A complication of spinal decompression. A case report.


STUDY DESIGN:This case study is designed to report the previously unreported specific complication of acute cauda equina compression after decompression surgery for spinal stenosis. OBJECTIVES:To inform others of the possibility of such a complication; to suggest a possible mechanism for this situation, namely hourglass constriction of the cauda causing ischemia to distal nerve roots; and to suggest a management plan--immediate magnetic resonance imaging to identify the problem and return to the operating room for further decompression--which was successful in this case. SUMMARY OF BACKGROUND DATA:Previous reports of causes of paraparesis or paraplegia after surgery are listed, and previous theories on the etiology of acute cauda compression are discussed. METHODS:The clinical findings of spinal stenosis in a 32-year-old man are presented, and subsequent details of the surgery, complications after surgery, investigation, and future surgery, including magnetic resonance imaging scans before and after surgery, are provided. RESULTS:The result in this case was a patient free of symptoms. CONCLUSIONS:Incomplete decompression in surgery for spinal stenosis can result in acute cauda equina compression. In these circumstances, magnetic resonance imaging can reveal the cause, and in this case, immediate surgery was successful in relieving the symptoms and signs.


Spine (Phila Pa 1976)




Woods DA,Wilson-MacDonald J




Has Abstract


1995-11-15 00:00:00














  • American Society of Anesthesiologists' Status Association With Cost and Length of Stay in Lumbar Laminectomy and Fusion: Results From an Institutional Database.

    abstract:STUDY DESIGN:Retrospective cohort study. OBJECTIVE:The objective of this study was to characterize the costs associated with American Society of Anesthesiologists (ASA) class, and to determine the extent to which ASA status is a predictor of increased cost and LOS following lumbar laminectomy and fusion (LLF). SUMMAR...


    pub_type: 杂志文章


    authors: Bronheim RS,Caridi JM,Steinberger J,Hunter S,Neifert SN,Deutsch BC,DeMaria S Jr,Hermann L,Gal JS

    更新日期:2020-03-01 00:00:00

  • Functional rating index: a new valid and reliable instrument to measure the magnitude of clinical change in spinal conditions.

    abstract:STUDY DESIGN:A prospective cohort design was used to evaluate the Functional Rating Index in a multicentered setting with 139 participants. The Functional Rating Index is a self-reporting instrument consisting of 10 items, each with 5 possible responses that express graduating degrees of disability. OBJECTIVES:The goa...


    pub_type: 杂志文章,多中心研究


    authors: Feise RJ,Michael Menke J

    更新日期:2001-01-01 00:00:00

  • Posterior spinal fusion complicated by posterior column injury. A case report of a false-negative wake-up test.

    abstract::A case is reported of an isolated posterior column injury secondary to direct mechanical trauma complicating a posterior spinal fusion. This case documents a rare complication of posterior spinal surgery. Intraoperative somatosensory-evoked potential (SEP) monitoring documented the injury whereas two intraoperative wa...


    pub_type: 杂志文章


    authors: Ben-David B,Taylor PD,Haller GS

    更新日期:1987-07-01 00:00:00

  • Effects of epidural steroid injections on blood glucose levels in patients with diabetes mellitus.

    abstract:STUDY DESIGN:A prospective cohort study. OBJECTIVE:To evaluate the effects of epidural steroid injections (ESIs) on blood glucose levels in patients with diabetes mellitus. SUMMARY OF BACKGROUND DATA:ESIs are commonly used in the treatment of multiple spinal disorders. Corticosteroid injections have been evaluated in...


    pub_type: 临床试验,杂志文章


    authors: Even JL,Crosby CG,Song Y,McGirt MJ,Devin CJ

    更新日期:2012-01-01 00:00:00

  • Subtotal vertebrectomy and spinal fusion for cervical spondylotic myelopathy.

    abstract::To perform decompression of the spinal cord and stabilization of the cervical spine in the patients with cervical spondylotic myelopathy, subtotal vertebrectomy and spinal fusion of the cervical spine were carried out in 30 patients. In 18 patients, three vertebrectomies and a spinal fusion were carried out, and in 12...


    pub_type: 杂志文章


    authors: Hanai K,Fujiyoshi F,Kamei K

    更新日期:1986-05-01 00:00:00

  • Augmentation of pedicle screw fixation strength using an injectable calcium sulfate cement: an in vivo study.

    abstract:STUDY DESIGN:An in vivo landrace model of cement augmentation of pedicle screw was established, and axial pull-out tests and histological analysis were performed. OBJECTIVE:To investigate the long-term in vivo biomechanical performance of pedicle screws augmented with calcium sulfate cement. SUMMARY OF BACKGROUND DAT...


    pub_type: 杂志文章


    authors: Yi X,Wang Y,Lu H,Li C,Zhu T

    更新日期:2008-11-01 00:00:00

  • Do manual therapies help low back pain? A comparative effectiveness meta-analysis.

    abstract:STUDY DESIGN:Meta-analysis methodology was extended to derive comparative effectiveness information on spinal manipulation for low back pain. OBJECTIVE:Determine relative effectiveness of spinal manipulation therapies (SMTs), medical management, physical therapies, and exercise for acute and chronic nonsurgical low ba...


    pub_type: 杂志文章,meta分析


    authors: Menke JM

    更新日期:2014-04-01 00:00:00

  • Minimally invasive anterior retroperitoneal approach to the lumbar spine. Emphasis on the lateral BAK.

    abstract:STUDY DESIGN:Eighteen patients with lumbar instability from fractures, postlaminectomy syndrome, or infection were treated prospectively with minimally invasive retroperitoneal lumbar fusions. OBJECTIVES:To determine if interbody Bagby and Kuslich fusion cages and femoral allograft bone dowels can be inserted in a tra...


    pub_type: 杂志文章


    authors: McAfee PC,Regan JJ,Geis WP,Fedder IL

    更新日期:1998-07-01 00:00:00

  • Cerebrospinal fluid leak during cervical corpectomy for ossified posterior longitudinal ligament: incidence, management, and outcome.

    abstract:STUDY DESIGN:Retrospective. OBJECTIVE:To study the incidence of intraoperative cerebrospinal fluid (CSF) leak in patients with ossified posterior longitudinal ligament (OPLL) undergoing central cervical corpectomy (CC) and to describe a reliable technique for treating the leak after CC. SUMMARY OF BACKGROUND DATA:The...


    pub_type: 杂志文章


    authors: Joseph V,Kumar GS,Rajshekhar V

    更新日期:2009-03-01 00:00:00

  • The use of an injectable, biodegradable calcium phosphate bone substitute for the prophylactic augmentation of osteoporotic vertebrae and the management of vertebral compression fractures.

    abstract:STUDY DESIGN:A biomechanical study comparing two materials for augmentation of osteoporotic vertebral bodies and vertebral bodies after compression fracture. OBJECTIVES:To compare an injected, biodegradable calcium phosphate bone substitute with injected polymethylmethacrylate bone cement for strengthening osteoporoti...


    pub_type: 杂志文章


    authors: Bai B,Jazrawi LM,Kummer FJ,Spivak JM

    更新日期:1999-08-01 00:00:00

  • The biomechanics of 1, 2, and 3 levels of vertebral augmentation with polymethylmethacrylate in multilevel spinal segments.

    abstract:STUDY DESIGN:Experimental biomechanics of multilevel segments with 0, 1, 2, and 3 vertebral levels of polymethylmethacrylate augmentation. OBJECTIVE:To compare multilevel spinal segments with different numbers (0, 1, 2, and 3) of vertebral levels augmented with polymethylmethacrylate. SUMMARY OF BACKGROUND DATA:The s...


    pub_type: 杂志文章


    authors: Kayanja MM,Schlenk R,Togawa D,Ferrara L,Lieberman I

    更新日期:2006-04-01 00:00:00

  • A comparison of methods for measuring trunk list. A simple plumbline is the best.

    abstract:STUDY DESIGN:Trunk list was measured using three different techniques to compare accuracy, precision, and ease of use. OBJECTIVE:To obtain a reproducible technique for further studies of the nature, cause, and clinical relevance of trunk list. SUMMARY OF BACKGROUND DATA:Gravity-induced trunk list is a clinical sign t...


    pub_type: 杂志文章


    authors: McLean IP,Gillan MG,Ross JC,Aspden RM,Porter RW

    更新日期:1996-07-15 00:00:00

  • Aggrecanases and aggrecanase-generated fragments in the human intervertebral disc at early and advanced stages of disc degeneration.

    abstract:STUDY DESIGN:A comparative study of aggrecanases and aggrecan fragmentation profile in the human intervertebral disc at early and advanced stages of disc degeneration. OBJECTIVE:To determine differences in the content of the aggrecanases and the profile of aggrecan fragmentation in early and advanced stages of disc de...


    pub_type: 杂志文章


    authors: Patel KP,Sandy JD,Akeda K,Miyamoto K,Chujo T,An HS,Masuda K

    更新日期:2007-11-01 00:00:00

  • Surgical management in 40 consecutive patients with cervical spinal epidural abscesses: shifting toward circumferential treatment.

    abstract:STUDY DESIGN:Retrospective database review of a prospectively maintained neurosurgical database. OBJECTIVE:The surgical management of cervical spinal epidural abscesses (CSEA) is reviewed examining the shift from single to staged anteroposterior decompression and stabilization. SUMMARY OF BACKGROUND DATA:CSEA managem...


    pub_type: 杂志文章


    authors: Ghobrial GM,Viereck MJ,Margiotta PJ,Beygi S,Maulucci CM,Heller JE,Vaccaro AR,Harrop JS

    更新日期:2015-09-01 00:00:00

  • Hospital readmission rates after surgical treatment of primary and metastatic tumors of the spine.

    abstract:STUDY DESIGN:Retrospective cohort study. OBJECTIVE:This study aimed to identify the rates and causes of unplanned hospital readmission at 30 days and 1 year after surgical treatment of primary and metastatic spinal tumors. SUMMARY OF BACKGROUND DATA:Primary spine tumors and non-spine tumors metastatic to the spine ca...


    pub_type: 杂志文章


    authors: Schairer WW,Carrer A,Sing DC,Chou D,Mummaneni PV,Hu SS,Berven SH,Burch S,Tay B,Deviren V,Ames C

    更新日期:2014-10-01 00:00:00

  • Magnetic resonance imaging in cadaver dogs with metallic vertebral implants at 3 Tesla: evaluation of the WARP-turbo spin echo sequence.

    abstract:STUDY DESIGN:Laboratory investigation, ex vivo. OBJECTIVE:Postoperative complications are common after spinal implantation procedures, and magnetic resonance imaging (MRI) would be the ideal modality to image these patients. Unfortunately, the implants cause artifacts that can render MRI nondiagnostic. The WARP-turbo ...


    pub_type: 杂志文章


    authors: Griffin JF 4th,Archambault NS,Mankin JM,Wall CR,Thompson JA,Padua A Jr,Purdy D,Kerwin SC

    更新日期:2013-11-15 00:00:00

  • Outcome analysis of chance fractures of the skeletally immature spine.

    abstract:STUDY DESIGN:Observational. OBJECTIVE:The authors present a detailed description of 25 skeletally immature patients with Chance fractures with a mean follow-up of 6.4 years. SUMMARY OF BACKGROUND DATA:Since the legislation mandating seat belt usage in Canada was first introduced, the fatality rate of automobile colli...


    pub_type: 杂志文章


    authors: Mulpuri K,Jawadi A,Perdios A,Choit RL,Tredwell SJ,Reilly CW

    更新日期:2007-11-15 00:00:00

  • A Study on the Anatomical Relationship of the Lumbar Extrapedicular Puncture Approach with the Spinal Nerve and its Branches.

    abstract:STUDY DESIGN:An anatomical study in fifteen cadavers. OBJECTIVE:To observe the anatomical relationship of the extrapedicular puncture approach with the spinal nerve and its branches, evaluate the risk of injury to these nerves and recommend a safe puncture path for lumbar extrapedicular percutaneous vertebroplasty (PV...


    pub_type: 杂志文章


    authors: Zhong Y,Luo L,Zhao C,Li P,Dong B,Wang Z,Jiang D,Zhou Q,Liu L

    更新日期:2021-01-08 00:00:00

  • Scoliosis model created by pedicle screw tethering in immature goats: the feasibility, reliability, and complications.

    abstract:STUDY DESIGN:An in vivo model of scoliosis was established in immature goats. OBJECTIVE:To assess the feasibility, reliability, and complications of the innovative animal model. SUMMARY OF BACKGROUND DATA:Among the methods of creating a scoliotic model, posterior asymmetric tethering of spine yielded encouraging resu...


    pub_type: 杂志文章


    authors: Zhang YG,Zheng GQ,Zhang XS,Wang Y

    更新日期:2009-10-01 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...


    pub_type: 杂志文章


    authors: Kamibayashi LK,Richmond FJ

    更新日期:1998-06-15 00:00:00

  • Potential usefulness of 18F-2-fluoro-deoxy-D-glucose positron emission tomography in cervical compressive myelopathy.

    abstract:STUDY DESIGN:This case study describes the usefulness of high-resolution 18F-2-fluoro-deoxy-D-glucose (18FDG)-positron emission tomography (PET) for metabolic neuroimaging of the cervical spinal cord in patients with compressive myelopathy. OBJECTIVE:To examine whether 18FDG-PET imaging could visualize deterioration o...


    pub_type: 杂志文章


    authors: Baba H,Uchida K,Sadato N,Yonekura Y,Kamoto Y,Maezawa Y,Furusawa N,Abe Y

    更新日期:1999-07-15 00:00:00

  • The value of radionuclide imaging in the diagnosis of sacroiliac joint syndrome.

    abstract:STUDY DESIGN:A prospective study was done to assess the diagnostic value of radionuclide imaging (bone scan) in the evaluation of sacroiliac joint syndrome OBJECTIVES:To determine the sensitivity and specificity of radionuclide imaging in establishing a diagnosis of sacroiliac joint syndrome in patients with low back ...


    pub_type: 临床试验,杂志文章


    authors: Slipman CW,Sterenfeld EB,Chou LH,Herzog R,Vresilovic E

    更新日期:1996-10-01 00:00:00

  • The vertebral body depths of the cervical spine and its relation to anterior plate-screw fixation.

    abstract:STUDY DESIGN:A study was performed to measure the vertebral body depths in different locations from C2 to C7. OBJECTIVES:To measure the vertebral body depths in 10 linear dimension from C2 to C7. SUMMARY OF BACKGROUND DATA:Anterior plate-screw fixation of the cervical spine has been the common surgical procedure for ...


    pub_type: 杂志文章


    authors: Ebraheim NA,Fow J,Xu R,Yeasting RA

    更新日期:1998-11-01 00:00:00

  • Experimental analysis of the spinal cord compressed by spinal metastasis.

    abstract::The purpose of the present study of experimental spinal metastasis, developed in rats by inoculation of tumor cells through the spinous process, was to find the factor that causes the initial damage to the cord in this disorder. In the early stage of paralysis, the degenerated posterior funiculus originated from a sma...


    pub_type: 杂志文章


    authors: Manabe S,Tanaka H,Higo Y,Park P,Ohno T,Tateishi A

    更新日期:1989-12-01 00:00:00

  • Magnetic resonance imaging assessment of trunk muscles during prolonged bed rest.

    abstract:STUDY DESIGN:Prospective longitudinal study. OBJECTIVE.: To investigate, using magnetic resonance imaging (MRI), the influence of bed rest on the lumbopelvic musculature. SUMMARY OF BACKGROUND DATA:Reduced gravitational loading and inactivity (bed rest) are known to result in significant change in musculoskeletal func...


    pub_type: 杂志文章


    authors: Hides JA,Belavý DL,Stanton W,Wilson SJ,Rittweger J,Felsenberg D,Richardson CA

    更新日期:2007-07-01 00:00:00

  • Prevalence and risk factors for development of venous thromboembolism after degenerative spinal surgery.

    abstract:STUDY DESIGN:Prospective clinical study. OBJECTIVE:To identify the incidence and risk factors for venous thromboembolism (VTE) associated with degenerative spinal surgery procedures at the different spinal levels for various pathologies. SUMMARY OF BACKGROUND DATA:Spinal surgery includes procedures for treatment of v...


    pub_type: 杂志文章


    authors: Yoshioka K,Murakami H,Demura S,Kato S,Tsuchiya H

    更新日期:2015-03-01 00:00:00

  • Interexaminer reliability of low back pain assessment using the McKenzie method.

    abstract:STUDY DESIGN:A test-retest design was used. OBJECTIVE:To assess interexaminer reliability of the McKenzie method for performing clinical tests and classifying patients with low back pain. SUMMARY OF BACKGROUND DATA:Clinical methods and tests classifying patients with nonspecific low back pain have been based mainly o...


    pub_type: 临床试验,杂志文章


    authors: Kilpikoski S,Airaksinen O,Kankaanpää M,Leminen P,Videman T,Alen M

    更新日期:2002-04-15 00:00:00

  • Safety of sublaminar wires with Isola instrumentation for the treatment of idiopathic scoliosis.

    abstract:STUDY DESIGN:To investigate the incidence of acute neurologic complications of use of sublaminar wires with third-generation spine instrumentation for the treatment of idiopathic scoliosis. OBJECTIVES:To assess the safety of sublaminar wires in the surgical treatment of idiopathic scoliosis. SUMMARY OF BACKGROUND DAT...


    pub_type: 杂志文章


    authors: Girardi FP,Boachie-Adjei O,Rawlins BA

    更新日期:2000-03-15 00:00:00

  • Impaired postural stability in patients with cervical myelopathy: evaluation by computerized static stabilometry.

    abstract:STUDY DESIGN:A prospective clinical study. OBJECTIVE:To quantitatively evaluate impairment of postural stability in patients with cervical myelopathy. SUMMARY OF BACKGROUND DATA:Proprioceptive sensation plays an important role in coordinated movement of the lower extremities and postural stability. Nevertheless, alth...


    pub_type: 杂志文章


    authors: Yoshikawa M,Doita M,Okamoto K,Manabe M,Sha N,Kurosaka M

    更新日期:2008-06-15 00:00:00

  • Posterior extensive simultaneous multisegment decompression with posterolateral fusion for cervical myelopathy with cervical instability and kyphotic and/or S-shaped deformities.

    abstract::From June 1978 to May 1988, posterior decompression with posterolateral fusion was performed at Tenri Hospital on 63 cases of cervical myelopathy with instability and/or malalignment including kyphotic and/or S-shaped deformities. Among 46 cases followed up for more than 1 year, 41 cases (89.1%) improved; 21 cases (45...


    pub_type: 杂志文章


    authors: Miyazaki K,Tada K,Matsuda Y,Okuno M,Yasuda T,Murakami H

    更新日期:1989-11-01 00:00:00