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JAYPEE JOURNALS
International Scientific Journals from Jaypee
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Journal of Postgraduate Medicine Education and Research
Current Issue : Volume 51, Issue 2, April-June 2017
 
 
1.  Editorial
Editorial
Amarjit Rai, Sarvdeep Singh Dhatt
[Pages No:iii-iv]
Full Text PDF | Abstract | FREE

ABSTRACT

This special issue is on scoliosis, a three-dimensional deformity of the spine that occurs when the spine becomes abnormally rotated and curved sideways. It can affect children at birth as well as adolescents and can be deforming and debilitating in some cases. This condition is commonly seen in the outpatient department, and most of the parents notice it during the child’s pubertal stage

 
2.  Invited Article
Spine Aid
Amarjit S Rai
[Pages No:53-54]
Full Text PDF | Abstract | DOI : 10.5005/jp-journals-10028-1235 | FREE

ABSTRACT

Spine Aid has helped Indian children with scoliosis, educates local surgeons and promotes local centres to perform these complex operations in partnership with Uk based Spinal Surgeons. The study highlights the need for valid outcome data to confirm treatments offered are cost effective.
Dr Rai explores his Indian roots, education, and development of the charity Spine Aid.

Keywords: Outcome measures, Scoliosis, Spine charity, Spinal registry, Value based treatment.

How to cite this article: Rai AS. Spine Aid. J Postgrad Med Edu Res 2017;51(2):53-54.

Source of support: Nil

Conflict of interest: None

 
3.  Invited Article
Intradural Anomalies in Scoliosis
Iqroop Chopra
[Pages No:55-57]
Full Text PDF | Abstract | DOI : 10.5005/jp-journals-10028-1236 | FREE

ABSTRACT

Whole spine magnetic resonance imaging screening is now mandatory before scoliosis correction surgery. Craniovertebral junction, such as Chiari malformation is tackled earlier as a staged procedure before the scoliosis procedure whereas tethering and diastematomyelia can be undertaken at the same time as the scoliosis correction.

Keywords: Chiari malformation, Diastematomyelia, Detethering, Intradural anomalies, Scoliosis.

How to cite this article: Chopra I. Intradural Anomalies in Scoliosis. J Postgrad Med Edu Res 2017;51(2):55-57.

Source of support: Nil

Conflict of interest: None

 
4.  Invited Article
Adolescent Idiopathic Scoliosis
Jayesh Trivedi
[Pages No:58-67]
Full Text PDF | Abstract | DOI : 10.5005/jp-journals-10028-1237 | FREE

ABSTRACT

Traditionally idiopathic scoliosis is divided into three categories according to the age of onset: Infantile (0-3 years), juvenile (4-9 years), and adolescent (10 years to skeletal maturity).

How to cite this article: Trivedi J. Adolescent Idiopathic Scoliosis. J Postgrad Med Edu Res 2017;51(2):58-67.

Source of support: Nil

Conflict of interest: None

 
5.  Invited Article
Blood Conservation in Scoliosis Surgery
Rajat Verma
[Pages No:68-73]
Full Text PDF | Abstract | DOI : 10.5005/jp-journals-10028-1238 | FREE

ABSTRACT

Spinal deformity correction surgery can result in significant blood loss. Historically, large volumes of allogeneic blood transfusion were used in these patients. There is now an increasing awareness of the need to reduce allogeneic transfusion as there are reported adverse effects. Reducing blood loss during scoliosis surgery is a multipronged approach. This study reviews current strategies to reduce requirements for allogeneic blood transfusion for scoliosis corrective surgery.

Keywords: Blood loss, Blood salvage, Blood transfusion, Scoliosis, Spine surgery.

How to cite this article: Verma R. Blood Conservation in Scoliosis Surgery. J Postgrad Med Edu Res 2017;51(2):68-73.

Source of support: Nil

Conflict of interest: None

 
6.  Original Article
Usefulness of Awake Craniotomy for Low-grade Gliomas in Eloquent Areas
Dibya J Mahakul, Ashish Aggarwal, Amey R Savardekar, Hemant Bhagat, Chirag K Ahuja, Sunil K Gupta
[Pages No:74-78]
Full Text PDF | Abstract | DOI : 10.5005/jp-journals-10028-1239 | FREE

ABSTRACT

The biggest dilemma in a neurosurgeon’s mind while operating upon low-grade gliomas in eloquent areas is–how to achieve maximal tumor excision while preserving the neurological function. This aim is difficult to achieve once patient is under general anesthesia and hence, patient cooperation cannot be sought to know the neurological function. A novel method to overcome this hurdle is to excise gliomas (especially in eloquent areas) in awake stage while constantly seeking patient cooperation to know the corresponding neurological function. In this study, we operated 10 patients in awake stage and achieved reasonable tumor excision with no added deficits at 3 months follow-up. Hence, this technique achieves a compromise between oncological principle of maximal tumor excision while simultaneously following the neurosurgical principle of no new added deficits.

Keywords: Awake craniotomy, Excision, Gliomas, Tumor

How to cite this article: Mahakul DJ, Aggarwal A, Savardekar AR, Bhagat H, Ahuja CK, Gupta SK. Usefulness of Awake Craniotomy for Low-grade Gliomas in Eloquent Areas. J Postgrad Med Edu Res 2017;51(2):74-78.

Source of support: Nil

Conflict of interest: None

 
7.  Review Article
Resurgence of Serial Casting in Early-onset Scoliosis: Is It “Old Wine served in a New Bottle”?
Vibhu K Viswanathan, Nirmal R Gopinathan
[Pages No:79-83]
Full Text PDF | Abstract | DOI : 10.5005/jp-journals-10028-1240 | FREE

ABSTRACT

Casting as a treatment of scoliosis has been practiced since 1800s. However, the practice fell into disfavor following the serious chest deformities and thoracic constrictions secondary to casting, as well as tremendous improvements in the surgical modalities. Recently, there has been a resurgence of this technique in early-onset scoliosis (EOS) and it has been considered to be a definitive treatment modality and a delaying tactic prior to the inevitable surgery. It carries the triple advantages including correction of the spinal deformity, allowing spinal growth uninterruptedly as well as low complication rates. The current article elaborately discusses the role of serial casting in EOS.

Keywords: Early-onset scoliosis, Nonsurgical treatment, Serial casting.

How to cite this article: Viswanathan VK, Gopinathan NR. Resurgence of Serial Casting in Early-onset Scoliosis: Is It “Old Wine served in a New Bottle”? J Postgrad Med Edu Res 2017;51(2):79-83.

Source of support: Nil

Conflict of interest: None

 
8.  Review Article
An Overview of Management of Early-onset Scoliosis
Sashin Ahuja, Omar A Ibrahim
[Pages No:84-88]
Full Text PDF | Abstract | DOI : 10.5005/jp-journals-10028-1241 | FREE

ABSTRACT

Management of early-onset scoliosis (EOS) is a challenging dilemma. EOS is usually defined as a curve more than 10° in a child below the age of 10 years. The main issues to take into account for a child with EOS are a curve progression and growth of the spine and the thoracic cage to allow normal development of the lungs. There are various options available to manage an EOS progressive curve which could range from bracing to surgical intervention. All these options have certain advantages and pitfalls which should be taken into consideration in formulating a management plan for these young children.

Keywords: Early-onset scoliosis, Growing rods, Surgery.

How to cite this article: Ahuja S, Ibrahim OA. An Overview of Management of Early-onset Scoliosis. J Postgrad Med Edu Res 2017;51(2):84-88.

Source of support: Nil

Conflict of interest: None

 
9.  Review Article
Intraoperative Neurophysiological Monitoring in Spine Surgery
Mushtaq A Shaikh
[Pages No:89-94]
Full Text PDF | Abstract | DOI : 10.5005/jp-journals-10028-1242 | FREE

ABSTRACT

Intraoperative neurophysiological monitoring (IONM) encompasses a variety of neurological testing modalities used during surgery to monitor, identify, and potentially prevent iatrogenic complications to the nervous system and the blood supply to it or adjacent tissue. It has been used to monitor integrity of the neural pathway during spinal, neurological, cranial, and vascular procedures. Specific tests are designed to the clinical need of the surgery. Modalities may include: Somatosensory evoked potentials, motor evoked potentials, spontaneous or triggered electromyography, brainstem auditory evoked potentials, visual evoked potentials, electroencephalogram, and electrocorticography. During spinal surgery, a wide variety of procedures are utilized in which the spinal cord, nerve roots, and key blood vessels are frequently placed at risk from iatrogenic injury. Multimodal IONM relies on the strengths of different types of neurophysiological modalities to maximize the diagnostic efficacy in regard to sensitivity and specificity in the detection of impending neural injury. Thorough knowledge of the benefits and limitations of each modality helps in optimizing the diagnostic value of IONM during spinal procedures. As spinal surgeries continue to evolve, the value of neuromonitoring will also continue to become more prominent.

Keywords: Electroencephalography, Electromyography, Motor evoked potentials, Sensory evoked potentials.

How to cite this article: Shaikh MA. Intraoperative Neurophysiological Monitoring in Spine Surgery. J Postgrad Med Edu Res 2017;51(2):89-94.

Source of support: Nil

Conflict of interest: None

 
10.  Review Article
Congenital Scoliosis
Vinay Jasani
[Pages No:95-102]
Full Text PDF | Abstract | DOI : 10.5005/jp-journals-10028-1243 | FREE

ABSTRACT

Congenital scoliosis is a scoliosis that occurs as a result of bony abnormalities that arise between 4 to 16 weeks of gestation. There are genetic and environmental factors involved in etiology. The majority of congenital vertebral anomalies are in the thoracic spine (64%).
The patients often have associated skeletal anomalies and can also be part of a syndrome. Skeletal, cardiac, genitourinary intraspinal abnormalities are most commonly found in association with congenital scoliosis.
The natural history seems to be related to the morphology of the bony the site in the spine, and the patient’s age. Congenital scoliosis usually progresses and often requires intervention. The aim of intervention is to achieve a flexible and balanced spine with normal truncal height and space available for lung ratio. Early intervention for scoliosis seems to be instrumental in trying to achieve these goals.

Keywords: Congenital, Hemivertebra, Scoliosis, Segmentation.

How to cite this article: Jasani V. Congenital Scoliosis. J Postgrad Med Edu Res 2017;51(2):95-102.

Source of support: Nil

Conflict of interest: None

 
11.  Clinicopathological Conference Report (CPC)
Looking beyond Allergic Bronchopulmonary Aspergillosis in a 10-year-old Boy
Ritambhra Nada
[Pages No:103-113]
Full Text PDF | Abstract | DOI : 10.5005/jp-journals-10028-1244 | FREE

ABSTRACT

A 10-year-old male child presented with chief complaints of cough, breathing difficulty, and fever for 15 days.

 
12.  Book Review
Book Review: The Textbook of Spinal Surgery
Vishal Kumar
[Pages No:114]
Full Text PDF | Abstract | FREE

ABSTRACT

The recent edition of “The Textbook of Spinal Surgery” by Bridwell and DeWald continues its tradition of excellence in the field of spinal surgery. The book is exhaustive yet comprehensive, presents an expanded coverage of all spectrum of spinal surgery including cervical, thoracic, and lumbosacral spine; adult, pediatric, and geriatric age groups in toto; degenerative, deformity, tumors, fractures, infections, etc.

 
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