Factors predictive of surgical outcome for ossification of the posterior longitudinal ligament of the cervical spine.

Abstract:

AIM:Ossification of the posterior longitudinal ligament (OPLL) is a pathological ossification of the ligament that causes slowly progressive myelo-radiculopathy in adults. Because of long-standing compression of the spinal cord by OPLL, functional prognosis may not always be favorable. Efforts have been made in recent surgical series to identify prognostic factors, i.e., factors that are predictive of the outcome. The results are often inconclusive or conflicting, however. METHODS:A review of the pertinent literature published between 1966 and 2007 is conducted with the use of PUBMED. Potential prognostic factors are summarized and evaluated. These factors include: gender, age, history of head/neck trauma, type of OPLL, preoperative duration of symptoms, preoperative neurological score, occupying ratio, alignment of the cervical spine, presence of intramedullary high signal intensity (HSI) on magnetic resonance imaging, and morphometry of the spinal cord. RESULTS:A total of 15 studies, all of which are retrospective case series, are identified which statistically evaluate relationship between the potential prognostic factors and outcome. CONCLUSIONS:The history of head/neck trauma, preoperative duration of symptoms, and spinal cord morphometry seems to be the prognostic factors in patients with cervical OPLL. The results are inconclusive or divided among the studies regarding whether age, preoperative neurological score, or presence of intramedullary HSI is predictive of the outcome. The gender, type of OPLL, occupying ratio, and cervical spine alignment seem to be the factors that are unlikely to be predictive of the outcome.

journal_name

J Neurosurg Sci

authors

Inamasu J,Guiot BH

subject

Has Abstract

pub_date

2009-09-01 00:00:00

pages

93-100

issue

3

eissn

0390-5616

issn

1827-1855

pii

R38092122

journal_volume

53

pub_type

杂志文章,评审
  • Critical care management of patients with acute spinal cord injury.

    abstract::Spinal cord injury (SCI) inevitably extends beyond neurologic consequences. The relationship between the spinal cord and its control of other organ systems make SCI management complex, requiring treatment on a multisystem approach. Patients frequently have hemodynamic instability and respiratory insufficiency secondar...

    journal_title:Journal of neurosurgical sciences

    pub_type: 杂志文章,评审

    doi:

    authors: Lo V,Esquenazi Y,Han MK,Lee K

    更新日期:2013-12-01 00:00:00

  • Computed tomography in the management of spinal cord arteriovenous malformations.

    abstract::This is a report of two cases of intramedullary arteriovenous malformations (AVMs) where computed tomography (CT) was used as a complementary diagnostic investigation. CT scan features in these two cases are briefly discussed. ...

    journal_title:Journal of neurosurgical sciences

    pub_type: 杂志文章

    doi:

    authors: Guglielmi G,Dazzi M,Guidetti G,Spallone A

    更新日期:1984-01-01 00:00:00

  • Prognostic factors in malignant melanoma patients with solitary or multiple brain metastases. Is there a role for surgery?

    abstract:BACKGROUND:The aim of this study is to evaluate the prognostic parameters and treatment modalities of malignant melanoma patients with brain metastases. METHODS: EXPERIMENTAL DESIGN:a retrospective study with a mean follow-up of 46 months. SETTING:specialized Cancer Center. PATIENTS:the charts of 136 patients, trea...

    journal_title:Journal of neurosurgical sciences

    pub_type: 杂志文章

    doi:

    authors: Konstadoulakis MM,Messaris E,Zografos G,Androulakis G,Karakousis C

    更新日期:2000-12-01 00:00:00

  • Transient oculomotor cranial nerves palsy in spontaneous intracranial hypotension.

    abstract::Transient sixth cranial nerves palsy may occur in rare cases after lumbar puncture, spinal anesthesia and myelography as well as in more rare cases of spontaneous intracranial hypotension. We report three cases of spontaneous intracranial hypotension with sixth cranial nerves palsy. One of these patients presented als...

    journal_title:Journal of neurosurgical sciences

    pub_type: 杂志文章

    doi:

    authors: Ferrante E,Savino A,Brioschi A,Marazzi R,Donato MF,Riva M

    更新日期:1998-09-01 00:00:00

  • Multiple meningiomas in different neuraxial compartments. Report of two cases.

    abstract::Multiple meningiomas in different neuraxial compartments are quite rare. The authors report two new cases of association between cranial and spinal meningiomas, one of them in a patient operated upon for multiple intracranial meningiomas. The first case was a 60-year-old woman with progressive paraparesis who had been...

    journal_title:Journal of neurosurgical sciences

    pub_type: 杂志文章

    doi:

    authors: Santoro A,Tacconi L,Paolini S,Bristot R,Bastianello S

    更新日期:1999-09-01 00:00:00

  • Spinal intramedullary ependymoma: surgical approaches and outcome.

    abstract::Intramedullary ependymomas are uncommon tumors that can occur within the medullary substance of the spinal cord. Despite this difficult location, they are typically benign tumors that can most often be removed completely with an acceptable surgical risk. Therefore, the recommended management approach is usually surgic...

    journal_title:Journal of neurosurgical sciences

    pub_type: 杂志文章,评审

    doi:10.23736/S0390-5616.17.04162-5

    authors: Borges LF

    更新日期:2018-02-01 00:00:00

  • Long-term prognosis of early epilepsy in juvenile head-injured patients (preliminary results).

    abstract::The authors present the results of a long-term follow up of 52 juvenile head-injured patients who showed early epileptic seizures. The purpose of this study is to stress the role of long-term prognosis in the early seizures and to determine in which cases a treatment preventing late seizures is eligible. They consider...

    journal_title:Journal of neurosurgical sciences

    pub_type: 杂志文章

    doi:

    authors: De Santis A,Marossero F,Pagni CA,Rampini P

    更新日期:1979-04-01 00:00:00

  • A new tool to improve pedicle screw placement accuracy in navigated spine surgery: a monocentric study.

    abstract:OBJECTIVE:Navigated instrumented spine surgery is burden by a low but significant screw mispositioning risks, respectively, for the 2D imaging system from 15 to 40% and, for the 3D imaging system, ranging from 4.1 to 11.5%. The primary objective of this study was to demonstrate the efficacy of a new "screw-like" tool i...

    journal_title:Journal of neurosurgical sciences

    pub_type: 杂志文章

    doi:10.23736/S0390-5616.20.04957-7

    authors: Nicoletti G,Furnari M,Giuffrida M,Ponzo G,Iacopino DG,Cammarata G,Scalia G,Graziano F

    更新日期:2020-04-29 00:00:00

  • High cervical (C2-C3) spondylogenetic myelopathy treated by transoral approach. Case report.

    abstract::It is reported a case that required transoral exposure of C2-C3 intervertebral space in order to remove a huge osteophyte spur projecting into the spinal canal and producing a severe myelopathy. This unusual surgical route was used because the relevant interspace was inaccessible via the standard anterior approach due...

    journal_title:Journal of neurosurgical sciences

    pub_type: 杂志文章

    doi:

    authors: Di Lorenzo N,Fortuna A

    更新日期:1987-04-01 00:00:00

  • Cardiologic complications of subarachnoid hemorrhage.

    abstract::Cardiac complications are frequent in patients with subarachnoid hemorrhage (SAH). They include ECG abnormalities, cardiac arrhythmias, myocardial damage, and neurogenic pulmonary edema. The pathophysiology of these abnormalities is related to an imbalance of the autonomic cardiovascular control and to increased circu...

    journal_title:Journal of neurosurgical sciences

    pub_type: 杂志文章,评审

    doi:

    authors: Di Pasquale G,Andreoli A,Lusa AM,Urbinati S,Biancoli S,Cerè E,Borgatti ML,Pinelli G

    更新日期:1998-03-01 00:00:00

  • Treatment of tumors and metastases of the spine by minimally invasive CAVITY-coblation method (plasma field therapy).

    abstract:BACKGROUND:A radical surgery of spine metastases is not possible in many cases, especially by elder multi morbid patients. The modern CAVITY/coblation method offers a very good therapeutic alternative for such patients. The goal of this paper was to evaluate and present the method as well as the results of the treatmen...

    journal_title:Journal of neurosurgical sciences

    pub_type: 临床试验,杂志文章

    doi:10.23736/S0390-5616.16.03690-0

    authors: Dabravolski D,EßER J,Lahm A,Merk H

    更新日期:2017-12-01 00:00:00

  • The validity of the Acute Stroke Assessment using rapid Pseudo-continuous arterial spin labeling (ASAP-ASL) method for acute thrombectomy.

    abstract:BACKGROUND:Recent clinical trials demonstrated the efficacy of thrombectomy for ischemic stroke against acute large vessel occlusion (LVO). To overcome the problem with excessive examination time for diagnosis of cerebral perfusion and/or the use of contrast agent to determine penumbra, we adopted a new magnetic resona...

    journal_title:Journal of neurosurgical sciences

    pub_type: 杂志文章

    doi:10.23736/S0390-5616.18.04607-6

    authors: Oura D,Kawabori M,Niiya Y,Iwasaki M,Satoh S,Yokohama T,Mabuchi S,Houkin K

    更新日期:2018-11-21 00:00:00

  • Resecting diffuse low-grade gliomas to the boundaries of brain functions: a new concept in surgical neuro-oncology.

    abstract::The traditional dilemma making surgery for diffuse low-grade gliomas (DLGGs) challenging is underlain by the need to optimize tumor resection in order to significantly increase survival versus the risk of permanent neurological morbidity. Development of neuroimaging led neurosurgeons to achieve tumorectomy according t...

    journal_title:Journal of neurosurgical sciences

    pub_type: 杂志文章,评审

    doi:

    authors: Duffau H

    更新日期:2015-12-01 00:00:00

  • Chronic subdural hematoma pathophysiology: a unifying theory for a dynamic process.

    abstract::Chronic subdural hematoma pathophysiology has been extensively studied and discussed. In the last decades, optic and electron microscope observations have successfully described its histopathology and the ultrastructure of internal membranes. Moreover, recent biochemical studies have identified a number of important p...

    journal_title:Journal of neurosurgical sciences

    pub_type: 杂志文章,评审

    doi:10.23736/S0390-5616.16.03156-8

    authors: Cecchini G

    更新日期:2017-10-01 00:00:00

  • A huge intramedullary epidermoid cyst: mimicking cauda equina ependymoma. Diagnostic failure of myelography and myelo-CT.

    abstract::Intraspinal epidermoid tumors are rare and the intramedullary location is quite uncommon. In this report, a 48-year-old patient with intramedullary epidermoid cyst mimicking a cauda equina ependymoma is presented and diagnostic failure of conventional myelography and Myelo-CT is questioned and related literature is re...

    journal_title:Journal of neurosurgical sciences

    pub_type: 杂志文章

    doi:

    authors: Biliciler B,Vatansever M,Fuat Erten S,Saraç K,Colak A

    更新日期:1996-06-01 00:00:00

  • Minimally invasive lumbar decompression for lumbar stenosis: review of clinical outcomes and cost effectiveness.

    abstract::Lumbar stenosis patients typically present with neurogenic claudication or radiculopathy. Studies have shown the benefit of surgical management of lumbar stenosis for patients who fail medical management. Surgical management traditionally involved an open laminectomy and foramenotomies. The emergence of minimally inva...

    journal_title:Journal of neurosurgical sciences

    pub_type: 杂志文章,评审

    doi:

    authors: Johans SJ,Amin BY,Mummaneni PV

    更新日期:2015-03-01 00:00:00

  • Signal intensity of peri-rolandic cortex identifies the central sulcus on double inversion recovery MRI.

    abstract:BACKGROUND:Identification of the central sulcus can require inspection of subtle differences or require certain pulse sequences. This study identifies the central sulcus by signal intensity on Double Inversion Recovery (DIR) images in multiple anatomic locations and imaging planes. METHODS:49 patients (98 hemispheres)...

    journal_title:Journal of neurosurgical sciences

    pub_type: 杂志文章

    doi:10.23736/S0390-5616.19.04634-4

    authors: Mark IT,Luetmer PH,Rydberg CH,Witte RJ,Geske JR,Johnson MP,Lehman VT

    更新日期:2019-04-02 00:00:00

  • Immunobiology of primary neoplasms of the C.N.S. Preliminary results.

    abstract::A preliminary report on the immunological monitoring of primary intracranial neoplasms is presented. The most important findings concerning B-cells and T-cells mediated immunity and delayed hypersensitivity reactions in this kind of patients, are discussed. Among the fairly significant immunobiological pictures, the A...

    journal_title:Journal of neurosurgical sciences

    pub_type: 杂志文章

    doi:

    authors: Gerosa M,Raumer R,Amadori G,Semenzato G,Gasparotto G,Carteri A

    更新日期:1979-07-01 00:00:00

  • Intracranial nail. A case report.

    abstract::Penetrating cranio-cerebral trauma caused by fire-arm constitute the most frequent penetrating wounds in civilian ambit; in these cases the great extention of cerebral damage is the result of distructive forces generated by high velocity which moves this bodies. In civilian ambit cranio-cerebral wounds caused by penet...

    journal_title:Journal of neurosurgical sciences

    pub_type: 杂志文章

    doi:

    authors: Tancioni F,Gaetani P,Pugliese R,Rodriguez y Baena R

    更新日期:1994-12-01 00:00:00

  • Intracranial Hodgkin's disease. Report of two cases.

    abstract::Two cases of Hodgkin's disease are described; one was intracerebrally located and the other one extended to bone, dura mater and cerebral parenchyma. The classification of the different types of intracranial Hodgkin's disease is reviewed, and the role of Computed Tomography and surgery in the management of this pathol...

    journal_title:Journal of neurosurgical sciences

    pub_type: 杂志文章

    doi:

    authors: Alvarez F,Roda JM,Anciones B,Blazquez MG,Perez-Alvarez M

    更新日期:1985-07-01 00:00:00

  • Concurrent intracranial and intraabdominal aneurysms.

    abstract::A 68-year-old woman with a subarachnoid hemorrhage was operated on for an anterior communicating artery aneurysm demonstrated by angiography. A month later she developed intestinal hemorrhage and a selective angiography showed multiple aneurysmatic dilatations, which were compatible with angiodysplasia, to be the caus...

    journal_title:Journal of neurosurgical sciences

    pub_type: 杂志文章

    doi:

    authors: Isla A,Roda JM,Alvarez F,Blázquez MG

    更新日期:1988-07-01 00:00:00

  • Isolated hemangioblastoma of the filum terminale. Case report.

    abstract::The filum terminale is an exceptional location for isolated hemangioblastoma. Only five cases are reported in literature, prior to the magnetic resonance imaging era. A 57-year-old man was referred to our Department with a prolonged history of progressive back pain, particularly severe when recumbent, and recurrent un...

    journal_title:Journal of neurosurgical sciences

    pub_type: 杂志文章

    doi:

    authors: Farneti M,Ferracini R,Migliore A,Trapella G,Veronesi V

    更新日期:2001-03-01 00:00:00

  • Spinal epidural hematoma during anticoagulant therapy. A case report and review of the literature.

    abstract::The authors present a case of spinal epidural hematoma during anticoagulant therapy. Clinical presentation is characterized by classic paravertebral back pain, followed by progressive neurological deficit due to spinal cord and radicular compression, with sensory deficits and bladder disturbance. From the literature, ...

    journal_title:Journal of neurosurgical sciences

    pub_type: 杂志文章,评审

    doi:

    authors: Rodriguez y Baena R,Gaetani P,Tancioni F,Tartara F

    更新日期:1995-03-01 00:00:00

  • Association between carotid artery tortuosity and carotid dissection: a case-control study.

    abstract:BACKGROUND:Carotid artery dissections have long been associated with compromise of the structural integrity of the arterial wall from heritable connective-tissue disorders, hypertension, and trauma. However, an association between spontaneous internal carotid artery dissection and tortuous or redundant carotid anatomy ...

    journal_title:Journal of neurosurgical sciences

    pub_type: 杂志文章

    doi:10.23736/S0390-5616.16.03790-5

    authors: Kim ST,Brinjikji W,Lehman VT,Carr CM,Luetmer PH,Rydberg CH

    更新日期:2018-08-01 00:00:00

  • Glioblastoma: from volumetric analysis to molecular predictors.

    abstract:BACKGROUND:Despite decades of therapeutic and molecular refinements, the prognosis of patients with glioblastoma (GBM) still remains unfavorable. Integrative clinical studies allow a better understanding of the natural evolution of GBM. To assess independent predictors of overall survival (OS) and progression free surv...

    journal_title:Journal of neurosurgical sciences

    pub_type: 杂志文章

    doi:10.23736/S0390-5616.20.04850-X

    authors: Ius T,Pignotti F,Della Pepa GM,Bagatto D,Isola M,Battistella C,Gaudino S,Pegolo E,Chiesa S,Arcicasa M,La Rocca G,Olivi A,Skrap M,Sabatino G

    更新日期:2020-02-04 00:00:00

  • Decision-making process in patients with lumbar spinal canal stenosis.

    abstract:BACKGROUND:The aim of this study was to develop a strategy to determine a sound methodology for decision-making in lumbar spinal canal stenosis (LSCS). METHODS:This was a retrospective study of patients with LSCS to determine the rationale for those who underwent surgery and those who received conservative treatment. ...

    journal_title:Journal of neurosurgical sciences

    pub_type: 杂志文章

    doi:10.23736/S0390-5616.16.02901-5

    authors: Azimi P,Mohammadi HR,Benzel EC,Shahzadi S,Azhari S,Montazeri A

    更新日期:2017-08-01 00:00:00

  • Maximal access surgery for posterior lumbar interbody fusion with divergent, cortical bone trajectory pedicle screws: a good option to minimize spine access and maximize the field for nerve decompression.

    abstract:BACKGROUND:First advocated by Santoni et al. in 2009, the cortical bone trajectory pedicle screw technique is an alternative to the traditional, convergent technique that shows comparable biomechanical features and potentially requires less aggressive tissue retraction. Aim of this therapy note is to describe this new ...

    journal_title:Journal of neurosurgical sciences

    pub_type: 杂志文章

    doi:10.23736/S0390-5616.16.03230-6

    authors: Gautschi OP,Garbossa D,Tessitore E,Langella F,Pecoraro MF,Marengo N,Bozzaro M,Beckman J,Berjano P

    更新日期:2017-06-01 00:00:00

  • Telemedicine in a spine clinic setting: a large survey of patient preferences and experiences.

    abstract:BACKGROUND:Coronavirus Disease 2019 (COVID-19) has greatly disturbed healthcare and the practice of neurosurgery. As healthcare systems evolve in the face of COVID-19, the use of telehealth platforms has expanded. We present the results of a large survey of patient perspectives on the role of telehealth in the care of ...

    journal_title:Journal of neurosurgical sciences

    pub_type: 杂志文章

    doi:10.23736/S0390-5616.20.05220-0

    authors: Maurer RK,Hallan D,Maurer TC,Lee C,Kelleher JP

    更新日期:2021-01-04 00:00:00

  • Inhibiting action human glioblastoma extract on haemolytic complement of human and xenogeneic sera.

    abstract::The action of some extracts of human glioblastoma of the haemolytic complement of human and xenogeneic sera has been examined. The study suggests that the antigenic products of some human glioblastomas may induce an inhibiting effect on the haemolytic complement of human, as well as xenogeneic (rat and rabbit), sera. ...

    journal_title:Journal of neurosurgical sciences

    pub_type: 杂志文章

    doi:

    authors: Occhiogrosso M,De Tommasi A,Vailati G

    更新日期:1990-04-01 00:00:00

  • Anterior submuscular transposition of the ulnar nerve in severe cubital tunnel syndrome. Personal experience.

    abstract:AIM:The authors report the results of anterior submuscular transposition, on a clinical series of selected patients with severe cubital tunnel syndrome. In these patients, the degree of ulnar nerve compression was valued using a grading system that includes measurements of motor and sensitive function. In this series, ...

    journal_title:Journal of neurosurgical sciences

    pub_type: 临床试验,杂志文章

    doi:

    authors: Gervasio O,Gambardella G

    更新日期:2004-09-01 00:00:00