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Article ; Online: Traumatic posterior Atlanto-axial dislocation: case report of an atypical C1-C2 dislocation with an anterior arch fracture of C1.

Ghailane, Soufiane / Alsofyani, Mohammad A / Pointillart, Vincent / Bouloussa, Houssam / Gille, Olivier

BMC musculoskeletal disorders

2019 Volume 20, Issue 1, Page(s) 612

Abstract: Background: An atypical case of a traumatic posterior C1-C2 dislocation with an anterior arch fracture of C1 is reported. A novel conservative treatment for this rare lesion is described.: Case presentation: An eighty-nine-year-old male fell off a ... ...

Abstract	Background: An atypical case of a traumatic posterior C1-C2 dislocation with an anterior arch fracture of C1 is reported. A novel conservative treatment for this rare lesion is described. Case presentation: An eighty-nine-year-old male fell off a ladder at home and presented with an acute traumatic cervical spine trauma, which we believe involved a distraction mechanism. The patient was neurologically intact; he denied any weakness, numbness or paresthesia. A preoperative CT-scan demonstrated a posterior dislocation with an anterior arch of C1 fracture. Conservative management was elected. Reduction was achieved by closed manual reduction under general anesthesia. A postoperative CT demonstrated a complete reduction of the atlanto-axial dislocation. Conclusion: Based on this case report and relevant literature, we present an unusual lesion of the upper cervical spine treated nonoperatively with closed manual reduction under general anesthesia. To date, there is no available consensus for the management of these lesions.
MeSH term(s)	Accidental Falls ; Aged, 80 and over ; Atlanto-Axial Joint/diagnostic imaging ; Atlanto-Axial Joint/injuries ; Humans ; Joint Dislocations/diagnostic imaging ; Joint Dislocations/therapy ; Male ; Neck Injuries/diagnostic imaging ; Neck Injuries/therapy
Language	English
Publishing date	2019-12-20
Publishing country	England
Document type	Case Reports ; Journal Article
ISSN	1471-2474
ISSN (online)	1471-2474
DOI	10.1186/s12891-019-3005-2
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Article ; Online: Mismatch between rod bending and actual post-operative lordosis in lumbar arthrodesis with poly axial screws.

Moufid, Abdollah Yassine / Cloche, Thibault / Ghailane, Soufiane / Ounajim, Amine / Vendeuvre, Tanguy / Gille, Olivier

Orthopaedics & traumatology, surgery & research : OTSR

2019 Volume 105, Issue 6, Page(s) 1143–1148

Abstract: Background: The question of rod bending is essential during posterior lumbar fusion. The role of posterior instrumentation during spinal surgery remains to be defined. Despite an appropriate bending, a mismatch between rod lordosis and lumbar lordosis ... ...

Abstract	Background: The question of rod bending is essential during posterior lumbar fusion. The role of posterior instrumentation during spinal surgery remains to be defined. Despite an appropriate bending, a mismatch between rod lordosis and lumbar lordosis can occur. There is no study on the link between rod bending and lordosis. The purpose of this study was to evaluate parameters that explain the mismatch between lumbar lordosis and rod bending in lumbar surgery using polyaxial screws. Hypothesis: Radiological parameters explain the mismatch between the rod and the lordosis. Methods: This study was monocentric, retrospective, descriptive and analytic. All patients with posterior L3L5 fusion in an university-affiliated hospital in 2017 were included. Patients with past surgical history of anterior fusion on the levels L3L5, Coronal malalignment with a Cobb angle superior to 5°, the use of dynamic fixation systems were excluded. We measured on immediate post-operative standing profile x-ray: pelvic incidency, lumbar lordosis, lordosis of the instrumented segment, the distance between posterior wall and rod (EcarT) which reflect how homogeneously the screws are put in depth, the angle between screw and rod (thetaMA), the angle between screw and superior endplate (lambdaMA), the rod lordosis. Univariate and multivariate analysis were conducted to see if there was a link between all those parameters and the mismatch: vertebral lordosis-rod lordosis. Results: A total of 74 patients were included, mean age was 67. Eighteen were 360° fusion and 56 were postero-lateral fusions. There was no statistical association between demographic data, pelvic parameters, use of interbody devices and the mismatch. There was a statistical association between thetaMA, lambdaMA, EcarT and the mismatch (P<0,0001). A multivariate linear regression model was developed to create a new index: Mismatch analysis index. Conclusion: Our study is the first on the link between rod bending and lumbar lordosis. Three radiologic factors are involved in not obtaining the planned lordosis in short lumbar fusion with polyaxial screws. Two factors depend on the way the surgeon positions screw parallel to the superior vertebral endplate(lambdaMA), and with a homogeneous depth (EcarT). And the last factor: ThetaMA is depending on the surgical technique (compression on screws, osteotomies, monoaxial screws, use of interbody devices). Level of evidence: IV.
MeSH term(s)	Aged ; Bone Screws ; Female ; Humans ; Lordosis/diagnosis ; Lordosis/etiology ; Lumbar Vertebrae/diagnostic imaging ; Lumbar Vertebrae/surgery ; Male ; Quality of Life ; Radiography ; Retrospective Studies ; Spinal Fusion/adverse effects ; Spinal Fusion/methods ; Spondylolisthesis/diagnosis ; Spondylolisthesis/surgery
Language	English
Publishing date	2019-03-28
Publishing country	France
Document type	Journal Article
ISSN	1877-0568
ISSN (online)	1877-0568
DOI	10.1016/j.otsr.2019.03.003
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Article ; Online: Malignant triton tumor: Grand Round presentation of a rare aggressive case thoracolumbar spine tumor.

Ghailane, Soufiane / Fauquier, Sandra / Lepreux, Sébastien / Le Huec, Jean-Charles

European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society

2017 Volume 28, Issue 6, Page(s) 1448–1452

Abstract: Introduction: We report a rare and aggressive case of malignant triton tumor (MTT) at the thoracolumbar junction with foraminal extension mistreated as schwannoma.: Materials and methods: A 70-year-old man with a 2-year history of lower back pain and ...

Abstract	Introduction: We report a rare and aggressive case of malignant triton tumor (MTT) at the thoracolumbar junction with foraminal extension mistreated as schwannoma. Materials and methods: A 70-year-old man with a 2-year history of lower back pain and left L4 radiculopathy with no history of neurofibromatosis. Results: Pre-operative MRI suggested a typical schwannoma. Upon complete marginal resection, histological findings revealed a MTT. The patient presented with a local and regional recurrence and died 10 months after surgery. MTTs are a subgroup of malignant peripheral nerve sheath tumors, which develop from Schwann cells of peripheral nerves or within existing neurofibromas, and display rhabdomyoblastic differentiation. Conclusion: Based on the Grand Round case and relevant literature, we present a case of a highly aggressive and fast-growing tumor with a very high local and distant recurrence. There is no consensus treatment plan available and patients usually die shortly after diagnosis.
MeSH term(s)	Aged ; Diagnostic Errors ; Fatal Outcome ; Humans ; Male ; Neoplasm Metastasis ; Neoplasm Recurrence, Local ; Nerve Sheath Neoplasms/pathology ; Nerve Sheath Neoplasms/surgery ; Neurilemmoma ; Spinal Neoplasms/pathology ; Spinal Neoplasms/surgery
Language	English
Publishing date	2017-09-18
Publishing country	Germany
Document type	Case Reports ; Journal Article
ZDB-ID	1115375-1
ISSN	1432-0932 ; 0940-6719
ISSN (online)	1432-0932
ISSN	0940-6719
DOI	10.1007/s00586-017-5277-2
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Article ; Online: Paraspinal hibernoma: Grand Round presentation of a rare benign adipocytic tumor.

Ghailane, Soufiane / Bouloussa, Houssam / Fauquier, Sandra / Ziadé, Caroline / Gille, Olivier

European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society

2017 Volume 27, Issue 4, Page(s) 822–825

Abstract: Introduction: We report an uncommon case of paraspinal hibernoma with a T12-L1 foraminal extension and discuss the potential differential diagnoses of paraspinal adipocytic tumors.: Materials and methods: A 32-year-old woman consulted our department ... ...

Abstract	Introduction: We report an uncommon case of paraspinal hibernoma with a T12-L1 foraminal extension and discuss the potential differential diagnoses of paraspinal adipocytic tumors. Materials and methods: A 32-year-old woman consulted our department with a right subscapular and paraspinal mass. There was no associated neurological deficit. The MRI revealed a paraspinal adipocytic tumor with a T12-L1 right foraminal extension. Percutaneous biopsy suggested a diagnosis of hibernoma. Results: Hibernoma is a rare and benign adipocytic tumor arising from embryologic remnants of brown fat. Specific MRI findings are discussed to differentiate hibernoma from other soft-tissue tumors. A planned marginal resection was undertaken with the final histopathology confirming the diagnosis of hibernoma. Conclusion: Based on the Grand Round case and relevant literature, we discuss a rare case of paraspinal hibernoma with a foraminal component and no recurrence at 3-year follow-up.
MeSH term(s)	Adipose Tissue, Brown/pathology ; Adult ; Diagnosis, Differential ; Female ; Humans ; Lipoma/diagnosis ; Lipoma/surgery ; Magnetic Resonance Imaging ; Paraspinal Muscles/pathology ; Teaching Rounds
Language	English
Publishing date	2017-06-07
Publishing country	Germany
Document type	Case Reports ; Journal Article
ZDB-ID	1115375-1
ISSN	1432-0932 ; 0940-6719
ISSN (online)	1432-0932
ISSN	0940-6719
DOI	10.1007/s00586-017-5124-5
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Article ; Online: How was spinal surgery activity maintained during the COVID-19 pandemic? Results of a French multicenter observational study.

Blondel, Benjamin / Prost, Solène / Chaussemy, Dominique / Mohsinaly, Yann / Ghailane, Soufiane / Pascal-Moussellard, Hughes / Assaker, Richard / Barrey, Cédric / Gille, Olivier / Charles, Yann-Philippe / Fuentes, Stéphane

Orthopaedics & traumatology, surgery & research : OTSR

2022 Volume 109, Issue 1, Page(s) 103221

Abstract: Introduction: The French Society of Spinal Surgery (SFCR) offered guidelines during the COVID pandemic. The objective of this work was to report the organization and activity in spinal surgery during the first month of confinement across 6 centers in ... ...

Abstract	Introduction: The French Society of Spinal Surgery (SFCR) offered guidelines during the COVID pandemic. The objective of this work was to report the organization and activity in spinal surgery during the first month of confinement across 6 centers in France. The secondary objective was to monitor the adequacy of our practices within the SFCR guidelines. Material and methods: This prospective multicenter observational study reported spinal surgery activity in each institution from March 16 to April 16, 2020, as well as the organizational changes applied. Surgical activity was compared to that of the same period in 2019 in each center and evaluated according to the SFCR guidelines, in order to control the adequacy of our practices during a pandemic period. Results: During the peak of the epidemic, 246 patients including 6 COVID-positive patients were treated surgically. The most significant drops in activity were found in Strasbourg (-81.5%) and Paris (-65%), regions in which the health situation was the most critical, but also in Bordeaux (-75%) despite less viral circulation. Operating rooms functioned at 20 to 50% of their normal capacity. There was a significant reduction in procedures for degenerative spine conditions or deformities, in line with the SFCR guidelines. Conclusion: Maintaining spinal surgery is possible and desirable, even in times of health crisis. The indications must be considered according to the emergency criteria developed by learned societies and adapted to health developments and to the technical possibilities of treatment, by center. Level of proof: IV.
MeSH term(s)	Humans ; COVID-19 ; Pandemics ; Prospective Studies ; Neurosurgical Procedures ; Spine
Language	English
Publishing date	2022-01-31
Publishing country	France
Document type	Observational Study ; Multicenter Study ; Journal Article
ISSN	1877-0568
ISSN (online)	1877-0568
DOI	10.1016/j.otsr.2022.103221
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Article: Comment l’activité chirurgicale rachidienne a été maintenue pendant la pandémie COVID-19 ? Résultats d’une étude observationnelle multicentrique française.

Revue de chirurgie orthopedique et traumatologique

2022 Volume 109, Issue 1, Page(s) 54–58

Title translation	How was spinal surgery activity maintained during the COVID-19 pandemic? Results of a French multicenter observational study.
Language	French
Publishing date	2022-02-01
Publishing country	France
Document type	Journal Article
ZDB-ID	2486587-4
ISSN	1877-0517
ISSN	1877-0517
DOI	10.1016/j.rcot.2022.01.023
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Article ; Online: Anterior Cervical Idiopathic Hyperostosis and Dysphagia: The Impact of Surgical Management-Study of a Series of 11 Cases.

Damade, Camille / Masse, Romain / Ghailane, Soufiane / Petit, Marion / Castelain, Jean-Etienne / Gille, Olivier / Mazas, Simon / Bouyer, Benjamin / Kieser, David Christopher

World neurosurgery

2020 Volume 138, Page(s) e305–e310

Abstract: Objective: To assess the efficacy and safety of surgery for dysphagia in anterior cervical idiopathic hyperostosis.: Methods: This retrospective study included 11 consecutive patients presenting with dysphagia and anterior cervical idiopathic ... ...

Abstract	Objective: To assess the efficacy and safety of surgery for dysphagia in anterior cervical idiopathic hyperostosis. Methods: This retrospective study included 11 consecutive patients presenting with dysphagia and anterior cervical idiopathic hyperostosis. Computed tomography scans and dynamic swallowing fluoroscopies were performed. The site of compression and the size and position of osteophytes were measured. The clinical outcomes and complications were recorded. Results: Two patients with anterior esophageal compression were found to have dysphagia caused by lower esophageal sphincter dysfunction. In the remaining 9 patients, the level of maximal compression was between C3 and C5 with the size of the osteophytes ranging from 8 to 17 mm. Intubation was challenging in 7 patients. Postoperative transient worsening of dysphagia was encountered in 3 patients. Two patients experienced severe complications including aphagia and respiratory compromise. Within 2 months of the operation, all patients reported satisfactory improvement of symptoms and a considerable gain in quality of life. No recurrence had occurred at final follow-up. Conclusions: Anterior cervical hyperostosis causing dysphagia typically affects older men and results from compression between C3 and C5 from osteophytes of variable sizes. Operative intervention can provide long-lasting resolution of symptoms but is complicated by difficulty in endotracheal intubation, postoperative dysphagia, and rarely respiratory compromise. A systematic preoperative ear, nose, and throat consultation is recommended to reduce these complications.
MeSH term(s)	Aged ; Aged, 80 and over ; Cervical Vertebrae/pathology ; Cervical Vertebrae/surgery ; Deglutition Disorders/etiology ; Humans ; Hyperostosis, Diffuse Idiopathic Skeletal/complications ; Hyperostosis, Diffuse Idiopathic Skeletal/surgery ; Male ; Middle Aged ; Orthopedic Procedures/methods ; Retrospective Studies
Language	English
Publishing date	2020-02-25
Publishing country	United States
Document type	Journal Article
ZDB-ID	2534351-8
ISSN	1878-8769 ; 1878-8750
ISSN (online)	1878-8769
ISSN	1878-8750
DOI	10.1016/j.wneu.2020.02.097
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Article: Traumatic Fracture: Dislocation of Cervicothoracic Junction-Grand Round Presentation of C7-T1 Instabilities and Different Instrumentation Techniques.

Alsofyani, Mohammad A / Ghailane, Soufiane / Alsalmi, Sultan / Jakinapally, Sreenath / Boissière, Louis / Obeid, Ibrahim / Vital, Jean-Marc

Case reports in orthopedics

2020 Volume 2020, Page(s) 7578628

Abstract: Introduction: Acute traumatic cervicothoracic junction spinal lesions are rare disorders and poorly documented. We report a case of a traumatic cervicothoracic fracture-dislocation. We present our experience in the operative treatment of an unstable ... ...

Abstract	Introduction: Acute traumatic cervicothoracic junction spinal lesions are rare disorders and poorly documented. We report a case of a traumatic cervicothoracic fracture-dislocation. We present our experience in the operative treatment of an unstable fracture-dislocation at the cervicothoracic junction. Results: At one-year postoperative follow-up, radiographs revealed bony fusion at the level of C7-T1, and the patient had no major functional disability. Conclusion: We opted for the ventral-dorsal approach in our case for maximum stabilization and to prevent mechanical complications.
Language	English
Publishing date	2020-07-01
Publishing country	United States
Document type	Case Reports
ZDB-ID	2684648-2
ISSN	2090-6757 ; 2090-6749
ISSN (online)	2090-6757
ISSN	2090-6749
DOI	10.1155/2020/7578628
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Article ; Online: Cervical disc herniation: which surgery?

Mazas, Simon / Benzakour, Ahmed / Castelain, Jean-Etienne / Damade, Camille / Ghailane, Soufiane / Gille, Olivier

International orthopaedics

2018 Volume 43, Issue 4, Page(s) 761–766

Abstract: Purpose: Cervical disc herniation is a common pathology. It can be treated by different surgical procedures. We aimed to list and analyzed every available surgical option. We focused on the comparison between anterior cervical decompression and fusion ... ...

Abstract	Purpose: Cervical disc herniation is a common pathology. It can be treated by different surgical procedures. We aimed to list and analyzed every available surgical option. We focused on the comparison between anterior cervical decompression and fusion and cervical disc arthroplasty. Results: The anterior approach is the most commonly used to achieve decompression and fusion by the mean of autograft or cage that could also be combined with anterior plating. Anterior procedures without fusion have shown good outcomes but are limited by post-operative cervicalgia and kyphotic events. Posterior cervical foraminotomy achieved good outcomes but is not appropriate in a case of a central hernia or ossification of the posterior ligament. Cervical disc arthroplasty is described to decrease the rate of adjacent segment degeneration. It became very popular during the last decades with numerous studies with different implant device showing encouraging results but it has not proved its superiority to anterior cervical decompression and fusion. Anterior bone loss and heterotopic ossification are still to be investigated. Conclusion: Anterior cervical decompression and fusion remain the gold standard for surgical treatment of cervical disc herniation.
MeSH term(s)	Arthroplasty ; Cervical Vertebrae/surgery ; Decompression, Surgical/methods ; Female ; Foraminotomy ; Fracture Fixation, Internal ; Humans ; Intervertebral Disc Degeneration ; Intervertebral Disc Displacement ; Male ; Middle Aged ; Neck Pain ; Neurosurgical Procedures ; Ossification, Heterotopic/surgery ; Prostheses and Implants ; Spinal Fusion/methods ; Treatment Outcome
Language	English
Publishing date	2018-11-08
Publishing country	Germany
Document type	Journal Article ; Review
ZDB-ID	80384-4
ISSN	1432-5195 ; 0341-2695
ISSN (online)	1432-5195
ISSN	0341-2695
DOI	10.1007/s00264-018-4221-3
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Article ; Online: Multiple-rod constructs in adult spinal deformity surgery for pelvic-fixated long instrumentations: an integral matched cohort analysis.

Guevara-Villazón, Fernando / Boissiere, Louis / Hayashi, Kazunori / Larrieu, Daniel / Ghailane, Soufiane / Vital, Jean-Marc / Gille, Olivier / Pointillart, Vincent / Obeid, Ibrahim / Bourghli, Anouar

European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society

2020 Volume 29, Issue 4, Page(s) 886–895

Abstract: Purpose: Multiple-rod constructs (Multi-Rod: extra rods for additional pillar support) are occasionally used in adult spinal deformity (ASD) surgery. We aimed to compare and analyze the general outcome of multi-rod constructs with a matched two-rod ... ...

Abstract	Purpose: Multiple-rod constructs (Multi-Rod: extra rods for additional pillar support) are occasionally used in adult spinal deformity (ASD) surgery. We aimed to compare and analyze the general outcome of multi-rod constructs with a matched two-rod cohort, to better understand the differences and the similitudes. Methods: This is a retrospective matched cohort study including patients with ASD that underwent surgical correction with long posterior instrumentation (more than five levels), pelvic fixation and a minimum 1-year follow-up. Matching was considered with demographical data, preoperative radiographical parameters, preoperative clinical status [health-related quality-of-life (HRQoL) scores] and surgical characteristics (anterior fusion, decompression, rod material, osteotomies). Postoperative radiographical and clinical parameters, as well as complications, were obtained. Univariate and multivariate analysis was performed regarding postoperative improvement, group variables comparison and parameters correlation. Results: Thirty-three patients with multi-rod construct and 33 matched with a two-rod construct were selected from a database with 346 ASD-operated patients. Both groups had a significant improvement with surgical management in the radiographical and HRQoL parameters (p < 0.001). Differences between groups for the postoperative radiographical, clinical and perioperative parameters were not significant. Rod breakage was more frequent in the two-rod group (8 vs 4, p = 0.089), as well as the respective revision surgery for those cases (6 vs 1 p = 0.046). Risk factors related to revision surgery were greater kyphosis correction (p = 0.001), longer instrumentation (p = 0.037) and greater sagittal vertical axis correction (p = 0.049). Conclusion: No major disadvantage on the use of multi-rod construct was identified. This supports the benefit of using multi-rod constructs to avoid implant failure. These slides can be retrieved under Electronic Supplementary Material.
MeSH term(s)	Aged ; Cohort Studies ; Female ; Humans ; Kyphosis/surgery ; Male ; Reoperation ; Retrospective Studies ; Scoliosis/surgery ; Spinal Fusion ; Treatment Outcome
Language	English
Publishing date	2020-01-28
Publishing country	Germany
Document type	Journal Article
ZDB-ID	1115375-1
ISSN	1432-0932 ; 0940-6719
ISSN (online)	1432-0932
ISSN	0940-6719
DOI	10.1007/s00586-020-06311-z
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