Thoracoscopic placement of dual-rod instrumentation in thoracic spinal trauma.

Abstract:

OBJECTIVE AND IMPORTANCE:Traditionally, thoracic fractures that require anterior stabilization are treated through an open thoracotomy approach. Thoracoscopic instrumentation avoids many of the complications associated with an open thoracotomy but is technically challenging. We report the first cases of dual-rod internal fixation systems placed thoracoscopically for thoracic spinal trauma. CLINICAL PRESENTATION:Two male patients sustained midthoracic spinal trauma falling from motorcycles in separate incidents. Both injuries led to unstable spinal columns, but the patients had no neurological deficits and had minimal spinal cord compression. One patient had a complex spiral fracture from T6 to T8; the other had T7 burst and T8 compression fractures. Based on the complex morphological features of the patients' fractures, anterior internal fixation was the treatment of choice for both. The two available options for an anterior stabilization were open thoracotomy and thoracoscopic instrumentation. Because extensive decompression was unnecessary, a thoracoscopic approach was used. INTERVENTION:A dual-rod internal fixation system (Medtronic Sofamor Danek, Inc., Memphis, TN) was placed with two screws each in the T6 and T9 vertebral bodies of each patient. Thoracoscopy was used for direct visualization of the operative site with fluoroscopic guidance for screw placement. Surgery was completed without complications, and both patients did well afterward. Upright and supine x-rays demonstrated that the constructs were stable at 10 weeks and 6 months, respectively. CONCLUSION:Thoracoscopic instrumentation offers the advantages of a minimally invasive approach but is technically challenging. The characteristics of dual-rod fixation systems (small-profile components and step-wise insertion) provide the best biomechanical profile and facilitate thoracoscopic instrumentation.

journal_name

Neurosurgery

journal_title

Neurosurgery

authors

Horn EM,Henn JS,Lemole GM Jr,Hott JS,Dickman CA

doi

10.1227/01.neu.0000119229.92157.66

keywords:

subject

Has Abstract

pub_date

2004-05-01 00:00:00

pages

1150-3; discussion 1153-4

issue

5

eissn

0148-396X

issn

1524-4040

journal_volume

54

pub_type

杂志文章
  • Posterior-only approach for en bloc sacrectomy: clinical outcomes in 36 consecutive patients.

    abstract:BACKGROUND:En bloc resection of primary sacral tumors has a demonstrated survival benefit. Total and high sacral amputations are traditionally performed by using a staged anterior and subsequent posterior approach. However, we have found that en bloc resection and biomechanical reconstruction of the spinal column is po...

    journal_title:Neurosurgery

    pub_type: 临床试验,杂志文章

    doi:10.1227/NEU.0b013e31825d01d4

    authors: Clarke MJ,Dasenbrock H,Bydon A,Sciubba DM,McGirt MJ,Hsieh PC,Yassari R,Gokaslan ZL,Wolinsky JP

    更新日期:2012-08-01 00:00:00

  • Effect of early optic canal unroofing on the outcome of visual functions in surgery for meningiomas of the tuberculum sellae and planum sphenoidale.

    abstract:OBJECTIVE:The aim of this study was to evaluate the effect of early optic canal unroofing on visual function in patients with meningiomas of the tuberculum sellae and planum sphenoidale. METHODS:We retrospectively reviewed the clinical records of 20 consecutive patients with tuberculum sellae meningiomas and two patie...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/01.neu.0000318169.75095.cb

    authors: Nozaki K,Kikuta K,Takagi Y,Mineharu Y,Takahashi JA,Hashimoto N

    更新日期:2008-04-01 00:00:00

  • Hyperacute neuropathological findings after proton beam radiosurgery of the rat hippocampus.

    abstract:OBJECTIVE:To study the hyperacute histological and immunohistochemical effects of stereotactic proton beam irradiation of the rat hippocampus. METHODS:Nine rats underwent proton beam radiosurgery of one hippocampus with nominal doses of cobalt-2, -12, and -60 Gray equivalents (n = 3 each). Control animals (n = 3) were...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/01.neu.0000159885.34134.20

    authors: Brisman JL,Cosgrove GR,Thornton AF,Beer T,Bradley-Moore M,Shay CT,Hedley-Whyte ET,Cole AJ

    更新日期:2005-06-01 00:00:00

  • Somatosensory and spinal evoked potentials in patients with cervical syringomyelia.

    abstract::We recorded somatosensory evoked potentials (SEPs) from the skin surface and spinal evoked potentials (SpEP) from the posterior epidural space after median nerve stimulation in 11 patients with cervical syringomyelia. We compared SEPs with SpEP to assess the possible feasibility of using these techniques to localize t...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-199202000-00011

    authors: Morioka T,Kurita-Tashima S,Fujii K,Nakagaki H,Kato M,Fukui M

    更新日期:1992-02-01 00:00:00

  • Francesco Durante: the history of intracranial meningiomas and beyond.

    abstract::FRANCESCO DURANTE FROM Letojanni, Sicily, was the first surgeon in the history of neurosurgery to successfully remove a cranial base meningioma. Durante was Chairman of Clinical Surgery at the Royal University of Rome (now University "La Sapienza") for 45 years, participating in the birth of the "Policlinic Umberto I,...

    journal_title:Neurosurgery

    pub_type: 传,历史文章,杂志文章

    doi:10.1227/01.NEU.0000223444.18909.9A

    authors: Tomasello F,Germanò A

    更新日期:2006-08-01 00:00:00

  • Magnetic stimulation of human peripheral nerve and brain: response enhancement by combined magnetoelectrical technique.

    abstract::The authors describe the technique of magnetic stimulation from a pulsed induction coil (4.0 T) and the enhanced (5-fold) electromyogram response from hyperthenar muscles obtained when electric and magnetic stimuli are applied simultaneously. The enhancement results have been confirmed for central brain vertex stimula...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1097/00006123-198701000-00025

    authors: Bickford RG,Guidi M,Fortesque P,Swenson M

    更新日期:1987-01-01 00:00:00

  • Long-term impact of cognitive deficits and epilepsy on quality of life in patients with low-grade meningiomas.

    abstract:BACKGROUND:WHO Grade I meningiomas are common, usually benign, primary brain tumors. Little is known about the health-related quality of life (HRQOL) of patients with meningiomas. OBJECTIVE:To investigate the long-term HRQOL in patients with meningiomas and its association with cognitive deficits and epilepsy. METHOD...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/NEU.0b013e318212badb

    authors: Waagemans ML,van Nieuwenhuizen D,Dijkstra M,Wumkes M,Dirven CM,Leenstra S,Reijneveld JC,Klein M,Stalpers LJ

    更新日期:2011-07-01 00:00:00

  • Spinal Fusion for Pediatric Spondylolisthesis: National Trends, Complications, and Short-Term Outcomes.

    abstract:BACKGROUND:Current surgical management guidelines for pediatric spondylolisthesis (PS) are reliant on data from single-center cohorts. OBJECTIVE:To analyze national trends and predictors of short-term outcomes in spinal fusion surgery for PS by performing a retrospective cross-sectional analysis of the Kids' Inpatient...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1093/neuros/nyx295

    authors: Rumalla K,Yarbrough CK,Pugely AJ,Dorward IG

    更新日期:2018-05-01 00:00:00

  • Apoptosis occurs after cerebral contusions in humans.

    abstract:OBJECTIVE:Animal model systems have shown that head trauma can induce cell death in regions of the brain away from the site of the impact via a process of apoptosis. We sought to determine whether there was evidence of cellular apoptosis in clinically collected materials from human head trauma patients, as well as to a...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1097/00006123-200004000-00034

    authors: Ng I,Yeo TT,Tang WY,Soong R,Ng PY,Smith DR

    更新日期:2000-04-01 00:00:00

  • Hemianopia: a presenting feature of acute epidural hematomas.

    abstract::Visual field abnormalities were studied in a retrospective analysis of 199 patients with epidural hematomas. One hundred three patients had been alert enough at the time of hospital admission to have had their visual fields examined, but in only 27 patients were visual fields documented in the charts. Six of the 27 pa...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-198208000-00007

    authors: Matwijecky C,Steinbok P

    更新日期:1982-08-01 00:00:00

  • Fluid outflow in a large-animal model of posttraumatic syringomyelia.

    abstract:BACKGROUND:Posttraumatic syringomyelia affects approximately 28% of spinal cord injury patients, and current treatments are often ineffective. The pathogenesis of this condition remains poorly understood. Previous reports have focused on pathways and mechanisms of fluid inflow; however, disturbances of fluid outflow me...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/NEU.0b013e31825927d6

    authors: Wong J,Hemley S,Jones N,Cheng S,Bilston L,Stoodley M

    更新日期:2012-08-01 00:00:00

  • Repeat gamma knife surgery for regrowth of vestibular schwannomas.

    abstract:OBJECTIVE:Gamma knife surgery (GKS) has become established as a minimally invasive treatment modality for patients with vestibular schwannomas. Treatment failure and/or tumor regrowth, however, is occasionally encountered, and microsurgical resection is usually warranted in such cases. The role of repeat GKS in these s...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/01.NEU.0000327692.74477.D5

    authors: Yomo S,Arkha Y,Delsanti C,Roche PH,Thomassin JM,Régis J

    更新日期:2009-01-01 00:00:00

  • Handgrip-detachable soft tissue retractor for microsurgery: technical note

    abstract::OBJECTIVE: We developed a modified soft tissue retractor for preventing problems that occur outside of the microscopic view field during microsurgery. INSTRUMENTATION AND OPERATIVE PROCEDURE: The characteristics of the modified soft tissue retractor are detachable handgrips, which can be easily released and fixed with...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:

    authors: Kondo S,Hori T,Takakura K

    更新日期:1999-06-01 00:00:00

  • Characterization of contractile responses to endothelin in human cerebral arteries: implications for cerebral vasospasm.

    abstract::Cerebral vascular tone is modulated, at least in part, by the vascular endothelium. This probably results from a balance between the release of the endothelium-derived relaxing factor(s) and the endothelium-derived constricting factor(s) (e.g., endothelin). The time course of the induction and the decay of these mutua...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1097/00006123-199005000-00013

    authors: Papadopoulos SM,Gilbert LL,Webb RC,D'Amato CJ

    更新日期:1990-05-01 00:00:00

  • Linear accelerator radiosurgery of cerebral arteriovenous malformations: an update.

    abstract::One hundred eighty patients affected by cerebral arteriovenous malformations (AVMs) underwent radiosurgical treatment in our department. One hundred fifty-three patients have been treated with complete irradiation of the entire AVM nidus. In 27 patients (with large and/or three-dimensional irregular target volumes), o...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:

    authors: Colombo F,Pozza F,Chierego G,Casentini L,De Luca G,Francescon P

    更新日期:1994-01-01 00:00:00

  • Usefulness of the orbitofrontomalar approach associated with bone reconstruction for frontotemporosphenoid meningiomas.

    abstract::Seven cases of frontotemporosphenoid meningioma are reported. The principles of the orbitofrontomalar approach and of reconstruction of the orbital cone and of the frontomalar region with an orbitotemporal prop are discussed. ...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-198411000-00016

    authors: Pellerin P,Lesoin F,Dhellemmes P,Donazzan M,Jomin M

    更新日期:1984-11-01 00:00:00

  • Mild hypothermia as a protective therapy during intracranial aneurysm surgery: a randomized prospective pilot trial.

    abstract:OBJECTIVE:To conduct a pilot trial of mild intraoperative hypothermia during cerebral aneurysm surgery. METHODS:One hundred fourteen patients undergoing cerebral aneurysm clipping with (n = 52) (World Federation of Neurological Surgeons score < or =III) and without (n = 62) acute aneurysmal subarachnoid hemorrhage (SA...

    journal_title:Neurosurgery

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1097/00006123-199901000-00009

    authors: Hindman BJ,Todd MM,Gelb AW,Loftus CM,Craen RA,Schubert A,Mahla ME,Torner JC

    更新日期:1999-01-01 00:00:00

  • Quality of life after brainstem cavernoma surgery in 71 patients.

    abstract:BACKGROUND:Symptomatic patients with a brainstem cavernoma are treated surgically with increasing frequency. Generally, the patient's benefit from this difficult surgical intervention is quantified by the assessment of neurological symptoms. OBJECTIVE:To document the beneficial effect of surgery in a larger patient po...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/NEU.0b013e31821d31b7

    authors: Dukatz T,Sarnthein J,Sitter H,Bozinov O,Benes L,Sure U,Bertalanffy H

    更新日期:2011-09-01 00:00:00

  • Transcranial stab wounds: a report of three cases and suggestions for management.

    abstract::Transcranial stab wounds are uncommon. Three such cases are presented. The severity of the wounds may vary from innocuous to devastating. Skull films are useful in delineating the depth of penetration. The presence of the knife blade in situ may make the computed tomographic scan impossible to perform or difficult to ...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-198811000-00022

    authors: Herring CJ,Lumsden AB,Tindall SC

    更新日期:1988-11-01 00:00:00

  • Cryptococcal skull infection: a case report with review of the literature.

    abstract::A case of cryptococcal osteomyelitis of the skull is presented. The patient was an immunocompetent host with skull and skin involvement without central nervous system or pulmonary extension. The radiographic findings are reviewed to include skull films, bone scan, and computed tomographic and magnetic resonance imagin...

    journal_title:Neurosurgery

    pub_type: 杂志文章,评审

    doi:10.1227/00006123-199306000-00028

    authors: Armonda RA,Fleckenstein JM,Brandvold B,Ondra SL

    更新日期:1993-06-01 00:00:00

  • Unusual presentations of cerebral solitary fibrous tumors: report of four cases.

    abstract:OBJECTIVE AND IMPORTANCE:Four rare cases of central nervous system solitary fibrous tumors (C-SoFTs) are described. This tumor has not previously been reported in children or in deep cortical structures. Three of these tumors occurred in the posterior fossa. Only four cases in the posterior fossa have been described pr...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/01.neu.0000115675.74366.87

    authors: Kim KA,Gonzalez I,McComb JG,Giannotta SL

    更新日期:2004-04-01 00:00:00

  • Sporadic unilateral vestibular schwannoma with islets of meningioma: case report.

    abstract:OBJECTIVE AND IMPORTANCE:Vestibular schwannomas with meningioma islets have been rarely reported in the literature; they have been observed only among patients with neurofibromatosis Type II. We present a case of a sporadic mixed tumor in a patient without neurofibromatosis Type II that was not suspected before surgery...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1097/00006123-200008000-00037

    authors: Lüdemann W,Stan AC,Tatagiba M,Samii M

    更新日期:2000-08-01 00:00:00

  • Aneurysmal Subarachnoid Hemorrhage: Trends, Outcomes, and Predictions From a 15-Year Perspective of a Single Neurocritical Care Unit.

    abstract:BACKGROUND:Aneurysmal subarachnoid hemorrhage (aSAH) is associated with disproportionally high mortality and long-term neurological sequelae. Management of patients with aSAH has changed markedly over the years, leading to improvements in outcome. OBJECTIVE:To describe trends in aSAH care and outcome in a high-volume ...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1093/neuros/nyaa465

    authors: Samuels OB,Sadan O,Feng C,Martin K,Medani K,Mei Y,Barrow DL

    更新日期:2020-12-11 00:00:00

  • Anchoring method for hemifacial spasm associated with vertebral artery: technical note.

    abstract:OBJECTIVE:We describe an easy and useful method for treating hemifacial spasm related to the vertebral artery. METHODS:The technique entails the manufacture of a dural belt harvested from the cerebellar convexity dura and a dural bridge made at the petrous dura combined with the use of an aneurysm clip. The dural belt...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1097/00006123-199912000-00048

    authors: Kyoshima K,Watanabe A,Toba Y,Nitta J,Muraoka S,Kobayashi S

    更新日期:1999-12-01 00:00:00

  • Effect of osmotic blood-brain barrier disruption on methotrexate pharmacokinetics in the dog.

    abstract::Infusion of 25% mannitol into the internal carotid artery of the dog results in a reversible disruption of the blood-brain barrier (BBB). This osmotic BBB disruption enhances the penetratin of systemically administered methotrexate (MTX) into the ipsilateral cerebral hemisphere. Brain methotexate levels were maximized...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-198007000-00006

    authors: Neuwelt EA,Frenkel EP,Rapoport S,Barnett P

    更新日期:1980-07-01 00:00:00

  • Successful removal of air gun bullets from the third ventricle.

    abstract::A patient with air gun bullets in the 3rd ventricle associated with delayed ventricular hemorrhage is presented. Through an anterior transcallosal approach, the surgeon successfully removed the bullets without any significant permanent sequelae. ...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-198702000-00022

    authors: Kojima T,Waga S,Kubo Y,Shimizu T

    更新日期:1987-02-01 00:00:00

  • Pull-out strength of Caspar cervical screws.

    abstract::Anterior cervical instrumentation as an adjunct to bone fusion has an important role in cervical spine surgery. Posterior vertebral body cortex purchase is strongly recommended in the use of the Caspar system, although few biomechanical data exist to validate this requirement. In this study, Caspar screws were placed ...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-199212000-00016

    authors: Maiman DJ,Pintar FA,Yoganandan N,Reinartz J,Toselli R,Woodward E,Haid R

    更新日期:1992-12-01 00:00:00

  • The effects of diffuseness and deep perforating artery supply on outcomes after microsurgical resection of brain arteriovenous malformations.

    abstract:OBJECTIVE:Diffuse arteriovenous malformations (AVM) have non-compact niduses, irregular margins, and intervening brain parenchyma. Deep perforating arteries often contribute to the ragged border of these diffuse AVMs. We hypothesized that diffuseness and deep perforator supply increase the difficulties and risks associ...

    journal_title:Neurosurgery

    pub_type: 临床试验,杂志文章

    doi:10.1227/01.NEU.0000255401.46151.8A

    authors: Du R,Keyoung HM,Dowd CF,Young WL,Lawton MT

    更新日期:2007-04-01 00:00:00

  • Spine patient outcomes research trial: do outcomes vary across centers for surgery for lumbar disc herniation?

    abstract:BACKGROUND:Lumbar discectomy is the most commonly performed spine procedure. Academic spine centers with potentially differing caseloads and experience may have different outcomes. OBJECTIVE:To determine whether the choice of center in which surgery is performed affects lumbar discectomy outcomes. METHODS:Spine Patie...

    journal_title:Neurosurgery

    pub_type: 临床试验,杂志文章,多中心研究

    doi:10.1227/NEU.0b013e31826772cb

    authors: Desai A,Bekelis K,Ball PA,Lurie J,Mirza SK,Tosteson TD,Zhao W,Weinstein JN

    更新日期:2012-10-01 00:00:00

  • Intracerebral depth electrode monitoring in partial epilepsy: the morbidity and efficacy of placement using magnetic resonance image-guided stereotactic surgery.

    abstract:OBJECTIVE:To determine the indications for, efficacy of, and safety of depth electrode placement using magnetic resonance imaging (MRI)-guided stereotactic surgery in patients with intractable epilepsy. METHODS:We analyzed retrospectively the results of depth electrode usage in 50 consecutive patients at the Universit...

    journal_title:Neurosurgery

    pub_type: 杂志文章,评审

    doi:10.1097/00006123-199608000-00018

    authors: Ross DA,Brunberg JA,Drury I,Henry TR

    更新日期:1996-08-01 00:00:00