A retrospective study.To determine the association between type-2 diabetes mellitus (T2DM) and severity of lumbar disc degeneration disease (LDDD).We included 199 patients with low back pain (LBP) who visited our hospital from 2016 to 2018. All were divided into 3 groups as per inclusion criteria. Group A, without DM (n = 75); group B, controlled 72); C, uncontrolled 52). The further subdivided B1, duration ≤10 years 38); B2, >10 34); C1 28); C2, 24). Sex, age, body mass index, occupation,...

A prospective comparative study.To compare the incidence of unintended durotomy and return to work after open surgery versus minimally invasive spine (MIS) for degenerative lumbar pathologies.The accidental varies between 0.3% 35%. Most these are from surgeries, only a handful studies have involved MIS approach. No single-center compared with MIS, especially in context early dural tear (DT).This study included 420 operated cases pathology follow-up at least 6 months. Patients were divided...

Preoperative lumbar epidural steroid injections (LESI) are known to be a risk factor for intraoperative dural tears in traditional spine surgery. However, whether the same holds true after minimally invasive surgery is debatable. The authors decided investigate incidence of complications patients undergoing discectomy preoperative LESI.A retrospective analysis was carried out on ages 21 65 years who underwent over 3 between November 2017 and October 2020. These were classified into 2 groups...

To evaluate the clinical, functional and radiographic outcomes of transforaminal lumbar interbody fusion (TLIF) in degenerative low-grade spondylolisthesis.A prospective observational study 120 consecutive patients (M:F = 24:96) with spondylolisthesis operated TLIF. Clinical outcome was assessed on Visual analogue Scale (VAS) Oswestry Disability Index(ODI). The radiological sagittal alignment at a specific level, radiologic bony fusion/non-union, intervertebral disc heights percentage slip...

A Retrospective observational study.To determine the influence of hyperglycemia on severity lumbar degenerative disc disease (LDDD).We retrospectively included 199 patients with low back pain (LBP) who visited our tertiary care hospital from June 2016 to December 2018. All divided into three groups as per inclusion and exclusion criteria. Group-A had without DM (n = 75). Group B well-controlled 72) Group-C uncontrolled 52). C subdivided according dutation DM. Group-B1 duration was ≤ 10 years...

Prospective randomized control trial.The aim of this study was to analyze role cerebrolysin in patients degenerative cervical myelopathy (DCM) managed by surgical modalities.Cerebrolysin has been extensively researched with variable success neurodegenerative pathologies. There only one published literature till date that studied DCM conservatively but none the treated surgically. We present our pilot which analyzes modalities.This prospective trial conducted at a tertiary care institute...

IntroductionMeniscal tears in professional soccer players, may lead to decreased game time and potentially affect their career quality of life the long term. Advancements surgical techniques increased duration many elite players' necessitate re-evaluation treatment strategies.ObjectivesTo review current literature regarding management meniscal players.MethodsA comprehensive search PubMed has been conducted. Studies English, reporting results or deficiency players were included. not...

Study Design: Retrospective study.Purpose: To assess the relationship between severity of lumbar canal stenosis (LCS) and type-II diabetes mellitus (DM).Overview Literature: DM is a multiorgan disorder that has an effect on all types connective tissues. LCS narrowing spinal with nerve root impingement causes neurological claudication radiculopathy. Identification risk factors key in prevention its onset or progression.Methods: patients were divided into three groups as per status: group A...

<p class="abstract"><strong>Background:</strong> Pedicle screw instrumentation in case of fracture spine provides stable fixation. However absence experience and proper technique pedicle insertion, it is associated with many complications. We aim to study the results patients thoracolumbar stabilized short segment instrumentation.</p><p class="abstract"><strong>Methods:</strong> 33 cases wedge compression presenting Nair Hospital were included study....

Study design Randomized Control Trial. Objective DCM refers to compression of spinal cord either due static/dynamic causes or commonly, a result combination both. Number variables exist, which determine prognosis post-surgery. Role intra-operative blood pressure has not been analyzed in depth current literature. Elevating MAP post SCI is widely practiced and forms recommendation AANS/CNS Joint Committee Guidelines. This led us investigate role played by elevated during surgery for DCM, order...

T2 scans are widely used to determine the prognosis for patients undergoing surgery cervical myelopathy. In this study, we determined whether T1 MR changes in addition could have prognostic importance.This retrospective analysis involved 182 myelopathy (2017-2020). There were 110 Group 1 (only changes) and 72 2 (both changes). addition, demographic, visual analog score (VAS), modified Japanese Orthopaedic Association (mJOA) scores, operative details recorded at month, 3 months, 6 year...

<p class="abstract"><strong>Background:</strong> Lumbar canal stenosis is a clinical diagnosis. MRI used many times for making the But does severity of findings co-relate with functional status?</p><p class="abstract"><strong>Methods:</strong> 50 cases central lumbar were included in study. The and Oswestery Disability Index score compared.<strong></strong></p><p class="abstract"><strong>Results:</strong> 50%...

<p class="abstract"><strong>Background:</strong> Femoral shaft fractures, though not very common, are of major concern for orthopedic surgeons. the management infants and older children is generally universal but young patients still offer a dilemma.</p><p class="abstract"><strong>Methods:</strong> We present prospective study conducted at tertiary care hospital in India 37 between 1 year 6 years to compare two conservative methods most commonly used...

Objective: To determine the short term radiological outcomes of Lenke type 5C adolescent idiopathic scoliosis in terms Cobb angle correction and coronal balance after selective posterior segmental spinal instrumentation with pedicle screws. Methods: This retrospective cohort study was conducted department Orthopaedic at tertiary care public hospital Mumbai, India. The medical records patients from 17th April 2015 to 29th October 2019 who underwent a fusion screws for type-5C were reviewed....

Introduction: Spinal tuberculosis is a leading cause of non-traumatic paraplegia in developing country like India. There an emerging trend to operate on patients early with spinal TB. A study aim was reiterate the importance conservative management Tuberculosis. The assess clinical and radiological outcomes thoracolumbar spine management. Methods: prospective 188 included from May 2016 April 2019. All were subjected computed tomography-guided biopsy followed by anti-tuberculous therapy (ATT)...

Background: Study the effect of drain on outcome primary TKR.Method: Prospective study, 150 patients with TKR randomly divided into three groups, without drain: Group-A, Group-B: for 24 hours and Group-C: 48 hours. With minimum follow-up period 1 year. Functional majored KSS-Knee Society Score VAS-Pain Visual Analogue Scale.Result: The decrease in haemoglobin post-operative 3rdday was statistically significant between all groups (p

Background: Postoperative Radiological Evaluation of Anterior Cruciate Ligament Reconstruction & Its Complications.Method: In a comparative study in which patients were admitted and operated at Medical college tertiary care hospital from January 2016 onwards.All who presented with symptoms after the surgery whose data is available are considered.Plain radiograph was taken immediate postop, 2 weeks, 6 weeks 3 months as routine follow-up, documented for radiological evaluation.MR imaging done...

<p class="abstract"><strong>Background:</strong> The volume of cases distal tibia fractures at trauma care centre are quite high in Indian scenario. These type fracture often creates a dilemma for the orthopaedic surgeons over choice implant management. aim our study was to compare intramedullary interlocking nail (IMILN) and minimally invasive percutaneous plate osteosynthesis (MIPPO) on basis various parameters.</p><p...

Advances in patient selection, surgical techniques, and postoperative care have facilitated spine surgeons to manage complex cases with shorter operative times, reduced hospital stay improved outcomes. We focus this article on a few areas which shown maximum developments management of degenerative cervical myelopathy also throw glimpse into the future ahead. Imaging modalities, decision making, robotics neuro-navigation, minimally invasive spinal surgery, motion preservation, use biologics...

Case: A 36-year-old man presented with a subacute onset left upper limb weakness. Further investigation revealed myoepithelial carcinoma arising from the C3-C5 vertebrae. He underwent 2-stage surgery tumor excision and postoperative radiotherapy. An improvement in power was noted, no recurrence observed at 1-year follow-up. Conclusion: Myoepithelial tumors are rare skeletal locations require high degree of suspicion. Immunohistochemistry plays vital role establishing diagnosis. complete...