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- 저자 : Selvin Prabhakar Vijayan (검색결과 2 건)
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Selvin Prabhakar Vijayan,Christopher Gerber,Anindya Basu,Debajyoti Pathak 대한척추외과학회 2022 대한척추외과학회지 Vol.29 No.1
Study Design: Orginal article. Objective: Spinal tuberculosis presents mostly as a spondylodiscitis or a discitis, rarely as non-osseous tuberculoma. They can be either extradural, intradural extramedullary, or intramedullary lesions. Rarely they present as an intradural extramedullary (IDEM) tuberculomas or spinal epidural abscess (SEA). We would like to describe the surgical technique called the modified lift-up laminoplasty, for management of long segment organised IDEM/SEA tuberculomas. Summary of Literature Review: ATT continues to be the gold standard treatment for tuberculosis while surgery is indicated in a select few. Combination has given successful outcomes and fusion in about 97% of cases. Material and Methods: Retrospective review of the records for lift up laminoplasty in the past two years was done. All the relevant records and imaging of the patients were retrieved and briefed. Results: Four patients were included in the study. Two patients were diagnosed with IDEM tuberculomas, one case of tubercular SEA with and without osseous involvement each. All were managed with modified lift up laminoplasty technique. Three patients had good clinical improvement at the final follow up. Conclusions: An early MRI helps in early diagnosis of atypical spinal tuberculosis. The technique of modified lift up laminoplasty gives dual advantage of adequate working space, preserves the posterior tension band ligaments and avoids long segment instrumented fixation. It is an efficient method for long segment epi/intradural organised granulation tissue.
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Polyostotic Spinal Paget’s With Lumbar Kyphotic Deformity: A Case Report And Literature Review
Selvin Prabhakar Vijayan,Christopher Gerber,Anindya Basu,Tosaddeque Hussain,Mona Tiwari,Radhika Mhatre 대한척추외과학회 2022 대한척추외과학회지 Vol.29 No.1
Study Design: Case report Objectives: Paget’s disease is a metabolic disorder of the skeletal system involving the spine commonly. Prevalence of Paget’s is uncommon in Southern Asia when compared to the West. The disease can be divided into three major phases namely lytic, mixed and a sclerotic phase. They have 2 types of clinical presentation- polyostotic or monostotic type. Blood and radiological investigations help in diagnosis. The mainstay of management is pharmacotherapy, rarely requiring surgery. Materials and Methods: A 45 years old male, presented with back pain and claudication, initially mistreated to be a case of Pott’s spine. After investigating, he was operated because of worsening symptoms and conformation of diagnosis. Retrospective analysis of operation theatre and out patient records was done, compiled and presented. Results: Confirmatory diagnosis of Paget’s disease was done based on histopathology. A whole body radionucleotide scan was done to rule out any other skeletal lesion. He was started on medical management for Paget’s. He improved symptomatically, during the last follow up he was asymptomatic with no clinical disability and radiological improvement of lesion. Conclusions: Atypical presentation of Paget’s with a polyostotic spinal involvement in a South Asian is rare. High suspicion and prompt investigations help in early diagnosis and treatment. Pharmacotherapy is the mainstay of treatment with surgery when indicated.
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