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https://www.readbyqxmd.com/read/29455487/-french-door-segmented-laminectomy-decompression-for-severe-cervical-ossification-of-posterior-longitudinal-ligament-complicated-with-spinal-cord-injury
#1
Wei-Yu Jiang, Wei-Hu Ma, Yong-Jie Gu, Liu-Jun Zhao, Xu-Dong Hu, Liang Yu, Chao-Yue Ruan, Yun-Lin Chen, Yue-Ling Feng
OBJECTIVE: To evaluate the clinical effects of French door segmented laminectomy decompression for severe cervical OPLL complicated with spinal cord injury. METHODS: The clinical data of 38 patients with serious cervical OPLL complicated with spinal cord injury were retrospectively analyzed and these patients were treated with French door segmented laminectomy decompression and internal fixation from June 2012 to June 2014. There were 25 males and 13 females, aged from 42 to 78 years with an average of 58...
September 25, 2017: Zhongguo Gu Shang, China Journal of Orthopaedics and Traumatology
https://www.readbyqxmd.com/read/29454126/iatrogenic-spondylolisthesis-following-open-lumbar-laminectomy-case-series-and-review-of-the-literature
#2
Seba Ramhmdani, Yuanxuan Xia, Risheng Xu, Thomas Kosztowski, Daniel Sciubba, Timothy Witham, Ali Bydon
OBJECTIVE: The diagnosis and surgical management of post-laminectomy spondylolisthesis in patients without pre-operative instability is presented with a review of relevant literature. METHODS: We reviewed the medical records and radiographic studies of 105 patients who underwent first-time bilateral 1-4 level open laminectomies for degenerative lumbar disease at a single academic institution. Patients who initially presented with listhesis and had additional discectomy or fusion procedures were excluded...
February 14, 2018: World Neurosurgery
https://www.readbyqxmd.com/read/29446979/synovial-sarcoma-mimicking-a-thoracic-dumbell-schwannoma-a-case-report
#3
Susanth Subramanian, Gandham Edmond Jonathan, Bimal Patel, Krishna Prabhu
INTRODUCTION: Synovial sarcoma is a rare mesenchymal malignant neoplasm that accounts for less than 10% of soft tissue sarcomas. About 95% of the sarcomas occur in the extremities. Primary synovial sarcomas of the spine are a rare tumor arising from the paravertebral regions, paraspinal muscles or epidural spaces. PURPOSE: To report an atypical radiological presentation of synovial sarcoma of the thoracic spine mimicking a nerve sheath tumor in an elderly adult and describe the management with review of the literature...
February 15, 2018: British Journal of Neurosurgery
https://www.readbyqxmd.com/read/29439907/posterior-spinal-cord-shift-does-not-affect-surgical-outcomes-after-muscle-preserving-selective-laminectomy
#4
Satoshi Nori, Tateru Shiraishi, Ryoma Aoyama, Ken Ninomiya, Junichi Yamane, Kazuya Kitamura, Seiji Ueda
Postoperative posterior spinal cord shift (PSS) has been considered a required radiographic endpoint of posterior decompression procedures. To achieve PSS, laminoplasty for cervical compressive myelopathy (CCM) has been consecutively performed on four or more laminae (C2-C7, C3-C7, or C3-C6). However, the clinical significance of PSS remains controversial. By selecting the surgically treated laminae, selective laminectomy (SL) can achieve adequate decompression without disturbing the extensor musculature and facet joints...
February 10, 2018: Journal of Clinical Neuroscience: Official Journal of the Neurosurgical Society of Australasia
https://www.readbyqxmd.com/read/29433818/spinal-adhesive-arachnoiditis-following-the-rupture-of-an-adamkiewicz-aneurysm-literature-review-and-a-case-illustration
#5
REVIEW
J Todeschi, S Chibbaro, A Gubian, R Pop, F Proust, H Cebula
BACKGROUND: The rupture of an isolated spinal aneurysm is an exceptional occurrence. It might be responsible for a spinal subarachnoid haemorrhage (SSAH) that in rare cases can be complicated by arachnoiditis. Among the former the adhesive type is the most severe leading to the formation of a cyst and/or a syrinx. PATIENTS AND METHODS: The literature review was performed via a PubMed search using the following keywords. Adhesive arachnoiditis; spinal subarachnoid haemorrhage; spinal arachnoiditis; spinal arachnoid cyst; arachnoid cyst ...
February 9, 2018: Neuro-Chirurgie
https://www.readbyqxmd.com/read/29428625/anterior-versus-posterior-approaches-for-thoracic-disc-herniation-association-with-postoperative-complications
#6
Panagiotis Kerezoudis, Kenan R Rajjoub, Sandy Goncalves, Mohammed Ali Alvi, Mohamed Elminawy, Abdullah Alamoudi, Ahmad Nassr, Elizabeth B Habermann, Mohamad Bydon
OBJECTIVE: Thoracic disc herniations (TDH) represent 1.5-4% of all intervertebral disc herniations. Surgical treatment can be divided into anterior, lateral and posterior approaches and is an area of contention in the literature. Available evidence consists mostly of single-arm, single-institutional studies with limited sample sizes. The objective of this study is to investigate 30-day surgical outcomes following excision of TDH utilizing a national surgical registry. PATIENTS AND METHODS: The American College of Surgeons - National Surgical Quality Improvement Program (ACS-NSQIP) was queried for cases that underwent anterior (thoracotomy or thoracoscopy), lateral (extracavitary or costotransversectomy) or posterior (transpedicular or laminectomy) surgery for a primary diagnosis of TDH between 2012 and 2015...
February 6, 2018: Clinical Neurology and Neurosurgery
https://www.readbyqxmd.com/read/29425981/spontaneous-cervical-spinal-epidural-hematoma-associated-with-dabigatran-a-case-report
#7
Quentin Mathais, Pierre Esnault, Maximilien Cruc, Cedric Bernard, Bertrand Prunet, Pierre Emmanuel Gaillard
BACKGROUND: While spontaneous spinal epidural hematomas are rare, one of the identified risk factors is vitamin K antagonist therapy. CASE DESCRIPTION: We present a case of a spontaneous spinal epidural hematoma occurring in a patient under treatment with dabigatran, a non-vitamin K oral anticoagulant. The initial hemiparesis symptom was misleading and was retrospectively identified as Brown Sequard syndrome. Immediate dabigatran antagonism with idarucizumab followed by posterior cervical laminectomy permitted a complete neurological recovery at day 4...
February 6, 2018: World Neurosurgery
https://www.readbyqxmd.com/read/29424157/-clinical-observation-of-5-cases-of-diabetes-insipidus-complicated-with-skeletal-fluorosis
#8
Shuan-Chi Wang, Xiao-Bing Tao, Fang-Fang Wang, Nan Zhang
OBJECTIVE: To investigate the mechanism of diabetes insipidus complicated with skeletal fluorosis and the surgical treatment of spinal canal stenosis caused by skeletal fluorosis. METHODS: From January 2000 to November 2011, 5 patients with diabetes insipidus complicated with skeletal fluorosis were treated with drug and cervical or thoracic posterior decompression including 2 males and 3 females with age of 35, 45, 47, 49, 55 years old respectively. The symptoms was mainly limb motor sensory disturbance accompanied by polyuria and polyuria...
July 25, 2017: Zhongguo Gu Shang, China Journal of Orthopaedics and Traumatology
https://www.readbyqxmd.com/read/29423315/temporal-evolution-of-a-patient-with-a-spinal-dural-arteriovenous-fistula-on-serial-mri
#9
Michael G Kim, Seung W Jeong, Elena Solli, Anubhav G Amin, Jennifer S Ronecker, Shalabh Bobra
Introduction: A spinal dural arteriovenous fistula is a rare type of vascular malformation. If left untreated, these fistulas can result in significant neurological deficits secondary to spinal cord infarct or hemorrhage. Case presentation: A 70-year-old female with a longstanding history of episodic progressive bilateral lower extremity weakness and sensory disturbances was previously misdiagnosed with multiple sclerosis. Imaging revealed a T2 signal change from T7 to the conus with associated signal change and she subsequently underwent a T10-L1 laminectomy for clip ligation of a spinal dural arteriovenous fistula...
2018: Spinal Cord Series and Cases
https://www.readbyqxmd.com/read/29409774/adult-tethered-cord-syndrome-following-chiari-decompression
#10
Christina Jackson, Brian W Yang, Wenya Linda Bi, E Antonio Chiocca, Michael W Groff
BACKGROUND: Adult tethered cord syndrome is a rare neurological disorder that classically presents with back or leg pain, weakness, and urinary dysfunction. Spinal cord tethering has been associated with acquired Chiari malformations. While the effects of tethered cord release on Chiari malformation symptoms have been previously described, we report an unusual case of acquired tethered cord syndrome following Chiari decompression. CASE DESCRIPTION: We report a 68-year-old man with a history of distant T12-level spinal cord injury who presented with two weeks of progressive bilateral lower extremity weakness...
January 31, 2018: World Neurosurgery
https://www.readbyqxmd.com/read/29408769/posterior-surgery-versus-combined-laminectomy-and-thoracoscopic-surgery-for-treatment-of-dumbbell-type-thoracic-cord-tumor-a-long-term-follow-up
#11
Yawei Li, Bing Wang, Lei Li, Guohua Lü
OBJECTIVE: The goal of this study was to compare the clinical outcomes of posterior surgery with combined laminectomy and thoracoscopic surgery for treating dumbbell-type thoracic cord tumors. PATIENTS AND METHODS: We retrospectively analyzed 32 cases of dumbbell-type thoracic cord tumors treated by two surgical procedures in our center from February 2003 to July 2013. CASES WERE DIVIDED INTO TWO GROUPS DEPENDING ON THE TYPE OF SURGERY: Group A cases (n = 12) underwent posterior surgery followed by laminectomy, costotransversectomy and instrumentation; Group B cases (n = 20) underwent posterior laminectomy and anterior video-assisted thoracoscopic surgery in a single-stage procedure...
January 26, 2018: Clinical Neurology and Neurosurgery
https://www.readbyqxmd.com/read/29403242/multilevel-cervical-laminectomy-and-fusion-with-posterior-cervical-cages
#12
Jad N Bou Monsef, Krzysztof B Siemionow
Context: Cervical spondylotic myelopathy (CSM) is a progressive disease that can result in significant disability. Single-level stenosis can be effectively decompressed through either anterior or posterior techniques. However, multilevel pathology can be challenging, especially in the presence of significant spinal stenosis. Three-level anterior decompression and fusion are associated with higher nonunion rates and prolonged dysphagia. Posterior multilevel laminectomies with foraminotomies jeopardize the bone stock required for stable fixation with lateral mass screws (LMSs)...
October 2017: Journal of Craniovertebral Junction and Spine
https://www.readbyqxmd.com/read/29390530/nonsurgical-management-of-an-extensive-spontaneous-spinal-epidural-hematoma-causing-quadriplegia-and-respiratory-distress-in-a-choledocholithiasis-patient-a-case-report
#13
Kyle Raasck, Jason Khoury, Ahmed Aoude, Fahad Abduljabbar, Peter Jarzem
RATIONALE: Spontaneous spinal epidural hematoma (SSEH) manifests from blood accumulating in the epidural space, compressing the spinal cord, and leading to acute neurological deficits. The disease's cloudy etiology and rarity contribute to dangerously suboptimal therapeutic principles. These neural deficits can be permanent, even fatal, if the SSEH is not treated in a timely and appropriate manner. Standard therapy is decompressive laminectomy, though nonsurgical management is a viable course of action for patients who meet a criterion that is continuously being refined...
December 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29390372/dynamic-paraspinal-muscle-impingement-causing-acute-hemiplegia-after-c1-posterior-arch-laminectomy-a-case-report
#14
Naoki Notani, Masashi Miyazaki, Toyomi Yoshiiwa, Toshinobu Ishihara, Shozo Kanezaki, Hiroshi Tsumura
RATIONALE: Acute neurological deficits following spinal surgery commonly result from epidural hematoma, surgical trauma, vascular compromise, and graft or hardware impingement, with the cause identified by magnetic resonance imaging (MRI). We present a rare case of dynamic paraspinal muscle impingement after C1 posterior arch laminectomy, which was diagnosed by myelography, with no significant findings on MRI. PATIENT CONCERNS: An 81-year-old, severely obese male, was referred to our department for the treatment of vertebral disease of the lumbar spine...
December 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29390371/an-intradural-extramedullary-bronchogenic-cyst-in-the-thoracolumbar-spine-a-case-report
#15
Hyeok Dong Lee, Seung Hoon Han, Si-Bog Park, Yong Ko, Kyu Hoon Lee
RATIONALE: We report the symptoms beginning with weakness and the clinical courses of a patient who was diagnosed with an intradural extramedullary bronchogenic cyst. PATIENT CONCERNS: The patient was a 44-year-old man visited the Department of Physical Medicine and Rehabilitation for walking difficulties characterized by limping due to muscle weakness of left lower extremity for 5 months and atrophy in left calf muscle. DIAGNOSES: Lumbar spine MRI was repeated, since radiating pain in the left hip and posterior thigh with low back pain developed 16 months later...
December 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29381422/hodgkin-lymphoma-revealed-by-epidural-spinal-cord-compression
#16
Khalil Ghedira, Nidhal Matar, Sofiene Bouali, Alia Zehani, Adnen Boubaker, Hafedh Jemel
CONTEXT: Hodgkin Lymphoma is rarely diagnosed as spinal cord compression syndrome. Caused by an epidural mass, this complication is often encountered in a late stage of the disease. We report the case of a 40-year-old man presenting with symptoms of low thoracic spinal cord compression due to an epidural tumor on the MRI. FINDINGS: Emergent surgery was undertaken on this patient, consisting in laminectomy and tumor resection. After surgery, pain relief and mild neurological improvement were noticed...
January 30, 2018: Journal of Spinal Cord Medicine
https://www.readbyqxmd.com/read/29374642/hemiparesis-in-spontaneous-spinal-epidural-haematoma-a-potential-stroke-imitator
#17
Ravish Patel, Aravind Kumar, Kazuya Nishizawa, Naresh Kumar
Spontaneous spinal epidural haematoma (SSEH) is a rare condition that requires urgent surgical intervention in order to prevent permanent neurological deficit. SSEH commonly presents as a paraparesis or tetraparesis. SSEH presenting as a hemiparesis is less common and in such situations, it can be mistaken for a cerebrovascular accident (CVA). Thrombolytic or anticoagulant treatment for CVA can potentially worsen the neurological deficit. We report one such case of SSEH misdiagnosed as a CVA. Treatment with tissue plasminogen activator led to worsening of his condition...
January 26, 2018: BMJ Case Reports
https://www.readbyqxmd.com/read/29368318/effects-of-resveratrol-on-inflammation-and-apoptosis-after-experimental-spinal-cord-injury
#18
Salim Senturk, Mesut Emre Yaman, Hasan Emre Aydin, Guven Guney, Ismail Bozkurt, Kemal Paksoy, Ahmet Atilla Abdioglu
AIM: Reversing the disastrous effects spinal cord injury has become the most prominent topic of neuroscience. Although many therapeutic interventions are being examined, there is yet no definitive cure for spinal cord injury (SCI). In view of this, an experimental study on rats after spinal trauma was performed to test the effects of a natural phenol; Resveratrol. MATERIAL AND METHODS: 18 Sprague Dawley rats were randomly divided into three groups. All groups underwent thoracic laminectomy...
December 6, 2017: Turkish Neurosurgery
https://www.readbyqxmd.com/read/29367470/minimally-invasive-surgical-approach-to-filum-lipoma
#19
Toshiaki Hayashi, Tomomi Kimiwada, Misaki Kohama, Reizo Shirane, Teiji Tominaga
Filum terminale lipoma (FTL) causes various spinal symptoms known as tethered cord syndrome. The treatment for FTL is surgical untethering by sectioning the FTL, which can prevent symptom progression and often results in improvement of symptoms. This report describes a minimally invasive surgical strategy that we have introduced for FTL sectioning. The pediatric patients with FTL since 2007 were treated using this minimally invasive surgical strategy, which we refer to as an interlaminar approach (ILA). In summary, the surgical technique involves: minimal skin incision to expose the unilateral ligamentum flavum in the lower lumbar region; ligamentum flavum incision to expose the dural sac, and dural incision followed by identification and sectioning of the filum...
January 23, 2018: Neurologia Medico-chirurgica
https://www.readbyqxmd.com/read/29355800/surgical-approaches-for-the-treatment-of-multilevel-cervical-ossification-of-the-posterior-longitudinal-ligament-results-of-a-decision-analysis
#20
Nikhil R Nayak, Matthew Piazza, Andrew Milby, Jayesh P Thawani, Lachlan J Smith, Sherman C Stein, Neil R Malhotra
BACKGROUND: Ossification of the posterior longitudinal ligament (OPLL) often leads to cervical myelopathy. While multiple procedures have been shown to be effective in the treatment of OPLL, outcomes are less predictable than in degenerative cervical myelopathy and surgery is associated with high rates of complications and re-operation which affect quality of life. In this study, we perform a decision analysis utilizing post-operative complication data and health-related quality of life (HRQoL) utility scores to assess the average expected health utility and 5-year quality-adjusted life years (QALYs) associated with the most common surgical approaches for multilevel cervical OPLL...
January 16, 2018: World Neurosurgery
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