Transpedicular screws for fusion of the Lumbosacral spine in treatment of spondylolithesis

In this study, 62 adult patients presented with spondylolithesis received surgical treatment in the form of laminectomy, discectomy and removal of pars interarticularis with decompression of the nerve root on the symptomatic side and posterolateral fixation by transpedicular screws, in the period between July 1995 and January 2003. The patients were evaluated at an average follow-up period of 21 months. In this study females were 38 cases and males were 24 cases with the average age of both 42 years. The results were excellent in 34 cases, good in 15 cases, fair in 9 cases and 3 patients with poor results, still complaining of low back pain and sciatica

Recurrent meningioma: a clinico-pathological study

Nine recurrent cases out of 52 patients with meningioma were studied between 1986 and 2003 with follow-up for a mean of 38 months. The clinical presentation, diagnostic evaluation, management in the form of surgical resection and adjuvant therapy, such as radiotherapy, radiosurgery, hormonal and chemotherapy, were studied. Again, the factors affecting the recurrence of meningioma whether the age, sex, histopathologic pattern and the modality of surgical behavior at the initial surgery, whether it was total, radical or subtotal excision, were studied and evaluated. Although radiotherapy is partially effective and radiosurgery is promising, yet surgical radical excision of the recurrent meningioma is the corner stone and must be considered as far as possible