Usefulness of titanium mesh cage for posterior C1-C2 fixation in patients with atlantoaxial instability.

Abstract:

:The aim of this study was to investigate the usefulness of titanium mesh cage as an interlaminar spacer combined with nitinol shape memory loop fixation in patients with atlantoaxial instability.From April 2009 to March 2017, among the patients with atlantoaxial instability, a total of 30 patients were treated by nitinol shape memory loop fixation combined with titanium mesh cage as a spacer. We retrospectively reviewed 30 enrolled patients. Successful fusion was determined as improvement of symptoms and radiologic findings of bone fusion. We also reviewed surgical complications, instrumentation failure, bony fusion rate, and posterior atlantodental interval (PADI).After surgery, the symptoms of all patients significantly improved. Successful fusion was documented throughout the follow-up period. Evidence of solid bridging bone was found, and no instability was seen on flexion-extension radiographs and callus formation on 3D cervical spine computed tomography (CT) 6 months postoperatively in all cases. No surgical complications were observed. No cases of instrumentation failure were observed. The mean PADI also improved significantly to 22.45 ± 1.11 mm 6 months postoperatively compared with the preoperative value of 18.37 ± 1.16 mm (P < .05).We obtained a good fusion rate by using titanium mesh cage spacer with nitinol shape memory alloy loop in patients with atlantoaxial instability. This technique can help surgeons in avoiding vertebral artery injury and reducing bleeding and operation time. Therefore, we suggest that titanium mesh cage spacer combined with nitinol shape memory alloy loop can be a good substitute of autograft for C1-C2 fusion in treating atlantoaxial instabilities.

journal_name

Medicine (Baltimore)

journal_title

Medicine

authors

Yang HS,Kim KW,Oh YM,Eun JP

doi

10.1097/MD.0000000000008022

subject

Has Abstract

pub_date

2017-09-01 00:00:00

pages

e8022

issue

36

eissn

0025-7974

issn

1536-5964

pii

00005792-201709080-00050

journal_volume

96

pub_type

杂志文章

相关文献

MEDICINE文献大全
  • Proximal complete occlusion of right coronary artery presenting with precordial ST-segment elevation: A case report.

    abstract:BACKGROUND:It is well known that cardiologists empirically judge the culprit lesion of acute ST-segment elevation myocardial infarction (STEMI) according to the corresponding electrocardiographic leads. However, In addition to the obstruction of left anterior descending (LAD) coronary artery, rare cases with the occlus...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000005113

    authors: Zheng J,Lin J,Shen N,Qu B

    更新日期:2016-10-01 00:00:00

  • Increased risk of eczema after joint replacement: A population-based retrospective cohort study.

    abstract::There are very few reports of eczema and other prosthetic-related allergic skin complications following arthroplasty. We aimed to assess the risk of eczema after joint replacement.We performed a retrospective population-based cohort study in 2024 joint replacement patients using the Longitudinal Health Insurance Datab...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000017914

    authors: Wu PY,Muo CH,Tsai CH

    更新日期:2019-11-01 00:00:00

  • Simultaneous renal clear cell carcinoma and primary clear cell carcinoma of the liver: A case report.

    abstract:RATIONALE:Double primary clear cell carcinomas of the liver (PCCCL) and kidney are extremely rare; moreover, there have been no reported cases of adrenal metastasis from primary clear cell tumors of the liver. PATIENT CONCERNS:A 47-year-old male patient was admitted to our clinic with space-occupying lesions in the le...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000023263

    authors: Jiang H,Zhao S,Li G

    更新日期:2020-11-20 00:00:00

  • Association of increased B7 protein expression by infiltrating immune cells with progression of gastric carcinogenesis.

    abstract::B7 negative costimulatory molecules are a group of molecules associated with the occurrence, development, and therapy of cancers. Here, we aimed to determine the clinical significance of PD-L1, B7-H3, and B7-H4 and their expression in CD8 and CD68 positive cells at different stages of gastric carcinogenesis.We detecte...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000014663

    authors: Guo L,Liu Z,Zhang Y,Quan Q,Huang L,Xu Y,Cao L,Zhang X

    更新日期:2019-02-01 00:00:00

  • Accuracy of intercellular adhesion molecule-1 for diagnosing sepsis: A systematic review and meta-analysis protocol.

    abstract:BACKGROUND:Sepsis is a complex and life-threatening systemic disease. A positive blood culture is the criterion standard of diagnosis for sepsis; however, it does not produce results for 24 to 72 hours. Besides, the clinical manifestations of sepsis are variable and nonspecific. Therefore, a new diagnostic biomarker fo...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000016019

    authors: Li XJ,Tan EL,Zhao CP,Yan J

    更新日期:2019-06-01 00:00:00

  • Serum gamma-glutamyl transferase is a predictor of mortality in patients with acute myocardial infarction.

    abstract::Gamma-glutamyl transferase (GGT) is involved in the pathogenesis of atherosclerosis and has been associated with adverse cardiovascular outcomes in patients with ischemic heart disease. However, the association between GGT and long-term mortality has not been studied in patients with acute myocardial infarction (AMI)....

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000011393

    authors: Kim JG,Chang K,Choo EH,Lee JM,Seung KB

    更新日期:2018-07-01 00:00:00

  • Percutaneous versus open pedicle screw instrumentation in treatment of thoracic and lumbar spine fractures: A systematic review and meta-analysis.

    abstract:BACKGROUND:To assess the safety and efficacy of percutaneous short-segment pedicle instrumentation compared with conventionally open short-segment pedicle instrumentation and provide recommendations for using these procedures to treat thoracolumbar fractures. METHODS:The Medline database, Cochrane database of Systemat...

    journal_title:Medicine

    pub_type: 杂志文章,meta分析,评审

    doi:10.1097/MD.0000000000012535

    authors: Tian F,Tu LY,Gu WF,Zhang EF,Wang ZB,Chu G,Ka H,Zhao J

    更新日期:2018-10-01 00:00:00

  • Intracranial solitary fibrous tumor mimicking meningioma: A case report.

    abstract:RATIONALE:Solitary fibrous tumor is a rare mesenchymal tumor. This case report describes the diagnosis and treatment of this tumor. PATIENT CONCERNS:A 31-year-old patient presented with epileptic seizure and headache 1 day prior to the visit and showed transient right limb hemiplegia for 6 hours that was resolved afte...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000023504

    authors: Cheng L,Ni H,Dai Y

    更新日期:2020-12-11 00:00:00

  • Selection of Postacute Stroke Rehabilitation Facilities: A Survey of Discharge Planners From the Northeast Cerebrovascular Consortium (NECC) Region.

    abstract::The process of determining the level of care and specific postacute care facility for stroke patients has not been adequately studied. The objective of this study was to better understand the factors that influence postacute care decisions by surveying stroke discharge planners. Requests were sent to discharge planner...

    journal_title:Medicine

    pub_type: 杂志文章,多中心研究

    doi:10.1097/MD.0000000000003206

    authors: Magdon-Ismail Z,Sicklick A,Hedeman R,Bettger JP,Stein J

    更新日期:2016-04-01 00:00:00

  • Prevalence of vitamin D deficiency and insufficiency among 460,537 children in 825 hospitals from 18 provinces in mainland China.

    abstract::This study was conducted to estimate the 25-hydroxyvitamin D (25 (OH)D) levels and explore factors related to vitamin D deficiency/insufficiency. This was a multicenter, hospital-based, cross-sectional observational study. Children admitted to hospitals for health examination were included for vitamin D measurement an...

    journal_title:Medicine

    pub_type: 杂志文章,多中心研究

    doi:10.1097/MD.0000000000022463

    authors: Yang C,Mao M,Ping L,Yu D

    更新日期:2020-10-30 00:00:00

  • A rare case of extraluminal gastrointestinal stromal tumor of the ileum presenting with lower urinary tract symptoms: A case report.

    abstract:INTRODUCTION:Benign prostatic hyperplasia, bladder outlet obstruction, and overactive bladder are major causes of lower urinary tract symptoms (LUTS). Tumor compression of the urinary bladder resulting in LUTS was clinically observed. Gastrointestinal stromal tumors (GISTs) presenting with LUTS have not been reported b...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000018103

    authors: Yu CH,Ting HK,Kao CC,Tsai WC,Wu ST,Yu DS

    更新日期:2019-12-01 00:00:00

  • Undifferentiated carcinoma with osteoclast-like giant cells of pancreas: A case report with review of the computed tomography findings.

    abstract:RATIONALE:Undifferentiated carcinoma with osteoclast-like giant cells (UC-OGCs) of the pancreas is an extremely rare and aggressive pancreatic malignancy. To our knowledge, the computed tomography (CT) findings of this disease have rarely been analyzed. PATIENT CONCERNS:A 65-year-old man who experienced weight loss of...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000013516

    authors: Guo YL,Ruan LT,Wang QP,Lian J

    更新日期:2018-11-01 00:00:00

  • Case report: The first case of Achromobacter xylosoxidans-related tunnel infection in a patient receiving peritoneal dialysis.

    abstract:RATIONALE:Achromobacter xylosoxidans infection is mostly reported in immunocompromised patients. Until now, it is still rarely reported in patients undergoing peritoneal dialysis. PATIENT CONCERNS:This is the 1st case of A xylosoxidans infection due to tunnel infection of a Tenckhoff catheter. DIAGNOSIS:The diagnosis...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000006654

    authors: Tsai JL,Tsai SF

    更新日期:2017-04-01 00:00:00

  • Optical coherence tomographic analysis of drug-eluting in-stent restenosis at different times: A STROBE compliant study.

    abstract::The imaging characteristics of drug-eluting in-stent restenosis (ISR) at different times varied; however, the mechanism had not yet been elucidated.To analyze the imaging characteristics of drug-eluting ISR at different time points by optical coherence tomography (OCT) and investigate the cause of the stent treatment ...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000012117

    authors: Feng C,Zhang P,Han B,Li X,Liu Y,Niu D,Shi Y

    更新日期:2018-08-01 00:00:00

  • Intraocular infiltration of Philadelphia chromosome-positive acute lymphoblastic leukemia diagnosed by polymerase chain reaction from the aqueous humor: A case report.

    abstract:RATIONALE:Intraocular manifestation of hematopoietic tumors is rare and often difficult to distinguish from inflammation. We report a patient with acute lymphoblastic leukemia (ALL) who developed intraocular infiltration during the remission period. PATIENT CONCERNS:A 40-year-old man presented with hypopyon in his rig...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000018872

    authors: Hiraoka M,Ohguro H,Ikeda H,Furuya D,Takahashi S

    更新日期:2020-01-01 00:00:00

  • Early Markers of Tubulointerstitial Fibrosis in Children With Idiopathic Nephrotic Syndrome: Preliminary Report.

    abstract:UNLABELLED:Tubulointerstitial fibrosis and tubular atrophy play a crucial role in the pathogenesis of chronic kidney disease (CKD). They are also major determinants in chronic kidney disease development and progression in patients with primary renal diseases characterized by persistent or recurrent proteinuria. The pur...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000001746

    authors: Bieniaś B,Zajączkowska M,Borzęcka H,Sikora P,Wieczorkiewicz-Płaza A,Wilczyńska B

    更新日期:2015-10-01 00:00:00

  • Necessity of harvesting at least 25 lymph nodes in patients with stage N2-N3 resectable gastric cancer: a 10-year, single-institution cohort study.

    abstract::A minimum of 15 lymph nodes (LNs) has been recommended as an adequate number for radical gastrectomy for gastric cancer (GC). This study aimed to investigate whether the harvesting of at least 25 LNs was a better criterion for stage N2-3 GC based on the 10-year experience of a high-volume hospital. A total of 1363 pat...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000000620

    authors: Chen HN,Chen XZ,Zhang WH,Chen XL,Yang K,Liu JP,Zhang B,Chen ZX,Chen JP,Zhou ZG,Hu JK

    更新日期:2015-03-01 00:00:00

  • Impact of a systematic evaluation of connective tissue disease on diagnosis approach in patients with interstitial lung diseases.

    abstract::To date, there is no clear agreement regarding which is the best method to detect a connective tissue disease (CTD) during the initial diagnosis of interstitial lung diseases (ILD). The aim of our study was to explore the impact of a systematic diagnostic strategy to detect CTD-associated ILD (CTD-ILD) in clinical pra...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000018589

    authors: Hernandez-Gonzalez F,Prieto-González S,Brito-Zeron P,Cuerpo S,Sanchez M,Ramirez J,Agustí C,Lucena CM,Paradela M,Grafia I,Espinosa G,Sellares J

    更新日期:2020-01-01 00:00:00

  • Docetaxel, oxaliplatin, 5FU, and trastuzumab as first-line therapy in patients with human epidermal receptor 2-positive advanced gastric or gastroesophageal junction cancer: Preliminary results of a phase II study.

    abstract::The aim of this study is to report first preliminary results of patients enrolled in a phase II study that will investigate the activity and safety of docetaxel, oxaliplatin, and 5-fluorouracil (DOF) in combination with trastuzumab in human epidermal receptor-2 (HER-2) positive patients with advanced gastric or gastro...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000010745

    authors: Roviello G,Petrioli R,Nardone V,Rosellini P,Multari AG,Conca R,Aieta M

    更新日期:2018-05-01 00:00:00

  • Obesity and metabolic syndrome in children in Brazil: The challenge of lifestyle change.

    abstract::The purpose of this observational study was to examine the prevalence of obesity in children of 6 to 8 years of age from primary public schools over a period of 6 years and the associated environmental and metabolic health risk factors.This was a cohort observational study to investigate the prevalence of obesity in c...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000015666

    authors: Sentalin PBR,Pinheiro AO,Oliveira RR,Zângaro RA,Campos LA,Baltatu OC

    更新日期:2019-05-01 00:00:00

  • Impact of early life adversity on EMG stress reactivity of the trapezius muscle.

    abstract::Human and animal research indicates that exposure to early life adversity increases stress sensitivity later in life. While behavioral markers of adversity-induced stress sensitivity have been suggested, physiological markers remain to be elucidated. It is known that trapezius muscle activity increases during stressfu...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000004745

    authors: Luijcks R,Vossen CJ,Roggeveen S,van Os J,Hermens HJ,Lousberg R

    更新日期:2016-09-01 00:00:00

  • The changing modes of human immunodeficiency virus transmission and spatial variations among women in a minority prefecture in southwest China: An exploratory study.

    abstract::Liangshan Yi Autonomous Prefecture in Southwest China has a high human immunodeficiency virus (HIV) prevalence rate. This study examined the changing modes of HIV transmission among women with new HIV infections and explored the spatial heterogeneities in the factors associated with heterosexual transmission in this m...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000018776

    authors: Xiao C,Jike C,Liu D,Jia P,Xu X,Xiao L,Yu G,Nan L,Sun X,Ge J,Wang J,Wang K,Liao Q,Wang Q,Wenwen Z,Yang S

    更新日期:2020-02-01 00:00:00

  • Do genetic polymorphisms modulate response rate and toxicity of Cisplatin associated with radiotherapy in laryngeal squamous cell carcinoma?: a case report.

    abstract:UNLABELLED:Cisplatin (CDDP) plus radiotherapy (RT) has been used to treat advanced laryngeal squamous cell carcinoma (LSCC) patients. Single nucleotide polymorphisms (SNPs) may be responsible for differences in chemo/radiosensitivity and side effects in those patients. We reported an advanced LSCC patient, who obtained...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000000578

    authors: Lopes-Aguiar L,Visacri MB,Nourani CML,Costa EFD,Nogueira GAS,Lima TRP,Pincinato EC,Moriel P,Altemani JMC,Lima CSP

    更新日期:2015-04-01 00:00:00

  • Use of siphon irrigation during burr-hole craniostomy to evacuate chronic subdural hematoma: A retrospective cohort comparison study.

    abstract::Burr-hole craniostomy (BHC) is a widely accepted treatment for chronic subdural hematomas (CSDHs). This study adopted siphon irrigation to evacuate CSDHs and investigated its efficacy and safety as compared with the traditional irrigation used in BHC.A retrospective cohort study was conducted at a center between Janua...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000020291

    authors: Chen S,Chen Z,Yang B,Xu T,Tu XK

    更新日期:2020-05-22 00:00:00

  • Sonography-guided trigger point injections in abdominal myofascial pain syndrome.

    abstract::Even though chronic abdominal pain is 1 of the most common reasons for hospital visits, diagnostic testing is often time-consuming and treatment is inadequate. Abdominal myofascial pain syndrome (AMPS) is usually not included as a differential diagnosis, but it should be considered in cases of chronic abdominal pain. ...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000023408

    authors: Rhim HC,Cha JH,Cha J,Kim DH

    更新日期:2020-12-04 00:00:00

  • Is surgery indicated for elderly patients with early stage nonsmall cell lung cancer, in the era of stereotactic body radiotherapy?

    abstract:BACKGROUND:The aim of this article is to assess the influence of comorbidities among elderly patients (at least 70 year old) undergoing surgery for early stage nonsmall cell lung cancer (NSCLC) and to explore the tolerability and efficacy of surgery in relation to stereotactic body radiotherapy (SBRT) in this patient p...

    journal_title:Medicine

    pub_type: 杂志文章,meta分析,评审

    doi:10.1097/MD.0000000000005212

    authors: Nguyen NP,Godinez J,Shen W,Vinh-Hung V,Gorobets H,Thariat J,Ampil F,Vock J,Karlsson U,Chi A,International Geriatric Radiotherapy Group.

    更新日期:2016-10-01 00:00:00

  • Serum Sclerostin as an Independent Marker of Peripheral Arterial Stiffness in Renal Transplantation Recipients: A Cross-Sectional Study.

    abstract::Wnt/β-catenin signaling pathway is thought to be implicated in the development of arterial stiffness and vascular calcification. As a Wnt signaling pathway inhibitor, it is interesting to investigate whether sclerostin or dickkopf-1 (DKK1) level is correlated with arterial stiffness in renal transplant (RT) recipients...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000003300

    authors: Hsu BG,Liou HH,Lee CJ,Chen YC,Ho GJ,Lee MC

    更新日期:2016-04-01 00:00:00

  • The relationship between hyperglycemia and the infection of COVID-19 in diabetic patients: A protocol for systematic review and meta-analysis.

    abstract:BACKGROUND:DM is a common chronic metabolic disease. COVID-19 is an infectious disease infected by enveloped single-stranded RNA coronavirus. Meanwhile, DM is a common comorbidity of SARS-CoV-2 infection. The virus can directly or indirectly damage the pancreatic islets and cause stress hyperglycemia by causing cytokin...

    journal_title:Medicine

    pub_type: 杂志文章,meta分析

    doi:10.1097/MD.0000000000021806

    authors: Liu Y,Yang Y,Chen Y,Zhou L,Xiong Q,Xie C

    更新日期:2020-09-04 00:00:00

  • Diagnostic Performance of Diffusion-weighted Magnetic Resonance Imaging in Bone Malignancy: Evidence From a Meta-Analysis.

    abstract::Current state-of-the-art nuclear medicine imaging methods (such as PET/CT or bone scintigraphy) may have insufficient sensitivity for predicting bone tumor, and substantial exposure to ionizing radiation is associated with the risk of secondary cancer development. Diffusion-weighted MRI (DW-MRI) is radiation free and ...

    journal_title:Medicine

    pub_type: 杂志文章,meta分析,评审

    doi:10.1097/MD.0000000000001998

    authors: Liu LP,Cui LB,Zhang XX,Cao J,Chang N,Tang X,Qi S,Zhang XL,Yin H,Zhang J

    更新日期:2015-11-01 00:00:00

  • Increased IgM-containing circulating immune complexes in patients co-infected with hepatitis C and hepatitis B.

    abstract::To assess the role of circulating immune complexes (CIC) in chronic hepatitis C virus (HCV) infection, the relative frequency of CIC was determined in 60 patients with chronic hepatitis C alone, 19 patients co-infected with hepatitis B and C, 15 asymptomatic HCV carriers, and 54 healthy controls. Levels of CIC were de...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/00005792-199505000-00003

    authors: Tsai JF,Jeng JE,Chang WY,Ho MS,Lin ZY,Tsai JH

    更新日期:1995-05-01 00:00:00