Abstract:
METHODS:Eleven patients with paralysis, secondary to rheumatoid arthritis of the cervical spine were analyzed postmortem. Neurologic classification (Ranawat) included one Class 2, four Class IIIA, and six Class IIIB. Rheumatologic changes included atlantoaxial subluxation, basilar invagination, and subaxial subluxation. During autopsy the entire cervical spine was removed, including the occiput and foramen magnum. The spinal cord and medulla oblongata were removed en toto and examined histologically by a neuropathologist. RESULTS:Nine of the eleven cases revealed abnormal histology of the spinal cord, and in two patients, the spinal cords were normal. Three histologic types of spinal cord compression were identified. In Type 1 (four cases) severe chronic mechanical compression revealed marked mechanical distortion, flattening, and destruction of the cord with secondary Wallerian degeneration of the ascending and descending tracts without anoxicischemic neuron changes. In Type 2 (three cases), there was vascular compression showing ischemic damage to the cord with necrosis of the lateral columns in the ischemic watershed regions supplied by anterior and posterior spinal arteries. In Type 3 (two cases), there was mild mechanical compression showing focal gliosis at the site of compression without ascending or descending tract injury. Two of the eleven cases had thrombosis of the vertebral arteries. Of the eleven cases analyzed, two had normal spinal cords. CONCLUSION:This autopsy analysis of rheumatoid cervical spine suggests that paralysis can be due to both mechanical neural compression and/or vascular impairment.
journal_name
Spine (Phila Pa 1976)journal_title
Spineauthors
Delamarter RB,Bohlman HHdoi
10.1097/00007632-199410150-00004subject
Has Abstractpub_date
1994-10-15 00:00:00pages
2267-74issue
20eissn
0362-2436issn
1528-1159journal_volume
19pub_type
杂志文章相关文献
SPINE文献大全abstract:STUDY DESIGN:A prospective double-blind randomized trial in 31 patients. OBJECTIVES:To assess the clinical efficacy of percutaneous radiofrequency denervation of the lumbar zygapophysial joints in reducing pain, functional disability, and physical impairment in patients with back pain originating from the lumbar zygap...
journal_title:Spine
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1097/00007632-199909150-00013
更新日期:1999-09-15 00:00:00
abstract:STUDY DESIGN:Preoperative somatosensory-evoked potentials (SEPs) were retrospectively analyzed and classified, and compared with surgical outcome. OBJECTIVE:To evaluate the value of the preoperative SEP waveform in predicting the clinical outcome after surgical management of cervical spondylotic myelopathy (CSM). SUM...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e31816f6c8e
更新日期:2008-05-01 00:00:00
abstract:STUDY DESIGN:Retrospective analysis of a population-based database. OBJECTIVE:To investigate national epidemiological trends of cervical spine surgical procedures from 2002-2009. SUMMARY OF BACKGROUND DATA:Anterior cervical fusion (ACF), posterior cervical fusion (PCF), and posterior cervical decompression (PCD) are ...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e31828be75d
更新日期:2013-06-15 00:00:00
abstract::Almost 20% of joint replacement implants fail at 15 to 20 years. Reports suggest that systemic effects of metal-on-metal implants and local effects of total joint arthroplasty implants contributing to implant failure are immune system based. Sometimes implant wear debris can cause implant failure resulting from bone f...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0000000000001436
更新日期:2016-04-01 00:00:00
abstract:STUDY DESIGN:Scoliosis patients were prospectively x-rayed in three positions with independent analysis. OBJECTIVES:To determine if one positioning technique provides superior visualization of critical landmarks (C7, T2, T12, L5-S1) and to determine any position dependent variations in regional measures or sagittal ba...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/01.brs.0000153698.94091.f8
更新日期:2005-02-15 00:00:00
abstract:STUDY DESIGN:Postal questionnaire to individuals with back pain. OBJECTIVE:To assess the acceptability, validity, and reliability of two existing back pain outcome measures, the Roland-Morris Questionnaire and the Von Korff scales, modified to measure the preceding 4 weeks. SUMMARY OF BACKGROUND DATA:The ideal outcom...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199906010-00010
更新日期:1999-06-01 00:00:00
abstract::The first 50 consecutive patients stabilized with Cotrel-Dubousset rods for lumbar or lumbosacral fusions were followed for an average of 2 years. The occurrence of fusion, maintenance of alignment, and rate of hardware complications were examined. There were 28 men and 22 women, ages 18-87 years, and 133 vertebral le...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199402001-00008
更新日期:1994-02-15 00:00:00
abstract::This article is a preliminary report of a 10-year investigation of the development of an intervertebral disc prosthesis. Spinal fusion is a method for the treatment of chronic, disabling low-back pain that does not respond to nonoperative treatments. Spinal fusion, however, has various adverse effects, and the results...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199106001-00015
更新日期:1991-06-01 00:00:00
abstract:SUMMARY OF BACKGROUND DATA:A 74-year-old man suffered an extensive right hemispheric infarct 72 hours after undergoing anterior corpectomies of the C4 and C5 vertebrae for cervical myelopathy resulting from ossification of the posterior longitudinal ligament. RESULTS:Angiography revealed proximal right internal caroti...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199410000-00020
更新日期:1994-10-01 00:00:00
abstract::Camptocormia is a rare low-back disorder involving an abnormal posture of extreme forward flexion. Most reports of camptocormia were of male military recruits during World Wars I and II. The differential diagnosis of the postural deformity, the psychologic formulation of camptocormia as a conversion disorder, and the ...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-198505000-00006
更新日期:1985-05-01 00:00:00
abstract:STUDY DESIGN:Cadaveric dissections were used to study muscle morphometry. OBJECTIVE:To describe systematically the musculotendinous lengths, fascicle lengths, pennation angles, and physiologic cross-sectional areas of neck and shoulder muscles implicated in head movement. SUMMARY OF BACKGROUND DATA:In previous studie...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199806150-00005
更新日期:1998-06-15 00:00:00
abstract:STUDY DESIGN:A literature review and the authors' clinical experience for the indication of fusion in the degenerative lumbar and cervical spine is provided. OBJECTIVE:To establish absolute and relative criteria for the indication for fusion in the degenerative cervical and lumbar spine. SUMMARY OF BACKGROUND DATA:Fu...
journal_title:Spine
pub_type: 杂志文章,评审
doi:10.1097/01.brs.0000174509.31291.26
更新日期:2005-08-15 00:00:00
abstract:STUDY DESIGN:Retrospective cohort study. OBJECTIVE:Compare a novel two-step algorithm for indicating a computed tomography angiography (CTA) in the setting of a cervical spine fracture with established gold standard criteria. SUMMARY OF BACKGROUND DATA:As CTA permits the rapid detection of blunt cerebrovascular injur...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0000000000003163
更新日期:2019-12-01 00:00:00
abstract::Ten subjects were given lumbar traction for each of three time periods. Traction forces of one third of body weight were used. Stature was measured before and after traction and before and after three control periods of crook lying (lying supine with the knees flexed at 90 degrees and the feet resting on the traction ...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199006000-00017
更新日期:1990-06-01 00:00:00
abstract::METHODS. Percutaneous discectomy was successfully used to diagnose and treat bacterial discitis. CONCLUSIONS. This technique was successful in obtaining a bacteriologic diagnosis, relieving the patient's symptoms and assisting in the eradication of the infection. With percutaneous discectomy, there is lower morbidity ...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199404000-00025
更新日期:1994-04-01 00:00:00
abstract:STUDY DESIGN:A prospective study on 24 patients with spinal osteoid osteoma treated with radiofrequency ablation (RFA). OBJECTIVE:To determine if and when computed tomography (CT)-guided RFA is a safe and effective treatment for spinal osteoid osteomas. SUMMARY OF BACKGROUND DATA:Surgery has been considered the stand...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e3181995d39
更新日期:2009-04-20 00:00:00
abstract:STUDY DESIGN:A prospective minimum 5-year follow-up study of the cervical spine in patients with rheumatoid arthritis (RA) initially without cervical involvement. OBJECTIVE:To clarify the incidence and aggravation of cervical spine instabilities and their predictive risk factors in patients with RA. SUMMARY OF BACKGR...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e31826def1c
更新日期:2012-12-15 00:00:00
abstract:STUDY DESIGN:Retrospective cohort comparative study. OBJECTIVE:To determine the prevalence of major complications, identify risk factors, and assess long-term clinical benefit after revision adult spinal deformity surgery. SUMMARY OF BACKGROUND DATA:No study has analyzed risk factors for major complications in long r...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e3182217ab5
更新日期:2012-03-15 00:00:00
abstract:STUDY DESIGN:Single institution, single surgeon retrospective review. OBJECTIVE:To investigate if the use of titanium mesh cage on the site of infection could be beneficial for successful outcome of the operative treatment for pyogenic spondylitis. SUMMARY OF BACKGROUND DATA:There is a controversy concerning the opti...
journal_title:Spine
pub_type: 杂志文章,评审
doi:10.1097/BRS.0b013e318187875e
更新日期:2008-10-01 00:00:00
abstract:STUDY DESIGN:Thirty-nine adults and five children with active spinal tuberculosis and resulting kyphosis of the dorsal and lumbar spine who had combined posterior instrumentation and anterior interbody fusion were observed to determine whether the corrected spinal deformity could be maintained until solid fusion. OBJE...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199509000-00013
更新日期:1995-09-01 00:00:00
abstract:STUDY DESIGN:Single-center retrospective case series. OBJECTIVE:To compare outcomes of instrumented fusion and two methods of decompression for degenerative spondylolisthesis. SUMMARY OF BACKGROUND DATA:There is no consensus on the surgical indications or optimum techniques for lumbar degenerative spondylolisthesis. ...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0000000000001688
更新日期:2017-01-01 00:00:00
abstract:STUDY DESIGN:Independent evaluation by two observers of 132 lumbar discs in 45 patients with chronic low back pain investigated by both magnetic resonance imaging and discography. OBJECTIVES:To assess some of the fundamental differences between lumbar disc protrusions, disc bulges, and discs with normal contour but ab...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199901010-00011
更新日期:1999-01-01 00:00:00
abstract:STUDY DESIGN:Retrospective review of a multicenter, prospective adult spinal deformity (ASD) database. OBJECTIVE:We hypothesized that increased age and increased preoperative disability would negatively impact both the length of time needed to achieve maximal recovery and the amount of functional improvement achieved....
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0000000000001062
更新日期:2015-10-01 00:00:00
abstract:STUDY DESIGN:A pragmatic cluster randomized controlled trial in primary care. OBJECTIVE:The aim of this study was to estimate the clinical effectiveness and cost-effectiveness of a cognitive-based education program on patients with subacute or chronic low back pain (LBP) in primary care, compared to usual treatment, p...
journal_title:Spine
pub_type: 杂志文章,随机对照试验
doi:10.1097/BRS.0000000000001268
更新日期:2016-03-01 00:00:00
abstract:STUDY DESIGN:Pragmatic randomized clinical trial. OBJECTIVE:This study investigated differences in the clinical outcomes of public physiotherapy (public PT) versus private physiotherapy (private PT) for general practitioner-referred patients with acute and chronic low back pain (LBP). SUMMARY OF BACKGROUND DATA:Healt...
journal_title:Spine
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1097/BRS.0b013e3182127457
更新日期:2012-01-15 00:00:00
abstract:STUDY DESIGN:Retrospective review-multicenter database. OBJECTIVE:The purpose of this study was to compare the upper thoracic (UT) and lower thoracic (LT) upper instrumented vertebrae (UIV) in long fusions to the sacrum for adult scoliosis. SUMMARY OF BACKGROUND DATA:The optimal UIV for stopping long fusions to the s...
journal_title:Spine
pub_type: 杂志文章,多中心研究
doi:10.1097/BRS.0000000000000339
更新日期:2014-06-01 00:00:00
abstract:STUDY DESIGN:Prospective analysis of resource utilization (RU) after lumbar surgery. OBJECTIVE:To determine contributions of patient psychosocial variables to RU, specifically length of stay (LOS) and discharge destination. SUMMARY OF BACKGROUND DATA:Associations between demographic/clinical variables and RU are well...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0000000000002312
更新日期:2018-02-15 00:00:00
abstract:STUDY DESIGN:The location of pedicle screws in relation to adjacent superior segment facet joints in 106 patients after lumbar spinal fusion was assessed using computed tomography and plain radiographs. OBJECTIVES:To document the incidence of adjacent superior segment facet joint violation following transpedicular ins...
journal_title:Spine
pub_type: 临床试验,杂志文章
doi:10.1097/01.BRS.0000042361.93572.74
更新日期:2003-02-01 00:00:00
abstract:STUDY DESIGN:A three-dimensional, nonlinear finite element analysis was performed to predict the in situ contact interaction of prosthesis components of the Prodisc-L in a multisegmental lumbar model following total disc replacement (TDR). OBJECTIVE:Efforts were made to investigate how the TDR implant contact characte...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e3181ae23d1
更新日期:2009-09-15 00:00:00
abstract:STUDY DESIGN:A new magnetic resonance image analysis method is proposed which is based on the definition of the borders of the vertebral bodies adjacent to the intervertebral disc and their varying relationships. The reproducibility of this method (the so-called "centroid" method) was assessed by consecutive measuremen...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199603010-00006
更新日期:1996-03-01 00:00:00