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1.  Role of Decompression in Late Presentation of Cervical Spinal Cord Disorders 
Asian Spine Journal  2014;8(2):183-189.
Study Design
Prospective study conducted at Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences, Wardha, India.
To show the efficacy of decompression in the late presentation of cervical spinal cord disorders.
Overview of Literature
Studies by various authors have shown that early spinal decompression results in better neurological outcomes.
From January 2003 to January 2005, 11 of the 41 patients with cervical spinal cord compression, meeting the inclusion criteria, underwent anterior decompression; interbody graft placement and stabilization by anterior cervical locking plate. The neurologic and functional outcomes were recorded.
Five patients had spinal cord injury and 6 patients had compressive cervical myelopathy. Complications included 1 death and 1 plate loosening. No patient lost their preoperative neurological status. One patient had no improvement, 2 patients showed full recovery. The mean follow-up is 28.3 month. At the of rehabilitation, 6 were able to walk without support), 2 could walk with support, and 1 needed a wheelchair. The average American Spinal Injury Association motor score on admission to the hospital, 32.8 (standard deviation [SD], 30.5); admission to rehabilitation, 38.6 (SD, 32.4); discharge from rehabilitation, 46.2 (SD, 33.7). The most recent follow-up was 64.0 (SD, 35.3).
The anterior approach for cervical decompression allows for adequate decompression. This decompression is the best chance offered in even late reported cases, including posttraumatic cases where there is no evidence of cord transactions. The use of anterior cervical plates reduces the chances of graft loosening, extruding, or collapsing.
PMCID: PMC3996343  PMID: 24761201
Cervical vertebrae; Neglected disease; Quadriparesis; Surgical decompression
2.  Tuberculosis of greater trochanter presenting as avulsion fracture of greater trochanter-A case report 
Isolated tuberculosis of greater trochanteris unusual and clinical presentation is often vague. Isolated fracture of greater trochanter is also rare. We are reporting a case of tuberculosis of greater trochanter in adult female with radiological presentation in form of avulsion fracture of greater trochanter which has not be reported in literature till now to our knowledge.
PMCID: PMC4027276
Tuberculosis greater trochanter; Greater trochanter fracture
4.  Dorsal Herniation of Cauda Equina Due to Sequestrated Intradural Disc 
Asian Spine Journal  2012;6(2):145-147.
Intradural lumbar disc herniation (ILDH) is uncommon pathology. In present report, authors present a case of ILDH associated with dorsal herniation of the cauda equina rootlets in a 30-year-old male laborer who had chronic backache since last two years. To the best of our knowledge we are reporting this for first time. Report demonstrates the natural course of ILDH.
PMCID: PMC3372551  PMID: 22708020
Intradural disc herniation; Duroplasty; Herniated cauda equina rootlets
5.  Palliative Surgical Approach to Rehabilitate Spinal Injury Patient in Indian Rural Setup 
Indian Journal of Palliative Care  2010;16(3):160-163.
To evaluate the usefulness of conventional spinal surgery as palliative procedure to rehabilitate dorsolumbar injuries in a rural setup.
Materials and Methods:
Twenty-three patients with dorsolumbar spine injury with complete paraplegia were assessed on the clinical and social rehabilitation parameters after surgical stabilization at Acharya Vinoba Bhave Rural Hospital Sawangi, Wardha, India. The study group comprised 21 male and 2 female patients. The dorsolumbar spine injury was fixed by conventional posterior instrumentation using short-segment pedicle screw system and Harrington rod system with or without fusion. Functional and neurologic outcome was recorded in the follow-up period by using Functional Independence Measure and Frankel grade, respectively. Correlation and analysis of results was established statistically.
Functional outcome showed statistically significant improvement. Social cognition was found intact in a significant number of patients.
This study demonstrates the usefulness of conventional instrumentation as palliative surgical approach to stabilize and rehabilitate patients from deprived sector of rural India.
PMCID: PMC3012239  PMID: 21218006
Conventional spinal instrumentation; Palliative care; Rehabilitation; Rural setup; Total traumatic paraplegia

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