Abstract:
STUDY DESIGN:Retrospective review of 750 consecutive multilevel cervical spine decompression surgeries performed by a single spine surgeon. OBJECTIVE:To determine the incidence of C5 palsy in a large consecutive series of multilevel cervical spine decompression procedures. SUMMARY OF BACKGROUND DATA:Palsy of the C5 nerve is a well-known potential complication of cervical spine surgery with reported rates ranging from 0% to 30%. The etiology remains uncertain but has been attributed to iatrogenic injury during surgery, tethering from shifting of the spinal cord, spinal cord ischemia, and reperfusion injury of the spinal cord. METHODS:We included patients undergoing multilevel cervical corpectomy, corpectomy with posterior fusion, posterior laminectomy and fusion, and laminoplasty. Exclusion criteria included lack of follow-up data, spinal cord injury preventing preoperative or postoperative motor testing, or surgery not involving the C5 level. Incidence of C5 palsy was determined and compared to determine whether significant differences existed among the various procedures, patient age, sex, revision surgery, preoperative weakness, diabetes, smoking, number of levels decompressed, and history of previous upper extremity surgery. RESULTS:Of the 750 patients, 120 were eliminated on the basis of the exclusion criteria. The 630 patients included in the analysis consisted of 292 females and 338 males. The mean age was 58 years (range, 19-87). The incidence of C5 nerve palsy for the entire group was 42 of 630 (6.7%). The incidence was highest for the laminectomy and fusion group (9.5%), followed by the corpectomy with posterior fusion group (8.4%), the corpectomy group (5.1%), and finally the laminoplasty group (4.8%), although these differences did not reach statistical significance. There was a significantly higher incidence in males (8.6% vs. 4.5%, P = 0.05). CONCLUSION:Incidence of C5 nerve palsy after cervical spine decompression was 6.7%. This is consistent with previously published studies and represents the largest series of North American patients to date. There is no statistically significant difference in incidence of C5 palsy based on surgical procedure, although there was a trend toward higher rates with laminectomy and fusion.
journal_name
Spine (Phila Pa 1976)journal_title
Spineauthors
Nassr A,Eck JC,Ponnappan RK,Zanoun RR,Donaldson WF 3rd,Kang JDdoi
10.1097/BRS.0b013e318219cfe9subject
Has Abstractpub_date
2012-02-01 00:00:00pages
174-8issue
3eissn
0362-2436issn
1528-1159pii
00007632-201202010-00004journal_volume
37pub_type
杂志文章,评审相关文献
SPINE文献大全abstract:STUDY DESIGN:A cross-sectional radiographic study. OBJECTIVE:The aim of this study was to establish the age- and sex-related normative values of whole-body sagittal alignment in asymptomatic Chinese adult population, and to investigate the changes and possible associated compensation mechanisms across age groups. SUM...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0000000000003187
更新日期:2020-01-15 00:00:00
abstract:STUDY DESIGN:Repeated measures experimental study of the effect of flexion-relaxation, recovery, and gender on paraspinal reflex dynamics. OBJECTIVE:To determine the effect of prolonged flexion-relaxation and recovery time on reflex behavior in human subjects. SUMMARY OF BACKGROUND DATA:Prolonged spinal flexion has b...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/01.brs.0000206361.53451.c7
更新日期:2006-04-01 00:00:00
abstract::Twenty-nine fragments from herniated lumbar discs of patients over 60 years of age were studied pathohistologically. For comparison, 109 discs from patients under 59 years of age also were observed. They were classified into seven types according to their composition. In 70% of discs from patients between 60 and 69 an...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-198909000-00017
更新日期:1989-09-01 00:00:00
abstract:STUDY DESIGN:Controlled clinical trial study. OBJECTIVE:This study aimed to evaluate the effect of core stabilization exercise program (CSEP) on trunk-pelvis kinematics during gait in non-specific chronic low back pain (NCLBP). SUMMARY OF BACKGROUND DATA:NCLBP is a major public burden with variety of dysfunction incl...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0000000000002981
更新日期:2019-07-01 00:00:00
abstract:STUDY DESIGN:Retrospective comparative cohort study. OBJECTIVE:Assess the incidence, risk factors, and outcomes of recurrent proximal junctional kyphosis (r-PJK) in PJK revision patients. SUMMARY OF BACKGROUND DATA:Several studies have identified the incidence and risk factors for PJK after primary surgery. However, ...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0000000000003202
更新日期:2020-01-01 00:00:00
abstract:STUDY DESIGN:The segmental levels of dorsal root ganglions innervating the sacroiliac joint in rats were investigated using the retrograde transport method. The pathways and functions of the nerve fibers supplying the sacroiliac joint were determined by immunohistochemical detection of transported tracer. OBJECTIVES:T...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-200008150-00003
更新日期:2000-08-15 00:00:00
abstract:STUDY DESIGN:Cultured annulus fibrosus cells within an atelocollagen honeycomb-shaped scaffold with a membrane seal were allografted into the lacunas of intervertebral discs of which the nucleus pulposus had been vaporized using an indocyanine green dye-enhanced laser. Regeneration of the intervertebral disc was assess...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/01.BRS.0000049909.09102.60
更新日期:2003-03-15 00:00:00
abstract:STUDY DESIGN:A multiple-comparative study between normal and low back pain (LBP) patients before and after rehabilitation. OBJECTIVE:To examine whether there is a change in flexion-relaxation phenomenon in sitting in LBP patient following a rehabilitation treatment. SUMMARY OF BACKGROUND DATA:There is an association ...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e3181ba021e
更新日期:2010-07-15 00:00:00
abstract:STUDY DESIGN:Animal model study of three healthy commercial pigs was conducted. OBJECTIVE:To determine whether near infrared spectroscopic monitoring of the spinal cord is feasible, and whether changes in near infrared spectroscopy correlate with changes in blood flow to the cord or operative maneuvers. SUMMARY OF BA...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-200201010-00007
更新日期:2002-01-01 00:00:00
abstract::Harrington rod treatment for spinal trauma has become the gold standard against which other treatment modalities are judged. A review of the results of Harrington rod treatment is essential to establish a baseline level of efficiency in terms of rehabilitation time, correction of deformity, canal decompression, motion...
journal_title:Spine
pub_type: 杂志文章,评审
doi:
更新日期:1993-03-15 00:00:00
abstract::Of 66 nonoperated low-back pain patients who entered a 4-week program of modern active rehabilitation after 13 months' sick leave, only 15 (23%) had returned to work at 18 months' follow-up. Effective pain modulation with pool traction did not influence the vocational status or pain level at the time of follow-up. The...
journal_title:Spine
pub_type: 临床试验,杂志文章
doi:10.1097/00007632-199104000-00012
更新日期:1991-04-01 00:00:00
abstract:STUDY DESIGN:Multicenter, prospective, consecutive clinical series. OBJECTIVE.: To report on the use and outcomes of preoperative magnetic resonance imaging (MRI) in a prospective cohort study of 2206 children undergoing posterior spinal fusion and instrumentation for adolescent idiopathic scoliosis. SUMMARY OF BACKGR...
journal_title:Spine
pub_type: 杂志文章,多中心研究
doi:10.1097/BRS.0b013e3181da218c
更新日期:2011-04-15 00:00:00
abstract:STUDY DESIGN:This is a retrospective study of a consecutive series of patients undergoing spinal decompression or disc enucleation with preservation of the ligamentum flavum. MacNab criteria and Prolo scoring was used to assess them pre- and after surgery. OBJECTIVES:The aim of the study was to assess the incidence of...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/01.BRS.0000085100.10349.15
更新日期:2003-10-01 00:00:00
abstract:STUDY DESIGN:A review of a clinical series was performed. OBJECTIVE:To assess the effectiveness of orthotic treatment in male patients with idiopathic scoliosis and to compare with published data on female patients. SUMMARY OF BACKGROUND DATA:Although males have been included in bracing studies, the number of males h...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-200109150-00013
更新日期:2001-09-15 00:00:00
abstract:STUDY DESIGN:Trunk sway occurring during clinical stance and gait tasks was compared between a group of subjects with a chronic whiplash injury, resulting from an automobile collision, and a normal collective. OBJECTIVES:To examine if population specific trunk sway patterns for stance and gait could be identified for ...
journal_title:Spine
pub_type: 临床试验,杂志文章
doi:10.1097/01.BRS.0000083170.34304.A3
更新日期:2003-08-01 00:00:00
abstract:STUDY DESIGN:Secondary analysis of the Back Pain Outcomes using Longitudinal Data (BOLD) cohort study. OBJECTIVE:To characterize associations of self-reported race/ethnicity with back pain (BP) patient-reported outcomes (PROs) and health care utilization among older adults with a new episode of care for BP. SUMMARY O...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0000000000002499
更新日期:2018-07-15 00:00:00
abstract:STUDY DESIGN:Narrative review. OBJECTIVE:Describe current issues of outcomes assessment in spine research, with a focus on their application to advocacy oriented research. SUMMARY OF BACKGROUND DATA:Outcomes measurement in back pain has advanced substantially over the past decade. METHODS:Qualitative assessment of o...
journal_title:Spine
pub_type: 杂志文章,评审
doi:10.1097/BRS.0b013e318053d45f
更新日期:2007-05-15 00:00:00
abstract:STUDY DESIGN:Systematic literature review. OBJECTIVE:To categorize published evidence systematically for lumbar fusion for chronic low back pain (LBP) in order to provide an updated and comprehensive analysis of the clinical outcomes. SUMMARY OF BACKGROUND DATA:Despite a large number of publications of outcomes of sp...
journal_title:Spine
pub_type: 杂志文章,评审
doi:10.1097/BRS.0b013e3182877f11
更新日期:2013-04-01 00:00:00
abstract:STUDY DESIGN:The pretension of the Dynesys cord was varied to evaluate its effects on both tissue responses and screw-spacer behaviors by the finite-element method. OBJECTIVE:This study aimed to provide detailed information about the motion-preserving and load-shielding mechanisms of the Dynesys screw-spacer joint. S...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e318290fb2e
更新日期:2013-06-01 00:00:00
abstract:STUDY DESIGN:Report of surgical technique and long-term outcome; review of prospectively gathered data and follow-up survey of patient cohort. OBJECTIVE:The aim of this study was to review surgical technique for a trephine graft harvest technique and assess perioperative complications/pain, long-term outcome, and pati...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0000000000003702
更新日期:2021-01-01 00:00:00
abstract:STUDY DESIGN:Retrospective analysis of prospectively collected data. OBJECTIVE:To report the follow-up curve behaviors in different Sanders staging groups. SUMMARY OF BACKGROUND DATA:Vertebral body tethering (VBT) is a growth modulation technique that allows gradual spontaneous follow-up curve correction as the patie...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0000000000003643
更新日期:2020-11-15 00:00:00
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
更新日期:2006-03-15 00:00:00
abstract::: Johann Peter Frank (1745-1821) is generally known as one of the founders of the modern Hygiene and Public Health. It is less known his contribution in investigating the pathogenesis of spinal disorders. In his "De Vertebralis Columnae in Morbis Dignitate" (1791), Frank first proposed to use the Latin term "rhachialg...
journal_title:Spine
pub_type: 历史文章,杂志文章
doi:10.1097/BRS.0000000000003074
更新日期:2019-10-01 00:00:00
abstract::A retrospective review of 20 patients treated nonoperatively for burst fractures of the lumbar spine (L2-L5) was performed. All patients were neurologically intact at the time of injury. Follow-up averaged 3.9 years with a range of 2.1 to 9.1 years. Fourteen patients were men and six were women. The average age at inj...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199303000-00002
更新日期:1993-03-01 00:00:00
abstract:OBJECTIVES:To elucidate the cause of late operative site pain in six cases of scoliosis managed with Isola posterior instrumentation that required removal of the implants. METHOD:Microbiologic examination of wound swabs and enriched culture of operative tissue specimens was undertaken in all cases. Histologic study of...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-200103010-00027
更新日期:2001-03-01 00:00:00
abstract:STUDY DESIGN:The mRNA expressions of cytokines and chemokines were assessed in herniated lumbar disc specimens. OBJECTIVES:To investigate whether the mRNAs of interleukin (IL)-1alpha, tumor necrosis factor (TNF)-alpha, RANTES, IL-8, IL-10, and transforming growth factor (TGF)-beta are expressed in surgically obtained ...
journal_title:Spine
pub_type: 临床试验,杂志文章
doi:10.1097/00007632-200205010-00005
更新日期:2002-05-01 00:00:00
abstract::Camptocormia is a rare low-back disorder involving an abnormal posture of extreme forward flexion. Most reports of camptocormia were of male military recruits during World Wars I and II. The differential diagnosis of the postural deformity, the psychologic formulation of camptocormia as a conversion disorder, and the ...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-198505000-00006
更新日期:1985-05-01 00:00:00
abstract:STUDY DESIGN:This study developed and independently applied a spine tumor classification system, referred to as the Weinstein-Boriani-Biagini system, in a retrospective analysis of a series of patients with spinal giant cell tumors from three institutions. OBJECTIVE:To evaluate factors of potential prognostic signific...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199708010-00018
更新日期:1997-08-01 00:00:00
abstract:STUDY DESIGN:Case report and clinical discussion. OBJECTIVE:To describe a rare case of metastatic pulmonary intimal sarcoma presenting as cauda equine syndrome. SUMMARY OF BACKGROUND DATA:Pulmonary artery sarcoma is a rare tumor, frequently misdiagnosed as pulmonary embolism, and although it is highly aggressive, met...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e31817cf7ef
更新日期:2008-07-01 00:00:00
abstract:STUDY DESIGN:Experimental animal study. OBJECTIVE.: Evaluate osteopromotive properties of a beta-tricalcium phosphate (TCP) implant with different osteogenic substances in an animal study. SUMMARY OF BACKGROUND DATA:Current research in spine surgery is focusing on resorbable bone implants because of the high morbidity...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/01.brs.0000192762.40274.57
更新日期:2006-01-01 00:00:00