Abstract:
:There are many satisfactory long-term outcomes after posterolateral fusion (PLF) for degenerative lumbar spondylolisthesis (DLS); nonunion cases have also achieved good clinical outcomes. Facet fusion (FF), a minimally invasive evolution of PLF, also resulted in good clinical outcomes. We aimed to assess the course of nonunion cases after FF and determine whether the nonunion cases achieved good clinical outcomes. We retrospectively reviewed the records of 136 patients who underwent FF for DLS. Range of motion (ROM) at the fused level was measured using a flexion-extension lateral radiograph preoperatively and 1 year postoperatively. Patients were classified into the Fusion or Unconfirmed Fusion group by computed tomography (CT) 1 year postoperatively. Furthermore, patients in the Unconfirmed Fusion group were classified into the Delayed Union or Nonunion group depending on the confirmation status of FF upon the following CT. The average preoperative ROM and clinical outcomes were compared between the three groups. The Fusion, Delayed Union, and Nonunion groups had 109, 14, and 13 patients, respectively. In the Nonunion group, the average ROM significantly decreased from 13.0° preoperatively to 4.9° postoperatively. There was a significant difference in the average preoperative ROM between the groups. The larger the preoperative ROM, the fewer facets fused. There was no significant difference in clinical outcomes between the groups. Five patients (3.7%) required revision surgery for adjacent segment disease 1-5.5 years after FF. Even nonunion cases after FF achieved good clinical outcomes, likely because the unstable spondylolisthesis was stabilized. FF did not require revision surgery for nonunion itself.
journal_name
Neurosurg Revjournal_title
Neurosurgical reviewauthors
Miyashita T,Ataka H,Kato K,Takaoka H,Tanno Tdoi
10.1007/s10143-021-01479-4subject
Has Abstractpub_date
2021-01-20 00:00:00eissn
0344-5607issn
1437-2320pii
10.1007/s10143-021-01479-4pub_type
杂志文章abstract::In spite of recent advancements in the management of ruptured aneurysm, there are still controversies as to how to threat the patients in serious conditions, one of these concerning whether to operate patients admitted with symptomatic vasospasm (vasospasm on admission) and when. While early surgery may protect patien...
journal_title:Neurosurgical review
pub_type: 杂志文章
doi:10.1007/BF00417662
更新日期:1995-01-01 00:00:00
abstract::In a study the results recorded in 34 surgically treated patients with specific or unspecific spondylodiscitis after dorsoventral one-stage instrumentation with CDI and anterior grafting (group 1) were compared with those obtained in a group of 38 patients treated with anterior CDH instrumentation in combination with ...
journal_title:Neurosurgical review
pub_type: 杂志文章
doi:10.1007/BF01105775
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abstract::The introduction of computed tomography (CT) and magnetic resonance (MR) imaging has resulted in the detection of increasing numbers of asymptomatic intraventricular tumors. Establishing the correct preoperative diagnosis is important to prevent unnecessary surgical intervention. Our study includes nine cases of benig...
journal_title:Neurosurgical review
pub_type: 杂志文章
doi:10.1007/s10143-004-0353-6
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abstract::Proximally located posterior communicating artery (PCoA) aneurysms, projecting postero-laterally in proximity to the tentorium, may pose a technical challenge for microsurgical clipping due to obscuration of the proximal aneurysmal neck by the anterior petroclinoid fold. We describe an efficacious technique utilizing ...
journal_title:Neurosurgical review
pub_type: 杂志文章
doi:10.1007/s10143-014-0554-6
更新日期:2014-10-01 00:00:00
abstract::Overcoming the metabolic restrictions of hypoxia may allow the progression of lower-grade tumors to glioblastoma multiforme. Our findings of up-regulation of HIF-1alpha and its downstream targets VEGF, GLUT-1, and CAIX in higher-grade gliomas support this hypothesis. We compared the gene expression profiles of the U-2...
journal_title:Neurosurgical review
pub_type: 杂志文章
doi:10.1007/s10143-007-0070-z
更新日期:2007-07-01 00:00:00
abstract::Skull base chordomas represent very interesting neoplasms, due to their rarity, biological behavior, and resistance to treatment. Their management is very challenging. Recently, the use of a natural corridor, through the nose and the sphenoid sinus, improved morbidity and mortality allowing also for excellent removal ...
journal_title:Neurosurgical review
pub_type: 临床试验,杂志文章
doi:10.1007/s10143-013-0503-9
更新日期:2014-04-01 00:00:00
abstract::Excision of a circumscribed spongioblastoma with intrapontine-intramesencephalic extension was performed via the floor of the fourth ventricle in two girls 14 and 5 years of age. The preoperative neurological deficits (severe hemiparesis, cerebellar, and sixth and seventh cranial nerve disturbances) showed slow but co...
journal_title:Neurosurgical review
pub_type: 杂志文章
doi:10.1007/BF01743035
更新日期:1983-01-01 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::A large variety of vertebral tumours undergoes transarterial embolisation (TAE) prior to surgery. However, the subsequent intra-operative blood loss is unpredictable. This retrospective analysis, aims to determine the impact of various factors that may potentially influence the estimated intra-operative blood loss (EB...
journal_title:Neurosurgical review
pub_type: 杂志文章
doi:10.1007/s10143-018-1003-8
更新日期:2019-12-01 00:00:00
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journal_title:Neurosurgical review
pub_type: 杂志文章
doi:10.1007/BF00309989
更新日期:1994-01-01 00:00:00
abstract::Cerebral vasospasm is delayed narrowing of the large arteries of the circle of Willis occurring 4 to 14 days after aneurysmal subarachnoid hemorrhage (SAH). It is but one cause of delayed deterioration after SAH but, in general, is the most important potentially treatable cause of morbidity and mortality after SAH. De...
journal_title:Neurosurgical review
pub_type: 杂志文章,评审
doi:10.1007/s10143-005-0013-5
更新日期:2006-07-01 00:00:00
abstract::Craniotomy surgical site infections are an inherent risk and dreaded complication for the elective brain tumor patient. Sequelae can include delays in resumption in adjuvant treatments for multiple surgeries if staged cranioplasty is pursued. Here, the authors review their experience in operative debridement of surgic...
journal_title:Neurosurgical review
pub_type: 杂志文章
doi:10.1007/s10143-018-0955-z
更新日期:2018-10-01 00:00:00
abstract::The number of patients undergoing surgical treatment for pharmacoresistant temporal lobe epilepsy is rapidly increasing. While there have been many clinicopathological studies concerning the medial structures of the temporal lobe in temporal lobe epilepsy, its lateral structures have received little attention. To exam...
journal_title:Neurosurgical review
pub_type: 杂志文章
doi:10.1007/pl00021698
更新日期:2000-06-01 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::The endoscopic transsphenoidal approach has been reported in the literature as a useful tool to treat sellar and parasellar lesions. The endoscope permits a panoramic view instead of the narrow microscopic view, and it allows the inspection and removal of the lesions of sellar, parasellar, and suprasellar compartments...
journal_title:Neurosurgical review
pub_type: 杂志文章
doi:10.1007/s10143-009-0201-9
更新日期:2009-07-01 00:00:00
abstract::Structural and functional neuroimaging studies are essential in the evaluation of individuals with partial epilepsy syndromes. Magnetic resonance imaging (MRI) is important to delineate structural abnormalities underlying seizure disorders, commonly including hippocampal sclerosis or cortical dysplasias. Identificatio...
journal_title:Neurosurgical review
pub_type: 杂志文章,评审
doi:10.1007/s10143-003-0293-6
更新日期:2003-10-01 00:00:00
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journal_title:Neurosurgical review
pub_type: 杂志文章,评审
doi:10.1007/s10143-018-01074-0
更新日期:2019-06-01 00:00:00
abstract::The aim of this study was to determine the efficacy and safety of intrathecal baclofen therapy delivered by a programmable pump for the chronic treatment of spinal spasticity. Twelve patients with intractable spasticity caused by spinal cord injuries underwent implantation of a programmable continuous infusion pump af...
journal_title:Neurosurgical review
pub_type: 杂志文章
doi:10.1007/s10143-002-0221-1
更新日期:2002-08-01 00:00:00
abstract::Multimodally evoked potentials were registered in 85 patients who fulfilled the criteria for brain death. While somatosensory and visual evoked potentials have been found to be of limited value for the diagnosis of brain death, the stepwise abolition of brain stem auditory evoked potentials (BAEP) confirmed brain deat...
journal_title:Neurosurgical review
pub_type: 杂志文章
doi:10.1007/BF00257800
更新日期:1992-01-01 00:00:00
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journal_title:Neurosurgical review
pub_type: 杂志文章,meta分析,评审
doi:10.1007/s10143-010-0303-4
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journal_title:Neurosurgical review
pub_type: 杂志文章
doi:10.1007/BF00383875
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journal_title:Neurosurgical review
pub_type: 杂志文章,meta分析,评审
doi:10.1007/s10143-012-0435-9
更新日期:2013-04-01 00:00:00
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journal_title:Neurosurgical review
pub_type: 杂志文章
doi:10.1007/BF01790685
更新日期:1989-01-01 00:00:00
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journal_title:Neurosurgical review
pub_type: 杂志文章
doi:10.1007/s10143-018-0956-y
更新日期:2019-03-01 00:00:00
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journal_title:Neurosurgical review
pub_type: 杂志文章
doi:10.1007/s10143-008-0147-3
更新日期:2008-10-01 00:00:00
abstract::The patterns of regional cerebral blood flow (rCBF) in patients with dementia caused by Alzheimer's disease is compared with that of patients with dementia caused by multiple cerebral infarctions. A total of 47 patients were examined with 133Xenon SPECT. The results show that the global CBF correlates with the severit...
journal_title:Neurosurgical review
pub_type: 杂志文章
doi:10.1007/BF01741445
更新日期:1987-01-01 00:00:00
abstract::The objective of this systematic review is to create an overview of the literature on the comparison of navigated transcranial magnetic stimulation (nTMS) as a mapping tool to the current gold standard, which is (intraoperative) direct cortical stimulation (DCS) mapping. A search in the databases of PubMed, EMBASE, an...
journal_title:Neurosurgical review
pub_type: 杂志文章,评审
doi:10.1007/s10143-020-01397-x
更新日期:2020-10-03 00:00:00
abstract::The objective of this study was to ascertain if stereotactic neurosurgical biopsy (SNB) optimizes the therapy of undefined CNS masses. The design was of retrospective treatment and outcome analysis and the setting was a large general hospital. We studied a total of 141 patients with undefined, space-occupying CNS lesi...
journal_title:Neurosurgical review
pub_type: 杂志文章
doi:10.1007/s101430050043
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journal_title:Neurosurgical review
pub_type: 杂志文章
doi:10.1007/s10143-007-0084-6
更新日期:2007-07-01 00:00:00
abstract::CSF hydrocele as a complication of migration or extrusion of the peritoneal end of the V-P shunt has rarely been reported. Here the case of a 6 month old infant, born at 28 weeks gestational age, is reported. The baby was noted to have scrotal swelling, exacerbated by crying, two months after insertion of ventriculope...
journal_title:Neurosurgical review
pub_type: 杂志文章
doi:10.1007/BF00313040
更新日期:1991-01-01 00:00:00