Abstract:
:Expandable vertebral body replacement cages (VBRs) have been widely used for reconstruction of the thoracolumbar spine following corpectomy. However, their use in the cervical spine is less common, and currently, no expandable cages on the market are cleared or approved by the US Food and Drug Administration for use in the cervical spine. The objective of this study was to perform a systematic review on the use of expandable cages in the treatment of cervical spine pathology with a focus on fusion rates, deformity correction, complications, and indications. A comprehensive Medline search was performed, and 24 applicable articles were identified and included in this review. The advantages of expandable cages include greater ease of implantation with less risk of damage to the end plate, less intraoperative manipulation of the device, and potentially greater control over lordosis. They may be particularly advantageous in cases with poor bone quality, such as patients with osteoporosis or metastatic tumors that have been radiated. However, there is a potential risk of overdistraction, which is increased in the cervical spine, their minimum height limits their use in cases with collapsed vertebra, and the amount of hardware in the expansion mechanism may limit the surface area available for fusion. The use of expandable VBRs are a valuable tool in the armamentarium for reconstruction of the anterior column of the cervical spine with an acceptable safety profile. Although expandable cervical cages are clearly beneficial in certain clinical situations, widespread use following all corpectomies is not justified due to their significantly greater cost compared to structural bone grafts or non-expandable VBRs, which can be utilized to achieve similar clinical outcomes.
journal_name
Neurosurg Revjournal_title
Neurosurgical reviewauthors
Elder BD,Lo SF,Kosztowski TA,Goodwin CR,Lina IA,Locke JE,Witham TFdoi
10.1007/s10143-015-0649-8subject
Has Abstractpub_date
2016-01-01 00:00:00pages
1-11; discussion 11issue
1eissn
0344-5607issn
1437-2320pii
10.1007/s10143-015-0649-8journal_volume
39pub_type
杂志文章,meta分析,评审abstract::Cavernous hemangiomas are the most frequently found primary tumors in the orbital region. They normally appear in adults. Diagnostic features in the majority of cases include protrusio bulbi and orbital enlargement. B-Scan and computed tomography/MRI are the prime diagnostic aids. We recommend surgical removal of thes...
journal_title:Neurosurgical review
pub_type: 杂志文章,评审
doi:10.1007/BF01794679
更新日期:1988-01-01 00:00:00
abstract::Spinal cord or cauda equina compression (SCC) is an increasing challenge in clinical oncology due to a higher prevalence of long-term cancer survivors. Our aim was to determine the clinical relevance of SCC regarding patient outcome depending on different tumor entities and their anatomical localization (extradural/in...
journal_title:Neurosurgical review
pub_type: 杂志文章
doi:10.1007/s10143-016-0790-z
更新日期:2017-07-01 00:00:00
abstract::Von Hippel-Lindau disease (VHL) is a hereditary cancer syndrome caused by germline mutations of the VHL tumor suppressor gene. Major progress has been made in the last decade in both clinical and fundamental aspects of VHL. The VHL gene product, pVHL, has major and multiple functions: pVHL regulates not only first ang...
journal_title:Neurosurgical review
pub_type: 杂志文章,评审
doi:10.1007/s101430050024
更新日期:2000-03-01 00:00:00
abstract::Unruptured intracranial aneurysms represent a decisional challenge. Treatment risks have to be balanced against an unknown probability of rupture. A better understanding of the physiopathology is the basis for a better prediction of the natural history of an individual patient. Knowledge about the possible determining...
journal_title:Neurosurgical review
pub_type: 杂志文章,评审
doi:10.1007/s10143-013-0501-y
更新日期:2014-01-01 00:00:00
abstract::Neurological improvement in patients with spinal dural arteriovenous fistulae (SDAVF) is often partial even after adequate treatment. While treatment outcomes have been evaluated primarily on the basis of the postoperative changes in neurological deficits, outcome measures should also reflect the patient-reported outc...
journal_title:Neurosurgical review
pub_type: 杂志文章
doi:10.1007/s10143-016-0752-5
更新日期:2017-01-01 00:00:00
abstract::The rupture of an intracranial aneurysm leads to subarachnoid hemorrhage (SAH). To prevent SAH, unruptured lesions can be treated by either endovascular or microsurgical approach. Due to their complex anatomy, middle cerebral artery (MCA) aneurysms represent a unique subgroup of intracranial aneurysms. Primary objecti...
journal_title:Neurosurgical review
pub_type: 杂志文章
doi:10.1007/s10143-014-0563-5
更新日期:2014-10-01 00:00:00
abstract::Hemangioblastoma is a rare benign tumor that consists of neoplastic vacuolated stromal cells and highly developed capillary blood vessels. These tumors are almost exclusively found in the central nervous system, but in extremely rare cases, it can arise in peripheral nerves. In the majority of cases, it occurs sporadi...
journal_title:Neurosurgical review
pub_type: 杂志文章,评审
doi:10.1007/s10143-014-0587-x
更新日期:2015-01-01 00:00:00
abstract::The management of posterior cranial fossa meningioma [PCFM] is challenging and many neurosurgeons advise gamma knife radiosurgery [GKRS] as a modality for its upfront or adjuvant treatment. Due to the varying radiosurgical response based on lesion location, tumor biology, and radiation dosage, we performed a pioneer a...
journal_title:Neurosurgical review
pub_type: 杂志文章
doi:10.1007/s10143-019-01144-x
更新日期:2020-08-01 00:00:00
abstract::This aimed to evaluate the effect of surgery for overall survival (OS) and progression-free survival (PFS) in intracranial primary CNS lymphoma (PCNSL) of all patients diagnosed at a single center. A prospective database at Oslo University Hospital of PCNSL was reviewed over a 12-year period (2003-2014). Seventy-nine ...
journal_title:Neurosurgical review
pub_type: 杂志文章
doi:10.1007/s10143-018-0946-0
更新日期:2018-10-01 00:00:00
abstract::Subependymomas are uncommon and relatively benign tumors with a distinctive histological appearance. They are generally asymptomatic and most of them are found incidentally at postmortem examination. These tumors are usually located in the fourth and lateral ventricle, and sometimes in the spinal cord. The authors pre...
journal_title:Neurosurgical review
pub_type: 杂志文章
doi:10.1007/BF00698771
更新日期:1994-01-01 00:00:00
abstract::Chemotherapy of malignant glioma has been discussed in relation to recent advances in experimental and clinical studies. It is now obvious that chemotherapy is of increasing importance in the multidisciplinary treatment of malignant gliomas. Survival time of patients was prolonged by intensive and prolonged chemothera...
journal_title:Neurosurgical review
pub_type: 临床试验,杂志文章,评审
doi:10.1007/BF01743285
更新日期:1984-01-01 00:00:00
abstract::The literature describing epidemiology, etiology, and types of serious brachial plexus injuries (BPIs) is sparse. The aim of this review was to investigate the epidemiological and etiopathogenetical data of serious BPIs undergoing surgical reconstruction. A systematic search was conducted from January 1985 to December...
journal_title:Neurosurgical review
pub_type: 杂志文章,评审
doi:10.1007/s10143-018-1009-2
更新日期:2020-04-01 00:00:00
abstract::The vasodilatory calcitonin gene-related peptide (CGRP) is excessively released after spontaneous subarachnoid hemorrhage (sSAH) and modulates psycho-behavioral function. In this pilot study, we prospectively analyzed the treatment-specific differences in the secretion of endogenous CGRP into cerebrospinal fluid (CSF)...
journal_title:Neurosurgical review
pub_type: 杂志文章
doi:10.1007/s10143-020-01333-z
更新日期:2020-06-22 00:00:00
abstract::Traumatic brain injury is a major problem worldwide. Our objective is to synthesize available evidence in the literature concerning the effectiveness of neuroprotective drugs (cerebrolysin, citicoline, and piracetam) on Glasgow outcome score (GOS), cognitive performance, and survival in traumatic brain injury patients...
journal_title:Neurosurgical review
pub_type: 杂志文章,meta分析,评审
doi:10.1007/s10143-016-0775-y
更新日期:2018-04-01 00:00:00
abstract::The posteroinferior region of the thalamus is formed by the pulvinar, and it is surgically accessed through the infratentorial supracerebellar approach, between the midline and the retromastoid region. This study aimed to compare the paramedian, lateral, extreme lateral, and contralateral paramedian corridors with the...
journal_title:Neurosurgical review
pub_type: 杂志文章
doi:10.1007/s10143-020-01405-0
更新日期:2020-10-24 00:00:00
abstract::Although approximately 30% of facial nerve schwannoma cases present with no facial palsy, a large facial nerve schwannoma extending to the middle and posterior cranial fossa quite rarely presents without facial palsy. The authors encountered two patients with large facial nerve schwannoma who presented with only heari...
journal_title:Neurosurgical review
pub_type: 杂志文章
doi:10.1007/s10143-005-0381-x
更新日期:2005-07-01 00:00:00
abstract::The basic principles of NMRI are explained. Examples are given of the current medical uses of imaging with protons and other nuclei as well. Further developments towards spectroscopic imaging are discussed. ...
journal_title:Neurosurgical review
pub_type: 杂志文章
doi:10.1007/BF01892908
更新日期:1984-01-01 00:00:00
abstract::Stereotactic biopsies of ventricular lesions may be less safe and less accurate than biopsies of superficial lesions. Accordingly, endoscopic biopsies have been increasingly used for these lesions. Except for pineal tumors, the literature lacks clear, reliable comparisons of these two methods. All 1581 adults undergoi...
journal_title:Neurosurgical review
pub_type: 杂志文章
doi:10.1007/s10143-020-01371-7
更新日期:2020-08-21 00:00:00
abstract::It was suggested that D, L-Methadone might improve the clinical course of glioma patients. Owing to massive press coverage, patients demand the prescription of D, L-Methadone, but regarding its adjunctive use in glioma therapy there is no standard medication plan. Furthermore, it is not known which side effects the ad...
journal_title:Neurosurgical review
pub_type: 杂志文章
doi:10.1007/s10143-020-01250-1
更新日期:2020-02-14 00:00:00
abstract::Traumatic bifrontal contusions (TBC) form a recognised clinical entity among patients with traumatic brain injury (TBI). This study aims to systematically review current literature on demographics, management, and predictors of outcomes of patients with TBC. A multi-database literature search (PubMed, Cochrane, OVID M...
journal_title:Neurosurgical review
pub_type: 杂志文章
doi:10.1007/s10143-019-01098-0
更新日期:2020-06-01 00:00:00
abstract::Despite decades of study, the etiology of brain cancer remains elusive. However, extensive molecular characterization of primary brain tumors has been accomplished, outlining recurrent features that are proving useful for devising targeted therapies. There are far too few patients available for comparing the efficacy ...
journal_title:Neurosurgical review
pub_type: 杂志文章
doi:10.1007/s10143-010-0275-4
更新日期:2010-10-01 00:00:00
abstract::Between 1987 and 1991 we performed a unilateral or bilateral frontoorbital advancement to correct trigono- or plagiocephaly in 10 children: Three-dimensional CT provides an exact basis for operation planning. Titanium miniplates allow an already primarily rather stable osteosynthesis. The best time for this interventi...
journal_title:Neurosurgical review
pub_type: 杂志文章
doi:10.1007/BF00345936
更新日期:1992-01-01 00:00:00
abstract::The purpose of this study is to compare intervertebral bone fusion and clinical outcomes in L4-5 posterior lumbar interbody fusion (PLIF) using the same posterior instrumentation with four combinations of one of three types of interbody cage with one of two bone grafts, iliac and local or only local. In 67 patients wh...
journal_title:Neurosurgical review
pub_type: 杂志文章
doi:10.1007/s10143-015-0610-x
更新日期:2015-07-01 00:00:00
abstract::The authors describe a case of hemifacial spasm associated with Marfan's syndrome. A 24-year-old-woman suffered from left hemifacial spasm for 6 years. She had undergone surgical treatments for bilateral ectopia lentis and kyphoscoliosis in the second decade of life. She also had unusually long and slim limbs with ara...
journal_title:Neurosurgical review
pub_type: 杂志文章
doi:10.1007/BF02389321
更新日期:1998-01-01 00:00:00
abstract::This study was carried out to evaluate the early results and the prognostic factors affecting the outcome during the in-hospital stay of 110 patients with civilian gunshot wounds to the head admitted at the Hospital of Restauração, Recife, Brazil. Penetrating injury (66%) was the most prevalent type of wound encounter...
journal_title:Neurosurgical review
pub_type: 杂志文章
doi:10.1007/s10143-012-0377-2
更新日期:2012-07-01 00:00:00
abstract::Many immune responses are controlled by genes of the major histocompatibility complex (MHC). In humans these include the loci encoding the HLA-A, -B, -C, -DR, -DQ, and -DP antigens, and many diseases have been linked with these. However, little information is available about any connection between malignant tumors and...
journal_title:Neurosurgical review
pub_type: 杂志文章
doi:10.1007/BF00418435
更新日期:1994-01-01 00:00:00
abstract::In 112 comatose patients somatosensory, visual and auditory evoked potentials were registered within 36 hours after the onset of coma or admission. Main causes of coma were head injury, and intracerebral and subarachnoid haemorrhage. The initial bilateral loss of any evoked potential was associated with a mortality of...
journal_title:Neurosurgical review
pub_type: 杂志文章,评审
doi:10.1007/BF00383655
更新日期:1990-01-01 00:00:00
abstract::A new technique for interbody lumbar spondylodesis using a new cancellous metal, plug-shaped construct was performed in 35 cases with spondylolisthesis or lumbar instability. All of these patients have had severe low-back pain for years, some with radicular symptoms and had been treated unsuccessfully for years. In a ...
journal_title:Neurosurgical review
pub_type: 杂志文章
doi:10.1007/BF00638889
更新日期:1990-01-01 00:00:00
abstract::Desmoplastic gangliogliomas (DIG) are rare primary neoplasms that comprise 0.5-1.0% of all intracranial tumors. Clinically, there are two forms of DIG, the infantile and the non-infantile. These tumors invariably arise in the supratentorial region and commonly involve more than one lobe, preferentially the temporal an...
journal_title:Neurosurgical review
pub_type: 杂志文章,meta分析,评审
doi:10.1007/s10143-010-0303-4
更新日期:2010-04-01 00:00:00
abstract::Although a familial tendency to develop brain tumors in the absence of well-recognized hereditary disorders is an important issue, it has been rarely reported. Studies of the familial occurrence of gliomas have yielded conflicting results. This phenomenon may be imputable to chance or environmental or hereditary facto...
journal_title:Neurosurgical review
pub_type: 杂志文章
doi:10.1007/s10143-003-0281-x
更新日期:2003-10-01 00:00:00