Abstract:
STUDY DESIGN:A prospective study of patients whose spinal cord tumors were managed surgically with a unique posterior method of removing and replacing the posterior spinal elements using T-saw ("recapping T-saw laminoplasty"). OBJECTIVES:To examine the safety and efficacy of the recapping T-saw laminoplasty technique for spinal canal surgery. SUMMARY OF BACKGROUND DATA:Laminectomy, laminoplasty, and/or laminotomy typically are used to approach intraspinal lesions. When removal and replacement of the posterior elements have been attempted, the effectiveness of the technique has been limited by the amount of bone sacrificed when using burrs or osteotomes. The authors thought to adapt a unique "threadwire saw" (T-saw) in these cases, because its use results in minimal bone loss. METHODS:Patients underwent recapping T-saw laminoplasty in the thoracic or lumbar spine for extirpation of spinal cord tumors. The T-saw was used for division of the posterior elements. After resection of the lesion, the excised laminae were replaced exactly in situ to their original anatomic position. The mean follow-up period was 47 months (range, 31-71 months). Patients were observed neurologically and radiologically. RESULTS:One to eight laminae were excised and replaced in 24 patients. Findings on computed tomography scans confirmed primary bony union in 23 patients by 6 months after surgery, and in one patient by 12 months after surgery. No complications such as postoperative spinal canal stenosis, facet arthrosis, or kyphosis were observed. CONCLUSIONS:Recapping laminoplasty afforded anatomic reconstruction of the vertebral arch after excision of spinal cord tumors. This procedure appears to warrant further evaluation as an alternative to wide laminectomies for exposure of intraspinal tumors.
journal_name
Spine (Phila Pa 1976)journal_title
Spineauthors
Kawahara N,Tomita K,Shinya Y,Matsumoto T,Baba H,Fujita T,Murakami H,Kobayashi Tdoi
10.1097/00007632-199907010-00015keywords:
subject
Has Abstractpub_date
1999-07-01 00:00:00pages
1363-70issue
13eissn
0362-2436issn
1528-1159journal_volume
24pub_type
杂志文章相关文献
SPINE文献大全abstract:STUDY DESIGN:A case report is presented. OBJECTIVE:To describe a case of severe symptomatic lumbar stenosis in an adult gorilla successfully treated with decompressive surgery. SUMMARY OF BACKGROUND DATA:Although spinal degenerative disease is thought to be less common in apes than in humans, gorillas and bonobos are...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/01.brs.0000112075.03500.5b
更新日期:2004-03-01 00:00:00
abstract:STUDY DESIGN:A biomechanical cadaveric study of thoracic and lumbar vertebrae with simulated metastases quantifying intravertebral pressures during transpedicular vertebroplasty. OBJECTIVE:To compare intravertebral pressures during percutaneous vertebroplasty in vertebrae with and without simulated lytic metastases. ...
journal_title:Spine
pub_type: 杂志文章
doi:
更新日期:2003-07-15 00:00:00
abstract::Degenerative lumbar spondylolisthesis associated with spinal stenosis is a common condition of the aging spine. This article presents a detailed description of the pathophysiology, clinical presentation, and nonoperative and operative intervention of this condition. ...
journal_title:Spine
pub_type: 杂志文章,评审
doi:10.1097/00007632-199505000-00018
更新日期:1995-05-01 00:00:00
abstract:STUDY DESIGN:Longitudinal case-controlled animal study. OBJECTIVE:To investigate putative cellular mechanisms to explain structural changes in muscle and adipose and connective tissues of the back muscles after intervertebral disc (IVD) injury. SUMMARY OF BACKGROUND DATA:Structural back muscle changes are ubiquitous ...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0000000000000972
更新日期:2015-07-15 00:00:00
abstract:STUDY DESIGN:Retrospective clinical series. OBJECTIVE:To compare perioperative parameters, clinical outcomes, radiographic parameters, and complication rates of three reconstructive techniques after the anterior decompression of four-level cervical spondylotic myelopathy (CSM). SUMMARY OF BACKGROUND DATA:At present, ...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0000000000001907
更新日期:2017-05-15 00:00:00
abstract:STUDY DESIGN:We report on a 54-year-old man with chronic lower back pain after recent streptococcus pneumoniae pulmonary infection, resulting in a mycotic aortic aneurysm and spondylodiscitis of the eighth vertebrae 6 months later. Successful surgical treatment and recurrence-free survival after 4 years are described. ...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/01.brs.0000137061.79898.8f
更新日期:2004-09-01 00:00:00
abstract:STUDY DESIGN:Retrospective case-control study. OBJECTIVE:To determine the association of Hounsfield unit (HU) measurements with adjacent segment fractures after spinal fusion. SUMMARY OF BACKGROUND DATA:Adjacent segment fracture is a potentially devastating complication after spinal fusion surgery in osteoporotic pat...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e31826ff084
更新日期:2013-03-01 00:00:00
abstract::Vibrational effects have been found to be associated with increased frequency of low-back pain in various industries, and because of this the study herein reported was conducted to assess the physiologic response of the spinal system to sinusoidal vibrations. A device replicating industrial vibration was constructed a...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-198205000-00008
更新日期:1982-05-01 00:00:00
abstract:STUDY DESIGN:Multiple center study to evaluate cerebrospinal fluid (CSF) concentrations of nitric oxide metabolites [NOx] in relation to neurologic severity and prognosis in spinal cord injury (SCI). OBJECTIVE:To examine whether CSF [NOx] correlates with neurologic severity and recovery in SCI. SUMMARY OF BACKGROUND ...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e3181abda1d
更新日期:2009-08-15 00:00:00
abstract:STUDY DESIGN:Systematic review. OBJECTIVE:The authors aim to review comparative outcome measures between robotic and free-hand spine surgical procedures including: accuracy of spinal instrumentation, radiation exposure, operative time, hospital stay, and complication rates. SUMMARY OF BACKGROUND DATA:Misplacement of ...
journal_title:Spine
pub_type: 杂志文章,评审
doi:10.1097/BRS.0000000000002695
更新日期:2018-12-01 00:00:00
abstract:STUDY DESIGN:This study was an exploratory repeated measures design comparing patients undergoing two magnitudes of surgery in the lumbar spine: lumbar herniated disc repair and posterior lumbar fusion. OBJECTIVE:The present study evaluated and compared the effect of perceived pain, perceived stress, anxiety, and mood...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/01.brs.0000231795.85409.87
更新日期:2006-08-15 00:00:00
abstract:STUDY DESIGN:A prospective clinical study. OBJECTIVE:To quantitatively evaluate impairment of postural stability in patients with cervical myelopathy. SUMMARY OF BACKGROUND DATA:Proprioceptive sensation plays an important role in coordinated movement of the lower extremities and postural stability. Nevertheless, alth...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e318178e666
更新日期:2008-06-15 00:00:00
abstract::This report describes the development of a technique for reduction and fusion of spondylolisthesis that includes posterior mobilization with alartransverse fusion, halo-femoral traction with the patient in some extension, and finally, anterior interbody fusion of the lumbosacral joint. The report emphasizes the techni...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-197909000-00007
更新日期:1979-09-01 00:00:00
abstract:STUDY DESIGN:Retrospective review of pediatric patients with vertebral and spinal cord tumors. OBJECTIVES:To identify clinical and radiographic features of diagnostic importance, and to evaluate the effectiveness of surgical treatment with respect to complications in pediatric patients with vertebral and spinal cord t...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/01.BRS.0000085323.71376.42
更新日期:2003-10-15 00:00:00
abstract:STUDY DESIGN:A prospective series of 15 consecutive adult patients with spinal deformity who underwent endoscopic transthoracic release with simultaneous posterior instrumentation while positioned prone. OBJECTIVES:To describe the technique and clinical results of endoscopic transthoracic release performed with the pa...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-200009010-00017
更新日期:2000-09-01 00:00:00
abstract:STUDY DESIGN:Basic fibroblast growth factor immunoreactivity was studied in disc herniation tissue. OBJECTIVES:The first objective was to analyze in which tissue components, if any, fibroblast growth factor is expressed in the disc herniation. The second objective was to compare such expression with that in fresh cada...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199502000-00003
更新日期:1995-02-01 00:00:00
abstract:STUDY DESIGN:A unique case of pseudo-aneurysm of a lumbar artery after injury of the thoracolumbar spine was presented. OBJECTIVE:To describe the exceptional occurrence of pseudo-aneurysm of a lumbar artery after flexion-distraction fracture of thoracolumbar junction and to discuss the mechanism of formation and the t...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e3181624b93
更新日期:2008-02-01 00:00:00
abstract::Facetectomy, either unilateral or bilateral, significantly altered the capacity of cervical spine functional units to withstand increasing compression-flexion loads applied in a constant mode to different specimen configurations. Unilateral facetectomy resulted in an average 31.6 +/- 9.7 percent decrease in strength w...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-198807000-00017
更新日期:1988-07-01 00:00:00
abstract:STUDY DESIGN:An in vivo rat-tail model was adopted to study the structural changes of degenerated intervertebral disc after different traction protocols. OBJECTIVE:To investigate the effects of traction with different modes and magnitudes on disc with simulated degeneration. SUMMARY OF BACKGROUND DATA:Traction has be...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e3181c617f6
更新日期:2010-06-15 00:00:00
abstract:STUDY DESIGN:A cross-sectional study. OBJECTIVE:To identify facet tropism as one of the possible risk factors leading to vertebral rotatory subluxation (VRS). SUMMARY OF BACKGROUND DATA:VRS has been considered as one of the prognostic factors for degenerative scoliosis. Although several risk factors of VRS, including...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0000000000000494
更新日期:2014-12-15 00:00:00
abstract::Present disability evaluation schedules for the low back are not scientifically based and produce very great interexaminer differences. The authors have developed a new impairment schedule based on a comprehensive review of the medical literature and the collected opinions of a large number of back specialists. Tests ...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-198803000-00019
更新日期:1988-03-01 00:00:00
abstract:STUDY DESIGN:The relative risk of blood contamination during spine surgery was studied using data collected from 324 procedures. OBJECTIVES:To analyze demographic factors that predict blood-borne pathogens in the population of spine surgery patients, study the rates and patterns of blood contamination in health care w...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199806010-00018
更新日期:1998-06-01 00:00:00
abstract:OBJECTIVE:The purpose of this study was to analyze the nature and cause of spinal disabilities among military and civil aircrew in India. SUMMARY OF BACKGROUND DATA:Studies suggest that military aircrew may be more prone than nonaviators to develop spinal disabilities. An in-depth analysis of such disabilities can ena...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e31817bb9aa
更新日期:2008-12-01 00:00:00
abstract:STUDY DESIGN:An ambispective analysis. OBJECTIVE:The aim of this study was to report the global prevalence of specific degenerative cervical pathologies in patients with degenerative cervical myelopathy (DCM) through detailed review of magnetic resonance imaging (MRIs). SUMMARY OF BACKGROUND DATA:DCM encompasses a sp...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0000000000001981
更新日期:2017-07-15 00:00:00
abstract:STUDY DESIGN:Retrospective cohort study OBJECTIVE.: To determine the rate of venous thromboembolism event (VTE) and risk factors for their occurrence in patients with vertebral fractures. SUMMARY OF BACKGROUND DATA:Deep vein thrombosis or pulmonary embolism (VTE) events are a significant source of potentially preventa...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0000000000002634
更新日期:2018-09-15 00:00:00
abstract:STUDY DESIGN:A prospective randomized study. OBJECTIVES:To study the risk of infection, hematoma, and neurologic deficits following extensive lumbar spine surgery in patients with or without prophylactic closed wound suction drain placement. SUMMARY OF BACKGROUND DATA:One randomized study assessing prophylactic drain...
journal_title:Spine
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1097/00007632-200405150-00003
更新日期:2004-05-15 00:00:00
abstract:STUDY DESIGN:A roentgen stereophotogrammetric (RS) technique using metallic markers was used to determine in vivo three-dimensional (3-D) motion data in the post-operative cervical spine. Two patients were examined with RS following fusion for up to 12 months at scheduled intervals. OBJECTIVES:The study was designed t...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199410150-00015
更新日期:1994-10-15 00:00:00
abstract:STUDY DESIGN:To demonstrate the existence of mesenchymal stem cells (MSCs) in ligamentum flavum (LF) and their pathogenic role in LF hypertrophy. OBJECTIVE:To isolate and characterize LF-derived MSCs and their response to transforming growth factor-beta 1 (TGF-β1) and trichostatin A (TSA), a histone deacetylase inhibi...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e3182053f58
更新日期:2011-08-15 00:00:00
abstract:STUDY DESIGN:Prospective, randomized, multicenter, Food and Drug Administration Investigational Device Exemption trial. OBJECTIVE:To evaluate the safety and efficacy of Coflex interlaminar stabilization compared with posterior spinal fusion in the treatment of 1- and 2-level spinal stenosis and degenerative spondyloli...
journal_title:Spine
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1097/BRS.0b013e31829a6d0a
更新日期:2013-08-15 00:00:00
abstract:STUDY DESIGN:Basic animal research. OBJECTIVE:The effects of granulocyte colony-stimulating factor (G-CSF) were assessed in a rat chronic spinal cord compression model to explore the potential of G-CSF as a pharmacological treatment for cervical spondylotic myelopathy. SUMMARY OF BACKGROUND DATA:G-CSF is a hematopoie...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0000000000001659
更新日期:2016-12-01 00:00:00