Postmortem osseous and neuropathologic analysis of the rheumatoid cervical spine.

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

Spine

authors

Delamarter RB,Bohlman HH

doi

10.1097/00007632-199410150-00004

subject

Has Abstract

pub_date

1994-10-15 00:00:00

pages

2267-74

issue

20

eissn

0362-2436

issn

1528-1159

journal_volume

19

pub_type

杂志文章

相关文献

SPINE文献大全
  • Randomized trial of radiofrequency lumbar facet denervation for chronic low back pain.

    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

    authors: van Kleef M,Barendse GA,Kessels A,Voets HM,Weber WE,de Lange S

    更新日期:1999-09-15 00:00:00

  • Prognostic value of somatosensory-evoked potentials in the surgical management of cervical spondylotic myelopathy.

    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

    authors: Hu Y,Ding Y,Ruan D,Wong YW,Cheung KM,Luk KD

    更新日期:2008-05-01 00:00:00

  • Epidemiological trends in cervical spine surgery for degenerative diseases between 2002 and 2009.

    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

    authors: Oglesby M,Fineberg SJ,Patel AA,Pelton MA,Singh K

    更新日期:2013-06-15 00:00:00

  • Biologic Responses to Orthopedic Implants: Innate and Adaptive Immune Responses to Implant Debris.

    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

    authors: Hallab NJ

    更新日期:2016-04-01 00:00:00

  • Is there an optimal patient stance for obtaining a lateral 36" radiograph? A critical comparison of three techniques.

    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

    authors: Horton WC,Brown CW,Bridwell KH,Glassman SD,Suk SI,Cha CW

    更新日期:2005-02-15 00:00:00

  • Evaluation of two time-specific back pain outcome measures.

    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

    authors: Underwood MR,Barnett AG,Vickers MR

    更新日期:1999-06-01 00:00:00

  • Lumbar and lumbosacral fusions using Cotrel-Dubousset pedicle screws and rods.

    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

    authors: Mac Millan MM,Cooper R,Haid R

    更新日期:1994-02-15 00:00:00

  • Development of a prosthetic intervertebral disc.

    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

    authors: Lee CK,Langrana NA,Parsons JR,Zimmerman MC

    更新日期:1991-06-01 00:00:00

  • Internal carotid artery thrombosis after cervical corpectomy.

    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

    authors: Chozick BS,Watson P,Greenblatt SH

    更新日期:1994-10-01 00:00:00

  • A review of camptocormia and an unusual case in the female.

    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

    authors: Rosen JC,Frymoyer JW

    更新日期:1985-05-01 00:00:00

  • Morphometry of human neck muscles.

    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

    authors: Kamibayashi LK,Richmond FJ

    更新日期:1998-06-15 00:00:00

  • Indications for surgical fusion of the cervical and lumbar motion segment.

    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

    authors: Bambakidis NC,Feiz-Erfan I,Klopfenstein JD,Sonntag VK

    更新日期:2005-08-15 00:00:00

  • Cervical Spine Fractures: Who Really Needs CT Angiography?

    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

    authors: Fourman MS,Shaw JD,Vaudreuil NJ,Dombrowski ME,Wawrose RA,Boakye LAT,Alarcon LH,Lee JY,Donaldson WF 3rd

    更新日期:2019-12-01 00:00:00

  • Effect of lumbar traction on stature.

    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

    authors: Bridger RS,Ossey S,Fourie G

    更新日期:1990-06-01 00:00:00

  • Percutaneous discectomy for the treatment of bacterial discitis.

    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

    authors: Gebhard JS,Brugman JL

    更新日期:1994-04-01 00:00:00

  • Radiofrequency ablation of spinal osteoid osteoma: clinical outcome.

    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

    authors: Vanderschueren GM,Obermann WR,Dijkstra SP,Taminiau AH,Bloem JL,van Erkel AR

    更新日期:2009-04-20 00:00:00

  • Incidence and aggravation of cervical spine instabilities in rheumatoid arthritis: a prospective minimum 5-year follow-up study of patients initially without cervical involvement.

    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

    authors: Yurube T,Sumi M,Nishida K,Miyamoto H,Kohyama K,Matsubara T,Miura Y,Sugiyama D,Doita M,Kobe Spine Conference.

    更新日期:2012-12-15 00:00:00

  • Major complications in revision adult deformity surgery: risk factors and clinical outcomes with 2- to 7-year follow-up.

    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

    authors: Cho SK,Bridwell KH,Lenke LG,Yi JS,Pahys JM,Zebala LP,Kang MM,Cho W,Baldus CR

    更新日期:2012-03-15 00:00:00

  • Beneficial influence of titanium mesh cage on infection healing and spinal reconstruction in hematogenous septic spondylitis: a retrospective analysis of surgical outcome of twenty-five consecutive cases and review of literature.

    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

    authors: Korovessis P,Repantis T,Iliopoulos P,Hadjipavlou A

    更新日期:2008-10-01 00:00:00

  • Posterior instrumentation and anterior interbody fusion for tuberculous kyphosis of dorsal and lumbar spines.

    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

    authors: Moon MS,Woo YK,Lee KS,Ha KY,Kim SS,Sun DH

    更新日期:1995-09-01 00:00:00

  • Lumbar Degenerative Spondylolisthesis: Changes in Surgical Indications and Comparison of Instrumented Fusion With Two Surgical Decompression Procedures.

    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

    authors: Inui T,Murakami M,Nagao N,Miyazaki K,Matsuda K,Tominaga Y,Kitano M,Hasegawa H,Tominaga S

    更新日期:2017-01-01 00:00:00

  • Differentiating lumbar disc protrusions, disc bulges, and discs with normal contour but abnormal signal intensity. Magnetic resonance imaging with discographic correlations.

    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

    authors: Milette PC,Fontaine S,Lepanto L,Cardinal E,Breton G

    更新日期:1999-01-01 00:00:00

  • Postoperative Recovery After Adult Spinal Deformity Surgery: Comparative Analysis of Age in 149 Patients During 2-year Follow-up.

    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

    authors: Scheer JK,Mundis GM,Klineberg E,Hart RA,Deviren V,Nguyen S,Protopsaltis TS,Gupta M,Bess S,Shaffrey CI,Schwab F,Lafage V,Smith JS,Ames CP,International Spine Study Group (ISSG).

    更新日期:2015-10-01 00:00:00

  • Cognitive Patient Education for Low Back Pain in Primary Care: A Cluster Randomized Controlled Trial and Cost-Effectiveness Analysis.

    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

    authors: Werner EL,Storheim K,Løchting I,Wisløff T,Grotle M

    更新日期:2016-03-01 00:00:00

  • The access randomized clinical trial of public versus private physiotherapy for low back pain.

    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

    authors: Casserley-Feeney SN,Daly L,Hurley DA

    更新日期:2012-01-15 00:00:00

  • Upper thoracic versus lower thoracic upper instrumented vertebrae endpoints have similar outcomes and complications in adult scoliosis.

    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

    authors: Kim HJ,Boachie-Adjei O,Shaffrey CI,Schwab F,Lafage V,Bess S,Gupta MC,Smith JS,Deviren V,Akbarnia B,Mundis GM,OʼBrien M,Hostin R,Ames C,International Spine Study Group.

    更新日期:2014-06-01 00:00:00

  • Psychosocial Variables Contribute to Length of Stay and Discharge Destination After Lumbar Surgery Independent of Demographic and Clinical Variables.

    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

    authors: Mancuso CA,Duculan R,Craig CM,Girardi FP

    更新日期:2018-02-15 00:00:00

  • Radiologic evaluation of adjacent superior segment facet joint violation following transpedicular instrumentation of the lumbar spine.

    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

    authors: Shah RR,Mohammed S,Saifuddin A,Taylor BA

    更新日期:2003-02-01 00:00:00

  • In situ contact analysis of the prosthesis components of Prodisc-L in lumbar spine following total disc replacement.

    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

    authors: Chen WM,Park C,Lee K,Lee S

    更新日期:2009-09-15 00:00:00

  • A new magnetic resonance imaging analysis method for the measurement of disc height variations.

    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

    authors: Boos N,Wallin A,Aebi M,Boesch C

    更新日期:1996-03-01 00:00:00