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Careful Evaluation of MRI in Spinal Deformity

February 17th, 2017|

A 13-year old female patient with rigid neglected congenital thoracolumbar scoliosis of 128 degrees presented with severe coronal decompensation . MRI revealed a split spinal cord without any obvious septum with equivocal evidence of cord tethering. Heroic correction in the setting […]

Heroic Surgery Is Not Always Necessary In Every Case of Congenital Kyphoscoliosis

January 19th, 2017|

16-year old Lingamurty had a progressive spinal deformity since early childhood. He had undergone foramen magnum decompression for Chiari malformation, in early childhood. This is a surgery done at the junction of head and neck so as to restore circulation of fluid in the brain and spine. Despite this, his deformity had progressively […]

Should spine surgery be denied to an 85-year old lady with severe osteoporosis suffering from traumatic myelopathy? Is it best for a spine surgeon to treat it with or without surgery?

September 15th, 2016|

Nagamma , an 85-year old lady presented on a stretcher. She was in excruciating pain and was unable to even get up to take care of her basic needs of day-to-day life. Best effort to help her was undertaken by spine surgeon Dr. Yogesh K. Pithwa of Sattvik Spine Foundation.

On detailed history, it was […]

Kyphosis Correction In A Patient With Spondyloepiphyseal Dysplasia

June 18th, 2016|

14-year old Sheetal [name changed] presented to the OPD of the author with features of spondyloepiphyseal dysplasia. She had kyphosis at the thoracolumbar junction with features of progression associated with pain [figure 1]. In view of this, she was offered surgical intervention in the form of PVCR [posterior vertebral column resection] at the apex of deformity.

MRI revealed developmental stenosis of the canal which necessitated that the spinal cord had ‘no reserve’ space in the canal [figure 2]. Shortening or lengthening the vertebral column would likely compromise cord space. Hence, care was taken to reconstitute the anterior column with a cage, to an extent that did not alter the spinal cord length [figure 3]. The surgery was carried out through a single approach from the posterior [backside] of the patient. This obviated the need for a second surgery from the anterior aspect [front side]. The surgical strategy involved working from around the spinal cord to remove the deformed bone anteriorly.

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Spinal Deformity, Early Stage Simple Treatment

February 5th, 2016|

A 12-year old female child was brought by her parents with complaints of spinal deformity. She was diagnosed to have idiopathic adolescent double major scoliosis, a condition that leads to bending of the spine as seen from the front . She underwent a thorough clinical examination along with assessment of x-rays of the spine. […]