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Non Fusion Options in Cervical Disc Herniations

Volume 4 | Issue 1 | Jan – June 2019 | Page 3-9 | Jwalant S. Mehta, Marcin Czyz


Authors : Jwalant S. Mehta [1], Marcin Czyz [1]

[1] The Royal Orthopaedic Hospital Bristol Road South Birmingham B31 2AP, UK

Address of Correspondence
Dr. Jwalant S. Mehta
1The Royal Orthopaedic Hospital Bristol Road South Birmingham B31 2AP, UK
Email : Jwalant_mehta@hotmail.com


Abstract

Cervical disc herniations are common disease encountered by spine surgeon. dISCESCTOMY and fusion have been long regarded as glod standard but non fusion options are gaining ground for speciifc indications. If the pathology is limited to one or two levels in the absence of instability, a limited posterior cervical foraminotomy (PCF) can be useful in decompressing the nerve roots to achieve clinical improvement in radiculopathy. A multilevel pathology with cord compression in the absence of instability can be treated effectively with a skip cervical laminectomy or a laminoplasty. In the presence of instability in two or single level pathology, where in the past a fusion would have been considered a gold standard, non-fusion options such as cervical disc arthroplasty have evolved (ACDR).
Keywords: Cervical dis herniation, foraminotomy, laminectomy, laminoplasty, cervical disc arthroplasty


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How to Cite this Article: Mehta J S, Czyz M. Non Fusion options in Cervical Disc Herniations. International Journal of Spine Jan-June 2019;4(1):3-9 .


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Multiple Spinal Extradural Arachnoid Cyst : A Case Report

Volume 4 | Issue 1 | Jan – June 2019 | Page 27-30 | Dhiraj V Sonawane, Bipul Kumar Garg, Harshit Dave, Vikramsinh Nangare, Ajay Chandanwale


Authors : Dhiraj V Sonawane [1], Bipul Kumar Garg [1], Harshit Dave [1], Vikramsinh Nangare [1], Ajay Chandanwale [1]

[1] Sir J.J. Group of Hospitals, Byculla Mumbai(400001).

Address of Correspondence
Dr. Bipul Kumar Garg,
Assistant Professor, Dept of Orthopaedics, J.J. Group of Hospitals Mumbai.
Email id: garg.bipul@gmail.com


Abstract

Introduction: Spinal extradural arachnoid cysts(SEAC) are a rare cause of spinal cord compression, nerve root compression, or both, accounting for approximately 1-3% of all primary spinal space-occupying lesions. Multiple SEACs are rarely reported in the literature. Aim of this article is to illustrate our experience of surgical treatment of this rare but curable disease.
Case Report: We present a case report of 15-year-old boy who presented with progressive lower extremity weakness, pain and dysaesthesia. Magnetic resonance (MR) of the spine revealed two extradural arachnoid cysts. The patient underwent a thoracic laminoplasty for en bloc resection of the spinal extradural arachnoid cyst. Postoperatively, the patient’s motor strength and ambulation improved immediately.
Conclusion: We have described a rare case of back pain and leg weakness in patient with multiple thoracolumbar spinal extradural cysts. Clinical outcome after Laminoplasty and surgical excision of cyst was excellent and there has not been any evidence of cyst recurrence and symptomatic worsening till now(three years post surgical enbloc excision).
Keywords: spinal extradural arachnoid cyst, laminoplasty, excision


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How to Cite this Article: Sonawane DV, Garg BK, Dave H, Nangare V, Chandanwale A. Multiple Spinal Extradural Arachnoid Cyst : A Case Report. International Journal of Spine Jan-June 2019;4(1):27-30.


(Abstract) (Full Text HTML) (Download PDF)