Anterior cervical microforaminotomy for spondylotic cervical myelopathy: part 2.

Abstract:

OBJECTIVE:Anterior microforaminotomy for spondylotic cervical myelopathy is reported with surgical results. METHODS:A retrospective study was performed for 40 patients with spondylotic cervical myelopathy who had been surgically treated with anterior microforaminotomy at the University of Pittsburgh between April 1994 and June 1999. Age ranged from 32 to 74 years (median, 51 yr). Twenty-eight patients were men, and 12 were women. All had undergone magnetic resonance imaging (MRI) scans preoperatively. All underwent MRI scans and dynamic roentgenograms 6 weeks after the operation. The duration of follow-up ranged from 24 months to 86 months (median, 42 mo). RESULTS:Twenty-eight patients (70%) had radiculopathy in addition to their myelopathy. Single-level operations were performed in 13 patients (32.5%), two-level operations in 19 patients (47.5%), three-level operations in 5 patients (12.5%), and four-level operations in 3 patients. Eleven patients (27.5%) had excellent results, 21 patients (52.5%) had good results, and 8 patients (20%) had unchanged results 6 weeks after the operation. Thirty-five patients (87.5%) were discharged the day of or the day after their operation. In all patients, MRI scans revealed good anatomic decompression, and dynamic roentgenograms revealed good stability. Postoperative complications included temporary deltoid weakness in one patient and temporary voice fatigue in another patient. In a final survey of 30 patients, 16 patients (53.3%) experienced excellent results, 11 patients (36.6%) experienced good results, and 3 patients (10%) experienced unchanged results. Final outcome survey with modified Japanese Orthopedic Association score is reported in 25 patients. CONCLUSION:Anterior microforaminotomy provided good to excellent surgical results in 80% of the patients with minimal morbidities 6 weeks after the operation and in 90% of the patients at long-term follow-up. Spinal stability was well maintained in all patients.

journal_name

Neurosurgery

journal_title

Neurosurgery

authors

Jho HD,Kim MH,Kim WK

keywords:

subject

Has Abstract

pub_date

2002-11-01 00:00:00

pages

S54-9

issue

5 Suppl

eissn

0148-396X

issn

1524-4040

journal_volume

51

pub_type

杂志文章
  • Primary pituitary carcinoma: a clinical pathological study.

    abstract::A 60-year-old woman presented with a history of headache and rapidly progressive complete bilateral ophthalmoplegia. Her endocrine function was normal. Radiographic studies revealed signs of diffuse destruction of the sella turcica by a tumor without suprasellar extension. Biopsies of the lesion within the sphenoid si...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:

    authors: Nudleman KL,Choi B,Kusske JA

    更新日期:1985-01-01 00:00:00

  • Cervical spondylotic myelopathy, depression, and anxiety: a cohort analysis of 89 patients.

    abstract:OBJECTIVE:To determine the prevalence of depressed and anxious mood states in patients with cervical spondylotic myelopathy (CSM), a degenerative spine condition with symptoms of neck pain, numb clumsy hands, gait difficulties, sphincter dysfunction, and impotence. To examine the relation between mood and functional de...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/01.neu.0000166664.19662.43

    authors: Stoffman MR,Roberts MS,King JT Jr

    更新日期:2005-08-01 00:00:00

  • Thrombectomy Technique Predicts Outcome in Posterior Circulation Stroke-Insights from the STAR Collaboration.

    abstract:BACKGROUND:Randomized controlled trials evaluating mechanical thrombectomy (MT) for acute ischemic stroke predominantly studied anterior circulation patients. Both procedural and clinical predictors of outcome in posterior circulation patients have not been evaluated in large cohort studies. OBJECTIVE:To investigate t...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1093/neuros/nyaa179

    authors: Alawieh AM,Eid M,Anadani M,Sattur M,Maier IL,Feng W,Goyal N,Starke RM,Rai A,Fargen KM,Psychogios MN,De Leacy R,Grossberg JA,Keyrouz SG,Dumont TM,Kan P,Lena J,Liman J,Arthur AS,Elijovich L,Mccarthy DJ,Saini V,W

    更新日期:2020-10-15 00:00:00

  • Evaluation of prognostic factors in cerebral arteriovenous malformations.

    abstract::In a retrospective study of 48 patients who underwent elective surgery for cerebral arteriovenous malformations, a statistical analysis of demographic, clinical, and neuroradiological data was undertaken in order to discover the best predictors of operative morbidity. In addition, the predictive value of different cli...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-198902000-00007

    authors: Steinmeier R,Schramm J,Müller HG,Fahlbusch R

    更新日期:1989-02-01 00:00:00

  • Familial cerebral aneurysms: a study of 13 families.

    abstract::Despite the recent interest in familial cerebral aneurysms, the epidemiology, natural history, pattern of inheritance, screening of asymptomatic relatives, and the search for a biochemical marker remain problematic. To assess these issues, we report the results of our prospective study of 30 patients with 38 aneurysms...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-199510000-00005

    authors: Leblanc R,Melanson D,Tampieri D,Guttmann RD

    更新日期:1995-10-01 00:00:00

  • Thermal damage assessment of novel bipolar forceps in a sheep model of spinal surgery.

    abstract:BACKGROUND:Heat transfer from bipolar tips to adjacent tissue presents a risk of thermal injury during spine surgery. OBJECTIVE:The present study was designed to determine wither bipolar forceps using a novel heat pipe thermal regulation technology resulted in decreased collateral thermal injury of adjacent tissue com...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/01.neu.0000370246.82005.6f

    authors: Elliott-Lewis EW,Jolette J,Ramos J,Benzel EC

    更新日期:2010-07-01 00:00:00

  • Neurosurgery and Manned Spaceflight.

    abstract::There has been a renewed interest in manned spaceflight due to endeavors by private and government agencies. Publicized goals include manned trips to or colonization of Mars. These missions will likely be of long duration, exceeding existing records for human exposure to extra-terrestrial conditions. Participants will...

    journal_title:Neurosurgery

    pub_type: 杂志文章,评审

    doi:10.1093/neuros/nyy531

    authors: Panesar SS,Fernandez-Miranda JC,Kliot M,Ashkan K

    更新日期:2020-03-01 00:00:00

  • Magnetic resonance imaging of symptomatic Rathke's cleft cyst: report of a case.

    abstract::A case of symptomatic Rathke's cleft cyst is described. In spite of the intrasellar component and radiological and clinical evidence of involvement of the pituitary gland, the sella turcica was minimally involved. MRI afforded optimal visualization and localization of the intra- and suprasellar components vis-à-vis th...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-198902000-00021

    authors: Wagle VG,Nelson D,Rossi A,Uphoff D

    更新日期:1989-02-01 00:00:00

  • Current status of carotid endarterectomy for atheromatous disease.

    abstract::The authors discuss the indications for both elective and emergency carotid endarterectomy. Reports on the surgical treatment of asymptomatic bruit and contralateral carotid stenosis are reviewed. The results of endarterectomy for symptomatic carotid disease, including transient ischemic attacks, acute neurological de...

    journal_title:Neurosurgery

    pub_type: 杂志文章,评审

    doi:10.1227/00006123-198312000-00021

    authors: Loftus CM,Quest DO

    更新日期:1983-12-01 00:00:00

  • Ectopic corticotroph adenoma in the cavernous sinus: case report.

    abstract:OBJECTIVE AND IMPORTANCE:Adrenocorticotropin (ACTH)-secreting pituitary adenomas causing Cushing's disease are often difficult to identify because of their variable locations and their small size. This report presents histological evidence of an ectopic ACTH-secreting adenoma located entirely within the cavernous sinus...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1097/00006123-199910000-00041

    authors: Sanno N,Tahara S,Yoshida Y,Onose H,Wakabayashi I,Teramoto A

    更新日期:1999-10-01 00:00:00

  • Quality of reporting in evaluations of surgical treatment of trigeminal neuralgia: recommendations for future reports.

    abstract:OBJECTIVE:There are numerous reports on the surgical treatment of trigeminal neuralgia, but the studies do not use uniform outcome measures, which makes it difficult for patients and clinicians to determine which treatment may be most appropriate. The objectives of this study were to set quality criteria and standards ...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/01.neu.0000068862.78930.ee

    authors: Zakrzewska JM,Lopez BC

    更新日期:2003-07-01 00:00:00

  • A risk/benefit analysis of spinal manipulation therapy for relief of lumbar or cervical pain.

    abstract::Approximately 12 million Americans undergo spinal manipulation therapy (SMT) every year. Renewed interest in this method requires an analysis of its reported risks and possible benefits. This review describes two patients with spinal cord injuries associated with SMT and establishes the risk/benefit ratios for patient...

    journal_title:Neurosurgery

    pub_type: 历史文章,杂志文章,评审

    doi:10.1227/00006123-199307000-00011

    authors: Powell FC,Hanigan WC,Olivero WC

    更新日期:1993-07-01 00:00:00

  • Intraoperative Near-Infrared Optical Imaging Can Localize Gadolinium-Enhancing Gliomas During Surgery.

    abstract:BACKGROUND:Although real-time localization of gliomas has improved with intraoperative image guidance systems, these tools are limited by brain shift, surgical cavity deformation, and expense. OBJECTIVE:To propose a novel method to perform near-infrared (NIR) imaging during glioma resections based on preclinical and c...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/NEU.0000000000001450

    authors: Lee JY,Thawani JP,Pierce J,Zeh R,Martinez-Lage M,Chanin M,Venegas O,Nims S,Learned K,Keating J,Singhal S

    更新日期:2016-12-01 00:00:00

  • Epithelial growth factor receptor tyrosine kinase inhibitor prevents infiltration and cerebrospinal fluid dissemination in malignant glioma: an experimental study.

    abstract:UNLABELLED:BAC1KGROUND: AG1478 is an epithelial growth factor receptor tyrosine kinase inhibitor. Epithelial growth factor receptor regulates the expression of cadherin in cells via its action on β-catenin, and N-cadherin downregulation promotes infiltration and cerebrospinal fluid (CSF) dissemination of glioma cells. ...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/NEU.0b013e318215a3d0

    authors: Asano K,Ohkuma H

    更新日期:2011-08-01 00:00:00

  • Inflammation and intracranial aneurysms.

    abstract:OBJECTIVE:An intracranial aneurysm is an important acquired cerebrovascular disease that can cause a catastrophic subarachnoid hemorrhage. Despite modern therapy, most patients die or are left disabled as a direct result of a severe initial hemorrhage. The development of more effective treatment strategies depends on u...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1097/00006123-199911000-00024

    authors: Chyatte D,Bruno G,Desai S,Todor DR

    更新日期:1999-11-01 00:00:00

  • Chemotherapy in brain metastases.

    abstract::The use OF chemotherapy to treat patients with brain metastases has been viewed historically with skepticism. To date, a survival benefit has not been demonstrated with the use of systemic chemotherapy in patients with brain metastases. However, the introduction of novel agents and delivery techniques warrants a reexa...

    journal_title:Neurosurgery

    pub_type: 杂志文章,评审

    doi:10.1227/01.neu.0000182740.39014.9a

    authors: Peereboom DM

    更新日期:2005-11-01 00:00:00

  • Clinical clerkships in neurosurgery and neurology at United States medical schools.

    abstract::The neurology and neurosurgery clinical clerkship experience (excluding lectures and conferences) of the students in U.S. allopathic medical schools during one of the academic years 1986 to 1987 or 1987 to 1988 was surveyed. Almost all schools have at least some students taking these clerkships. The majority of studen...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1097/00006123-199110000-00027

    authors: Lehman RA,Brodner RA,Greenblatt SH,Hirsh LF,Loeser J,Smith K,Curran L

    更新日期:1991-10-01 00:00:00

  • Systemic complement depletion inhibits experimental cerebral vasospasm.

    abstract:OBJECTIVE:Cerebral vasospasm is the leading cause of morbidity and mortality in patients who are hospitalized because of aneurysmal subarachnoid hemorrhage (SAH). Recent work has suggested that activation of the complement cascade contributes to the development of cerebral vasospasm. To further examine this hypothesis,...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1097/00006123-199607000-00028

    authors: German JW,Gross CE,Giclas P,Watral W,Bednar MM

    更新日期:1996-07-01 00:00:00

  • Peculiarities of intracranial arachnoid cysts: location, sidedness, and sex distribution in 126 consecutive patients.

    abstract:OBJECTIVE:To study the distribution of intracranial arachnoid cysts in a large and nonbiased patient population. METHODS:One hundred twenty-six patients with 132 arachnoid cysts were studied. Patients were consecutively referred to our department during a 10-year period from a well-defined geographical area with a sta...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1097/00006123-199910000-00008

    authors: Wester K

    更新日期:1999-10-01 00:00:00

  • Intracranial meningiomas in the aged: surgical outcome in the era of computed tomography.

    abstract::Seventy-five patients older than 60 years of age underwent surgical resection of intracranial meningiomas during a 10-year period at a single institution. All patients had a computed tomographic scan preoperatively, and all were followed for at least 3 months postoperatively. There were 50 patients 61 to 70 years of a...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-198904000-00011

    authors: Awad IA,Kalfas I,Hahn JF,Little JR

    更新日期:1989-04-01 00:00:00

  • The endonasal microscopic approach for pituitary adenomas and other parasellar tumors: a 10-year experience.

    abstract::THE DIRECT ENDONASAL transsphenoidal approach to the sella with the operating microscope was initially described more than 20 years ago. Herein, we describe the technique, its evolution, and lessons learned over a 10-year period for treating pituitary adenomas and other parasellar pathology. From July 1998 to January ...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/01.NEU.0000327025.03975.BA

    authors: Fatemi N,Dusick JR,de Paiva Neto MA,Kelly DF

    更新日期:2008-10-01 00:00:00

  • Interdisciplinary evaluation of cerebral hemodynamics in the treatment of arteriovenous fistulae associated with giant varices.

    abstract::The techniques for the treatment of intracranial arteriovenous fistulae include angiographic balloon occlusion of the fistula as well as direct surgical attack. Regardless of the method, the occurrence of severe hyperemia caused by a lack of autoregulation after obliteration of the fistula remains a significant concer...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-199410000-00033

    authors: Giller CA,Batjer HH,Purdy P,Walker B,Mathews D

    更新日期:1994-10-01 00:00:00

  • Study Protocol: Early Stereotactic Gamma Knife Radiosurgery to Residual Tumor After Surgery of Newly Diagnosed Glioblastoma (Gamma-GBM).

    abstract:BACKGROUND:Glioblastoma (GBM) is the most common malignant brain tumor in adult patients. Tumor recurrence commonly occurs around the resection cavity, especially after subtotal resection (STR). Consequently, the extent of resection correlates with overall survival (OS), suggesting that depletion of postoperative tumor...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1093/neuros/nyy156

    authors: Brehmer S,Grimm MA,Förster A,Seiz-Rosenhagen M,Welzel G,Stieler F,Wenz F,Groden C,Mai S,Hänggi D,Giordano FA

    更新日期:2019-05-01 00:00:00

  • The impact of the body mass index on outcome after subarachnoid hemorrhage: is there an obesity paradox in SAH? A retrospective analysis.

    abstract:BACKGROUND:Obesity is a risk factor for cardiovascular disease and associated with a poor outcome, especially for intensive care patients. However, recent studies have described favorable outcomes of obese patients after stroke, a phenomenon called the "obesity paradox." OBJECTIVE:To assess the impact of the body mass...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/01.neu.0000430322.17000.82

    authors: Platz J,Güresir E,Schuss P,Konczalla J,Seifert V,Vatter H

    更新日期:2013-08-01 00:00:00

  • Granulocytic sarcoma presenting as an epidural mass with cord compression.

    abstract::Granulocytic sarcoma (GS) usually occurs during the course of, or as a presenting sign of myelogenous leukemia. Rarely it is found before peripheral blood or bone marrow evidence of leukemia is present. We describe a man who presented with low back pain and lower extremity weakness. He had spinal cord compression due ...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-198901000-00024

    authors: Ripp DJ,Davis JW,Rengachary SS,Lotuaco LG,Watanabe IS

    更新日期:1989-01-01 00:00:00

  • Neurosurgeon transition to retirement: results of the 2007 Congress of Neurological Surgeons Consensus Conference.

    abstract:OBJECTIVE:Recent studies of age-related effects on cognition and performance have raised concerns about the appropriate timing and regulatory surveillance of retirement for surgeons. Little is known about the practice patterns and retirement plans of aging neurosurgeons. Analyses of informed opinions on possible regula...

    journal_title:Neurosurgery

    pub_type: 共识发展会议,杂志文章

    doi:10.1227/01.NEU.0000349932.37540.02

    authors: Scarrow AM,Linskey M,Asher AL,Anderson VC,Selden NR

    更新日期:2009-08-01 00:00:00

  • Validation of a new technique for measurement of intracranial pressure with a scintillation counter.

    abstract::Intracranial pressure sensors and subdural and subgaleal sensing tambours were used to measure the pressure difference between the intracranial and subgaleal spaces in two monkeys. The pressure differential was transmitted to fluid bathing a piston, to which an isotope source (145Pm) was attached. The radiation signal...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-197801000-00007

    authors: Meyer GA,Millis RM,Budzinski J

    更新日期:1978-01-01 00:00:00

  • The use of susceptibility-weighted imaging as an indicator of retrograde leptomeningeal venous drainage and venous congestion with dural arteriovenous fistula: diagnosis and follow-up after treatment.

    abstract:BACKGROUND:Retrograde leptomeningeal venous drainage (RLVD) in dural arteriovenous fistulas (DAVFs) is associated with intracerebral hemorrhage and nonhemorrhagic neurological deficits or death. Angiographic evidence of RLVD is a definite indication for treatment, but less invasive methods of identifying RLVD are requi...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/NEU.0b013e318276f7cc

    authors: Nakagawa I,Taoka T,Wada T,Nakagawa H,Sakamoto M,Kichikawa K,Hironaka Y,Motoyama Y,Park YS,Nakase H

    更新日期:2013-01-01 00:00:00

  • Dissecting aneurysms of the bilateral vertebral arteries with subarachnoid hemorrhage: report of three cases.

    abstract:OBJECTIVE AND IMPORTANCE:Treatment of one side in cases of dissecting aneurysms of the bilateral vertebral arteries (VAs) with subarachnoid hemorrhage may result in dissection or rupture on the contralateral side. CLINICAL PRESENTATION:Three patients presented with dissecting aneurysms of the bilateral VAs with subara...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1097/00006123-200206000-00033

    authors: Otawara Y,Ogasawara K,Ogawa A,Kogure T

    更新日期:2002-06-01 00:00:00

  • Symptomatic spinal epidural lipomatosis after local epidural corticosteroid injections: case report.

    abstract:OBJECTIVE AND IMPORTANCE:Spinal epidural lipomatosis, which causes symptomatic compression of neural elements, is a well known but uncommon complication of Cushing's syndrome. Spinal epidural lipomatosis has been reported frequently in association with chronic systemic corticosteroid therapy, but thus far only one case...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1097/00006123-199907000-00037

    authors: Sandberg DI,Lavyne MH

    更新日期:1999-07-01 00:00:00