children. Methods A retrospective aged <15 years age who were diagnosed treated for spine...

Study Design Retrospective study. Purpose To report the prevalence of patients with multidrug-resistant (MDR) tubercular spondylodiscitis and their outcomes. Additionally, to assess role Xpert MTB/RIF assay in early detection MDR tuberculosis. Overview Literature tuberculosis is increasing globally. The World Health Organization (WHO) has strongly recommended for Methods From 2006 2015, a retrospective study was conducted on treated spine. Only whose diagnosis confirmed using either culture...

Non-concurrent prospective study.To determine the functional outcome after open 'fragment' discectomy for recurrent lumbar disc herniation, and to analyze factors that may affect outcome.Literature search revealed only four studies where affecting of a revision surgery herniation have been evaluated. None these analyzed diabetes, degeneration facet arthropathy. We features, in addition demographic clinical factors.Thirty-four patients who underwent procedure were followed up an average...

Retrospective clinical series.To study the clinical, functional and radiological results of patients with tuberculous spondylitis without paraplegia, treated surgically using "Extended Posterior Circumferential Decompression (EPCD)" technique.With increasing possibility addressing all three columns by a single approach, posterior posterolateral approaches are gaining acceptance. A exposure for cases neurological deficit kyphotic deformity requiring circumferential decompression, anterior...

Chondrosarcomas are malignant cartilage forming tumours. They form the second most common primary tumour involving vertebral axis. We present a rare presentation of secondary chondrosarcoma from spinous process lumbar vertebra and discussed its management. The main emphasis is on need for awareness suspicion pathology.

Bilateral simultaneous fracture dislocation of the talus is a very rare injury. It occurs usually following high-velocity injuries. We report 45-year-old man who presented with bilateral talar heavy stone falling on him. On his right side, he had open lateral process and left side closed neck dislocation. He underwent immediate debridement external fixator application for reduction internal fixation talus. At end 34 months’ follow-up, was able to walk up 2 km without pain. His ankle range...

Study Design Retrospective clinical analysis. Purpose To delineate the presentation of melioidosis in spine and to create awareness among healthcare professionals, particularly surgeons, regarding diagnosis treatment melioidotic spondylitis. Overview Literature Melioidosis is an emerging disease, developing countries, associated with a high mortality rate. Its causative pathogen, Burkholderia pseudomallei, has been labeled as bio-terrorism agent. Methods We performed retrospective analysis...

Retrospective case series.The aim of this study was to analyze functional and radiological outcomes in patients with culture-negative pyogenic vertebral osteomyelitis (PVO).There were only few literature available for these group patients.Patients biopsy-positive but PVO included. We analyzed records data on demography, comorbidities, coexisting infections, neurological status, prior antibiotic therapy, pre- postoperative erythrocyte sedimentation rate, C-reactive protein levels, Oswestry...

Retrospective case series.This study aimed to analyze how the sagittal spinopelvic alignment is influenced by an attempted surgical reduction of L5-S1 segment in patients with high-grade spondylolisthesis (HGS).Conventional treatment strategies stress importance achieving fusion across lumbosacral junction HGS. The role this subset controversial.This a retrospective series 35 Meyerding grades III, IV, or V who underwent our institution. Before and after surgery, we took standing lateral...

Bone tumours arising from the coracoid process of scapula are very rare. We present a case 19-year-old man with left shoulder pain for 1 year, associated infraclavicular swelling 8 months. Examination revealed tender, bony, hard measuring 3×4 cm. Imaging an expansile osteolytic lesion loss corticomedullary differentiation. MRI showed altered signal in adjacent soft tissues. The patient underwent en bloc resection lesion. Histology was suggestive osteoblastoma. At end 2 years follow-up, had...