Pande A, Babbu DR, Ghosh S. Anterior Deformity Correction in Cervical Spondylotic Myelopathy. J Spinal Surg 2014;1(2):53-59.

Patkar S. Anterior Fixation of Atlantoaxial Joints: Technique and Pitfalls. J Spinal Surg 2014;1(2):60-68.

Sudarsan PS, Dinakar I. Odontoid Fractures: Management. J Spinal Surg 2014;1(2):69-76.

ASD: Adjacent segment degeneration; CSM: Cervical spondylotic myelopathy; FU: Follow-up; JOA: Japanese orthopedic association; ROM: Range of motion.

Fransen P. Laminoplasty for Cervical Spondylotic Myelopathy. J Spinal Surg 2014;1(2):77-80.

Majeed AS, Sherafudeen Y. Missed Chance Fracture of Lumbar Vertebra presenting as Cauda Equina Syndrome: A Case Report and Review of Literature. J Spinal Surg 2014;1(2):81-83.

Laminectomy is the classical surgical technique done for exposure of the spinal cord in the removal of intraspinal lesions. Here, we report a case where multilevel hemilaminectomy has been done to remove a long segment intraspinal tumor extending from D11 to L5.

A 47-year-old lady who had backache for 5 years, difficulty in walking for 6 month. She came to us with paraplegia (grade 0 power of both lower limbs), decreased sensation of both lower limbs and bladder incontinence. MRI revealed an intradural mass lesion extending from D11 to L5 level. multilevel hemilaminectomy was performed from D11 to L5 and near total resection of the tumor was done. Postoperatively, patient showed improvement with grade 1-2 power in lower limbs at the end of 3 months.

The main advantage of hemilaminectomy is the complete preservation of dorsal static structures of the vertebral column; such as the spinous process, the interspinous and supraspinous ligaments, and the unilateral preservation of the intervertebral joints, laminae, ligamentum flavae and the paraspinal muscles.

It is without doubt that patient morbidity and spine stability is better when surgery is performed through a narrow corridor. It can be concluded that hemilaminectomy is a safe and better alternative to laminectomy in the removal of long segment intradural tumors.

Mathew D, Abraham TR, Nair AR. Microsurgical Management of Intraspinal Tumors in the Lumbar Spine: Hemilaminectomy as an Alternative to Laminectomy. J Spinal Surg 2014;1(2):84-90.

Laidlaw RS, Turchini J, Ball JR. Tumor-to-tumor Metastasis in the Spine. J Spinal Surg 2014;1(2):91-93.

Langerhan's cell histiocytosis (LCH), previously known as histiocytosis X, is a reactive proliferative dendritic cells of unknown pathogenesis characterized by the proliferation of Langerhan's cells and is extremely rare in the lumbar spines of adults. This condition is most common among young males under the age of 15 years old (with a peak incidence at 2-4 years old), and the most frequent site of these osteolytic bony lesions of the spine is the thoracic region.

To highlight an interesting and rare presentation for Langerhans cell histiocytosis of the spinal cord in pregnant woman.

This is a case report of a single patient in whom a Langerhans cell histiocytosis was resected from the lumbal spine in pregnant woman with return to normal functioning.

A 26-year-old pregnant woman at 20 to 22 weeks presenting with acute cauda equina syndrome, a 1-month history of pain and numbness and paraparese of right limb had gradually progressed to involve all the lower limbs.

Frankel grading of neural function and Visual Analogue Score are included to evaluate the therapeutic efficiency.

Magnetic resonance imaging revealed the widespread involvement of an extradural contrast-enhancing mass in the lumbar spine of L2-L5.

The patient underwent decompression and surgical resection of the tumor in a three-quarters prone position, fetal heart monitoring was performed by our obstetrician; there was no fetal distress during the surgery. The diagnosis was confirmed by histological analysis. She entered spontaneous labor at 36 to 37 weeks and birthed a baby weighing 3000 gm. The child began crying immediately and had Apgar scores of 8 and 10 in the 1st and 5th minutes respectively. No residual disease or recurrence was noted at follow-up longer than 1 year.

Our case's unique presentation involves LCH in an adult pregnant patient at the lumbar spine with no osteolytic activity. The management of pregnant women and maintenance of fetal well-being should be coordinated among the spinal neurosurgeon, obstetrician and anesthesiologist.

Dahlan RH, Yudoyono F, Ompusunggu SE, Pramatirta AY, Sutiono AB, Faried A, Arifin MZ. Langerhan's Cell Histiocytosis of the Lumbar Spine during Pregnancy: A Rare Case with Literature Review. J Spinal Surg 2014;1(2):94-97.

Schwannoma is a benign tumor arising from the neural crest-derived Schwann cells. These tumors usually grow within the spinal canal and produce compression of spinal cord and nerve root of origin.

To report a rare case of extraforaminal schwannoma in lumbar region in an elderly male operated by transparaspinal approach.

A 65-year-old male, presented with pain which is characterized by radiation to right thigh and associated with pins and needles sensation, intermittent type.

MRI scan demonstrated mixed intensity lesion in right paravertebral region L345 suggestive of extraforaminal schwannoma and disc bulge L3-4, L4-5 compressing anterior thecal sac and bilateral traversing nerve roots. Histology showed a tumor with features of schwannoma. The stroma at places shows myxoid change and hyalinization. Mononuclear cell infiltration is seen into the stroma.

Complete removal of the mass done by transparaspinal approach.

No residual tumor on follow-up scan and pain disappeared.

Extraforaminal schwannoma in lumbar region in an elderly male ia a rare condition. The rarity of extraforaminal schwannoma and transparaspinal excision was highlighted. Transparaspinal approach is the most feasible and directly accessible approach to remove tumor and relieve pressure symptoms and rare possibility of malignancy.

Sidram V, Chandrakumar PC, Varunkumar M, Raghavendra B. A Rare Case of Extraforaminal Schwannoma in Lumbar Region in an Elderly Male without Neurofibromatosis Operated by Transparaspinal Approach. J Spinal Surg 2014;1(2):98-100.

Surapuraju PK, Parthiban JKBC. A C7 Chordoma Masquerading as Spinal Tuberculosis. J Spinal Surg 2014;1(2):101-103.

Yudoyono F, Dahlan RH, Ompusunggu SE, Arifin MZ. Thoracic Solitary Plasmacytoma: Single Indonesian Teaching Hospital Experience. J Spinal Surg 2014;1(2):104-106.

Agrawal V, Tripathi S, Nanda SN, Parmar H. Osteoid Osteoma of Cervical Spine: A Rare Presentation. J Spinal Surg 2014;1(2):107-109.