We present here a 49-year-old female with 2 months history of progressive weakness in lower limbs, with no history suggestive of any traumatic, infective, inflammatory, or neoplastic pathology. Both clinical and radiological investigations were inconclusive. There was a mass lesion in the epidural space (predominantly in the posterior and right lateral space) at T1-T3 vertebral levels compressing the thoracic spinal cord. Considering the progressive nature of her neurological deficit, an emergency decompressive laminectomies of T1-T3 vertebrae were done with excision of the compressive mass lesion. Histopathological examination showed a rich lympho-plasmacytic cell infiltrates with storiform spindle cells and dense fibrosis, which was diagnostic of IPT. Post-operatively there was a rapid recovery in neurology and she became ambulatory at the end of 2 weeks. The purpose of this case report is to discuss the clinical, histopathological and radiological features, differential diagnosis, management, and prognosis of spinal IPT on the background of relevant literature review.

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We undertook this study to determine the average valgus cutting angle of distal femur in South Indian population since most of the studies are on western population and very few studies in Indian population and particularly South Indian population. Methods: We did a study femoral valgus angle of 174 knees in 87 patients with full length CT scannograms in our radiology department. Results: The average Femoral valgus angle was found to be of 6.51 ± 0.76 and there was no statistically significant difference between male and females or between both the sides. There was a strong correlation between the two sides(0.971) and weak correlation with regards to age(.003).

Background: Intertrochanteric fractures occur mostly in elderly patients, and the outcome may be extremely poor if there is prolonged bed-rest. Many treatment modalities have come up in management of these unstable intertrochanteric fractures. Sliding Hip Screw Fixation is still the gold standard in treatment of stable intertrochanteric fracture. In unstable comminuted intertrochanteric fractures, there is high incidence of failure in view of excessive collapse seen with Dynamic hip screw. In order to limit the collapse we have done a modification on Dynamic Hip Screw implant. The aim of this study is to assess fracture healing, collapse and implant failure, in unstable intertrochanteric fractures (Boyd and Griffin type-2) treated by modified DHS fixation. Methods: 23 patients who were operated with modified DHS for unstable intertrochanteric fracture were selected using random selection and following parameters were noted from the records. Results: Out of 23 patients in this study, 20 patient showed fracture healing (87%) with or without minimal collapse and 3 patient had non-union (13%) at the end of 5 months follow up. Ultimately all fractures united at the end of 1 year followup. Conclusion: Modified Dynamic Hip Screw has showed improved results as compared to normal Dynamic Hip Screw in treating communited intertrochanteric fracture, which limits the collapse at fracture site.

To determine the average acetabular antiversion angle in south Indian population, for ideal acetabular cup position in Total Hip Arthroplasty. Background: Abnormal acetabular anteversion of the hip, has been from many years the etiogenesis of early hip wear and tear leading to osteoarthritis [1] . In this era the demand for total hip replacements has increased worldwide and in India as well. The acetabular anteversion angle plays a very important role in terms of longevity of the implant and cup positioning. Since studies on acetabular anteversion are very few compared to western and Asian studies hence, the purpose of this study is to find out the acetabular anteversion angle for south Indian population. Materials and Methods: A retrospective study of 250 CT scans of hips where collected from 2017 to 2020 and the mean acetabular anteversion angle was measured which was compared with Asian and western population. Results: The average acetabular anteversion angle is 20.9±3.19 there was no statically significant difference between male and female population, as with the side, left and right side (p=0.02). There was a significant 2 to 3 degree increase in acetabular antiversion compared to US, European and Asian studies. Conclusion:The average acetabular anteversion angle 20.9 ±3.19 was significantly higher when compared to the western population due to the habitual cross legged sitting and squatting since childhood, hence this should be taken into consideration when designing and positioning acetabular cups during total hip arthroplasty.