Background: Cervical myelopathy is commonly seen in the older population caused by a degenerative process, but in a rare case, it can be seen in the pediatric population due to uncommon causes, such as an intraspinal cyst. This case report aims to discuss a rare case of cervical myelopathy due to an endodermal cyst in a two-year-old child. Case Presentation: A 2-year-old child with limited neck movement and abnormal body posture from 6 months before admission to the hospital. Spine trauma and other histories of disease were denied. There was no deformity, swelling, hematoma, and wound on the vertebra region from physical examinations. The motoric function was found weaker on the upper and lower right extremities, and pathological reflex was found on both sides. MRI examination showed an intradural extra-medullar space-occupying lesion on the C2-C5 level of the spine. At first, the patient was diagnosed with cervical myelopathy due to an intradural extramedullary tumor at level C2-C5. Excision of the cyst, posterior decompression, and laminectomy was done in this patient. The postoperative histopathological result showed an intraspinal cyst with an endodermal type cyst. Conclusion: This case study was first diagnosed due to an intradural extramedullary tumor, which appears to be a benign intraspinal cyst from the histopathological result. The surgical treatment results in a favorable outcome, but a routine followup should monitor the improvement or long-term neurological decline.

Highlights Spinal intramedullary tuberculoma is a rare case. Clinical presentation of spinal IMTB is non-distinctive from other intramedullary lesions in the absence of systemic TB. Tuberculoma should be considered in the differential diagnosis of all intramedullary space-occupying lesion (SOL) in TB endemic countries. Early surgical decompression in selected cases may provide good long-term outcomes.

Background: Hamstring autograft (HA) is the most common graft used in ACL reconstruction procedures. However, harvesting HA could weaken the secondary stabilizer of the knee joint. Peroneus longus grafts (PL) is a novel option secondary to hamstring graft with less morbidity at the knee joint. We intended to determine whether peroneus longus autograft (PL) is a comparable alternative to hamstring autograft for ACL Reconstruction. Methods: 84 patients were grouped into "hamstring" (n = 51) and "peroneus longus" (n = 33) groups, with a mean age of 26.2 ± 5.9 in the Hamstring group and a mean age of 26.4 ± 6.6 in peroneus group. We obtain secondary data from the medical records of several hospitals in Makassar. Results: There was a significant difference in Lysholm score (p<0.05) in the hamstring group with peroneus at 6 months and 12 months postoperatively for IKDC score, anterior translation, Power Grading Flexi-Extension, ROM on flexion, and extension. In addition, in muscle atrophy, the Hamstring group compared to the peroneus group also showed a significant difference (p=0.001). Conclusion: The study's results did not show significant differences between the hamstring and peroneus groups other than atrophy of thigh muscles in the hamstring group. Based on the results of this study, we conclude peroneus longus graft is one of the graft options in ACL reconstruction surgery.

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Background:The numbers of surgical procedures performed for lumbar spinal stenosis has increased steadily over the years. Diagnosis of the patients with lumbar canal stenosis and decision for decompression was mainly with magnetic resonance imaging (MRI). Majority of patients will end up with multilevel decompression. Material and Method:This was a cross-sectional analytical study. Patient who was diagnosed with multiple lumbar canal stenosis by 3 orthopedic broad certified spine surgeons based on clinical presentation and computerized tomography (CT) myelography and MRI will undergo decompression surgery. Functional outcome was evaluated by using Japanese orthopedic association back pain evaluation questionnaire (JOABPEQ) score. The proportion of patients who has match and unmatched clinical presentation and imaging was evaluated with Fisher exact test. Results:Majority of the patients (90%) who decompressed with match clinical presentation and imaging study will has to improve JOABPEQ score 3 months follow up. Patients who decompressed with unmatched clinical presentation and imaging study 75% will had to improve JOABPEQ score and 25 % had decrease JOABPEQ score. Conclusions:Determining the level of decompression in patient with multiple lumbar canal stenosis should be based on clinical presentation of the patients rather than using imaging study. However, further authentication is required by doing long term studies.