JKBC Parthiban The Journal of Spinal Surgery Since its inception in July 2009, ... Dr PS Ramani held...

Editor-in-ChiefJKBC Parthiban

Founder and Former Editor-in-ChiefPS Ramani

Associate EditorsSushil PatkarVedantam RajashekharShashank KaleKomal Prasad

Assistants to EditorShradha MaheswariS ShanthanamVinu V GopalBalamuraliSumeet Pawar

October-December 2017 Volume 4 Number 4 eISSN 2348-6031

www.jaypeebrothers.comwww.jaypeejournals.com

The Journal of Spinal Surgery

(A Journal Dedicated to Propagation of Knowledge in Spine)

The Official Journal of Neuro Spinal Surgeons Association, India

www.neurospinalsurgeonsassociation.org

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1. Aims and Scope


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The Journal of Spinal Surgery (JOSS) is the official journal of Neuro Spinal Surgeons Association (NSSA), India. Journal of Spinal Surgery is dedicated to propagation and sharing of knowledge in spinal surgery and spinal dis or ders among neurosurgeons, spinal surgeons and other allied medical fraternities. Younger generation authors from India and abroad are particularly encouraged to publish their scientific articles in research, innovations, challenges in spinal surgery. This, apart from original articles, case reports, review articles, operative techniques and lettertoeditors on various issues, notes on spinal instruments, views and counter views, reflections from experts, will provide an excellent platform for expanding the knowledge for the readers. Journal of Spinal Surgery is unique in bringing out a CD on surgical techniques and eloquent lectures along with it. Since its inception in July 2009, the journal is peerreviewed and has been guided by excellent team of members in editorial board from India and abroad. Journal of Spinal Surgery is poised to take the Indian contribution in spinal surgery to the world. Spinal surgery in India has grown well now and its time the contributions are known to the world. Journal of Spinal Surgery is just aiming to spread the contributions made by Indians around the world. The parent body NSSA is one of the leading organization in India, spreading the values of spinal surgery. Learning is never ending for intellects and its not different for spinal surgeons.

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ISSN 23490462eISSN 23486031

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Publishing CenterPublisher

Jitendar P Vij

Associate Director Chetna Malhotra Vohra

Managing EditorKiran Gupta

Honorary Advisory BoardGeorge Dohrman, USA

Jain VK, IndiaMehmet Zileli, Turkey

Mohamad Maziad, EgyptMotoi Shoda, Japan

Singh AK, IndiaYuri Shulev, Russia

Editorial Board MembersInternational

Abdul Hafid Bajamal, IndonesiaDavid Sun, Hong Kong

Enrique OsorioFonseca, ColombiaGiancarlo Guizzardi, ItalyPatrick Fransen, Belgium

PD Kulkarni, EnglandPragnesh Bhatt, England

Samuel JK Abraham, JapanSeHoon Kim, South Korea

BongSoo KimJunichi Mizuana

Marcus Eif, GermanySalman Sharif, Pakistan

Devkota U.PNikolay A Peev

Khairun Nabi KhanKrishna Sharma

NationalAnil Pande, Chennai

Anil Peethambaram, ThiruvananthapuramBalaji Pai S, BengaluruDeepu Banerji, MumbaiDeopujari CE, Mumbai

Harjinder Singh Bhatoe, PuneKrishnaprabhu, Vellore

Manas Panigrahi, HyderabadMuthukumar N, MaduraiPrakash Modha, RajkotRavi RR, Coimbatore

Sajesh K Menon, KochiSandeep Chatterjee, Kolkata

Sarat Chandra, New DelhiSatish Rudrapa, Bengaluru

Shridhar K, ChennaiShrikant Rege, Indore

Yashbir Dewan, HaryanaSumit Sinha, Delhi

Dhandapani, ChandigarhPravin Salunke, ChandigarhSiddhartha S Sahoo, Odisha

Gomatam Vijayakumar, West BengalDeshpande Rajkumar, Bengaluru

Alok Ranjan, HyderabadVivek Joseph, Tamil Nadu

EditorinChiefJKBC Parthiban

Founder and Former EditorinChiefPS Ramani

Associate EditorsSushil Patkar

Vedantam RajashekharShashank KaleKomal Prasad

Assistants to EditorShradha Maheswari

S ShanthanamVinu V GopalBalamurali

Sumeet Pawar

OctoberDecember 2017 Vol. 4 No. 4


JOSS

Editorial and Production OfficePS GhumanJournals DepartmentJaypee Brothers Medical Publishers (P) Ltd.4838/24, Ansari Road, Daryaganj New Delhi110 002, IndiaPhone: +911143574357, +919958882255, +919717528877Fax: +911143574314e-mail: [email protected] [email protected]

Advertisements/ Subscriptions/ ReprintsAshwani ShuklaPhone: +918447136447e-mail: [email protected]: [email protected] [email protected]

For Website QueriesPhone: +911143574357e-mail: [email protected]

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Neurospinal Day 2017

Dr PS Ramani held a camp at Gomantak Seva Sangh, Vile Parle on Sunday, the 26th November 2017. Mr & Mrs Kishore Kulkarni, Chairman, NKGSB Bank was the Chief Guest and trustees of Kavale Math, Walkeshwar were the Guest of Honor. The patients waiting in the hall were kept entertained by continuous DVD projections and all of them were served tea and snacks.

Neurospinal Day 2017 at Rajkot

We had the privilege of celebrating Neurospinal Day 2017 at Gokul Hospital, Rajkot, India. Dr Prakash Modha and Dr Sumeet Pawar held various academic and patient-related activities in honour of Dr PS Ramani on his birthday which was celebrated as Neurospinal Day all over the world. A free medical camp was organised where more than 30 spine patients were given medical consultation and advice to remain pain free. This was followed by a lecture on how to avoid back pain in day-to-day life for patients and their relatives.

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In the evening, a CME was organized in association with Rajkot Orthopedic Club at Hotel Silver Palace where Neurospinal Day was introduced to them and lecture on Lumbar Canal Stenosis was delivered by Dr Prakash Modha. More than 35 doctors attended this event.

Sumeet Pawar Consultant Neurosurgeon

Gokul Hospital, Rajkot, Gujarat, India


Spine Clinic on Dr PS Ramani’s Birthday remembrance day.PD Kulkarni

President, NSSA, India

Spinal NeurosurgeonKings College Hospital, London, UK

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The media coverage of the Neurospinal Day celebrations at two places (South and East Delhi ) and a very brief video clip (www.jossworld.com).

Sanjeev KumarAdvanced Training

Mount Sinai School of Medicine New York, USA

St. Anna Hospital Herne, Germany

Senior Consultant NeurosurgeonBatra Hospital and Medical Research Center Institute of Brain and Spine, New Delhi, India

Sanjeev Kumar

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Neurospinal Day celebration, Nagercoil on December 8, 2017

We conducted an awareness programme for nursing students and medical representatives about spine, caring of spine and spine trauma initial management. We had an interaction session also. It went out very well and was well appreciated by all.


We initially gave an introduction about NSSA and its various activities. The 80th birthday of our founder president was highlighted and the novel idea of celebrating it as Neurospinal day was enlightened. The programme was coorganised by my wife Dr Uma Selvan.

Rajendran SelvanSenior Assistant Professor,

Department of Neurosurgery, Kanyakumari Goverment Medical College,

Nagercoil, Tamil Nadu, India

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Shradha MaheshwariBrain and Spine Surgeon

Assistant Professor Department of Neurosurgery

LTMG Hospital and LTM Medical College, Sion

Department Incharge HBT Medical College and Dr R N Cooper Hospital,

Mumbai, Maharashtra, India

Shraddha Maheshwari

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Contents

The Journal of Spinal SurgeryOctober-December 2017 Volume 4 Number 4

EDITORIAL• Launch Pad—God’s Own Country: Special Note on Development of Spinal Surgery .............................141-144 JKBC Parthiban

ORIGINAL ARTICLES• Morphometric Factors affecting Functional Outcome in Symptomatic Chiari I

Malformation and Syrinx .......................................................................................................................................145-149 Anil Kumar, Nupur Pruthi, B Indira Devi, Arun K Gupta

• Cauda Equina Syndrome Assessment, Diagnosis, and Management: Results from a Neurosurgical Unit from 1-year Retrospective Series—Is Our Referral System Effective? ..................150-157

Giulio Anichini, Gaurav Gulsin, Mazhar Iqbal, Caroline MacIntosh, Mahmoud Kamel, Pragnesh Bhatt

• Subaxial Cervical Pedicle Morphometric Assessment in Normal South Indian Subjects using Computed Tomography Scan Images .......................................................................................................158-163

Penkulinti Murahari, Himanshu Bhargav, Amuru LMV Kumar, K Vinayak Santosh, L Jayaprakash Reddy, Rajkiran R Banala, Goli PV Subbaiah

• Respiratory Dysfunction in Craniovertebral Junction Pathology: A Pulmonary Function Test Correlation ........................................................................................................................................................164-170

Alok M Uppar, George C Vilanilam, B Indira Devi, Dhananjaya I Bhat, Dhaval P Shukla, Hardik Siroya, Talakkad N Sathyaprabha

• Operations for Symptomatic Herniated Intervertebral Disk: A Study of 45,048 Patients ........................171-172 George J Dohrmann, Joseph C Hsieh, Nassir Mansour

• Incidence of Cervical Spine Injury observed in Polytrauma Patients at Autopsy ......................................173-177 Jitendra Tadghare, Shrikant V Rege, Manish Nigam

TECHNICAL NOTE• Single Reference Point for Lumbar Pedicle Screw Insertion in Degenerative Spine:

A Technique and Case Series Analysis ...............................................................................................................178-182 Sreedharan PE Namboothiri, Krishnakumar Rangasamy, Venkatesh Kasi

CASE REPORTS• Acute Spontaneous Spinal Epidural Hematoma Secondary to Aspirin .......................................................183-186 Edwin Pathrose, Manoj Sharma, Sunil Kutty, Sanjith Saseedharan, Yatin Gadgil

• Use of Posterior Dynamic Stabilization in Multilevel Degeneration of Lumbar Spine ...........................187-190 Sumeet G Pawar, Apurva Prasad, Premanand S Ramani

• Multilevel Intramedullary Spinal Epidermoid Cyst ........................................................................................191-194 Shrikant V Rege, Gourav Jatav

• Multifocal Skeletal Tuberculosis involving the Calvarium and Posterior Spinal Elements in an Immunocompetent Patient ...............................................................................................................................195-199

Sarang Gotecha, Ashish Chugh, Gaurav Amle, Prashant Punia, Aditya Ashok, Megha Kotecha

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JKBC Parthiban The Journal of Spinal Surgery Since its inception in July 2009, ... Dr PS Ramani held...

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