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thoracic spinal

Ömer Polat, Cengiz Tuncer, Yusuf Alper Kati, Özhan Merzuk Uçkun, Uygur Er
AIM: Lateral epicondylitis (LE) is considered, under the category of musculoskeletal diseases, among the top occupational diseases. This study aimed to investigate the frequency of LE, depending on the tasks performed by neurosurgeons, and to determine whether it can be accepted as an occupational disease depending on its frequency. MATERIAL AND METHODS: All brain and nerve surgery specialists enrolled in the Turkish Neurosurgical Society website were prospectively included...
October 11, 2018: Turkish Neurosurgery
Asad Abbas, Hafiza Fatima Aziz, Raza Rizvi, Lal Rehman, Farrukh Javeed, Ali Afzal
AIM: Gunshot acquired spinal cord injury is one of leading cause of disability in young population with debatable management protocols. We intend to understand the outcome of operative versus conservative approach based on ASIA impairment scale Material and Methods: One hundred and sixty eight patients were analyzed for this retrospective study. AIS of all the consenting survivors after emergence from the spinal shock were recorded along with demographical variables and level of injury...
October 8, 2018: Turkish Neurosurgery
Weiming Chen, Jiajun Deng, Chaobo Feng, Guoxin Fan, Shisheng He
AIM: Significant growth has been observed in the utilization of spinal fusion in recent years. However, bibliometric studies detailing the quantity and citation number of articles in spinal fusion are lacking. This study is aimed at conducting a scientometric assessment of the research activities of spinal fusion in various subspecialties carried out by different surgeons Material and Methods: All articles regarding spinal fusion research on Web of Science from the year 1994 to 2015 were identified and analyzed in the following aspects: year of publication, publication journal, number of times cited, Hirsch index (H-index), spine surgeon specialty, and country/territory...
September 11, 2018: Turkish Neurosurgery
Öğrenci Ahmet, Koban Orkun, Yaman Onur, Yilmaz Mesut, Dalbayrak Sedat
AIM: Traumatic thoracic disc herniation is an extremely rare pathology. We will present a case (3rd report in the literature, 1st case with sequestrated-extruded disc herniation) of thoracic disc herniation that was sequestrated only by ligamentous injury without thoracic osseous pathology. METHOD: We reviewed the diagnosis and treatment of a 25-year-old man presenting with paraplegia after a car accident. RESULTS: In this case, no pathology was seen on the X-ray and spinal computed tomography (CT), and the paraplegia of the patient was unexplained in the first examination...
June 21, 2018: Turkish Neurosurgery
Siri Sahib S Khalsa, Yamaan S Saadeh, Brandon W Smith, Jacob R Joseph, Mark E Oppenlander
Spinal cord herniation is an uncommon surgically treatable cause of thoracic myelopathy and progressive paraplegia. The thoracic spinal cord focally protrudes through a defect in the dura, resulting in progressive weakness, numbness, and spasticity affecting the lower extremities, in addition to possible urinary symptoms. In this video, we present the case of a 69-yr-old female who presented with 3 yr of progressive thoracic myelopathy due to a thoracic spinal cord herniation at T4-T5. We demonstrate the surgical steps to lyse arachnoid webs, mobilize the spinal cord, reduce the spinal cord herniation, and repair the dural defect...
January 10, 2019: Operative Neurosurgery (Hagerstown, Md.)
I Procopie, E L Popescu, R M Pleșea, M Dorobanțu, R F Mureșan, C V Lupașcu-Ursulescu, I E Pleșea, D N Anușca
Osteoarticular tuberculosis (OATB) Aim: The authors made a clinical morphological assessment of tissue samples from patients admitted in Surgical Departments of the Emergency County Hospital of Craiova, Romania, between 1990 and 2015, proved as presenting tuberculous lesions of the spine in the Department of Pathology of the same Hospital. MATERIALS AND METHODS: The studied material consisted of bone, joint and sometimes muscle tissue fragments resulted from biopsies or surgical excisions from 7 cases coming out of 54 patients investigated in the above-mentioned period of time, where the established histological diagnosis was tuberculosis (TB)...
July 2018: Current Health Sciences Journal
W Pepke, H Almansour, R Lafage, B G Diebo, B Wiedenhöfer, F Schwab, V Lafage, M Akbar
BACKGROUND: Several studies have emphasized the importance of restoring thoracic kyphosis (TK) in the setting of AIS, but very few have discussed changes in cervical spine alignment following surgery. Aim of this study was to evaluate reciprocal cervical alignment change after modification of global and regional thoracolumbar alignment with surgery in the setting of adolescent idiopathic scoliosis (AIS). METHODS: Baseline and 2-yrs follow-up radiographs of AIS patients (n = 81) were analysed measuring cervical parameters (upper cervical: C2-C0, McGregor Slope; lower cervical: C2-C7, C2-C7 sagittal vertical axis (SVA), C2-T3, C2-T3SVA, C2-T1Harrison (C2-T1Ha), T1 Slope (T1S)), thoracic, lumbar, pelvic and global alignment parameters...
January 15, 2019: BMC Surgery
Hanjie Zhuo, Yingjie Zhou, Xubin Chai, Qing Chang, Guangzhong Rao
Objective: To explore the practicability and safety of ultrasonic bone curette in the laminoplasty of spinal canal after resection of intraspinal tumors. Methods: The clinical data of 17 patients with thoracolumbar intraspinal tumors treated with ultrasonic bone curette after resection of intraspinal tumors between December 2015 and April 2017 were retrospectively analyzed. All patients were male, aged 42-73 years with an average of 57.4 years. The disease duration was 2-47 months with an average of 21...
January 1, 2019: Chinese Journal of Reparative and Reconstructive Surgery
A Levillain, R A Rolfe, Y Huang, Y C Iatridis, N C Nowlan
Congenital spine deformities may be influenced by movements in utero, but the effects of foetal immobility on spine and rib development remain unclear. The purpose of the present study was to determine (1) critical time-periods when rigid paralysis caused the most severe disruption in spine and rib development and (2) how the effects of an early, short-term immobilisation were propagated to the different features of spine and rib development. Chick embryos were immobilised once per single embryonic day (E) between E3 and E6 and harvested at E9...
January 15, 2019: European Cells & Materials
De-Jun She, Yi-Ping Lu, Ji Xiong, Dao-Ying Geng, Bo Yin
BACKGROUND: The purpose of this retrospective review is to determine the MR imaging features of pilocytic astrocytoma (PA) in the spinal cord to help neuroradiologists preoperatively differentiate PA from other intramedullary tumors. METHODS: Neuro-oncology database review revealed 13 consecutive patients with a pathological spinal PA diagnosis and availability of preoperative MR imaging. Three patients had preoperative diffusion-weighted MR imaging. Demographics and conventional and diffusion MR imaging records were retrospectively evaluated...
January 14, 2019: BMC Medical Imaging
Y J Tang, L L Zhu, X H Jiang, J Li, G Y Ying, Y J Zhu
Objective: To explore the efficacy and feasibility of the hemi-semilaminectomy microsurgical operation treatment of spinal dural arteriovenous fistula (SDAVF). Methods: The clinical data of 32 patients with SDAVF were analyzed retrospectively. Before operation all patients were diagnosed by spinal MRI and spinal angiography, 14 patients were treated by hemi-semilaminectomy approach and other 18 patients were by traditional laminectomy approach. All the data were analyzed by T test and P< 0.05 was considered to have significant difference...
January 1, 2019: Zhonghua Yi Xue za Zhi [Chinese medical journal]
Bradley V Watts, Jacob R Rachlin, William Gunnar, Peter D Mills, Julia Neily, Christina Soncrant, Douglas E Paull
STUDY DESIGN: Basic descriptive analysis was performed for the incident characteristics of wrong level spinal surgery in the Veterans Health Administration (VHA). OBJECTIVE: To determine the frequency of reported occurrence of incorrect spine level surgery in the VHA, causal factors for the events, and propose solutions to the issue. SUMMARY OF BACKGROUND DATA: Wrong site surgery is one of the most common events reported to The Joint Commission...
January 11, 2019: Clinical Spine Surgery
Samuel Hall, Matthew A Myers, Ahmed-Ramadan Sadek, Mark Baxter, Colin Griffith, Christopher Dare, Emad Shenouda, Ali Nader-Sepahi
OBJECTIVE: Falls from standing are common, particularly amongst the aging population, due to declining mobility, proprioception and vision. They are often complicated by fragility fractures, including vertebral fractures, that are associated with significant morbidity and may represent a pre-terminal condition with high one-year mortality rates. PATIENTS AND METHODS: A retrospective review of the Trauma Audit and Research Network database for a major trauma centre was conducted for all patients admitted between January 2011 and December 2016...
January 7, 2019: Clinical Neurology and Neurosurgery
Kazuyoshi Kobayashi, Kei Ando, Fumihiko Kato, Tokumi Kanemura, Koji Sato, Yudo Hachiya, Yuji Matsubara, Mitsuhiro Kamiya, Yoshihito Sakai, Hideki Yagi, Ryuichi Shinjo, Naoki Ishiguro, Shiro Imagama
OBJECTIVES: To identify factors associated with prolonged length of stay (LOS) in spine surgery, with the goal of establishing details of LOS for multiple diseases and surgical procedures. PATIENTS AND METHODS: The subjects were patients who underwent spine surgery at 10 facilities in the Nagoya Spine Group from January 2005 to December 2015. Data were collected for patient background, primary spinal pathology, anatomical location of the lesion, and surgical methods...
December 29, 2018: Clinical Neurology and Neurosurgery
Kohshi Hattori, Kenji Yoshitani, Shinya Kato, Masahiko Kawaguchi, Mikito Kawamata, Manabu Kakinohana, Yoshitsugu Yamada, Michiaki Yamakage, Kimitoshi Nishiwaki, Shunsuke Izumi, Yusuke Yoshikawa, Yoshiteru Mori, Kazuko Hasegawa, Yoshihiko Onishi
OBJECTIVES: The authors investigated the association between intraoperative motor-evoked potential (MEP) changes and the severity of spinal cord infarction diagnosed with magnetic resonance imaging (MRI) to clarify the discrepancy between them, which was observed in patients with postoperative motor deficits after thoracic and thoracoabdominal aortic surgery. DESIGN: A multicenter retrospective study. SETTING: Motor-evoked potential <25% of control values was deemed positive for spinal cord ischemia...
December 5, 2018: Journal of Cardiothoracic and Vascular Anesthesia
Takashi Yamauchi, Suguru Kubota, Kosei Hasegawa
We report a rare case of delayed paraplegia triggered by gastrointestinal (GI) bleeding 8 months after thoracic endovascular aortic repair (TEVAR). A 78-year-old male underwent TEVAR of a descending thoracic aortic aneurysm without a postoperative neurological deficit and was discharged. Magnetic resonance image showed spinal cord infarction from Th8 to L1, and enhanced computed tomography showed a patent Adamkiewicz artery. The ostium of the intercostal artery connected with the Adamkiewicz artery was occluded...
December 25, 2018: Annals of Vascular Diseases
Gabriel L Pagani-Estévez, Jeremy K Cutsforth-Gregory, Jonathan M Morris, Bahram Mokri, David G Piepgras, William D Mauck, Jason S Eldrige, James C Watson
BACKGROUND AND OBJECTIVE: Epidural blood patch (EBP) is a safe and effective treatment for spontaneous intracranial hypotension (SIH), but clinical and procedural variables that predict EBP efficacy remain nebulous. METHODS: This study is an institutional review board-approved retrospective case series with dichotomized EBP efficacy defined at 3 months. The study included 202 patients receiving 604 EBPs; iatrogenic cerebrospinal fluid leaks were excluded. RESULTS: Of the EBPs, 473 (78%) were single-level, 349 (58%) lumbar, 75 (12%) bilevel, and 56 (9%) multilevel (≥3 levels)...
January 13, 2019: Regional Anesthesia and Pain Medicine
Lu Liu, Dawei Dai, Fan Cao, Liming Zhang, Xun Wang
RATIONALE: Posterior reversible encephalopathy syndrome (PRES) was termed by Hinchey in 1996. Patients have a reversible vasogenic brain edema in imaging and acute neurological symptoms such as headache, seizures, encephalopathy, and visual disturbances when suffering from hypertension, pre-eclampsia/eclampsia, renal failure, immunosuppressive medications, autoimmune disorders, sepsis, thrombocytopaenia, hypocalcaemia, alcohol withdrawal, and many other potential causes. de Havenon A et al have proposed a new syndrome named PRES with spinal cord involvement (PRES-SCI)...
January 2019: Medicine (Baltimore)
Andrew D Gaudet, Laura K Fonken, Monica T Ayala, Emily M Bateman, Wolfgang E Schleicher, Elana J Smith, Heather M D'Angelo, Steven F Maier, Linda R Watkins
Spinal cord injury (SCI) perturbs many physiological systems. The circadian system helps maintain homeostasis throughout the body by synchronizing physiological and behavioral functions to predictable daily events. Whether disruption of these coordinated daily rhythms contributes to SCI-associated pathology remains understudied. Here, we hypothesized that SCI in rats would dysregulate several prominent circadian outputs including glucocorticoids, core temperature, activity, neuroinflammation, and circadian gene networks...
November 2018: ENeuro
Kazuya Yokota, Kensuke Kubota, Kazu Kobayakawa, Takeyuki Saito, Masamitsu Hara, Ken Kijima, Takeshi Maeda, Hiroyuki Katoh, Yasuyuki Ohkawa, Yasuharu Nakashima, Seiji Okada
Traumatic spinal cord injury (SCI) causes serious disruption of neuronal circuits that leads to motor functional deficits. Regeneration of disrupted circuits back to their original target is necessary for the restoration of function after SCI, but the pathophysiological condition of the caudal spinal cord has not been sufficiently studied. Here we investigated the histological and biological changes in the distal part of the injured spinal cord, using a mice model of complete thoracic SCI in the chronic stage (3 months after injury)...
January 9, 2019: Molecular Brain
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