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cervical spine surgery

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https://www.readbyqxmd.com/read/29774200/thickening-ligamentum-flavum-mimicking-tumor-in-the-epidural-space-of-the-cervical-spine
#1
Sung Hyun Bae, Dong Wuk Son, O Ik Kwon, Su Hun Lee, Jun Seok Lee, Geun Sung Song
In patients with tumors and spinal cord lesions, inflammation and tissue infection can result in mass effect detection on imaging. As a result, surgical biopsy procedures are often performed on the lesions. We report a rare case in which the thickening ligamentum flavum (LF) appeared to be a tumor in the epidural space of the cervical spine based on imaging findings. A 52-year-old man visited our outpatient clinic with severe shoulder pain and radicular pain in his right arm that had developed gradually after a traffic accident two months earlier...
April 2018: Korean Journal of Neurotrauma
https://www.readbyqxmd.com/read/29765790/direct-posterior-bipolar-cervical-facet-radiofrequency-rhizotomy-a-simpler-and-safer-approach-to-denervate-the-facet-capsule
#2
Ovidiu Palea, Haroon M Andar, Ramon Lugo, Michelle Granville, Robert E Jacobson
Radiofrequency cervical rhizotomy has been shown to be effective for the relief of chronic neck pain, whether it be due to soft tissue injury, cervical spondylosis, or post-cervical spine surgery. The target and technique have traditionally been taught using an oblique approach to the anterior lateral capsule of the cervical facet joint. The goal is to position the electrode at the proximal location of the recurrent branch after it leaves the exiting nerve root and loops back to the cervical facet joint. The standard oblique approach to the recurrent nerve requires the testing of both motor and sensory components to verify the correct position and ensure safety so as to not damage the slightly more anterior nerve root...
March 14, 2018: Curēus
https://www.readbyqxmd.com/read/29762284/hss-dysphagia-and-dysphonia-inventory-hss-ddi-following-anterior-cervical-fusion-patient-derived-validated-condition-specific-patient-reported-outcome-measure-outperforms-existing-indices
#3
Alexander P Hughes, Stephan N Salzmann, Okezie K Aguwa, Courtney Ortiz Miller, Roland Duculan, Jennifer Shue, Frank P Cammisa, Andrew A Sama, Federico P Girardi, Ashutosh Kacker, Carol A Mancuso
BACKGROUND: Dysphagia and dysphonia are common complications after anterior cervical spine surgery; however, reported prevalences vary greatly due to a lack of reliable clinical standards for measuring postoperative swallowing and speech dysfunction. The Hospital for Special Surgery Dysphagia and Dysphonia Inventory (HSS-DDI) was developed as a patient-derived, patient-reported instrument to measure dysphagia and dysphonia more accurately after anterior cervical spine surgery than existing indices...
May 16, 2018: Journal of Bone and Joint Surgery. American Volume
https://www.readbyqxmd.com/read/29756246/ewing-sarcoma-of-the-head-and-neck-the-mayo-clinic-experience
#4
Michael D Olson, Kathryn M Van Abel, Rebecca N Wehrs, Joaquin J Garcia, Eric J Moore
BACKGROUND: Treatment options of Ewing sarcoma of the head and neck include surgery, radiotherapy (RT), and chemoradiotherapy. However, local control can be challenging. METHODS: We conducted a retrospective review of all patients with head and neck Ewing sarcoma treated from 1972 to 2015 at a single tertiary care hospital. RESULTS: Seventeen patients met criteria (median 21 years, range 5-58 years; 5 women). Mean follow-up was 10.4 years (range 2...
May 13, 2018: Head & Neck
https://www.readbyqxmd.com/read/29755238/cervical-sagittal-balance-parameters-after-single-level-anterior-cervical-discectomy-and-fusion-correlations-with-clinical-and-functional-outcomes
#5
Ioannis Siasios, Evan Winograd, Asham Khan, Kunal Vakharia, Vassilios G Dimopoulos, John Pollina
Background: Normal sagittal cervical alignment has been associated with improved outcome after anterior cervical discectomy and fusion (ACDF). Objective: The aim of this study is to identify alterations of cervical sagittal balance parameters after single-level ACDF and assess correlations with postoperative functionality. Methods: A retrospective chart review was performed between January 2010 and January 2014 to identify adult patients with no previous cervical spine surgery who underwent ACDF at any one level between C2 and C7 for the single-level degenerative disease...
January 2018: Journal of Craniovertebral Junction and Spine
https://www.readbyqxmd.com/read/29755233/cervical-lift-up-laminoplasty-with-titanium-basket-plates-after-resection-of-intradural-tumor
#6
Keisuke Shirosaka, Kentaro Naito, Toru Yamagata, Masaki Yoshimura, Kenji Ohata, Toshihiro Takami
Background: Performing cervical laminoplasty after wide laminectomy may be technically demanding. The unique technique of cervical lift-up laminoplasty using titanium basket plates was applied for the reconstruction of cervical laminae after wide laminectomy for the resection of intradural tumors. Materials and Methods: This technical study included 14 cases that could be followed periodically for at least 6 months after surgery. Participants were 8 male and 6 female, with a mean age of 41...
January 2018: Journal of Craniovertebral Junction and Spine
https://www.readbyqxmd.com/read/29746965/spine-and-lower-extremity-kinematics-during-gait-in-cervical-spondylotic-myelopathy-patients
#7
Ram Haddas, Sujal Patel, Raj Arakal, Akwasi Boah, Theodore Belanger, Kevin L Ju
BACKGROUND CONTEXT: CSM typically manifests with a slow, progressive stepwise decline in neurologic function, including hand clumsiness and balance difficulties. Gait disturbances are frequently seen in CSM patients, with more advanced cases exhibiting a stiff, spastic gait. PURPOSE: To evaluate the spatiotemporal parameters and spine and lower extremity kinematics during the gait cycle of adult cervical spondylotic myelopathy (CSM) patients prior to surgical intervention...
May 7, 2018: Spine Journal: Official Journal of the North American Spine Society
https://www.readbyqxmd.com/read/29744614/a-case-of-epidural-glioblastoma-metastasis-presenting-with-a-cervical-myelopathy-torticollis-and-l-hermitte-s-phenomenon
#8
Michael W Ruff, Adip G Bhargav, Aditya Raghunathan
Extraneural glioblastoma metastases are exceedingly rare, though previously described in the literature. Activating mutations in the BRAF kinase gene (V600E) are present in a minority of glioblastoma patients. Here, we describe a case of systemic metastases of a clonal subpopulation of BRAF V600E mutated glioblastoma in a patient previously treated with surgery, radiation, temozolomide and bevacizumab. The patient presented with a subacute cervical myelopathy during adjuvant treatment. He underwent emergent surgical decompression of an epidural spine metastasis...
May 9, 2018: Brain Tumor Pathology
https://www.readbyqxmd.com/read/29735379/treatment-of-hematomas-after-anterior-cervical-spine-surgery-a-retrospective-study-of-15-cases
#9
Weiliang Miao, Xiaojun Ma, Deyong Liang, Yu Sun
OBJECTIVE: Postoperative hematoma is a rare and dangerous complication of cervical spine surgery. The aim of this study was to investigate the incidence and related factors of postoperative hematoma, and to report on 15 cases at our institution over a 6-year period. METHODS: Fifteen cases of postoperative hematoma were retrospectively identified. We investigated their neurological outcomes, characteristics, and surgical data, and identified risk factors associated with postoperative (PO) hematoma...
May 4, 2018: Neuro-Chirurgie
https://www.readbyqxmd.com/read/29735140/surgeon-survey-shows-no-adverse-events-with-mri-in-patients-with-magnetically-controlled-growing-rods-mcgrs
#10
Regina P Woon, Lindsay M Andras, Hilali Noordeen, Stephen Morris, John Hutchinson, Suken A Shah, Jeff Pawelek, Charles E Johnston, David L Skaggs
STUDY DESIGN: Surgeon survey. OBJECTIVES: To determine if magnetic resonance imaging (MRI) following implantation of magnetically controlled growing rods (MCGRs) is associated with any adverse events. SUMMARY OF BACKGROUND DATA: Magnetically controlled growing rods have been shown to reduce the need for repeated surgical procedures and improve costs when compared to traditional growing rods, but concerns about MRI compatibility exist. MRIs are often clinically indicated in the EOS population...
May 2018: Spine Deformity
https://www.readbyqxmd.com/read/29731280/-sandwich-deformity-in-klippel-feil-syndrome-a-full-spectrum-presentation-of-associated-craniovertebral-junction-abnormalities
#11
Yinglun Tian, Dongwei Fan, Nanfang Xu, Shenglin Wang
Klippel-Feil syndrome (KFS) is defined as congenital fusion of two or more cervical vertebrae resulting from a segmentation failure in the developing spine. According to Samartzis et al., the most commonly fused segments are found at C2/3 (74.1%) and C6/7 (70.4%). In patients with C2/3 fusion, especially when there is additional C1 occipitalization, several secondary anomalies including atlantoaxial dislocation (AAD), basilar invagination (BI), Chiari malformation, and syringomyelia can be identified. In this report, we present a case of a 12-year-old patient with C2/3 and occipitalization and a "Full-Spectrum" presentation of associated CVJ abnormalities including C0/1 fusion, AAD, BI, Chiari malformation, syringomyelia, myelopathy and cranial neuropathy received neurological decompression of the cervico-medullary junction by posterior reduction of the AAD and reconstruction of her CVJ using an unconventional hybrid construct due to a high-riding right vertebral artery in C2...
May 3, 2018: Journal of Clinical Neuroscience: Official Journal of the Neurosurgical Society of Australasia
https://www.readbyqxmd.com/read/29730052/thoracic-spine-intra-and-extradural-dumbbell-shaped-meningioma-case-report-and-extensive-review-of-the-literature-with-21-cases
#12
H N'da, C Dauleac, A Toquart, M Afathi, D Meyronet, C Barrey
INTRODUCTION: Spinal dumbbell-shaped meningioma is a rare condition usually mistaken preoperatively for schwannoma. The present study reported a case of dumbbell-shaped meningioma, with an extensive review of literature. METHODS: A documented case of thoracic spine dumbbell-shaped meningioma is reported, followed by an extensive review of the literature to analyze epidemiological features, pathogenesis, histopathological diagnosis, location, Eden classification, surgical treatment and outcome in such tumors...
May 2, 2018: Neuro-Chirurgie
https://www.readbyqxmd.com/read/29729475/can-we-assess-the-success-of-surgery-for-degenerative-spinal-diseases-by-using-patients-recall-of-their-preoperative-status
#13
Ricardo Rodrigues, Pedro Santos Silva, Marisa Cunha, Rui Vaz, Paulo Pereira
BACKGROUND: Patients' recall of their preoperative status is seldom used to assess surgical outcomes because of concerns of inaccuracy and bias. OBJECTIVE: The present study aims to measure the significance of this recall bias and its repercussion on patients' recollection of their preoperative status. METHODS: Patients submitted to surgery due to degenerative spine diseases during the period of one year (n=198) were included in this study...
May 2, 2018: World Neurosurgery
https://www.readbyqxmd.com/read/29726801/reduction-in-surgical-site-infection-with-suprafascial-intrawound-application-of-vancomycin-powder-in-instrumented-posterior-spinal-fusion-a-retrospective-case-control-study
#14
Shoichi Haimoto, Ralph T Schär, Yusuke Nishimura, Masahito Hara, Toshihiko Wakabayashi, Howard J Ginsberg
OBJECTIVE Recent studies have demonstrated the efficacy of subfascial intrawound application of vancomycin powder in spine surgery in reducing the rate of surgical site infections (SSIs). However, to date no study has evaluated the efficacy and safety of suprafascial application of vancomycin powder in spine surgery. The purpose of this study was to quantify the rate of SSIs after open instrumented posterior spinal fusion with and without application of suprafascial vancomycin powder and to evaluate the rate of vancomycin powder-related local adverse effects...
May 4, 2018: Journal of Neurosurgery. Spine
https://www.readbyqxmd.com/read/29718848/surgical-treatment-for-old-subaxial-cervical-dislocation-with-bilateral-locked-facets-in-a-3-year-old-girl-a-case-report
#15
Cheng Li, Lei Li, Jingzhu Duan, Lijun Zhang, Zhenjiang Liu
RATIONALE: This study aimed to describe the case of a 3-year-old girl with old bilateral facet dislocation on cervical vertebrae 6 and 7, who had spinal cord transection, received surgical treatment, and achieved a relative satisfactory therapeutic effect. PATIENT CONCERNS: A 3-year-old girl was urgently transferred to the hospital after a car accident. DIAGNOSES:: she was diagnosed with splenic rupture, intracranial hemorrhage, cervical dislocation, spinal transection, and Monteggia fracture of the left upper limb...
May 2018: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29718416/drivers-of-variability-in-90-day-cost-for-elective-anterior-cervical-discectomy-and-fusion-for-cervical-degenerative-disease
#16
Silky Chotai, Ahilan Sivaganesan, Scott L Parker, John A Sielatycki, Matthew J McGirt, Clinton J Devin
BACKGROUND: Value-based episode of care reimbursement models is being investigated to curb unsustainable health care costs. Any variation in the cost of index spine surgery can affect the payment bundling during the 90-d global period. OBJECTIVE: To determine the drivers of variability in cost for patients undergoing elective anterior cervical discectomy and fusion (ACDF) for degenerative cervical spine disease. METHODS: Four hundred forty-five patients undergoing elective ACDF for cervical spine degenerative diagnoses were included in the study...
May 1, 2018: Neurosurgery
https://www.readbyqxmd.com/read/29712534/a-scoping-review-on-health-economics-in-neurosurgery-for-acute-spine-trauma
#17
Brian C F Chan, B Catharine Craven, Julio C Furlan
OBJECTIVE Acute spine trauma (AST) has a relatively low incidence, but it often results in substantial individual impairments and societal economic burden resulting from the associated disability. Given the key role of neurosurgeons in the decision-making regarding operative management of individuals with AST, the authors performed a systematic search with scoping synthesis of relevant literature to review current knowledge regarding the economic burden of AST. METHODS This systematic review with scoping synthesis included original articles reporting cost-effectiveness, cost-utility, cost-benefit, cost-minimization, cost-comparison, and economic analyses related to surgical management of AST, whereby AST is defined as trauma to the spine that may result in spinal cord injury with motor, sensory, and/or autonomic impairment...
May 2018: Neurosurgical Focus
https://www.readbyqxmd.com/read/29712520/outpatient-spine-surgery-defining-the-outcomes-value-and-barriers-to-implementation
#18
Arjun Vivek Pendharkar, Maryam Nour Shahin, Allen Lin Ho, Eric Scott Sussman, David Arnold Purger, Anand Veeravagu, John Kevin Ratliff, Atman Mukesh Desai
Spine surgery is a key target for cost reduction within the United States health care system. One possible strategy involves the transition of inpatient surgeries to the ambulatory setting. Lumbar laminectomy with or without discectomy, lumbar fusion, anterior cervical discectomy and fusion, and cervical disc arthroplasty all represent promising candidates for outpatient surgeries in select populations. In this focused review, the authors clarify the different definitions used in studies describing outpatient spine surgery...
May 2018: Neurosurgical Focus
https://www.readbyqxmd.com/read/29709757/rapid-recovery-of-spontaneous-spinal-epidural-hematoma-without-surgical-treatment-a-case-reportand-literature-review
#19
Shu Baozhang, Fengyang Geng, Jiyue Wang, Zhiti Zhang, Chigang Du
BACKGROUND: Spontaneousspinal epidural hematoma (SSEH) is a relatively uncommon yet potentially disabling neurological emergency.The classical presentation includes a severe acute attack, sometimes radiating pain at the back,interscapular, or neckareas, followed by neurological deficits. The main treatment is surgical,and self-healing cases are rare. CASE DESCRIPTION: A 17-year-old female was admitted to the department of neurosurgery with neck pain, myasthenia of the limbs, and difficulty moving...
April 27, 2018: World Neurosurgery
https://www.readbyqxmd.com/read/29709749/concurrent-validity-and-comparative-responsiveness-of-promis-sf-versus-legacy-measures-in-the-cervical-and-lumbar-spine-population-longitudinal-analysis-from-baseline-to-post-surgery
#20
Mayur Sharma, Beatrice Ugiliweneza, Jennifer Beswick, Maxwell Boakye
BACKGROUND: The aim of our study was to evaluate the change in Patient reported outcome measurement information system (PROMIS) scores at baseline, 3 months and 12 months post procedure and correlate with legacy measures. MATERIALS AND METHODS: We analyzed patients in 3 cohorts: lumbar, cervical and the pooled cohort from our database, 2014-2017. Outcome variables were PROMIS items of pain interference, emotional distress and physical function, EuroQol five dimensions (EQ-5D), Visual analogue scale (EQ VAS), Oswestry/Neck Disability Index (ODI/ND), back, leg/neck and arm pain scales and Patient Satisfaction Index (PSI)...
April 27, 2018: World Neurosurgery
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