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removal of vertebra around spinal cord

John R Dimar, David T Endriga, Leah Y Carreon
Spinal cord stimulators (SCSs) have long been in use as a modality for the management of numerous pain pathologies. Along with commonly anticipated morbidities such as displacement, failure (due to fracture or breakage), or infection, there have also been rare but well-documented complications of fibrous scarring, resulting in spinal cord compression. This is the first known case that demonstrates osteolysis and bony destruction of the vertebrae adjacent to the SCS along with the foreign-body granulomatous reaction...
June 2016: Journal of Neurological Surgery Reports
Atef Ben Nsir, Adnene Boubaker, Hafedh Jemel
AIM: Childhood meningiomas are scarce in clinical practice with an incidence ranging from 0.4 to 4.6% of all pediatric central nervous system (CNS) tumors. Cervico-occipital meningiomas account for 3.7% of childhood meningiomas and are slightly more frequent in male. RESULTS: A 5-year-old female presented with febrile posterior cervico-occipital pain for 3 weeks. She was diagnosed with meningitis and treated for a similar period with adapted antibiotics. The pain persisted even after treatment...
2014: Turkish Neurosurgery
Qingjiang Li, Qingquan Kong, Li Zhang, Tianwei Sun, Tao Li, Quan Gong, Yueming Song, Hao Liu
OBJECTIVE: To determine the surgical indications for posterior expansive open-door laminoplasty (EOLP) extended to the C1 level. METHODS: Seventeen patients undergoing C3-7 or C2-7 open-door laminoplasty were included as the case group between September 2005 and January 2010, whose spinal cord injury symptoms were not alleviated or aggravated again because of the cervical stenosis at C-4 level, and the causes of the surgery itself were eliminated, all of these patients underwent reoperation with decompress upward to C1 level...
October 2013: Chinese Journal of Reparative and Reconstructive Surgery
Leonardo Tadeu de Andrade, Eduardo Gomes de Araújo, Karla da Rocha Pimenta Andrade, Danyelle Rodrigues Pelegrino de Souza, Telma Ribeiro Garcia, Tânia Couto Machado Chianca
This retrospective study, performed in 2009, aimed to identify nursing diagnoses and interventions for the care of patients with spinal cord injury. Data were collected from the nursing records of 465 patients with SCI undergoing rehabilitation. The nursing diagnosis Risk for autonomic dysreflexia was identified in 271 clinical records (58, 3%). Approximately 80 patients developed autonomic dysreflexia, with a predominance in young men around 35.7 years old, who had experienced a trauma as the main cause of the injury...
February 2013: Revista da Escola de Enfermagem da U S P
Shigeru Kobayashi, Katsura Kato, Alexander Rodríguez Guerrero, Hisatoshi Baba, Hidezo Yoshizawa
There are many histological examinations of syringohydromyelia in the literature. However, there has been very little experimental work on blood permeability in the spinal cord vessels and ultrastructural changes. We prepared an animal model of spinal adhesive arachnoiditis by injecting kaolin into the subarachnoid space at the eighth thoracic vertebra of rabbits. The animals were evaluated 4 months later. Of the 30 rabbits given kaolin injection into the cerebrospinal fluid, 23 showed complete circumferential obstruction...
June 10, 2012: Journal of Neurotrauma
Osamah J Choudhry, Lana D Christiano, Rahul Singh, Barbara M Golden, James K Liu
Bone morphogenetic protein (BMP) has been reported to cause early inflammatory changes, ectopic bony formation, adjacent level fusion, radiculitis, and osteolysis. The authors describe the case of a patient who developed inflammatory fibroblastic cyst formation around the BMP sponge after a lumbar fusion, resulting in compressive lumbar radiculopathy. A 70-year-old woman presented with left L-4 and L-5 radiculopathy caused by a Grade I spondylolisthesis with a left herniated disc at L4-5. She underwent a minimally invasive transforaminal lumbar interbody fusion with BMP packed into the interbody cage at L4-5...
March 2012: Journal of Neurosurgery. Spine
Hirokazu Inoue, Atsushi Seichi, Kenichi Yamamuro, Masahiro Kojima, Atsushi Kimura, Yuichi Hoshino
Adult cases with isolated juvenile xanthogranuloma of the central nervous system are very rare. We report a case with dumbbell-type juvenile xanthogranuloma in the cervical spine. A 38-year-old man presented with moderate numbness of the right ring finger and right little finger and weakness of the right grip. Magnetic resonance imaging (MRI) showed an intra-spinal mass extending into the paravertebral area. The spinal cord was compressed by the lesion, which was isointense with the spinal cord on both T1- and T2-weighted imaging...
July 2011: European Spine Journal
Lal Rehman, Azmatullah Khattak, Ismail Akbar, Mohammad Ilias, Amir Nasir, Mohammad Siddique, Mushtaq
BACKGROUND: Spinal cord injury (SCI) is a devastating condition often affecting young and healthy individuals around the world. This debilitating condition not only creates enormous physical and emotional cost to individuals but also is a significant financial burden to society at large. The Objective was to study the outcome of spinal fixation with fixateur interne in cases of thoracolumbar spinal injuries in terms of neurological recovery and complications. METHODS: This Descriptive study was conducted at Department of Neurosurgery, Hayatabad Medical Complex and Postgraduate Medical Institute, Peshawar, from March, 2006 to December, 2007 Study included patients admitted in Neurosurgery Ward HMC, with acute traumatic spinal injuries during the above mentioned period who underwent thoracolumbar spinal fixation with fixateur interne...
January 2010: Journal of Ayub Medical College, Abbottabad: JAMC
Yanko N Kumchev, Borislav M Kalnev, Stefan D Raikov, Hristo B Jeliazkov
UNLABELLED: Spontaneous spinal epidural hematoma is a rare disorder. We present a case of a 55-year-old man who was awakened by severe pain in the neck and shoulders and inability to move his arms and legs. He was admitted to the clinic as an emergency. His physical status showed no abnormalities. The local status presented with roughly expressed cervical vertebral syndrome. Neurological examination found quadriplegia of acute onset. Distal parahypesthesia with sensory level at the nipples was found...
April 2010: Folia Medica
Phong Dam-Hieu, Elsa Magro, Romuald Seizeur, Alexandre Simon, Bertrand Quinio
The authors report on 2 cases of delayed compression of the cervical spinal cord by dense scar tissue forming around epidural electrodes implanted for spinal cord stimulation (SCS). This complication has not been previously reported. Myelopathy developed in 2 patients 5 and 16 years after the surgical placement of a cervical epidural electrode. Prior to myelopathy, both patients experienced a tolerance phenomenon. Magnetic resonance imaging in both cases showed severe compression of the spinal cord by the electrode...
April 2010: Journal of Neurosurgery. Spine
Takeshi Aoyama, Kazutoshi Hida
A 69-year-old man presented with subarachnoid hemorrhage due to a ruptured anterior communicating artery aneurysm. The aneurysm neck was clipped and a lumbar drainage tube was inserted for cerebrospinal fluid drainage. However, the tube was accidentally cut during removal and a fragment remained in the spinal canal. A subarachnoid, subcutaneous abscess appeared 7 days later, which was treated with antibiotics. He noted numbness of his left leg after 6 months, and gait disturbance manifested 3 months later. T(1)-weighted magnetic resonance (MR) imaging disclosed a well-enhanced extramedullary mass at the T9-10 intervertebral level, and T(2)-weighted MR imaging showed moderate edema around the peri-lesional spinal cord...
2010: Neurologia Medico-chirurgica
E Wada, H Kawai
STUDY DESIGN: Case report. OBJECTIVES: To report the late onset of cervical myelopathy secondary to fibrous scar tissue formation around an epidural electrode implanted for spinal cord stimulation (SCS). SETTING: Department of Orthopaedic Surgery, Hoshigaoka Koseinenkin Hospital, Osaka, Japan. METHOD AND RESULTS: A 49-year-old man who had an electrode implanted for SCS 5 years ago was referred to our department on 2 March 2005, complaining of difficulty using chopsticks and walking...
August 2010: Spinal Cord
H Mouchaty, R Conti, P Conti, N Desogus, A Maleci, N Di Lorenzo
AIM: Circumferential reconstruction of thoracic and lumbar vertebrae is most frequently performed in two sessions. The authors assessed feasibility, safety and results of a surgical technique in which the use of a small cage allows a less invasive strategy. In addition, since the authors perform urgent decompression in specific cases of spinal cord injury, feasibility of this technique in emergency was verified. METHODS: In two Neurosurgical Departments, between May 2001 and May 2006, 62 patients with thoracic or lumbar fractures were operated on using this technique...
December 2008: Journal of Neurosurgical Sciences
Giuseppe M V Barbagallo, Rosario Caltabiano, Giuseppe Parisi, Vincenzo Albanese, Salvatore Lanzafame
Ependymomas account for 2-6% of all central nervous system neoplasms. They develop from the ependymal cells that line the ventricular cavities of the brain and the central canal of the spinal cord, as well as from ependymal clusters in the filum terminale. Giant cell ependymoma (GCE) is a rare subtype, with few cases reported, mostly in the brain. We describe the case of a cervical spinal cord ependymoma with pleomorphic giant cells and focal calcifications occurring in a 25-year-old woman. Magnetic resonance imaging revealed a large multicystic and partially enhancing intramedullary tumour extending from C2 to C5...
July 2009: European Spine Journal
Prem K Singh, Roopesh Jain, Seema Mishra, Sunil Kumar, Sushma Bhatnagar, Suryanand Deo
Persistent cerebrospinal fluid leak is a known complication of intrathecal pump system insertion for drug delivery. Various treatment modalities, such as an epidural blood patch, use of glue, removal of catheter, and surgical closure of dura and subdural blood patch, have been reported previously. This report presents a 35-year-old woman in whom an intrathecal pump system was inserted for cancer pain management with intrathecal morphine. This was complicated by a persistent cerebrospinal fluid leak that was successfully managed by purse-string sutures over the dura around the catheter, without removing the intrathecal implant...
June 2008: American Journal of Hospice & Palliative Care
Scott M W Haufe, Anthony R Mork, Chris C Kunis
A retrospective analysis of 13 patients who underwent endoscopic hardware removal to resolve residual foraminal stenosis issues was performed to determine the feasibility and validity of utilizing endoscopic techniques to entirely remove spinal hardware. Tubular retractors were utilized for the procedure with a diameter of 15 to 18 mm. Surgical times ranged from 58 to 268 minutes, with the largest time delay being the need to cut the crossbars in vivo due to stripped screws, bony overgrowth, or bent hardware...
2008: Journal of Surgical Orthopaedic Advances
Saad Hamdan Abdullah, Osama Abu Ata, Nael El-Adwan
A 56-year-old man presented with a rare spinal epidural abscess manifesting as attacks of back pain associated with fever, weight loss, generalized weakness and fatigability, and constipation. He had multiple skin pustules in the last 4 months treated with oral amoxicillin. He had suffered diabetes mellitus for the last 5 years and was insulin dependent. Physical examination found slight paraparesis with sensory loss around the nipple and sphincteric urgency, and diabetic retinopathy. Magnetic resonance imaging showed edematous T2, T3, and T4 vertebral bodies, and narrow enhanced T3-4 disk space with a soft tissue enhanced mass mostly anterior to the spinal cord and indenting the cord...
March 2008: Neurologia Medico-chirurgica
Yan Wang, Yonggang Zhang, Xuesong Zhang, Peng Huang, Songhua Xiao, Zheng Wang, Zhengsheng Liu, Baowei Liu, Ning Lu, Keya Mao
We report a multilevel modified vertebral column resection (MVCR) through a single posterior approach and clinical outcomes for treatment of severe congenital rigid kyphoscoliosis in adults. Transpedicular eggshell osteotomies and vertebral column resection are two techniques for the surgical treatment of rigid severe spine deformities. The authors developed a new technique combining the two surgical methods as a MVCR, through a single posterior approach, for surgical treatment of severe congenital rigid kyphoscoliosis in adults...
March 2008: European Spine Journal
R Shane Tubbs, Marios Loukas, April Phantana-Angkool, Mohammadali M Shoja, Mohammad R Ardalan, Ghaffar Shokouhi, W Jerry Oakes
INTRODUCTION: Although considered significant in resisting midline intervertebral disc herniation, the posterior longitudinal ligament (PLL) has had relatively few studies performed regarding its morphology and function. We performed the present experiment to discern the amount of posterior tensile force necessary to disrupt the PLL at each vertebral level. MATERIALS AND METHODS: Twenty-five adult cadavers underwent laminectomies of vertebrae C1 to S1. After removal of the spinal cord, nerve roots, and dura mater, the PLL was identified for each vertebral level and a steel wire placed around its waist in the midline and a tensile gauge attached and posterior tension applied perpendicular to the spine...
December 2007: Surgical and Radiologic Anatomy: SRA
Kazuhiro Hasegawa, Takao Homma, Toru Hirano, Akira Ogose, Tetsuo Hotta, Yoichi Yajiri, Junji Nagano, Yoshiya Inoue
STUDY DESIGN: Description of surgical technique and retrospective review of 13 cases. OBJECTIVES: To describe the surgical technique of margin-free spondylectomy and the outcome of 13 cases and to discuss the advantages and limitations of the procedure. SUMMARY OF BACKGROUND DATA: Recently, spondylectomy became a standard procedure by several pioneers. For extended malignant spine tumors involving pedicles or epidural space, however, performing an "en bloc" resection with a tumor-free margin remains a challenge...
January 1, 2007: Spine
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