Using segmental renal artery as recipient artery for spinal reconstructive surgery.

Abstract:

STUDY DESIGN:Report of the use of one segmental artery from the left renal artery as inflow source for reconstructing a spine with recalcitrant osteomyelitis. OBJECTIVE:To describe one difficult case of spinal osteomyelitis and our reconstruction procedure. SUMMARY OF BACKGROUND DATA:The use of a vascularized fibular flap for spinal osteomyelitis has been reported previously, with vascular graft having a higher successful rate of bone union and overcoming poor perfusion beds. Because repeated spinal surgery may lead to severe scarring, the choice of recipient vessels may become a difficult issue. METHODS:A 49-year-old man with T12-L1 vertebral osteomyelitis experienced progressive spinal cord involvement. Because previous multiple sessions of antibiotic treatment and surgery proved unsuccessful, a 2-stage surgery was planned. Posterior lateral fusion from T9 to L3 with MOSS Miami spine system (DePuy, Spine Inc, Raynham, MA) and allogenous bone graft were performed, followed by anterior debridement and reconstruction with free vascularized fibular graft 1 week later. End-to-side vascular anastomosis was performed between the peroneal artery and the upper anterior segment artery of the left renal artery. RESULTS:After more than 50 months follow-up, the patient was able to walk smoothly without the aid of a brace, walker, or crutches. There were no complications, and the radiograph showed good bony union. Furthermore, renal function was normal. CONCLUSION:The segmental renal artery can be selected as one of the recipient vessels in spinal reconstruction surgery without detrimental effect on renal function in our case. The use of vascularized fibular flap is preferable in cases of recalcitrant spinal osteomyelitis. Staged surgery in the presence of spinal infection can offer good spinal stability and good bony union with lower infection risk.

journal_name

Spine (Phila Pa 1976)

journal_title

Spine

authors

Yen YH,Hsieh TS,Hou SM,Wu SJ,Chen SC,Pu CM

doi

10.1097/BRS.0b013e3181ecbfa1

subject

Has Abstract

pub_date

2010-12-01 00:00:00

pages

E1507-11

issue

25

eissn

0362-2436

issn

1528-1159

pii

00007632-201012010-00025

journal_volume

35

pub_type

杂志文章

相关文献

SPINE文献大全
  • Vertebral Hemangiomas and Their Correlation With Other Pathologies.

    abstract:STUDY DESIGN:This cross-sectional study was carried out on 196 adults (98 men and 98 women), aged between 18 and 91 years. OBJECTIVE:To examine whether vertebral hemangiomas (VHs) are associated with other spinal pathologies, metabolic diseases, cardiovascular diseases, cancer and past trauma, to shed light on their p...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0000000000001464

    authors: Slon V,Peled N,Abbas J,Stein D,Cohen H,Hershkovitz I

    更新日期:2016-04-01 00:00:00

  • Anterior decompression and stabilization of thoracolumbar burst fractures by the use of the Slot-Zielke device.

    abstract::Between July 1983 and November 1986, 29 patients with thoracolumbar burst fractures underwent a one-stage operation consisting of anterior decompression by subtotal vertebrectomy, reduction, and stabilization with the Slot-Zielke device. The mean follow-up was 3.1 years. Most patients with incomplete neurologic lesion...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-199101000-00013

    authors: Been HD

    更新日期:1991-01-01 00:00:00

  • Posterior instrumentation of the spine. An experimental comparison of various possible techniques.

    abstract::Fourteen variations of posterior instrumentation were tested experimentally, using models based on polyester imitation vertebrae, to determine the most effective method for stabilization of a section of the spine following fracture and, in particular, pathologic fracture. The most rigid construction was a well-fitting...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-198605000-00014

    authors: Fidler MW

    更新日期:1986-05-01 00:00:00

  • Physiologic changes of nerve root during posterior lumbar discectomy.

    abstract:STUDY DESIGN AND OBJECTIVES:The effects of nerve root retraction in posterior discectomy on pressure, blood flow, and electrophysiologic changes of the nerve root were investigated. OBJECTIVES:This study was performed to assess the effects of nerve root retraction in posterior discectomy on pressure, blood flow, and e...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-199503150-00004

    authors: Matsui H,Kitagawa H,Kawaguchi Y,Tsuji H

    更新日期:1995-03-15 00:00:00

  • Fear of movement/(re)injury predicting chronic disabling low back pain: a prospective inception cohort study.

    abstract:STUDY DESIGN:Prospective inception cohort study. OBJECTIVE:To investigate prospectively whether pain-related fear predicts future perceived disability and participation in patients with acute low back pain (LBP). SUMMARY OF BACKGROUND DATA:There are indications that fear of movement/(re)injury, as measured by the Tam...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/01.brs.0000203709.65384.9d

    authors: Swinkels-Meewisse IE,Roelofs J,Schouten EG,Verbeek AL,Oostendorp RA,Vlaeyen JW

    更新日期:2006-03-15 00:00:00

  • Cost-effectiveness of Balloon Kyphoplasty for Patients With Acute/Subacute Osteoporotic Vertebral Fractures in the Super-Aging Japanese Society.

    abstract:STUDY DESIGN:A propensity score matching study. OBJECTIVE:The aim of this study was to assess the cost-effectiveness of balloon kyphoplasty (BKP) in Japan. SUMMARY OF BACKGROUND DATA:Osteoporotic vertebral fracture (OVF) is a common disease in elderly people. In Japan, the incidence of painful OVF in 2008 was estimat...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0000000000002829

    authors: Takahashi S,Hoshino M,Yasuda H,Terai H,Hayashi K,Tsujio T,Kono H,Suzuki A,Tamai K,Ohyama S,Toyoda H,Dohzono S,Kanematsu F,Hori Y,Nakamura H

    更新日期:2019-03-01 00:00:00

  • Human intervertebral disc cells are genetically modifiable by adenovirus-mediated gene transfer: implications for the clinical management of intervertebral disc disorders.

    abstract:STUDY DESIGN:Human intervertebral disc cells were cultured in monolayer and treated with adenovirus-containing marker genes to determine the susceptibility of the cells to adenovirus-mediated gene transfer. OBJECTIVES:To test the efficacy of the adenovirus-mediated gene transfer technique for transferring exogenous ge...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-200010150-00006

    authors: Moon SH,Gilbertson LG,Nishida K,Knaub M,Muzzonigro T,Robbins PD,Evans CH,Kang JD

    更新日期:2000-10-15 00:00:00

  • Prone position endoscopic transthoracic release with simultaneous posterior instrumentation for spinal deformity: a description of the technique.

    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

    authors: Lieberman IH,Salo PT,Orr RD,Kraetschmer B

    更新日期:2000-09-01 00:00:00

  • Spinal stabilization of vertebral column tumors.

    abstract::An analysis of indications, techniques, results of stabilization and decompression of 100 consecutive spinal tumour cases was carried out. Localized metastatic disease is best operated anteriorly. Primary malignancies are best treated with en bloc resection. Pain relief in metastatic disease is achieved by rigid stabi...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-198803000-00006

    authors: Kostuik JP,Errico TJ,Gleason TF,Errico CC

    更新日期:1988-03-01 00:00:00

  • Delirium after spinal surgery in Korean population.

    abstract:STUDY DESIGN:The incidence and risk factors of postoperative delirium were retrospectively examined in patients who had spine surgery for degenerative lumbar disease. OBJECTIVE:The aim of this study is to examine the incidence, pre- and postoperative risk factors and clinical results of postoperative delirium after sp...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0b013e3181c423fc

    authors: Lee JK,Park YS

    更新日期:2010-08-15 00:00:00

  • Ligation and partial excision of the cauda equina as part of a wide resection of vertebral osteosarcoma: a case report and description of surgical technique.

    abstract:STUDY DESIGN:A case report. OBJECTIVES:To describe the unique challenges and novel surgical approach to treatment of vertebral osteosarcoma involving the dura as a margin. SUMMARY OF BACKGROUND DATA:Osteosarcoma of the vertebral column is a rare, malignant osseous tumor, carrying a poor prognosis. Currently, best ava...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/01.brs.0000153396.39009.a3

    authors: Keynan O,Fisher CG,Boyd MC,O'Connell JX,Dvorak MF

    更新日期:2005-02-15 00:00:00

  • Augment bone graft products compare favorably with autologous bone graft in an ovine model of lumbar interbody spine fusion.

    abstract:STUDY DESIGN:This study was designed to determine whether Augment Bone Graft (Augment, Biomimetic Therapeutics, Inc., Franklin, TN) and Augment Injectable Bone Graft (Augment Injectable, Biomimetic Therapeutics, Inc., Franklin, TN), 2 combination devices comprising recombinant human platelet-derived growth factor-BB an...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0b013e31823b01dc

    authors: Solchaga LA,Hee CK,Aguiar DJ,Ratliff J,Turner AS,Seim HB 3rd,Hollinger JO,Snel LB,Lynch SE

    更新日期:2012-04-15 00:00:00

  • Abnormal findings on magnetic resonance images of the cervical spines in 1211 asymptomatic subjects.

    abstract:STUDY DESIGN:Cross-sectional study. OBJECTIVE:The purpose of this study was to determine the prevalence and distribution of abnormal findings on cervical spine magnetic resonance image (MRI). SUMMARY OF BACKGROUND DATA:Neurological symptoms and abnormal findings on MR images are keys to diagnose the spinal diseases. ...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0000000000000775

    authors: Nakashima H,Yukawa Y,Suda K,Yamagata M,Ueta T,Kato F

    更新日期:2015-03-15 00:00:00

  • Symptomatic intraosseous synovial cyst in the cervical spine: a case report.

    abstract:STUDY DESIGN:A case report and review of the literature are presented. OBJECTIVE:To describe an unusual location for a cervical synovial cyst and to review characteristic presentations and findings of synovial cysts in the cervical spine. SUMMARY OF BACKGROUND DATA:Synovial cysts in the cervical spine are rare. To da...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/01.BRS.0000090501.42188.2A

    authors: Jost SC,Hsien Tu P,Wright NM

    更新日期:2003-09-01 00:00:00

  • Patient classification, a key to evaluate pain treatment: a psychological study in chronic low back pain patients.

    abstract::It has been proposed that pain treatment evaluation is hindered by heterogeneous properties of patient samples. Therefore, to facilitate pain treatment evaluation in this psychological study, a heterogeneous group of chronic low back pain patients was classified into more homogeneous subgroups. Two designs were used t...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-199209000-00001

    authors: Talo S,Rytökoski U,Puukka P

    更新日期:1992-09-01 00:00:00

  • Electromagnetic field-based image-guided spine surgery part one: results of a cadaveric study evaluating lumbar pedicle screw placement.

    abstract:STUDY DESIGN:Human cadaveric. OBJECTIVES:Compare the accuracy of electromagnetic field (EMF)-based image-guided lumbar pedicle screw insertion to conventional techniques using anatomic landmarks, and fluoroscopy. BACKGROUND:Image-guided surgical systems that aid in spinal instrumentation seek to minimize radiation ex...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/01.BRS.0000087851.51547.00

    authors: Sagi HC,Manos R,Benz R,Ordway NR,Connolly PJ

    更新日期:2003-09-01 00:00:00

  • Anterior stabilization, instrumentation, and decompression for post-traumatic kyphosis.

    abstract::Thirty-seven patients underwent surgery for late post-traumatic kyphosis in the lumbar, thoracolumbar, or thoracic spine. Indications for surgery included: increasing deformity, pain, and persistent neurologic deficit with paraparesis in eight, and development of late spinal stenosis in a further nine patients. All pa...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-198904000-00006

    authors: Kostuik JP,Matsusaki H

    更新日期:1989-04-01 00:00:00

  • Transoral endoscopic odontoidectomy to decompress the cervicomedullary junction.

    abstract:STUDY DESIGN:Clinical study. OBJECTIVE:To investigate the feasibility of the transoral endoscopic odontoidectomy without occipitocervical fusion. SUMMARY OF BACKGROUND DATA:Endoscopic transnasal resection of the odontoid process is less invasive than the conventional transoral odontoidectomy. However, the endonasal a...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0b013e3182941735

    authors: Qiuhang Z,Feng K,Bo Y,Hongchuan G,Mingchu L,Ge C,Feng L

    更新日期:2013-06-15 00:00:00

  • The clinical usefulness of intraoperative spinal stiffness measurements.

    abstract:STUDY DESIGN:Determination of clinical results at least 2 years after lumbar spine surgery during which spinal stiffness measurements were made. OBJECTIVES:To determine whether spine stiffness is predictive of clinical results after lumbar spine surgery for spinal stenosis, disc herniation, or degenerative spondylolis...

    journal_title:Spine

    pub_type: 临床试验,杂志文章

    doi:10.1097/00007632-200205010-00015

    authors: Brown MD,Wehman KF,Heiner AD

    更新日期:2002-05-01 00:00:00

  • Tussive presentation in cervicomedullary junction malformations.

    abstract::Two adult patients with craniocervical junction malformations presented with tussive symptom onset. These patients had acute onset of permanent neurologic symptoms. One patient had basilar invagination with tonsilar herniation and the second, a Type 1 Arnold-Chiari malformation with cord widening. Possible mechanisms ...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-199006000-00001

    authors: Kramer LD,Locke GE,Rasmus SC

    更新日期:1990-06-01 00:00:00

  • Three-level en bloc spondylectomy for desmoplastic fibroma of the thoracic spine: a case report.

    abstract:STUDY DESIGN:A case of desmoplastic fibroma of the thoracic spine treated by a three-level en bloc spondylectomy is reported. OBJECTIVES:To present a rare case of desmoplastic fibroma of the spine, and to emphasize the importance of at least a marginal resection of this tumor entity. SUMMARY OF BACKGROUND DATA:Desmop...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/01.BRS.0000058730.55078.5E

    authors: Hardes J,Gosheger G,Halm H,Winkelmann W,Liljenqvist U

    更新日期:2003-05-01 00:00:00

  • Regenerative Intervertebral Disc Endplate Based on Biomimetic Three-dimensional Scaffolds.

    abstract:STUDY DESIGN:Fabrication and characterization of a regenerative intervertebral disc (IVD) cartilaginous endplate (CEP) based on tissue culturing on biomimetic scaffolds. OBJECTIVE:To fabricate a regenerative CEP to support nutrients and metabolites exchange between IVD and the milieu interior. SUMMARY OF BACKGROUND D...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0000000000001791

    authors: Yuan D,Chen Z,Zhou Y,Xiao D,Liu K,Xiang X,Deng L,Dong H,Feng G

    更新日期:2017-03-01 00:00:00

  • Functional outcome of surgically and conservatively managed dens fractures.

    abstract:STUDY DESIGN:Fifty-seven patients with dens fractures were identified from 1986 to 1996 at the authors' institution. Forty-six were available for reevaluation by two independent observers with a mean follow-up period of 26 months. OBJECTIVE:To determine by age and fracture type which treatment regimen provided the bes...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-199809010-00006

    authors: Seybold EA,Bayley JC

    更新日期:1998-09-01 00:00:00

  • The Effect of Local Intraoperative Steroid Administration on the Rate of Postoperative Dysphagia Following ACDF: A Study of 245,754 Patients.

    abstract:STUDY DESIGN:A retrospective database analysis. OBJECTIVE:The aim of this study is to compare rates of postoperative dysphagia, length of stay, infection, and wound complications following short and long anterior cervical discectomy and fusion (ACDF) in patients who received local intraoperative steroids and those who...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0000000000001407

    authors: Cancienne JM,Werner BC,Loeb AE,Yang SS,Hassanzadeh H,Singla A,Shen FH,Shimer AL

    更新日期:2016-07-01 00:00:00

  • Major complications in revision adult deformity surgery: risk factors and clinical outcomes with 2- to 7-year follow-up.

    abstract:STUDY DESIGN:Retrospective cohort comparative study. OBJECTIVE:To determine the prevalence of major complications, identify risk factors, and assess long-term clinical benefit after revision adult spinal deformity surgery. SUMMARY OF BACKGROUND DATA:No study has analyzed risk factors for major complications in long r...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0b013e3182217ab5

    authors: Cho SK,Bridwell KH,Lenke LG,Yi JS,Pahys JM,Zebala LP,Kang MM,Cho W,Baldus CR

    更新日期:2012-03-15 00:00:00

  • Anatomic consideration in the anterior approach to the sacro-iliac joint.

    abstract::Anatomical study of L4 nerve branch, L5 nerve root, and bony stock in the sacroiliac region was performed in cadaveric specimens to provide anatomical references for anterior fixation of the sacroiliac joint. At 1 cm intervals along the sacro-iliac joint, the distance to the lateral border of the L4 nerve branch (to t...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-199403001-00014

    authors: Ebraheim NA,Padanilam TG,Waldrop JT,Yeasting RA

    更新日期:1994-03-15 00:00:00

  • National and regional rates and variation of cervical discectomy with and without anterior fusion, 1990-1999.

    abstract:STUDY DESIGN:A national hospitalization database was used to determine rates and trends in the treatment of cervical disc disease. OBJECTIVE:To examine the temporal and geographic variations in hospitalizations and surgical procedures for cervical disc disease. SUMMARY OF BACKGROUND DATA:Studies of spinal surgery dur...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/01.BRS.0000058880.89444.A9

    authors: Angevine PD,Arons RR,McCormick PC

    更新日期:2003-05-01 00:00:00

  • IgG and IgM concentration in the prolapsed human intervertebral disc and sciatica etiology.

    abstract:STUDY DESIGN:A prospective study was conducted in patients who underwent surgeries for sciatica. The results were compared to those of control subjects. OBJECTIVES:This study expanded knowledge about the pathogenesis of back pain and sciatica in disc herniation. METHODS:Nucleus pulposus, retrieved from 10 patients wh...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-199406000-00003

    authors: Spiliopoulou I,Korovessis P,Konstantinou D,Dimitracopoulos G

    更新日期:1994-06-15 00:00:00

  • Upper extremity palsy following cervical decompression surgery results from a transient spinal cord lesion.

    abstract:STUDY DESIGN:Retrospective analysis. OBJECTIVE:To test the hypothesis that spinal cord lesions cause postoperative upper extremity palsy. SUMMARY OF BACKGROUND DATA:Postoperative paresis, so-called C5 palsy, of the upper extremities is a common complication of cervical surgery. Although there are several hypotheses r...

    journal_title:Spine

    pub_type: 杂志文章,多中心研究

    doi:10.1097/01.brs.0000257576.84646.49

    authors: Hasegawa K,Homma T,Chiba Y

    更新日期:2007-03-15 00:00:00

  • Operative treatment of scoliosis with the Kaneda anterior spine system.

    abstract:STUDY DESIGN:Prospective, single-cohort study. OBJECTIVE:To evaluate thoracic and thoracolumbar scoliosis using the Kaneda anterior spine dual-rod system (KASS). SUMMARY OF BACKGROUND DATA:In selected cases, anterior correction of scoliosis has several advantages over the traditional posterior instrumentation. Other ...

    journal_title:Spine

    pub_type: 临床试验,杂志文章

    doi:10.1097/01.brs.0000170291.77450.8b

    authors: Saraph VJ,Krismer M,Wimmer C

    更新日期:2005-07-15 00:00:00