dr ayush Sharma

Dr. Babasaheb Ambedkar memorial Hospital

To determine the efficacy of fluoroscopic guided transforaminal steroid versus interlaminar epidural steroid versus caudal steroid. A total of 90 patients were studied who had complains of low back pain with radiculopathy and MRI evidence of disc prolapse. Out of this group, patients were randomly assigned to three groups each having 30 patients. F...

We report on a rare case of connecting rod migration into the posterior cranial fossa after posterior cervical decompression and lateral mass screw fixation. A 55-year-old male patient who was operated on for ossification of posterior longitudinal ligament complained of sudden-onset giddiness followed by loss of consciousness one and half year foll...

Objectives: The purpose of the study was to study demographics of tuberculosis of spine and analyze factors that might affect neurological improvement in such patients. Methods: Of the 638 suspected cases of spinal tuberculosis, 312 cases with confirmed diagnosis with at least 1-year follow-up were selected for retrospective analysis. Two hundre...

ABSTRACT: Study Design: Prospective Randomized Control Trial Objective : Analyze role of cerebrolysin in patients of degenerative cervical myelopathy (DCM) managed by surgical modalities. Summary of Background Data: Cerebrolysin has been extensively researched with variable success in neurodegenerative pathologies. There has been only one stud...

Background Spinal synovial cysts are rare in the cervical spine where they may cause myeloradiculopathy. Contrast MR studies help differentiate these from other lesions. The optimal treatment is often surgical removal. Case Description A 47-year-old male presented with axial neck pain, numbness, and left-hand paresthesia. When the MR study showed...

Study design: Prospective randomized control trial. Objective: To analyze outcomes following the injection of cerebrolysin in surgically treated patients with degenerative cervical myelopathy (DCM). Summary of background data: Previous research has concluded that superior functional outcomes are achieved with the use of cerebrolysin in surgica...

Study design: Retrospective observational study. Background: Sacral insufficiency fractures (SIF) are relatively rare fractures and difficult to diagnose on plain radiographs. The primary objective of the present study was to evaluate the role of lumbar magnetic resonance imaging (MRI) for the diagnosis of SIF. The secondary objective was to ide...

Background: Preoperative lumbar epidural steroid injections (LESI) are known to be a risk factor for intraoperative dural tears in traditional spine surgery. However, whether the same holds true after minimally invasive surgery is debatable. The authors decided to investigate the incidence of complications in patients undergoing minimally invasive...

Background We assessed and analyzed the clinical, perioperative, functional, and radiological outcomes of long- versus short-segment (SS) fixation of thoracolumbar spine fractures that included the index vertebra. Methods We retrospectively evaluated 119 patients with thoracolumbar spine fractures (i.e., using AO classification system). The patien...

Background: Advances in case selection, operative methods, and postsurgical care have facilitated spine surgeons to manage complex spine cases with short operative times, decreased hospital stay and improved outcomes. Methods: This is an overview of recent updates and future directions in the field of spine surgery. All the articles were obtained t...

Advances in patient selection, surgical techniques, and postoperative care have facilitated spine surgeons to manage complex spine cases with shorter operative times, reduced hospital stay and improved outcomes. We focus this article on a few areas which have shown maximum developments in management of degenerative cervical myelopathy and also thro...

Background: T2 scans have been studied widely in the prognostication of the cervical myelopathy patients. However, whether T1 changes also have a similar effect is scarcely studied. In this study, we try to determine whether T1 changes in addition to T2 changes have a prognostic importance. Methodology: A retrospective analysis of prospectively col...

PurposeWe investigated whether a high Body Mass Index (BMI) affects the outcomes following Minimally Invasive TLIF (MI-TLIF) for degenerative lumbar pathologies.MethodsA retrospective study was undertaken to include patients operated between January 2016 and January 2020 with at least one-year follow-up. Various preoperative and demographic paramet...

Osteoporotic Vertebral compression fracture occurs in approximately 20% of individuals over 70 years of age. A significant majority of fractures approx 60% to 75% occur around the thoracolumbar region. The fractures can result in persistent pain, inability to perform daily activities, and a marked decrease in the quality of life. Reduction of pain...

Study design: A prospective comparative study. Purpose: To compare the incidence of unintended durotomy and return to work after open surgery versus minimally invasive spine surgery (MIS) for degenerative lumbar pathologies. Overview of literature: The incidence of accidental durotomy varies between 0.3% and 35%. Most of these are from open su...

Study Design: Prospective comparative Purpose: To compare the incidence of unintended durotomy and return to work in open surgery vs MIS for degenerative lumbar pathology Overview of Literature: Incidence of accidental durotomy varies between 0.3% to 35% in literature. Most of these are from open surgeries and only a handful studies involve the MIS...

Background: Preoperative lumbar epidural steroid injections (LESI) are known to be a risk factor for intraoperative dural tears in traditional spine surgery. However, whether the same holds true after minimally invasive surgery is debatable. The authors decided to investigate the incidence of complications in patients undergoing minimally invasive...

Background: The anterior atlantodental interval (AADI) and posterior atlantodental interval (PADI) on X-ray and CT studies can both be used to gauge the risk and/or presence of neurological compression. Methods: This retrospective observational study was conducted at a tertiary care centre in 116 patients with head injuries additionally warranting...

Background Both medial pivot (MP) and rotating platform (RP) mobile-bearing (MB) total knee arthroplasty (TKA) have been developed to better mimic the natural knee kinematics and femoral roll back in flexion. The purpose of this retrospective study was to compare the mid-term functional outcomes and range of motion (ROM) of MP and RP types of total...

Case: A 36-year-old man presented with a subacute onset left upper limb weakness. Further investigation revealed a myoepithelial carcinoma arising from the C3-C5 vertebrae. He underwent 2-stage surgery with tumor excision and postoperative radiotherapy. An improvement in power was noted, and no recurrence was observed at the 1-year follow-up. Con...

management of stress fracture proximal tibia.

p class="abstract">Osteochondroma of talus is rare benign tumour. Tarsal coalition is a condition in which two or more tarsal bones are joined by non-osseous bridges of cartilage or fibrocartilage or by osseous bridges. Association of Talus osteochondroma with coalition of tarsal bones is extremely rare and has not been reported in the literature b...

Conjoint nerve root (CNR) is an embryological nerve root anomaly that mainly involves the lumbosacral region. The presence of CNR during tubular discectomy raises the chances of failure in spinal surgery and the risk of neural injuries. Tubular discectomy can be challenging in the presence of CNR owing to limited visualization. Here, we present a t...

Abstract Introduction : Distal tibia fractures or Pilon fractures are usually the result of combined compressive and shearing forces, which may lead to instability of the metaphysis. Poor vascularity, lack of muscle cover and frequent intra-articular extension often make these fractures very challenging to manage. There are plenty of options avail...

Introduction: Leprosy is a chronic granulomatous infection, classically presents with cutaneous and neurological manifestations. Joint involvement in leprosy can present as acute symmetrical or chronic polyarthritis with or without tenosynovitis resembling rheumatoidarthritis. Case Report: We report a rare case of lepromatous hip arthritis in a 32-...

Introduction: Leprosy is a chronic granulomatous infection, classically presents with cutaneous and neurological manifestations. Joint involvement in leprosy can present as acute symmetrical or chronic polyarthritis with or without tenosynovitis resembling rheumatoidarthritis. Case report: We report a rare case of lepromatous hip arthritis in a...

Keywords: Follicular Type Thyroid Carcinoma; Spinal Metastasis; Spinal Tumour Follicular thyroid carcinoma (FTC) patients are rarely present with spinal metastasis as an early manifestation. Here we present a 56 year old non ambulatory female with paraparesis of both lower limbs which was progressed over last 3 months. Spinal MRI and CT scan reveal...

Subsidence of uncemented distal fit femoral stem after revision hip arthroplasty.

Hyperextension injuries of lumbar spine resulting in lumbosacral dislocation are a rare entity. We report a case of a 60-year-old male who presented to us in outpatient department with history of trivial fall from bicycle with fracture through the pedicles extending from L2 to L5 with lumbosacral dislocation with free floating posterior elements wi...

Intradural disc a diagnostic dilemma: Case series and review of literature DOI: 10.4103/ajns.AJNS_55_17 Introduction: We present a case series of six cases of intradural disc herniation at L4–L5 level diagnosed on the basis of intraoperative findings. Result: All our cases, on preoperative magnetic resonance imaging (MRI) were reported as having...

Study Design Retrospective analysis of prospectively collected data. Objective The aim of the study was to compare the outcome of anterior cervical decompression and fusion (ACDF) with stand-alone tricortical iliac crest autograft versus stand-alone polyetheretherketone (PEEK) cage in cases of cervical spondylotic myelopathy. Methods Prospectivel...

Introduction: We assessed the role of the Pirani score in determining the number of casts and its ability to suggest requirement for tenotomy in the management of clubfoot by the Ponseti method. Materials and Methods: Prospective analysis of 66 (110 feet) cases of idiopathic clubfoot up to one year of age was done. Exclusion criteria included child...

ntroduction: Neurothekeomas are uncommon benign soft tissue tumors of the peripheral nerves. It is commonly found in the upper extremities and in the head and the neck region as a small, asymptomatic, and superficial nodule. Case Report: We report a rare case of intraneural neurothekeoma (2.8 × 2.4 × 1.8 cm) of the median nerve at the wrist in a 56...

Study Design Retrospective study. Purpose The aim of this study was to analyze various diagnostic tools, including GeneXpert, for the management of tuberculosis of the spine. Overview of Literature Traditional diagnostic methods of microscopy, histology, and culture have low sensitivity and specificity for the management of tuberculosis of the sp...

The purpose of the study was to study demographics of tuberculosis of Spine and analyze factors that might affect neurological improvement in patients suffering from tuberculosis of spine.

Introduction: The present study was undertaken to find out the prevalence of skeletal deformity due to nutritional rickets in children aged 1-18 years in tea garden community in Dibrugarh District of Assam. Methodology: It was a cross-sectional study and two-stage cluster sampling was used. In the selected tea gardens, all the children aged 1-18...

Objective: To determine functional outcome of anterior cervical decompression and fusion using tricortical iliac bone graft (ACDF) for degenerative cervical spondylotic myelopathy with modified Japanese orthopedic association score (MJOA). Materials and Methods: 60 diagnosed cases of one and two levels cervical myelopathy were prospectively analyze...

Osteochondroma is the most common benign tumor of bone. It has been seen that this tumor presents itself in various way both clinically and radiologically. Surgical excision is the treatment of choice with less recurrence rates and less chances of malignant transformation. Here is a very unusual presentation of osteochondroma as a solitary loose bo...