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 technique focusing on main advantages and limitations. METHODS:The authors provide a detailed description of the surgically relevant anatomy focusing on the positioning of the cortical trajectory screws. The surgical technique is then described in a precise step-by-step manner, stressing complication avoidance. RESULTS:The maximal access surgery posterior lumbar interbody fusion approach is a safe, reproducible procedure allowing for a traditional lumbar spine approach with the benefits of minimal facet joint manipulation and potentially preserving part of their neural innervation and a large part of the paraspinous musculature. CONCLUSIONS:A dedicated self-retaining retractor and directional neuromonitoring may guide surgeons during the procedure. Nevertheless, the surgeon's knowledge of anatomical landmarks, response to visual and tactile cues and intraoperative decision-making skills remain of paramount importance.
journal_name
J Neurosurg Scijournal_title
Journal of neurosurgical sciencesauthors
Gautschi OP,Garbossa D,Tessitore E,Langella F,Pecoraro MF,Marengo N,Bozzaro M,Beckman J,Berjano Pdoi
10.23736/S0390-5616.16.03230-6subject
Has Abstractpub_date
2017-06-01 00:00:00pages
335-341issue
3eissn
0390-5616issn
1827-1855pii
R38Y9999N00A150049journal_volume
61pub_type
杂志文章abstract：:The Authors report a rare case of traumatic aneurysm of the internal carotid artery observed in a 19-year-old man after a car accident. The aneurysm was recognized by cerebral angiography performed immediately after trauma and clipped to avoid delayed rupture. The literature on traumatic aneurysms is reviewed. ...
journal_title：Journal of neurosurgical sciences
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更新日期：1987-10-01 00:00:00
abstract：:The brainstem is an uncommon site for a brain abscess. It accounts for less than 4% of all posterior cranial fossa abscesses, and less than 1% of all intracranial abscesses. The pons is the most common site for these abscesses. The aim of the present report was to describe the case of a Brazilian Amazon man with a bra...
journal_title：Journal of neurosurgical sciences
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abstract：:Cavernous angiomas of the orbit are benign vascular growths, commonly occurring in adults and usually causing a slowly progressive proptosis from their mass effect. These lesions have behavioural and radiological findings different from those of brain cavernous angiomas, probably due to their particular origin and str...
journal_title：Journal of neurosurgical sciences
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doi：
更新日期：1995-12-01 00:00:00
abstract：:The paper reports two cases of supratentorial neuroepithelial cysts, also called ependymal cysts. One of them was extracerebral and the other intracerebral. The preoperative diagnosis was made by determination of attenuation values of consecutive sections of cyst on computed tomography. The ultrastructure of the cyst ...
journal_title：Journal of neurosurgical sciences
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更新日期：1984-04-01 00:00:00
abstract：:A rare case of complex cerebral arteriovenous fistula in an infant is reported. An 8-month-old boy first presented with a syndrome of increased intracranial pressure. Neuroradiological assessment showed a direct intracerebral arteriovenous shunt with marked venous engorgement. No hemorrhage was evident. Direct surgica...
journal_title：Journal of neurosurgical sciences
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更新日期：1997-12-01 00:00:00
abstract：:Ependymoma can arise throughout all compartments of the central nervous system with prevalence for intracranial and spinal location in children and adults, respectively. The current histopathology based WHO grading system distinguishes grade I, II 'classic', and III 'anaplastic' ependymoma. However, analysis of multip...
journal_title：Journal of neurosurgical sciences
pub_type： 杂志文章,评审
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journal_title：Journal of neurosurgical sciences
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更新日期：1993-12-01 00:00:00
abstract：OBJECTIVE:The transcallosal route has been propagated as a safe approach to midline tumors. The present study was performed in order to elucidate the neurobehavioral late sequelae in patients after transcallosal microsurgery on near-midline tumors. EXPERIMENTAL DESIGN:The present study was performed retrospectively wi...
journal_title：Journal of neurosurgical sciences
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更新日期：1997-03-01 00:00:00
abstract：AIM:The aim of this study was to study the effect of preconditioning with hyperbaric oxygen on neural cell apoptosis after spinal cord injury in rats at different times, and to study the mechanism of neuroprotection with hyperbaric oxygen preconditioning after spinal cord injury. METHODS:Fifty-five adult Sprague-Dawle...
journal_title：Journal of neurosurgical sciences
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doi：
更新日期：2013-09-01 00:00:00
abstract：:A case of a 61-year-old female patient who presents with the clinical triad of normal pressure hydrocephalus (NPH), abnormal gait, urinary incontinence and dementia. On CT scanning, she is found to have a large arachnoid cyst which mimicked the syndrome of NPH. This is also the 60th published case of arachnoid cyst pr...
journal_title：Journal of neurosurgical sciences
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更新日期：2006-09-01 00:00:00
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journal_title：Journal of neurosurgical sciences
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更新日期：1999-09-01 00:00:00
abstract：:Long-term ICP monitoring was carried out in 53 children and adolescents with severe head injuries. 36 of them exhibited bilateral decerebrate posturing and 13 bilateral pupil unresponsiveness. The highest ICP levels never exceeded 10 mmHg in 3 patients, ranged between 11 and 20 mmHg in 12 and between 21 and 50 in 16. ...
journal_title：Journal of neurosurgical sciences
pub_type： 杂志文章
doi：
更新日期：1982-07-01 00:00:00
abstract：:The results of a retrospective study of 24 adult patients with occult dysraphism are described. There were 15 males and 9 females, with an average age of 31.1 years. Specific circumstances precipitated symptomatic onset in 67% of patients. Pain, often referred to the anorectal region, was the most common presenting sy...
journal_title：Journal of neurosurgical sciences
pub_type： 杂志文章
doi：
更新日期：1996-09-01 00:00:00
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
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doi：
更新日期：2015-12-01 00:00:00
abstract：:In spite of the availability of the new endovascular technique (GDC) to manage cerebral aneurysms, to date, the crucial question "which is the proper treatment in a given patient?" still remains unsettled. In order to check whether an answer is possible, we retrospectively reviewed a personal series of 192 consecutive...
journal_title：Journal of neurosurgical sciences
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doi：
更新日期：1998-03-01 00:00:00
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journal_title：Journal of neurosurgical sciences
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doi：10.23736/S0390-5616.17.04162-5
更新日期：2018-02-01 00:00:00
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更新日期：2020-09-28 00:00:00
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journal_title：Journal of neurosurgical sciences
pub_type： 杂志文章
doi：
更新日期：1994-03-01 00:00:00
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journal_title：Journal of neurosurgical sciences
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doi：
更新日期：1990-01-01 00:00:00
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journal_title：Journal of neurosurgical sciences
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更新日期：1998-09-01 00:00:00
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journal_title：Journal of neurosurgical sciences
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doi：
更新日期：1992-07-01 00:00:00
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journal_title：Journal of neurosurgical sciences
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doi：
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journal_title：Journal of neurosurgical sciences
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doi：
更新日期：1991-04-01 00:00:00
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journal_title：Journal of neurosurgical sciences
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doi：
更新日期：1998-06-01 00:00:00
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journal_title：Journal of neurosurgical sciences
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doi：
更新日期：1974-07-01 00:00:00
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