Generally cervical myelopathy with kyphotic cervical slpine is treated with anterior decompression and fusion.

But this newer technique widely used in japan, allows posterior decompression with preservations of movement at treated levels

A very young pt of 25 years old, belonging to very good family, an engineer, had tuberculosis of cervical
spine with destruction of C7 vertebra
if he would not get urgent attention and surgery, he could have landed up in developing paraplegia
he was operated from front of the neck, a new vertebra(tricortical bone graft) was put and fixed with plate
now he is doing very well in his life

Double cord syndrome – DIASTOMATOMYELIA – is a very rare entity, wherein patient is having congenital deformity of spine with separation of the spinal cord into two halves by a bony or fibrous septum It is a great challenge to operate these pts as , if something goes wrong, pt would become paraplegic for her life time.

Perticularly, in this case, as pt was only 9 years old and having congenital deformity of the vertebrae, it was corrected simultaneously at Sola civil hospital - ahmedabad.

old age patient with osteoporotic spine minor- major trauma---collapse of vertebra if not healed,vertebroplasty done through only a small hole in the skin, under image guidance, patient made to stand and walk directly from the operation theatre