Neurological recovery after occipitocervical fixation.

Abstract:

PURPOSE:To report on 14 consecutive cases of occipitocervical fixation. METHODS:Records of 8 men and 6 women aged 40 to 81 (mean, 57) years who underwent occipitocervical fixation and were followed up for a minimum of 2 years were retrospectively reviewed. Neurological grading was assessed before and after surgery using the Ranawat grade. Intra-operative somatosensory evoked potentials were monitored. RESULTS:The main indications for surgery were rheumatoid arthritis (n=6) and cervical metastasis (n=4). 77% of the patients demonstrated neurological improvement. Four out of the 5 non-ambulatory patients (Ranawat grade IIIB) regained ambulatory status postoperatively. No patient had neurological deterioration or evidence of vertebral artery or spinal cord injury. One endured a superficial wound infection and 2 had implant breakage. CONCLUSION:Although occipitocervical fixation is technically challenging and there are risks of serious neurologic or vascular complications, it remains a viable option with favourable results in patients requiring stabilisation of the craniocervical junction.

authors

Tan KJ,Hee HT

doi

10.1177/230949900701500317

subject

Has Abstract

pub_date

2007-12-01 00:00:00

pages

323-6

issue

3

eissn

1022-5536

issn

2309-4990

journal_volume

15

pub_type

杂志文章
  • Validation for the reduced Western Ontario and McMaster Universities Osteoarthritis Index function scale.

    abstract:PURPOSE:To assess the criterion validity, repeatability, and the missing value protocol of the reduced Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) function scale ('reduced scale'). METHODS:Three separate studies were performed: a cross-over study to compare the full- and reduced-scale scores...

    journal_title:Journal of orthopaedic surgery (Hong Kong)

    pub_type: 杂志文章

    doi:10.1177/230949900801600113

    authors: Whitehouse SL,Crawford RW,Learmonth ID

    更新日期:2008-04-01 00:00:00

  • Subcapital femoral neck fracture following successful trochanteric fracture treatment with a dynamic hip screw: a report of five cases.

    abstract::A subcapital femoral neck fracture complicating a healed trochanteric fracture is rare. Such cases are managed in a rather heterogeneous manner, i.e. there exists a mixture of cases treated by either fixed angle devices or dynamic compression screws. We describe 5 patients who developed subcapital femoral neck fractur...

    journal_title:Journal of orthopaedic surgery (Hong Kong)

    pub_type: 杂志文章

    doi:10.1177/230949900701500224

    authors: Lung YT,Kam WL,Leung YF,Chung OM,Wai YL

    更新日期:2007-08-01 00:00:00

  • Is surgery always indicated in rachitic coronal knee deformities? Our experience in 198 knees.

    abstract:INTRODUCTION:Defective mineralization of osteoid matrix prior to physeal closure causes rickets. Poor calcification of the cartilage matrix in the zone of provisional calcification causes flattened skull, rachitic rosary, bowed legs, coxa vara and brittle bones. The recent literature has seen an increase in the inciden...

    journal_title:Journal of orthopaedic surgery (Hong Kong)

    pub_type: 杂志文章

    doi:10.1177/2309499017693532

    authors: Prakash J,Mehtani A,Sud A,Reddy BK

    更新日期:2017-01-01 00:00:00

  • Review article: Paediatric bone and joint infection.

    abstract::Paediatric musculoskeletal infection remains an important cause of morbidity. Methicillin sensitive Staphylococcus aureus is still the most common organism although the incidence of methicillin resistant S. aureus in the community is rising. Osteomyelitis and septic arthritis due to Haemophilus influenzae is decreasin...

    journal_title:Journal of orthopaedic surgery (Hong Kong)

    pub_type: 杂志文章

    doi:10.1177/230949900100900116

    authors: Stott NS

    更新日期:2001-06-01 00:00:00

  • Patient-specific instrumentation for total knee arthroplasty.

    abstract:PURPOSE:To assess the accuracy of total knee replacements (TKRs) performed using CT-based patient-specific instrumentation by postoperative CT scan. METHOD:Approval from the Ethics Committee was granted prior to commencement of this study. Fifty prospective and consecutive patients who had undergone TKR (Evolis, Medac...

    journal_title:Journal of orthopaedic surgery (Hong Kong)

    pub_type: 杂志文章

    doi:10.1177/2309499016684754

    authors: Nabavi A,Olwill CM,Do M,Wanasawage T,Harris IA

    更新日期:2017-01-01 00:00:00

  • Cauda equina syndrome following sacral fractures: a report of three cases.

    abstract::We report 3 patients with cauda equina syndrome (CES) secondary to a sacral fracture. The difficulty in early diagnosis of CES and the lack of evidence and guidance on treatment are highlighted. When there is a sacral fracture, CES should be suspected. Thorough clinical examination including digital rectal examination...

    journal_title:Journal of orthopaedic surgery (Hong Kong)

    pub_type: 杂志文章

    doi:10.1177/230949901202000224

    authors: Aresti N,Murugachandran G,Shetty R

    更新日期:2012-08-01 00:00:00

  • Anatomy of L4 to S3 nerve roots.

    abstract:PURPOSE:To study the course of L4 to S3 nerve roots and their distance with the ala of the sacrum and the sacroiliac joint. METHODS:The embalmed left half pelvis of 25 male and 27 female cadavers aged 30 to 91 (mean, 68) years were studied. The ventral rami of the L4, L5, S1, S2, and S3 nerve roots were dissected alon...

    journal_title:Journal of orthopaedic surgery (Hong Kong)

    pub_type: 杂志文章

    doi:10.1177/230949901001800319

    authors: Waikakul S,Chandraphak S,Sangthongsil P

    更新日期:2010-12-01 00:00:00

  • Femoral and tibial tunnel positioning on graft isometry in anterior cruciate ligament reconstruction: a cadaveric study.

    abstract:PURPOSE:To assess distance changes between the femoral and tibial attachment points of 3 different anterior cruciate ligament (ACL) tunnel entry positions throughout the range of knee motion in cadaveric knees. METHODS:The ACLs of 11 fresh-frozen cadaveric knees (from 6 men and 5 women) were removed using radiofrequen...

    journal_title:Journal of orthopaedic surgery (Hong Kong)

    pub_type: 杂志文章

    doi:10.1177/230949901402200310

    authors: Smith JO,Yasen S,Risebury MJ,Wilson AJ

    更新日期:2014-12-01 00:00:00

  • Effect of leg dominance on early functional outcomes and return to sports after anterior cruciate ligament reconstruction.

    abstract:INTRODUCTION:The effect of leg dominance on anterior cruciate ligament (ACL) injuries has been studied with some studies noting a propensity for injuries in the non-dominant leg. Its effect on post-ACL reconstruction recovery, however, is not well known. The authors hypothesize that dominant limb injuries undergo rehab...

    journal_title:Journal of orthopaedic surgery (Hong Kong)

    pub_type: 杂志文章

    doi:10.1177/2309499019896232

    authors: Boo HC,Howe TS,Koh JS

    更新日期:2020-01-01 00:00:00

  • Use of bisphosphonate to manage avulsion fracture of tibial tuberosity with underlying angiomatosis: a case report.

    abstract::An unusual case of avulsion fracture of the tibial tuberosity with underlying angiomatosis in a middle-aged man is described, with particular emphasis on the successful use of bisphosphonate in its treatment and the value of serial dual energy X-ray absorptiometry in its subsequent disease monitoring. This case illust...

    journal_title:Journal of orthopaedic surgery (Hong Kong)

    pub_type: 杂志文章

    doi:10.1177/230949900301100119

    authors: Wong JW,Yip DK,Kong JK,Chien EP,Shek TW

    更新日期:2003-06-01 00:00:00

  • Sympathetic skin response in patients with spinal cord injury.

    abstract:PURPOSE:To assess the effectiveness of sympathetic skin response in evaluating peripheral sympathetic nerve activity of patients with spinal cord injury, and to report on the basic properties of sympathetic skin response. METHODS:Sympathetic skin response evoked by electrical stimulation was recorded from the palms an...

    journal_title:Journal of orthopaedic surgery (Hong Kong)

    pub_type: 杂志文章

    doi:10.1177/230949900401200108

    authors: Ogura T,Kubo T,Lee K,Katayama Y,Kira Y,Aramaki S

    更新日期:2004-06-01 00:00:00

  • Spontaneous spinal epidural haematoma in a 15-month-old boy presenting with a wry neck: a case report.

    abstract::A 15-month-old boy presented with a 2-day history of a wry neck (bent to the left side) with no definite trauma. He had bilateral upper limb weakness and was afebrile, conscious, and stable. There was no spontaneous movement in both upper limbs. Magnetic resonance imaging of the cervical and thoracic spine demonstrate...

    journal_title:Journal of orthopaedic surgery (Hong Kong)

    pub_type: 杂志文章

    doi:10.1177/230949900701500327

    authors: Fok WM,Sun LK,Wong NM,Lau PY,Cheung HM

    更新日期:2007-12-01 00:00:00

  • Is neck massage safe? A rare case of tetraplegia and spinal shock after neck manipulation.

    abstract::Neck manipulation is associated with spinal cord injury. However, occurrence of such cases is infrequent. This article presents a 33-year-old gentleman who sustained acute tetraplegia after neck manipulation. The aim of this case report is to create awareness that vigorous neck manipulation could cause injury to the s...

    journal_title:Journal of orthopaedic surgery (Hong Kong)

    pub_type: 杂志文章

    doi:10.1177/2309499017690459

    authors: Ling TH,Zakaria AF,Abdullah AT

    更新日期:2017-01-01 00:00:00

  • Compression and flexural strength of bone cement mixed with blood.

    abstract:PURPOSE:To assess the compression and flexural strength of bone cement mixed with 0 ml, 1 ml, or 2 ml of blood. METHODS:High viscosity polymethyl methacrylate (PMMA) loaded with or without gentamicin was used. Blood was collected from total knee arthroplasty patients. In the same operating room, one pack of cement eac...

    journal_title:Journal of orthopaedic surgery (Hong Kong)

    pub_type: 杂志文章

    doi:10.1177/1602400223

    authors: Tan JH,Koh BT,Ramruttun AK,Wang W

    更新日期:2016-08-01 00:00:00

  • Reconstruction of intercalary bone defect after resection of malignant bone tumor.

    abstract::Due to accurate preoperative imaging techniques, early diagnosis and effective chemotherapy, many tumors arising in the metaphyseo-diaphyseal regions of long bones can be segmentally resected with joint preservation. The intercalary resection of malignant bone tumor results in a bone defect which can represent a chall...

    journal_title:Journal of orthopaedic surgery (Hong Kong)

    pub_type: 杂志文章,评审

    doi:10.1177/2309499019832970

    authors: Zekry KM,Yamamoto N,Hayashi K,Takeuchi A,Alkhooly AZA,Abd-Elfattah AS,Elsaid ANS,Ahmed AR,Tsuchiya H

    更新日期:2019-01-01 00:00:00

  • Massive psoas haematoma causing lumbar plexus palsy: a case report.

    abstract::An 84-year-old man who was receiving oral anticoagulation therapy presented with complete lumbar plexus palsy caused by a massive psoas haematoma. Conservative treatment rather than drainage of the haematoma was undertaken, because of the risk of bleeding complications and mortality. At the one-year follow-up, the pat...

    journal_title:Journal of orthopaedic surgery (Hong Kong)

    pub_type: 杂志文章

    doi:10.1177/230949901202000119

    authors: Conesa X,Ares O,Seijas R

    更新日期:2012-04-01 00:00:00

  • Medium-term results of Oxford phase-3 medial unicompartmental knee arthroplasty.

    abstract:PURPOSE:To review medium-term results of 49 consecutive patients who underwent Oxford phase-3 medial unicompartmental knee arthroplasty by a single surgeon. METHODS:Records of 28 women (mean age, 71 years) and 21 men (mean age, 68 years) who underwent minimally invasive Oxford phase-3 medial unicompartmental knee arth...

    journal_title:Journal of orthopaedic surgery (Hong Kong)

    pub_type: 杂志文章

    doi:10.1177/230949901202000204

    authors: Clement ND,Duckworth AD,MacKenzie SP,Nie YX,Tiemessen CH

    更新日期:2012-08-01 00:00:00

  • Total hip arthroplasty: the relationship between posterolateral reconstruction, abductor muscle strength, and femoral offset.

    abstract:PURPOSE:To evaluate the relationship between posterolateral reconstruction, abductor muscle strength, and femoral offset following total hip arthroplasty. METHODS:Of 28 patients (56 limbs) we assessed, 12 underwent posterolateral reconstruction (reconstruction group) and 16 did not (non-reconstruction group). Isometri...

    journal_title:Journal of orthopaedic surgery (Hong Kong)

    pub_type: 杂志文章

    doi:10.1177/230949900401200205

    authors: Yamaguchi T,Naito M,Asayama I,Ishiko T

    更新日期:2004-12-01 00:00:00

  • Mortality and health-related quality of life in patients surgically treated for spondylodiscitis.

    abstract:PURPOSE:To assess mortality, disability, and health-related quality of life (HRQL) in patients surgically treated for spondylodiscitis. METHODS:A retrospective longitudinal study was conducted on all patients surgically treated for spondylodiscitis over a 6-year period at a single tertiary spine center. Indications fo...

    journal_title:Journal of orthopaedic surgery (Hong Kong)

    pub_type: 杂志文章

    doi:10.1177/2309499017716068

    authors: Dragsted C,Aagaard T,Ohrt-Nissen S,Gehrchen M,Dahl B

    更新日期:2017-05-01 00:00:00

  • The accuracy of different FRAX tools in predicting fracture risk in Japan: A comparison study.

    abstract:INTRODUCTION:The web version of Fracture Risk Assessment (FRAX) tool is widely used in many countries to predict the 10-year probability of major osteoporotic fracture (MF) and hip fracture (HF) rate. However, other FRAX tools, calculator older version (first generation), calculator new version (second generation), and...

    journal_title:Journal of orthopaedic surgery (Hong Kong)

    pub_type: 杂志文章

    doi:10.1177/2309499020917276

    authors: Xu G,Yamamoto N,Hayashi K,Takeuchi A,Miwa S,Igarashi K,Taniguchi Y,Araki Y,Yonezawa H,Morinaga S,Tsuchiya H

    更新日期:2020-01-01 00:00:00

  • Risk factors for periprosthetic joint infection in total knee arthroplasty.

    abstract:PURPOSE:To evaluate the incidence and risk factors of periprosthetic joint infection (PJI) in patients undergoing total knee arthroplasty (TKA) in a high-volume hospital. METHODS:Records of 1133 primary TKAs were reviewed. Correlation between surgery volume and infection rate was determined. Risk factors for PJI were ...

    journal_title:Journal of orthopaedic surgery (Hong Kong)

    pub_type: 杂志文章

    doi:10.1177/230949901502300303

    authors: Lee QJ,Mak WP,Wong YC

    更新日期:2015-12-01 00:00:00

  • Nutritional status and short-term outcome of hip arthroplasty.

    abstract:PURPOSE:To review nutritional status and outcome of 90 patients who underwent total hip arthroplasty (THA) or hemiarthroplasty. METHODS:Records of 51 women and 39 men aged 26 to 96 (median, 71) years who underwent elective THA (n=48) for osteoarthritis, or trauma-related THA (n=10) or hemiarthroplasty (n=32) for subca...

    journal_title:Journal of orthopaedic surgery (Hong Kong)

    pub_type: 杂志文章

    doi:10.1177/230949901202000313

    authors: Nicholson JA,Dowrick AS,Liew SM

    更新日期:2012-12-01 00:00:00

  • Clinical and radiologic outcomes following resection of primary proximal fibula tumors: Proximal fibula resection outcomes.

    abstract:PURPOSE:Reconstruction of the lateral collateral ligament (LCL) and biceps femoris tendon following proximal fibula resection is controversial. Postoperative knee instability and peroneal nerve dysfunction affect outcome. This study aimed to determine functional, clinical, and radiological outcomes of patients who unde...

    journal_title:Journal of orthopaedic surgery (Hong Kong)

    pub_type: 杂志文章

    doi:10.1177/2309499019837411

    authors: Arikan Y,Misir A,Gur V,Kizkapan TB,Dincel YM,Akman YE

    更新日期:2019-05-01 00:00:00

  • Proximal femoral medullary canal diameters in Indians: correlation between anatomic, radiographic, and computed tomographic measurements.

    abstract:PURPOSE:To compare anatomic, radiographic, and computed tomographic (CT) measurements of the proximal femur in an Indian population. METHODS:26 left and 24 right dried cadaveric femurs were obtained. Each femur was divided into segments at 10 cross-sectional levels from proximal to distal. At each level, anteroposteri...

    journal_title:Journal of orthopaedic surgery (Hong Kong)

    pub_type: 杂志文章

    doi:10.1177/230949901001800211

    authors: Sen RK,Tripathy SK,Kumar R,Kumar A,Dhatt S,Dhillon MS,Nagi ON,Gulati M

    更新日期:2010-08-01 00:00:00

  • Clinical results of a short stem with flat tapered wedge design in primary total hip arthroplasty for hip dysplasia in Asians.

    abstract:BACKGROUND:Cementless femoral reconstruction is challenging in hip dysplasia due to deformity of the proximal femur causing insufficient stem fixation and/or inadequate neck anteversion. Strategies to address these problems include the use of a modular stem or a distal fixation stem, but both stems have some characteri...

    journal_title:Journal of orthopaedic surgery (Hong Kong)

    pub_type: 杂志文章

    doi:10.1177/2309499020956742

    authors: Hayama T,Otani T,Fujii H,Kawaguchi Y,Abe T,Takahashi M,Saito M

    更新日期:2020-09-01 00:00:00

  • Does the self-centering mechanism of bipolar hip endoprosthesis really work in vivo?

    abstract:PURPOSES:To examine radiographically the component motion in a bipolar prosthesis and to determine whether the self-centering mechanism really works in vivo. METHODS:38 patients with 41 bipolar hip endoprostheses (30 for coxarthrosis and 11 for osteonecrosis of femoral head) were included in this study. Two radiograph...

    journal_title:Journal of orthopaedic surgery (Hong Kong)

    pub_type: 杂志文章

    doi:10.1177/230949900501300108

    authors: Tsumura H,Kaku N,Torisu T

    更新日期:2005-04-01 00:00:00

  • Chemical eluates from ultra-high molecular weight polyethylene and fibroblast proliferation.

    abstract::Although polyethylene wear particles have been implicated in osteolysis and implant loosening, this study is the first to test whether chemical eluates extracted from ultra-high molecular weight polyethylene (UHMWPE) could also be involved in this process. Eluates were prepared from UHMWPE bar stock and examined for t...

    journal_title:Journal of orthopaedic surgery (Hong Kong)

    pub_type: 杂志文章

    doi:10.1177/230949900100900106

    authors: Wang KY,Horne JG,Devane PA,Wilson T,Miller JH

    更新日期:2001-06-01 00:00:00

  • Perforated appendicitis causing thigh emphysema: a case report.

    abstract::We report a case of thigh emphysema resulting from perforated appendicitis. The patient was an 83-year-old man who had no apparent abdominal signs and was initially misdiagnosed as having psoas abscess. Magnetic resonance imaging of the pelvis revealed appendicitis, and a barium enema showed a leakage of enhanced cont...

    journal_title:Journal of orthopaedic surgery (Hong Kong)

    pub_type: 杂志文章

    doi:10.1177/230949900501300118

    authors: Ushiyama T,Nakajima R,Maeda T,Kawasaki T,Matsusue Y

    更新日期:2005-04-01 00:00:00

  • Tophaceous pseudogout in the knee joint mimicking a soft-tissue tumour: a case report.

    abstract::Tophaceous pseudogout in the knee joint is rare. We report an 82-year-old man who presented with a one-year history of pain and swelling of the right knee joint. Treatment with non-steroidal anti-inflammatory drugs and aspiration of the joint effusion had not been effective. The mass continued to enlarge, and the pati...

    journal_title:Journal of orthopaedic surgery (Hong Kong)

    pub_type: 杂志文章

    doi:10.1177/230949901001800127

    authors: Kato H,Nishimoto K,Yoshikawa T,Kusuzaki K,Sudo A

    更新日期:2010-04-01 00:00:00

  • Evaluation of radiologic diagnostic criteria and treatment options in skeletal muscle hydatid cysts.

    abstract:AIM:To investigate the diagnosis and treatment methods of soft tissue involvement of hydatid cysts (HCs). MATERIALS AND METHODS:Eleven patients who were diagnosed as having HC with muscular tissue (soft tissue) involvement between 2010 and 2016 were evaluated retrospectively. Seven patients had typical HC magnetic res...

    journal_title:Journal of orthopaedic surgery (Hong Kong)

    pub_type: 杂志文章

    doi:10.1177/2309499019881219

    authors: Oğur HU,Kapukaya R,Külahçı Ö,Yılmaz C,Yüce K,Tuhanioğlu Ü

    更新日期:2019-09-01 00:00:00