European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society
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Duplication of the spine is very rare, and this malformation is generally considered as a severe form of type I split cord malformations. To the best of our knowledge, this is the first reported case of spine duplication associated with lipomyelomeningocele. ⋯ A surgical operation was planned to release the tethered cord and instrumentation and fusion for scoliosis; however, the operation was declined by the patient.
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The purpose of this study is to present a new endoscopic procedure, aiming to achieve the success rate equivalent to microsurgical discectomy, while addressing the drawbacks and limitations of other percutaneous techniques. ⋯ Preliminary clinical experience with IED shows it to be as effective as microsurgical discectomy, and in comparison to other percutaneous procedures addressing noncontained herniations, a reduction in the cost, technical difficulty and surgical invasiveness has been demonstrated.
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Review Case Reports
Intradural lumbar disc herniation: report of five cases with literature review.
Intradural lumbar disc herniations are uncommon presentations of a relatively frequent pathology, representing less than 1% of all lumbar disc hernias. They show specific features concerning their clinical diagnosis, with a higher incidence of cauda equina syndrome, and their surgical treatment requires a transdural approach. ⋯ We concluded that for intradural disc herniations the diagnosis is mainly intraoperative, and the surgical technique has some special aspects.
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Review Case Reports
Surgical treatment for unilateral cervical facet dislocation in a young child aged 22 months old: a case report and review of the literature.
Cervical unilateral facet dislocation (UFD) in the younger children (0-10 years old) has rarely been reported in the literature and most surgeons have no experience for this kind of injury. Here, we reported a rare case of cervical UFD in a 22-month-old girl. ⋯ Cervical UFD in young children is definitely a great challenge, and each patient requires individual treatment. Closed reduction along with rigid immobilization is the first choice at the early stage, and operative treatment is indicated for cases that involved neurological deterioration, demonstrated recurrence,significant instability and failed closed reduction. However, long-term results and complications of surgical treatment in the pediatric population are worrisome.