emergency of cervical spine tuberculosis following anal surgery

In this report we present four patients with pain and muscular rigidity of the neck shortly followed perianal operation conducted under general anaesthesia. Two males and two female patients, all of them are physically good and well nourished. They were initially considered to have simple ligamentous sprain during intubation so far the initial plain cervical radiography was normal. They did not show any response to a course of NSAIF drugs. Cardinal radiographic changes of spinal tuberculosis in cervical vertebrae appear 4 to 6 weeks later. All patients showed subjective response to antituberculous chemotherapy. They were followed for a period of 6 to 24 months

Lumbar canal stenosis clinico-radiological evaluation and management

A clinico radiological study conducted on 50 patients including 25 cases of lumbar canal stenosis and 25 cases of frank lumbar disc herniation, is presented. The various causes of lumbar canal stenosis are reviewed. Cases of frank disc herniation is only included for comparison. Radiological study conducted on 50 normal [control] individuals for measurement of normal dimension of the spinal canal. Spinal stenosis is more common in males, predominantly in the sixth decade of life. The patient may present either with claudicant or sciatic type. Evaluation of canal to body ratio, using plain radiography of lumbosacral spine, based on Jones and Thomson technique and radiculography were found, very useful in diagnosing spinal canal pathology pre-operatively. Of various causes, it was found that degenerative stenosis is a major cause of lumber canal stenosis in Basrah. Extensive decompression laminactomy in appropriately selected cases, yielded satisfactory results