Comparison of two surgeries in treatment of severe kyphotic deformity caused by ankylosing spondylitis: Transpedicular bivertebrae wedge osteotomy versus one-stage interrupted two-level transpedicular wedge osteotomy.


OBJECTIVE:To explore a simple and effective surgery for correcting severe kyphotic deformity caused by ankylosing spondylitis (AS). MATERIALS AND METHODS:From January 2003 to December 2009, we respectively reviewed 32 patients with severe spinal kyphosis caused by AS with at least 2-year follow-up. Patients were divided into two groups, according to surgical methods: transpedicular bivertebrae wedge osteotomy (Group A) or one-stage interrupted two-level transpedicular wedge osteotomy (Group B). We recorded operating time and blood loss. Variation between pre- and post-operative sagittal imbalance, global spinal alignments (Cobb angle of T1 and L5, TLKA), lumbar lordosis, chin-brow vertical angle, thoracolumbar kyphosis angle in both groups were analyzed. RESULTS:The average operating time was 236 ± 39 min and the average blood loss was 2200 ± 712 ml in Group A, and 252 ± 43 min, 2202 ± 737 ml respectively in Group B. There were no significant differences in operating time and blood loss. Variation between pre- and post-operative sagittal imbalance, global spinal alignments, lumbar lordosis and chin-brow vertical angle (CBVA) were comparable between the two groups. The variation of thoracolumbar kyphosis angle was significantly greater in Group B compared with Group A. SRS-22 scores were similar in the two groups at the 2-year follow-up and significantly improved compared with preoperative. CONCLUSIONS:For correcting severe kyphosis in patients with AS, the one-stage interrupted two-level transpedicular wedge osteotomy is a safe and effective technique which can significantly improve the thoracolumbar kyphosis angle.


Clin Neurol Neurosurg


Zhao Y,Xu H,Zhang Y,Wang Z,Zhang X,Wang Y




Has Abstract


2015-12-01 00:00:00












  • Hospital and demographic characteristics associated with inpatient neurological services in the United States.

    abstract:OBJECTIVE:To determine nationwide availability and factors associated with inpatient neurological services. PATIENTS AND METHODS:Using the 2011 American Hospital Association survey, we determined the proportion of hospitals that provided inpatient neurological services. Demographic and household data from the 2010 nat...

    journal_title:Clinical neurology and neurosurgery

    pub_type: 杂志文章


    authors: Fu KA,Razmara A,Cen SY,Towfighi A,Mack WJ,Sanossian N

    更新日期:2018-01-01 00:00:00

  • Axonal damage in multiple sclerosis: a complex issue in a complex disease.

    abstract::Multiple sclerosis is no longer considered to simply be an autoimmune demyelinating disease. Axonal destruction is another central pathological feature and a contributor to the accumulating disability of disease progression. The mechanism underlying axonal pathology has not been fully clarified but does not appear to ...

    journal_title:Clinical neurology and neurosurgery

    pub_type: 杂志文章,评审


    authors: Grigoriadis N,Ben-Hur T,Karussis D,Milonas I

    更新日期:2004-06-01 00:00:00

  • Clinical presentation, etiology, and survival in adult acute encephalitis syndrome in rural Central India.

    abstract:BACKGROUND:Acute encephalitis syndrome (AES) is a constellation of symptoms that includes fever and altered mental status. Most cases are attributed to viral encephalitis (VE), occurring either in outbreaks or sporadically. We conducted hospital-based surveillance for sporadic adult-AES in rural Central India in order ...

    journal_title:Clinical neurology and neurosurgery

    pub_type: 杂志文章


    authors: Joshi R,Mishra PK,Joshi D,Santhosh SR,Parida MM,Desikan P,Gangane N,Kalantri SP,Reingold A,Colford JM Jr

    更新日期:2013-09-01 00:00:00

  • Cardiac neuropathy in chronic alcoholics.

    abstract::Measurement of beat-to-beat variations was employed in a group of 14 chronic alcoholics and compared with a group of normal individuals. A significant increase in the number of runs was found in the alcoholics reflecting impaired neurogenic control of the heart. It is concluded that cardiac neuropathy should be consid...

    journal_title:Clinical neurology and neurosurgery

    pub_type: 杂志文章


    authors: Melgaard B,Somnier F

    更新日期:1981-01-01 00:00:00

  • New cerebral microbleeds in ischemic stroke patients on warfarin treatment: two-year follow-up.

    abstract:OBJECTIVE:Cerebral microbleeds (CMBs) are known to be indicative of bleeding-prone microangiopathy. Little is known about the significance of CMBs in anticoagulated patients. We determined the frequency of new CMBs in ischemic stroke patients who had been receiving warfarin treatment for 2 years. METHODS:A total of 20...

    journal_title:Clinical neurology and neurosurgery

    pub_type: 杂志文章


    authors: Orken DN,Uysal E,Timer E,Kuloglu-Pazarcı N,Mumcu S,Forta H

    更新日期:2013-09-01 00:00:00

  • Endoscopic resection of cavernoma of foramen of Monro in a patient with familial multiple cavernomatosis.

    abstract::Intraventricular cavernomas are extremely infrequent and only 11 cases of cavernous hemangioma to occur at the foramen of Monro have been reported in the literature. This 56 years old patient was admitted with progressive and intractable headache of 10 days of evolution. He was known to suffer familial multiple cavern...

    journal_title:Clinical neurology and neurosurgery

    pub_type: 杂志文章


    authors: Prat R,Galeano I

    更新日期:2008-09-01 00:00:00

  • Treatment of sleep disorders may improve fatigue in multiple sclerosis.

    abstract:OBJECTIVE:In a previous polysomnographic cross-sectional study we found a significant relationship between sleep disorders and multiple sclerosis (MS) related fatigue. The purpose of this open follow-up observation was to compare the impact of treatment of sleep disorders on MS related fatigue measured with the Modifie...

    journal_title:Clinical neurology and neurosurgery

    pub_type: 杂志文章


    authors: Veauthier C,Gaede G,Radbruch H,Gottschalk S,Wernecke KD,Paul F

    更新日期:2013-09-01 00:00:00

  • Sparganosis presenting as radiculalgia at the conus medullaris.

    abstract::A 26-year-old female presented with severe lumbodorsal pain and hypesthesia in the right lower extremity. MRI of the spine revealed multiple lesions from L1 to S5; the largest was located at the conus medullaris. Diagnostic exploration revealed caseous, ivory-colored granulation tissue adhered to the conus medullaris ...

    journal_title:Clinical neurology and neurosurgery

    pub_type: 杂志文章


    authors: Bao XY,Ding XH,Lu YC

    更新日期:2008-09-01 00:00:00

  • Practice variation in the conservative and surgical treatment of chronic subdural hematoma.

    abstract:OBJECTIVE:Chronic subdural hematoma (CSDH) is a condition that is frequently seen in the neurological and neurosurgical practice. Surgical treatment is overall preferred; however, conservative treatment is also an option. Both surgical and conservative treatment of CSDH vary across neurosurgeons. The aim of the present...

    journal_title:Clinical neurology and neurosurgery

    pub_type: 杂志文章


    authors: Laldjising ERA,Cornelissen FMG,Gadjradj PS

    更新日期:2020-08-01 00:00:00

  • Higher mean platelet volume determined shortly after the symptom onset in acute ischemic stroke patients is associated with a larger infarct volume on CT brain scans and with worse clinical outcome.

    abstract:OBJECTIVE:Mean platelet volume (MPV) determined shortly after the onset of acute ischemic stroke represents the pre-stroke values. Data on its relationship to stroke severity/outcome have been conflicting. We related MPV to infarct volume on CT brain scans and risk of death/dependence 7 days and 3 months post-stroke. ...

    journal_title:Clinical neurology and neurosurgery

    pub_type: 杂志文章


    authors: Pikija S,Cvetko D,Hajduk M,Trkulja V

    更新日期:2009-09-01 00:00:00

  • A case of thalamic hydatid cyst.

    abstract::Cerebral hydatidosis account for approximately 1-2% of patients with hydatid disease. Fifty percent to 75% of intracranial hydatid cysts are seen in children. The cerebral hydatid cysts are usually single and located in the watershed of the middle cerebral artery. To our knowledge, no case of hydatid cyst in the thala...

    journal_title:Clinical neurology and neurosurgery

    pub_type: 杂志文章


    authors: Erşahin Y,Mutluer S,Dermirtaş E,Yurtseven T

    更新日期:1995-11-01 00:00:00

  • Repeat surgery for recurrent low-grade gliomas should be standard of care.

    abstract::The importance of surgery and maximal extent of resection (EOR) is well established in primary low-grade glioma (LGG) management. However, the role of surgery in the management of recurrent LGG is less clear. A recent review on the management of recurrent LGG concluded there was insufficient evidence to recommend surg...

    journal_title:Clinical neurology and neurosurgery

    pub_type: 杂志文章,评审


    authors: Uppstrom TJ,Singh R,Hadjigeorgiou GF,Magge R,Ramakrishna R

    更新日期:2016-12-01 00:00:00

  • Glossopharyngeal schwannoma, an uncommon posterior fossa tumor: diagnostical and therapeutical aspects: a case report.

    abstract::Among posterior fossa tumors, schwannomas arising from glossopharyngeal nerve are rare; only about 30 cases of glossopharyngeal neuroma have been described. Though a typical 'jugular foramen syndrome' has been described for tumors of this region, the clinical onset may often closely resemble that of acoustic neuromas ...

    journal_title:Clinical neurology and neurosurgery

    pub_type: 杂志文章


    authors: Rapanà A,Lamaida E,Bracale C,Lepore P,Pizza V,Graziussi G

    更新日期:1997-08-01 00:00:00

  • A new form of complicated hereditary spastic paraplegia with cataracts, atretic ear canals and hypopigmentation.

    abstract::A 16-year-old Hispanic boy born of consanguineous parents is described as having a history of cataracts, progressive lower-extremity spasticity and atrophy starting at 4 years of age, atretic ear canals with hearing dysfunction and diffuse patchy cutaneous hypopigmented areas. Clinical examination showed the typical s...

    journal_title:Clinical neurology and neurosurgery

    pub_type: 杂志文章


    authors: Guillén-Navarro E,Wallerstein R,Moran E,Chu ML,Grant A

    更新日期:1998-03-01 00:00:00

  • Traumatic aneurysm of the occipital artery secondary to paintball injury.

    abstract::Paintball is an "extreme sport" that has been steadily growing in popularity since the early 1980s. Although this activity is considered recreational, there are a number of inherent dangers associated. Most notably, the number of head and neck injuries due to paintball participation has been increasing in recent years...

    journal_title:Clinical neurology and neurosurgery

    pub_type: 杂志文章


    authors: John N,Leach JL,Rachana T,Mangano FT

    更新日期:2009-01-01 00:00:00

  • Phenytoin parahydroxylation is not impaired in patients with young-onset Parkinson's disease.

    abstract::Impaired hepatic detoxification capacity by cytochrome P450 subsystems has been implicated in the pathogenesis of Parkinson's disease. We have demonstrated that hepatic parahydroxylation of phenytoin (PHT) is impaired in patients with late-onset Parkinson's disease. In the present study, we have investigated the hypot...

    journal_title:Clinical neurology and neurosurgery

    pub_type: 杂志文章


    authors: Peeters EA,Bloem BR,Kuiper MA,Vermeij P,de Wolff FA,Wolters EC,Roos RA,Ferrari MD

    更新日期:1994-11-01 00:00:00

  • Anatomico-radiologic study of the distribution of the suboccipital artery of Salmon.

    abstract:OBJECTIVES:The frequency of suboccipital injections to treat headaches has increased. The third segment of the vertebral artery is located in the suboccipital triangle and its main muscular branch, the suboccipital artery of Salmon (SAS), supplies blood to the suboccipital muscles. The purpose of this study was to radi...

    journal_title:Clinical neurology and neurosurgery

    pub_type: 杂志文章


    authors: Macchi V,Porzionato A,Morra A,D'Antoni AV,Tubbs RS,De Caro R

    更新日期:2014-02-01 00:00:00

  • Multiple sclerosis in Brazil: A systematic review.

    abstract:BACKGROUND:The natural history of multiple sclerosis (MS) in Brazil has been available in different regions of country. There is no nationwide population-based studies that express general data in Brazil. OBJECTIVE:To review and synthesize available data about MS in Brazil. MATERIAL AND METHODS:Systematic review was ...

    journal_title:Clinical neurology and neurosurgery

    pub_type: 杂志文章,评审


    authors: Vasconcelos CC,Thuler LC,Rodrigues BC,Calmon AB,Alvarenga RM

    更新日期:2016-12-01 00:00:00

  • Safety and usefulness of flexible hand-held laser fibers in microsurgical removal of acoustic neuromas (vestibular schwannomas).

    abstract:AIMS:We performed a retrospective non-randomized study to analyze the results of microsurgery of acoustic neuromas (AN) using two different flexible hand-held laser fibers, CO2 (Omniguide(®)) and 2μ-Thulium (Revolix jr(®)). METHODS:From September 2010 to June 2015, 84 patients suffering from AN have been operated on w...

    journal_title:Clinical neurology and neurosurgery

    pub_type: 杂志文章


    authors: Mastronardi L,Cacciotti G,Scipio ED,Parziale G,Roperto R,Tonelli MP,Carpineta E

    更新日期:2016-06-01 00:00:00

  • Comparison of the fenestrated pedicle screw and conventional pedicle screw in minimally percutaneous fixation for the treatment of spondylolisthesis with osteoporotic spine.

    abstract:OBJECTIVES:To assess the feasibility of cement-augmented fenestrated pedicle screw for patients with spondylolisthesis with osteoporotic spine. PATIENTS AND METHODS:From January 2014 to March 2018, a retrospective study of 88 patients with spondylolisthesis and osteoporosis treated with minimally invasive transforamin...

    journal_title:Clinical neurology and neurosurgery

    pub_type: 杂志文章


    authors: Wang W,Liu C,Li J,Li H,Wu J,Liu H,Li C,Zhou Y

    更新日期:2019-08-01 00:00:00

  • Non-familial periodic ataxia responding to acetazolamide.

    abstract::A 44-year-old man presented with symptoms of periodic ataxia, dysarthria, nausea and excessive sweating during the last twenty years. These symptoms could be provoked by physical or emotional stress and disappeared after bedrest for several hours. No other members of his family were known to have such complaints. Acet...

    journal_title:Clinical neurology and neurosurgery

    pub_type: 杂志文章


    authors: Verlooy P,Velis DN

    更新日期:1985-01-01 00:00:00

  • Distribution characteristics of sweat gland nerve fibres in normal humans identified by acetylcholinesterase histochemical staining.

    abstract:OBJECTIVE:To quantitatively analyze distribution characteristics of sweat gland nerve fibres (SGNF) in normal Chinese individuals for obtaining a reference for early diagnosis of peripheral neuropathy. PATIENTS AND METHODS:Skin biopsy samples were collected from 192 normal Chinese individuals and divided into six, fou...

    journal_title:Clinical neurology and neurosurgery

    pub_type: 杂志文章


    authors: Ling L,Liu Y,Sun Y,Cai Y,Jiang Y,Chen L,He L,Xue J

    更新日期:2020-02-01 00:00:00

  • Variability of central conduction in the course of multiple sclerosis. Serial recordings of evoked potentials in the evaluation of therapy.

    abstract::In 27 normal subjects evoked potentials (EPs) were serially measured across an interval of 3.5 months. The variation in latencies of the P100 component of the VEP and of the components N13 and N20 of the SEP did not exceed 12% of the absolute values of these latencies on the first recording. The VEP and SEP were also ...

    journal_title:Clinical neurology and neurosurgery

    pub_type: 临床试验,杂志文章,随机对照试验


    authors: de Weerd AW

    更新日期:1987-01-01 00:00:00

  • Low rate of intracerebral hemorrhage after cardiac catheterization in patients with acute ischemic stroke in a large case series.

    abstract:BACKGROUND AND AIMS:Myocardial infarction complicating acute ischemic stroke (IS) is associated with high mortality, but evidence guiding the acute management is scarce. In particular, data on the risk of intracerebral hemorrhage (ICH) due to early cardiac catheterization including the peri-procedural application of an...

    journal_title:Clinical neurology and neurosurgery

    pub_type: 杂志文章


    authors: Schmidbauer ML,Rizas KD,Tiedt S,Dimitriadis K

    更新日期:2020-11-01 00:00:00

  • Profiling of novel circulating microRNAs as a non-invasive biomarker in diagnosis and follow-up of high and low-grade gliomas.

    abstract:OBJECTIVE:Glioblastoma (GBM) is the most common primary malignant neoplasm of the central nervous system (CNS). Despite the progress in therapeutic strategies such as surgical techniques, radiotherapy, chemotherapy, and targeted therapy, prognosis and therapeutically convenient monitoring tools in patients with GBM has...

    journal_title:Clinical neurology and neurosurgery

    pub_type: 杂志文章


    authors: Tabibkhooei A,Izadpanahi M,Arab A,Zare-Mirzaei A,Minaeian S,Rostami A,Mohsenian A

    更新日期:2020-03-01 00:00:00

  • Patient acceptance of awake craniotomy.

    abstract:OBJECTIVES:The aim of this study was to objectively assess the patients' acceptance for awake craniotomy in a group of neurosurgical patients, who underwent this procedure for removal of lesions in or close to eloquent brain areas. PATIENTS AND METHODS:Patients acceptance for awake craniotomy under local anesthesia an...

    journal_title:Clinical neurology and neurosurgery

    pub_type: 杂志文章


    authors: Wrede KH,Stieglitz LH,Fiferna A,Karst M,Gerganov VM,Samii M,von Gösseln HH,Lüdemann WO

    更新日期:2011-12-01 00:00:00

  • The combination of neuronavigation with transcranial magnetic stimulation for treatment of opercular gliomas of the dominant brain hemisphere.

    abstract:OBJECTIVE:The objective of this study is to investigate the application of transcranial magnetic stimulation combined with neuronavigation for preoperative mapping of the language area in neurosurgical interventions on the opercular area of the dominant hemisphere. METHODS:Five patients were operated upon gliomas in t...

    journal_title:Clinical neurology and neurosurgery

    pub_type: 杂志文章


    authors: Shamov T,Spiriev T,Tzvetanov P,Petkov A

    更新日期:2010-10-01 00:00:00

  • CSF biomarkers for mild cognitive impairment and early Alzheimer's disease.

    abstract::A correct clinical diagnosis, early in the course of Alzheimer's disease (AD), is of importance given the currently available symptomatic treatment with acetylcholine esterase inhibitors. The development of disease-modifying drugs like beta-sheet breakers or gamma- and beta-secretase inhibitors, emphasizes the need of...

    journal_title:Clinical neurology and neurosurgery

    pub_type: 杂志文章,评审


    authors: Andreasen N,Blennow K

    更新日期:2005-04-01 00:00:00

  • Preoperative spinal tumor embolization: an institutional experience with Onyx.

    abstract:BACKGROUND:Preoperative embolization has the potential to decrease intraoperative blood loss and facilitate spinal cord decompression and tumor resection. OBJECTIVE:We report our institutional experience with the embolization of hypervascular extradural spinal tumors with Onyx as well as earlier embolic agents in a se...

    journal_title:Clinical neurology and neurosurgery

    pub_type: 杂志文章


    authors: Ghobrial GM,Chalouhi N,Harrop J,Dalyai RT,Tjoumakaris S,Gonzalez LF,Hasan D,Rosenwasser RH,Jabbour P

    更新日期:2013-12-01 00:00:00

  • Can we now dispense with DSA in the evaluation of aneurysm occlusion even in the most crucial first follow-up after endovascular treatment?

    abstract:OBJECTIVES:Catheter angiography (DSA) as gold standard for the evaluation of aneurysmal occlusion after coiling has now been largely replaced by MRI or CTA in long term observations. However, the first year after treatment is crucial because most recurrences occur in this time. Until now no guidelines exist concerning ...

    journal_title:Clinical neurology and neurosurgery

    pub_type: 杂志文章


    authors: Gramsch C,Zülow S,Nensa F,Maderwald S,Göricke S,Ringelstein A,Müller O,Sure U,Wanke I,Schlamann M

    更新日期:2016-10-01 00:00:00