Abstract:
STUDY DESIGN:Case report and review of relevant literature. OBJECTIVE:To report a rare complication of esophageal perforation in cervical fracture patient with progressive ankylosing spondylitis (AS) and review of relevant literature. SUMMARY OF BACKGROUND DATA:Esophageal perforation in cervical fracture is extremely rare. This complication has never been reported in AS patients. Key points in the early diagnosis and management of this severe complication along with the cervical fracture were presented in detail in this case report. METHODS:A 61-year-old male with AS, who sustained C6 fracture and dislocation after a vehicle accident. Initial treatment strategy was combined anterior-posterior fixation and fusion. Although esophageal perforation in the dorsal wall of esophagus was detected in anterior surgery. After thorough debridement, the esophageal lesion was closed by resorbable interrupted sutures. Surgical incision was washed by saline and hydrogen peroxide without primary closure. Cervical fracture was treated by long level posterior fixation alone. After surgery, the anterior surgical incision was irrigated with normal saline twice a day and closed 3 weeks later. RESULTS:Esophageal perforation was healed completely and neurologic results were improved significantly after surgery. Union of the fracture and segmental stability of cervical spine was confirmed radiologically at 1-year follow up. CONCLUSION:Esophageal perforation in cervical fracture patient with progressed AS is an extremely rare and potentially life-threatening complication. Surgical debridement and drainage with intensive care are essential for good outcome. LEVEL OF EVIDENCE:5.
journal_name
Spine (Phila Pa 1976)journal_title
Spineauthors
Wang J,Shi L,Chen H,Yuan Wdoi
10.1097/BRS.0000000000001885subject
Has Abstractpub_date
2016-11-15 00:00:00pages
E1364-E1367issue
22eissn
0362-2436issn
1528-1159pii
00007632-201611150-00017journal_volume
41pub_type
杂志文章,评审相关文献
SPINE文献大全abstract::It has been argued that a clarification of the mechanical causes of low-back pain requires a knowledge of the states of stress and strain throughout the lumbo-sacral spine. Since a purely experimental approach cannot provide this information, analytical model studies, to supplement measurements, are called for. In the...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-198403000-00003
更新日期:1984-03-01 00:00:00
abstract:STUDY DESIGN:Retrospective review of pediatric patients with vertebral and spinal cord tumors. OBJECTIVES:To identify clinical and radiographic features of diagnostic importance, and to evaluate the effectiveness of surgical treatment with respect to complications in pediatric patients with vertebral and spinal cord t...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/01.BRS.0000085323.71376.42
更新日期:2003-10-15 00:00:00
abstract:STUDY DESIGN:Prospective measurement of rhBMP-2 from drains in a cohort of patients undergoing posterolateral spinal fusion. OBJECTIVE:To quantify the amount of rhBMP-2 that extravasates into drains after posterolateral fusion using its current commercially available form, rhBMP-2 within an absorbable collagen sponge....
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e31817b6229
更新日期:2008-07-01 00:00:00
abstract:STUDY DESIGN:In this study, data are presented that provide the surgeon with additional information about the internal structure of the thoracic pedicle, which is especially useful for pedicle screw fixation in the thoracic spine. OBJECTIVES:To quantify the internal structure of the pedicle in the thoracic spine. SUM...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199602010-00002
更新日期:1996-02-01 00:00:00
abstract:STUDY DESIGN:Case report. OBJECTIVE:To report the occurrence of a rare complication following revision of a spinal cord stimulator. SUMMARY OF BACKGROUND DATA:Puncture of the dura with placement of an electrode within the spinal cord has not been reported as a complication of spinal cord stimulation. METHODS:A patie...
journal_title:Spine
pub_type: 杂志文章,评审
doi:10.1097/BRS.0b013e31814541dc
更新日期:2007-09-01 00:00:00
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
更新日期:1994-03-15 00:00:00
abstract:METHODS:A wire-holding frame developed for sublaminar segmental instrumentation (SSI) has been used at the authors' institution for 14 years. RESULTS:In addition to careful technique of sublaminar wire passage, the frame reduces the risk of potential neurologic injury after wire passage by keeping the wires taut again...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199405001-00020
更新日期:1994-05-15 00:00:00
abstract:STUDY DESIGN:System validation study. OBJECTIVE:To develop and validate a motion sensor system for measuring cervical spine motion over extended time periods. SUMMARY OF BACKGROUND DATA:Many studies using different methodologies have tried to estimate cervical spine motion. These have mostly been carried out in a lab...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e318145a93a
更新日期:2007-09-01 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:A case of cerebrospinal fistula secondary to a dural tear during anterior cervical discectomy and fusion. OBJECTIVES:To report a quite rare complication associated with anterior cervical discectomy and remind the spinal surgeons that this infrequent complication can easily become a very serious one. SUMM...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/01.brs.0000162399.93992.5c
更新日期:2005-05-15 00:00:00
abstract::We reported the only known case of recurrent extraforaminal lumbar disc herniation occurring at the same level but on the opposite side. In performing lumbar disc puncture for discography, when an extraforaminal bulge is seen on CT scan, we recommend puncture through the side opposite the bulge to prevent new herniati...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199108000-00027
更新日期:1991-08-01 00:00:00
abstract:STUDY DESIGN:Longitudinal analysis of prospectively collected data. OBJECTIVE:Investigate potential predictors of poor outcome following surgery for degenerative lumbar spinal stenosis (LSS). SUMMARY OF BACKGROUND DATA:LSS is the most common reason for an older person to undergo spinal surgery, yet little information...
journal_title:Spine
pub_type: 杂志文章,多中心研究
doi:10.1097/BRS.0000000000003587
更新日期:2020-11-01 00:00:00
abstract::Metastatic bone disease in 322 patients was analyzed to assess the frequency and behavior of disseminated carcinoma to the vertebral column. Breast, lung, and prostate neoplasms were the most frequent tumors of origin in the 55% of patients who had vertebral lesions. The lumbar spine was the site of the greatest numbe...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-198501000-00003
更新日期:1985-01-01 00:00:00
abstract::The purpose of this study was to describe trunk strength and lumbar paraspinal muscle activity across five angles of flexion during isometric exercise and rest in chronic low-back pain patients and control subjects. High muscle tension as measured by surface integrated electromyography is predicted by a muscle spasm m...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199302000-00012
更新日期:1993-02-01 00:00:00
abstract:STUDY DESIGN:Pre-/poststudy comparing surgical and nonsurgical treatment. OBJECTIVE:To identify whether orthopedic spinal surgery can effectively improve life satisfaction and self-esteem in patients with adolescent idiopathic scoliosis. SUMMARY OF BACKGROUND DATA:There have been many studies about the effect of spin...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e3181e0f034
更新日期:2011-04-20 00:00:00
abstract:STUDY DESIGN:A case report of a rare symptomatic, idiopathic, noncommunicating intradural arachnoid cyst (IAC) of the proximal part of the S1 nerve root (NR). OBJECTIVE:To discuss the possible pathophysiology, clinical and magnetic resonance imaging (MRI) presentation, intraoperative findings, and follow-up of IAC of ...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e3181fd679a
更新日期:2011-06-15 00:00:00
abstract:STUDY DESIGN:Intertransverse process spinal fusion using recombinant human bone morphogenetic protein-7 (rhBMP-7) was performed in intact and ovariectomized female rats. OBJECTIVES:To examine fusion rates in intact and ovariectomized female rats using rhBMP-7 to determine if spine fusion is dependent on estrogen statu...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/01.brs.0000172230.01655.55
更新日期:2005-08-01 00:00:00
abstract:STUDY DESIGN:Cross-sectional survey. OBJECTIVE:The aim of this study was to investigate the impact of COVID-19 pandemic on the clinical practices of spine surgeons within the Asia Pacific region. SUMMARY OF BACKGROUND DATA:COVID-19 pandemic had changed spine surgeons' clinical practices and their concerns toward pers...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0000000000003622
更新日期:2020-09-15 00:00:00
abstract::Radiographic instability seemingly enjoys the status of a well-defined clinical syndrome. The concept is widely used, and specific treatments, usually spinal fusion, are routinely performed based on the diagnosis. The minimum standards necessary to establish radiographic instability as a legitimate clinical syndrome h...
journal_title:Spine
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1097/00007632-199310000-00020
更新日期:1993-10-01 00:00:00
abstract::Prior irradiation and scarring can complicate wound closure following spinal surgery. Implanted tissue expanders were used six times in four patients to aid skin closure. Three patients had prior irradiation for cancer, and one had myelomeningocele. The average interval between placement and removal of the expanders w...
journal_title:Spine
pub_type: 杂志文章
doi:
更新日期:1991-08-01 00:00:00
abstract:STUDY DESIGN:Retrospective review of a prospective multicenter database evaluating surgical adult spinal deformity (ASD) patients. OBJECTIVE:This study aims to identify risk factors for medical complications in ASD patients undergoing surgery. SUMMARY OF BACKGROUND DATA:ASD surgery is known for its high complication ...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0000000000001636
更新日期:2016-11-15 00:00:00
abstract:OBJECTIVES:To assess the effects of acupuncture and dry-needling for the treatment of nonspecific low back pain. BACKGROUND:Low back pain is usually a self-limiting condition that tends to improve spontaneously over time. However, for many people, back pain becomes a chronic or recurrent problem for which a large vari...
journal_title:Spine
pub_type: 杂志文章,评审
doi:10.1097/01.brs.0000158941.21571.01
更新日期:2005-04-15 00:00:00
abstract:STUDY DESIGN:Systematic review. OBJECTIVE:To perform a systematic review, evaluating the best available evidence regarding the treatment of lumbar adjacent segment pathology (ASP) to facilitate clinical recommendations for treatment. SUMMARY OF BACKGROUND DATA:It is unclear how nonoperative treatment of lumbar clinic...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e31826d613d
更新日期:2012-10-15 00:00:00
abstract:STUDY DESIGN:Analysis of segmental and total lumbar range of motion (ROM) before and after total lumbar disc replacement. OBJECTIVE:To examine the relationship between absolute segmental and total lumbar ROM and evolution of ROM on clinical outcome. SUMMARY OF BACKGROUND DATA:At the moment, data are scarce with regar...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e31819b213c
更新日期:2009-04-20 00:00:00
abstract:STUDY DESIGN:Retrospective. OBJECTIVE:With approximately 10,000 new spinal cord injury (SCI) patients in the United States each year, predicting public health outcomes is an important public health concern. Combining all regions of the spine in SCI trials may be misleading if the lumbar and sacral regions (conus) have...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e3181fd6b36
更新日期:2011-01-01 00:00:00
abstract:STUDY DESIGN:A retrospective clinical study. OBJECTIVE:To evaluate the use of recombinant human bone morphogenetic protein-2 (rhBMP-2) as the primary graft material for the surgical treatment of vertebral osteomyelitis. SUMMARY OF BACKGROUND DATA:The clinical and radiographic results using allograft, autograft, and v...
journal_title:Spine
pub_type: 杂志文章,多中心研究
doi:10.1097/BRS.0b013e3181657ee3
更新日期:2008-03-01 00:00:00
abstract:STUDY DESIGN:Qualitative systematic review of the literature. OBJECTIVE:To determine whether surgical indications and techniques are influenced by the region of the cervical spine (occipitocervical, midcervical, and cervicothoracic junctions). SUMMARY OF BACKGROUND DATA:There are distinct differences in the anatomic ...
journal_title:Spine
pub_type: 杂志文章,评审
doi:10.1097/BRS.0b013e3181bae1d2
更新日期:2009-10-15 00:00:00
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 n...
journal_title:Spine
pub_type: 杂志文章,评审
doi:10.1097/BRS.0b013e318219cfe9
更新日期:2012-02-01 00:00:00
abstract:STUDY DESIGN:A retrospective study investigated the progression risk of juvenile scoliosis until skeletal maturity or spinal fusion. OBJECTIVES:To define risk factors of curve progression during pubertal growth and analyze the timing of arthrodesis. SUMMARY OF BACKGROUND DATA:Juvenile scoliosis is characterized by a ...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/01.brs.0000229230.68870.97
更新日期:2006-08-01 00:00:00
abstract:STUDY DESIGN:During vertebroplasty (VP), polymethylmethacrylate (PMMA) may leak into the posterior epidural venus plexus, provoking symptoms ranging from radicular pain to medullar compression. OBJECTIVES:To propose and test the feasibility of a procedure (cooling system) to prevent radicular irritation caused by fora...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-200307150-00027
更新日期:2003-07-15 00:00:00