Limited segmental decompression [LSD] for degenerative lumbar canal stenosis

Fifty-three patients diagnosed with degenerative lumbar canal stenosis were prospectively reviewed following limited segmental decompression. After a mean follow-up of 14.6 months, the subjective improvement in leg pain and walking distance was seen in 46 patients and 48 patients respectively. There were 4 dural tears and three superficial wound infection. Limited segmental decompression is safe and reliable method in treating elderly patients with symptoms of degenerative lumbar canal stenosis

Transarticular C1-C2 screws fixation for traumatic atlanto-axial instability

This is a retrospective study of 11 patients diagnosed with traumatic atlanto axial instability that was treated with transarticular C1-C2 screws but without supplemental posterior wiring. After a mean follow up of 25 months. Ten patients [91%] reported no pain related to their neck, while 1 patient had residual neck pain that was aggravated by neck movement. The overall fusion rate was [91%]: as 10 patients out of 11 patients showed a definite bridging fusion mass on X-rays. In conclusion using posterior C1-C2 fusion by transarticular screws with morselized autograft but without additional wiring for traumatic atlantoaxial instability is associated with excellent clinical and radiological outcomes without the need for external halo immobilization