Background/Objectives: Radiotherapy is one of the various treatment options for patients with metastatic spinal tumors (MST). However, it difficult to say that this definitely an optimal MST, and there are several who need surgical because pain or neurologic deficits occur even after radiotherapy. Therefore, study aimed analyze which received early operative Methods: We included 81 underwent decompression fusion surgery radiotherapy MST. Patients within 6 months were classified as operation...

Background/Objectives: Although lateral mass screws lower the risk of vertebral artery injury, they are shorter and have a weaker purchase than pedicle screw, thereby posing mechanical failure following ≥3-level posterior cervical fusion (PCF). Therefore, purpose this study is to demonstrate that en bloc C2-7 mechanically stronger shorter, regionally confined fusions spine. Methods: We included 178 patients who underwent PCF with ≥3 levels. Patients both C2 C7 were classified as group (EBF...

OBJECTIVE The aim of this study was to investigate the correlation between radiological indices shoulder balance (SB) and cosmetic deformity in patients with Lenke type 2 adolescent idiopathic scoliosis (AIS) determine extent which patient-reported outcomes (PROs) correlate these measurements. Current management decisions for SB AIS are primarily based on It is crucial understand how parameters relate patient satisfaction. METHODS authors analyzed preoperative photographic SB, along PROs,...

Disseminated superficial actinic porokeratosis (DSAP) consists of multiple annular, hyperkeratotic lesions that have a bilateral distribution on sun-exposed areas, particularly the extremities. DSAPs wider than Mibelli and usually develop during 3rd or 4th decade life. Squamous cell carcinoma arises in classical type is well-documented, but there are only few reports squamous DSAP. Here, we describe 62-year-old man with DSAP who developed his right forearm.

Cervical spondylotic myelopathy is surgically demanding when associated with rigid kyphosis. Posterior surgery cannot restore cervical lordosis, and adequate decompression not possible Vertebral body sliding osteotomy (VBSO) a safe novel technique for anterior in patients multilevel myelopathy. It terms of dural tear, pseudarthrosis, graft dislodgement, which are demonstrated at high rates corpectomy fusion. In addition, VBSO powerful method restoring lordosis through discectomy fusion above...

Retrospective cohort study.Current evaluation of patients with adult spinal deformity (ASD) is mainly based on radiographic parameters derived from X-rays. However, due to their static nature, X-rays fall short assessing the dynamic functionalities including balance, gait, and risk falling. This study aimed determine ASD by measuring functional mobility tests (FMTs) compared relationships between patient-reported outcomes (PROs) FMTs whether are useful tools for ASD.This age- sex-matched...

Study Design Retrospective study Objectives Due to anatomical variations in the semispinalis cervicis insertion C2 spinous process, complete preservation is not always possible when C3 level included a cervical laminoplasty. Three-dimensional computed tomography was used evaluate relationship between incidence of injury and inter-spinous angle. Methods We 95 patients who underwent laminoplasty that laminectomy for myelopathy. Patients with angle above below 60° were classified into wide-...

Biportal endoscopic spine surgery (BESS) is minimally invasive and therefore benefits both surgeons patients. However, concerning complications include dural tears neural tissue injuries. In this study, we aimed to develop a deep learning model for segmentation enhance the safety efficacy of spinal surgery. We used frames extracted from videos 28 surgeries, comprising 2307 images training 635 validation. A U-Net-like architecture employed segmentation. Quantitative assessments Dice-Sorensen...

Background/Objectives: This study compares clinical and radiological outcomes of open microscopic posterior cervical foraminotomy (PCF) biportal endoscopic spine surgery (BESS) PCF in multi-level cases. While BESS is effective single-level surgeries, its role procedures remains unclear. Methods: retrospective cohort included 60 patients treated for radiculopathy from 2016 to 2023, divided into two groups, (Group M, n = 30) B, 30). Clinical were assessed using visual analogue scale (VAS)...

The current modality of choice for the treatment Port-wine stains (PWS) is laser photocoagulation. Laser therapy PWS, especially with a pulsed dye (PDL), has been proven safe and effective; however, because penetration PDL too shallow an effective ablation blebs, blebbed using PDL, may be insufficient.We demonstrated clinical efficacy 1,064 nm long Nd:YAG contact cooling device PWS.Twenty one patients PWS (Fitzpatrick skin types II-V) underwent treatment, at 8-week intervals. Treatments were...

Even minor sacral slanting can influence T1 tilt and shoulder balance. Yet, the relationship between postoperative imbalance (PSI) has not been previously explored. To determine risk factors for PSI in Lenke 2A adolescent idiopathic scoliosis (AIS) patients, with an emphasis on slanting.

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OBJECTIVE The objective of this study was to evaluate the feasibility and complications over-the-arch (OTA) technique for screw insertion into C1 lateral mass in patients whom conventional techniques (i.e., posterior arch [PA] inferior [ILM]) are not feasible due 1) PA with a very small height (< 3.5 mm), 2) caudally tilted blocking part mass, or 3) loss at ILM mm). METHODS authors reviewed medical records 60 who underwent fixation OTA (13 screws) PA/ILM (107 between 2011 2019. Vertebral...

This study aimed to investigate the risk factors for aggravation of cervical alignment after posterior foraminotomy (PCF) and identify their relationships with kyphotic changes in curvature.Ninety-eight patients who underwent PCF unilateral radiculopathy received follow-up more than 2 years were retrospectively reviewed. Segmental Cobb angle (SA), (CA), Pfirrmann grade, foraminal stenosis, clinical outcomes including neck pain, arm Neck Disability Index scores assessed. Radiological compared...