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Huseyin Bozkurt, Emel Cicek Bozkurt, Hulya Ozpinar, Densel Arac, Ismail Kaya, Hidir Ozer, Reyhan Egilmez
OBJECTIVE: Postoperative epidural adhesion is one of the most frequent causes of failed-back surgery syndrome, presenting with back and leg pain or neurological deficits. Development of preventive measures for epidural adhesion after laminectomy remains critical to improve the outcomes of lumbar surgery. We hypothesized that positive effects of the topical application of Contractubex®Gel and benzothiazole individually and in combination can aid in the prevention of epidural fibrosis in a rat laminectomy model...
June 15, 2018: World Neurosurgery
P Brandicourt, J C Sol, S Aldéa, F Bonneville, P Cintas, D Brauge
INTRODUCTION: Hirayama disease is a rare cervical myelopathy predominantly affecting young adults and mainly found in Asia. It results in a pure motor distal lesion of the upper limbs with slow progression. Dynamic magnetic resonance imaging (MRI), which allows the diagnosis to be made, shows a typical appearance of anterior compression of the cervical spinal cord associated with enlargement of the posterior epidural spaces due to a dilated venous plexus. Surgery is considered when conservative treatment has failed...
June 14, 2018: Neuro-Chirurgie
Fatih Yakar, Murat Zaimoglu, Ihsan Dogan, Batuhan Bakirarar, Umit Eroglu, Cihan Kircil, Onur Ozgural, Melih Ucer, Cemil Kilinc, Altan Demirel, Efe Guner, Melih Bozkurt, Yusuf Sukru Caglar
OBJECTIVE: To examine the surgical results of unilateral lumbar discectomy in patients with bilateral leg pain and discuss short- and long-term outcomes within the limits of lumbar decompression. METHODS: We analyzed 60 patients with unilateral disk herniation who underwent unilateral lumbar discectomy and hemipartial laminectomy between 2014 and 2017. Group 1 (30 patients) had bilateral leg pain and unilateral lumbar disk herniation. Pain lateralization was determined radiologically...
June 12, 2018: World Neurosurgery
Seba Ramhmdani, Marc Comair, Camilo A Molina, Daniel M Sciubba, Ali Bydon
Interspinous process devices (IPDs) have been developed as less-invasive alternatives to spinal fusion with the goal of decompressing the spinal canal and preserving segmental motion. IPD implantation is proposed to treat symptoms of lumbar spinal stenosis that improve during flexion. Recent indications of IPD include lumbar facet joint syndrome, which is seen in patients with mainly low-back pain. Long-term outcomes in this subset of patients are largely unknown. The authors present a previously unreported complication of coflex (IPD) placement: the development of a large compressive lumbar synovial cyst...
June 15, 2018: Journal of Neurosurgery. Spine
Igor Paredes, Irene Panero, Santiago Cepeda, Ana M Castaño-Leon, Luis Jimenez-Roldan, Ángel Perez-Nuñez, Jose A Alén, Alfonso Lagares
BACKGORUND: This study aimed to compare the accuracy of screw placement between open pedicle screw fixation and percutaneous pedicle screw fixation (MIS) for the treatment of thoracolumbar spine fractures (TSF). MATERIALS AND METHODS: Forty-nine patients with acute TSF who were treated with transpedicular screw fixation from January 2013 to December 2016 were retrospectively reviewed. The patients were divided into Open and MIS groups. Laminectomy was performed in either group if needed...
June 14, 2018: Journal of Neurosurgical Sciences
Xiangbing Wu, Wenrui Qu, Adewale Bakare, Yi-Ping Zhang, Collin M Fry, Lisa Shields, Christopher B Shields, Xiao-Ming Xu
Mouse models are unique for studying molecular mechanisms of neurotrauma due to the availability of various genetic modified mouse lines. For spinal cord injury (SCI) research, producing an accurate injury is essential but is challenging due to the small size of the mouse cord and inconsistency of injury production. The Louisville Injury System Apparatus (LISA) impactor has been shown to produce precise contusive SCI in adult rats. Here we examined whether the LISA impactor could be used to create accurate and graded contusive SCIs in mice...
June 12, 2018: Journal of Neurotrauma
Naohisa Miyakoshi, Daisuke Kudo, Michio Hongo, Yuji Kasukawa, Yoshinori Ishikawa, Yoichi Shimada
BACKGROUND: Safe excision of spinal cord tumors depends on sufficient visualization of the tumor and surrounding structures. In patients with spinal cord tumor adjacent to a stenotic spinal canal, extensive bony decompression proximal and distal to the tumor should be considered for safer excision of the tumor. Extensive wide laminectomy is one choice for such cases, but postoperative problems such as kyphotic deformity remain a concern. CASE PRESENTATION: A 76-year-old man and a 60-year-old woman presented with symptomatic intradural extramedullary spinal cord tumors in the cervical spine...
June 11, 2018: BMC Surgery
P Sarat Chandra, Pankaj Singh, Rajender K, Deepak Agarwal, Vivek Tandon, S S Kale, Chitra Sarkar
BACKGROUND: Vertebral body (VH) hemangiomas with myelopathy are difficult to manage. OBJECTIVE: To evaluate the role of intra-operative ethanol embolization, surgical decompression and instrumented short segment fusion in VH with myelopathy and long-term outcome (>24 months). METHODS: Prospective study: Symptomatic VH with cord compression with myelopathy. Excluded: pathological fractures, and/or deformity or multi-level pathologies. Surgery consisted of intra-operative bilateral pedicular absolute alcohol (<1% hydrated ethyl alcohol) injection, laminectomy and cord decompression at the level of pathology followed by a short segment instrumented fusion using pedicle screws...
June 8, 2018: Spine Journal: Official Journal of the North American Spine Society
Keyvan Eghbal, Amirreza Dehghanian, Fariborz Ghaffarpasand
STUYD DESIGN: Case Report OBJECTIVE.: To report surgical resection of multiple ventral cervical and thoracic lesion being diagnosed as whorling-sclerosing variant meningioma (WSM) and subsequent stabilization of cervicothoracic spine. SUMMARY OF BACKGROUND DATA: WSM is a rare histopathology variant of meningioma which is mostly reported in brain and only one case of cervical spine WSM has been reported. Because of the rarity of WSM, there is a paucity of information regarding the clinical, radiological and histopathologic characteristics...
June 8, 2018: Spine
Jimmy C Yang, Andrew S Venteicher, Matthew J Koch, Christopher J Stapleton, Gabriel N Friedman, Emma M Venteicher, John H Shin
BACKGROUND AND IMPORTANCE: Myopericytoma is an emerging class of neoplasm originating from the perivascular myoid cellular environment, previously classified as a variant of hemangiopericytoma. Most reported myopericytomas are found in soft tissues of the extremities; however, infrequent cases are described involving the central nervous system. Intracranial myopericytoma remains rare. Here, we describe the first report of myopericytoma occurring at the cervicomedullary junction in close proximity to the vertebral artery, mimicking a vascular lesion...
June 8, 2018: Neurosurgery
Ori Barzilai, Ilya Laufer, Adam Robin, Ran Xu, Yoshiya Yamada, Mark H Bilsky
BACKGROUND: Despite major advances in radiation and systemic treatments, surgery remains a critical step in the multidisciplinary treatment of metastatic spinal cord tumors. OBJECTIVE: To describe the indications, rationale, and technique of "hybrid therapy" (separation surgery and concomitant spine stereotactic radiosurgery [SRS]) along with practical nuances. METHODS: Separation surgery describes a posterolateral approach for circumferential epidural decompression and stabilization...
June 8, 2018: Operative Neurosurgery (Hagerstown, Md.)
Ali Akhaddar, Mohamed Boucetta
Background: Extensive spinal epidural hydatidosis may contribute to extensive spinal cord compression. Multilevel laminectomy with surgical excision remains the gold standard for treating these lesions which are typically invasive, and have a high recurrence rate. Case Description: A 35-year-old female with recurrent extensive spinal epidural hydatid cysts was treated with a limited laminectomy and uniquely with irrigation-aspiration with isotonic saline water through an epidural catheter under fluoroscopic guidance and x-ray control...
2018: Surgical Neurology International
John Attenello, Charles Chang, Yu-Po Lee, Vinko Zlomislic, Steven Robert Garfin, Richard Todd Allen
Study design: Retrospective Review. Objectives: Compare clinical outcomes and radiographic correction of adult degenerative scoliosis (ADS) patients treated with lateral lumbar interbody fusion (LLIF), combined either with percutaneous (no laminectomy) versus open laminectomy/pedicle screw instrumentation. Methods: Twenty-two ADS patients undergoing combined LLIF and posterior instrumentation were divided into two groups: thirteen patients underwent LLIF with open laminectomy and posterior pedicle instrumentation (Group-1, six revision); nine patients underwent LLIF with percutaneous pedicle instrumentation (no decompression) (Group-2)...
June 2018: Journal of Orthopaedics
Kingsley R Chin, Fabio J R Pencle, Juan M Valdivia, Jason A Seale, Josue P Gabriel
Background: Authors aim to report on the outcomes of combining selective anterior cervical decompression and fusion (ACDF) with laminectomy in patients with cervical spondylotic radiculomyelopathy (CSR). Methods: 10 patients with ACDF and posterior laminectomy reviewed. Results: 60% female population, mean age 61 ± 3 years, mean BMI 24.7 ± 3.4 kg/m2 . VAS and NDI showed significant improvement, p < 0.001, p = 0.02 respectively...
June 2018: Journal of Orthopaedics
Ju-Eun Kim, Dae-Jung Choi
Background context: Open laminectomy has been regarded as the standard surgical method up to date in degenerative spinal stenosis or herniation of intervertebral disc. The conventional method may lead to instability and provoke chronic lower back pain by scarifying facet joint, posterior ligamentous complex as well as paraspinal muscle. For this reason, the new technique using an endoscope, which could protect soft tissue and facet joint, recently got spotlight. Purpose: The aim of this study is to introduce a new spinal surgical technique using a 30-degreed endoscopy through bi- or tri- portals and to report the preliminary result of this technique...
June 2018: Journal of Orthopaedics
Amer Sebaaly, Marie-José Lahoud, Maroun Rizkallah, Gaby Kreichati, Khalil Kharrat
The study aimed to review the etiology of failed back surgery syndrome (FBSS) and to propose a treatment algorithm based on a systematic review of the current literature and individual experience. FBSS is a term that groups the conditions with recurring low back pain after spine surgery with or without a radicular component. Since the information on FBSS incidence is limited, data needs to be retrieved from old studies. It is generally accepted that its incidence ranges between 10% and 40% after lumbar laminectomy with or without fusion...
June 2018: Asian Spine Journal
Moslem Shakeri, Firooz Salehpour, Ghaffar Shokouhi, Kamkar Aeinfar, Javad Aghazadeh, Farhad Mirzaei, Seyed Ahmad Naseri Alavi
STUDY DESIGN: A randomized double-blind placebo controlled study. PURPOSE: In the present study, we aimed to assess the efficacy of tranexamic acid (TXA) in reducing blood loss after laminectomy and posterolateral fusion of the spine. OVERVIEW OF LITERATURE: Blood loss is the most significant complication involved with surgery, especially in spinal surgery. Multilevel laminectomy and laminectomy with instrumentation (pedicle screws and rods) are complex spine surgeries and are considered as medium-risk procedures for bleeding...
June 2018: Asian Spine Journal
Akira Hashiguchi, Tsukasa Kanchiku, Norihiro Nishida, Toshihiko Taguchi
STUDY DESIGN: Biomechanical study. PURPOSE: We examined the dynamic characteristics of different operative procedures using three-dimensional finite-element models. OVERVIEW OF LITERATURE: Cervical laminoplasty is often selected for patients requiring multilevel spinal decompression. Many laminoplasty techniques have been developed and are continually being improved. METHODS: Images were extracted for the two intervertebral joints between C3 and C5 in domestic rabbits...
June 2018: Asian Spine Journal
Yongli Wang, Hua Zheng, Yafeng Ji, Qian Lu, Xiongfeng Li, Xue-Sheng Jiang
STUDY DESIGN: This article reported a case of idiopathic spinal subdural hematoma (SDH) and made a review of this disease. OBJECTIVE: To make a review of idiopathic spinal subdural hematoma. SUMMARY OF BACKGROUND DATA: To the best of our knowledge, there are 20 cases idiopathic SDH only 1 case which reported the idiopathic SDH located in cervical region. METHODS: A 43-year-old man had a sudden onset of needle-like and continuous neck pain for 3 days with paresthesias and paraplegia...
June 4, 2018: World Neurosurgery
Bin Zhang, Qingyu Dou, Pin Feng, Qingquan Kong
BACKGROUND: Symptomatic sacral Tarlov cysts have been associated with perineal or sacral pain, radiculopathy, urinary dysfunction. The ideal treatment of symptomatic sacral Tarlov cysts remains a matter of discussion. Numerous open surgical procedures have been proposed, which vary from placement of shunts and clipping to laminectomy and fenestration. And those surgeries often associated with recurrence, cerebrospinal fluid leakage, infection and other complications. At present, no percutaneous endoscopic surgical procedures have been reported to solve this problem...
June 1, 2018: World Neurosurgery
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