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INTRODUCTIONThe well-known causes of Dorsal myelopathy are Koch's Spine and Metastasis. Ossified Yellow Ligament is a rare cause, endemic in some parts of the world. With advances in imaging techniques, preoperative evaluation and diagnosis has become easier. MATERIALS AND METHODSTwenty-one cases of Dorsal ligamentum flavum thickening causing compressive myelopathy have been studied and evaluated with Nurick grading preoperative and post-operatively. The age distribution, presenting complaints, duration of symptoms, preoperative Nurick grade, level of spinal involvement, surgical procedures and post-operative Nurick grade were compared among male and female patients and also among different age groups RESULTS AND CONCLUSIONMales are twice commonly affected than females. Parasthesias are present in all most all cases. Lower dorsal segment is solely involved in females whereas multiple level involvement is common among male patients. Male patients usually develop sudden onset of symptoms with trivial fall.

Background: The aim of this analytical study is to compare the hearing improvement in type I Tympanoplasty between Temporalis Fascia used alone and temporalis Fascia with cartilage as graft material. Material and Methods: The study was done in ENT department at PSGIMSR, from October 2016 to July 2018. A total of 21,453 cases attended the ENT Outpatient department during the study period. Out of these, 75 cases with dry perforation of the tympanic membrane were chosen for the study. Patients were selected in random, excluding ear discharge, Attico-antral disease, and complications of chronic otitis media. Results: In the study population, disease afflicting the nose and throat were also ruled out. Detailed evaluation of each case was done comprising of history taking, clinical examination, investigations including pure tone audiometry. Patients were divided into 2 groups. Group A consist of 50 patients underwent type I Tympanoplasty with temporalis fascia alone. Group B consist of 25 patients underwent type I Tympanoplasty with combined Temporalis Fascia & Conchal Cartilage. Post-operative hearing improvement measured by Audiometry is compared among the two groups and found that small perforations had best improvement with Temporalis Fascia graft, large and subtotal perforation had good improvement in postoperative hearing with combined Temporalis Fascia and Conchal Cartilage graft. Conclusion: Mean hearing improvement in Group A with temporalis graft was 12.98 dB (better) than Group B, with Temporalis Fascia & Cochal Cartilage graft mean hearing improvement was 8.96 dB.

Subtalar dislocation is an unusual clinical case with very little mention in literature constituting nearly 1% of all traumatic dislocations. Here a 40 year old male who sustained fall over inverted foot was diagnosed as closed isolated medial subtalar dislocation with no associated fractures. This is an even more rare entity. Immediate closed reduction was done and immobilised for 4 weeks with below knee cast. This case report describes the mechanism of injury, ligaments involved, manoeuvre of closed reduction. This case report highlights the importance of prompt and urgent reduction and short period of immobilisation to avoid complications and better prognosis. Keywords: Subtalar dislocation, Basketball foot, Isolated, Medial, Arthritis.