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














  • Effects of traction on structural properties of degenerated disc using an in vivo rat-tail model.

    abstract:STUDY DESIGN:An in vivo rat-tail model was adopted to study the structural changes of degenerated intervertebral disc after different traction protocols. OBJECTIVE:To investigate the effects of traction with different modes and magnitudes on disc with simulated degeneration. SUMMARY OF BACKGROUND DATA:Traction has be...


    pub_type: 杂志文章


    authors: Lai A,Chow DH

    更新日期:2010-06-15 00:00:00

  • High graft resorption rates with dense cancellous allograft in anterior cervical discectomy and fusion.

    abstract:STUDY DESIGN:Radiographic review. OBJECTIVE:To determine whether dense cancellous allografts (DCAs) are associated with graft resorption when used in anterior cervical discectomy and fusion (ACDF). SUMMARY OF BACKGROUND DATA:The ideal graft material for ACDF remains to be identified. Purported advantages of DCA inclu...


    pub_type: 杂志文章


    authors: Rhee JM,Patel N,Yoon ST,Franklin B

    更新日期:2007-12-15 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

  • Effect of cervical spine motion on the neuroforaminal dimensions of human cervical spine.

    abstract::A nerve root impingement within a stenotic neuroforamen is a common sequela of cervical degenerative arthritis and herniated nucleus pulposus. Understanding of the effects of cervical position on foraminal size is important in the assessment of pathology and injury, for selection of a provocative maneuver to elicit sy...


    pub_type: 杂志文章


    authors: Yoo JU,Zou D,Edwards WT,Bayley J,Yuan HA

    更新日期:1992-10-01 00:00:00

  • A prospective follow-up study of low back pain in the community.

    abstract:STUDY DESIGN:Opportunistic prospective follow-up study. OBJECTIVE:To describe the natural history of low back pain in the community and to model the factors predictive of recovered versus persistent low back pain. SUMMARY OF BACKGROUND DATA:A two-phase questionnaire was mailed to adults in the Bradford Metropolitan H...


    pub_type: 杂志文章


    authors: Waxman R,Tennant A,Helliwell P

    更新日期:2000-08-15 00:00:00

  • Cost-effectiveness analysis of extended conservative therapy versus surgical intervention in the management of herniated lumbar intervertebral disc.

    abstract::The management of herniated lumbar intervertebral disc for patients not responding to an initial trial of conservative therapy is generally surgical. Little is known about the effect of continued conservative therapy on patients who have not improved or have deteriorated within the first 3 months. This study assessed ...


    pub_type: 杂志文章


    authors: Shvartzman L,Weingarten E,Sherry H,Levin S,Persaud A

    更新日期:1992-02-01 00:00:00

  • Atlantoaxial dislocation as the presenting symptom of ankylosing spondylitis.

    abstract::A 27-year-old woman presented with nontraumatic atlantoaxial dislocation that required a C1-C2 fusion. A comprehensive investigation initially failed to reveal any evidence of infectious or rheumatologic disease and she remained well for 3 1/2 years, at which time a diagnosis of ankylosing spondylitis was established....


    pub_type: 杂志文章


    authors: Hamilton MG,MacRae ME

    更新日期:1993-11-01 00:00:00

  • Recapping T-saw laminoplasty for spinal cord tumors.

    abstract:STUDY DESIGN:A prospective study of patients whose spinal cord tumors were managed surgically with a unique posterior method of removing and replacing the posterior spinal elements using T-saw ("recapping T-saw laminoplasty"). OBJECTIVES:To examine the safety and efficacy of the recapping T-saw laminoplasty technique ...


    pub_type: 杂志文章


    authors: Kawahara N,Tomita K,Shinya Y,Matsumoto T,Baba H,Fujita T,Murakami H,Kobayashi T

    更新日期:1999-07-01 00:00:00

  • An international comparison of back surgery rates.

    abstract:SUMMARY OF BACKGROUND DATA:Although high geographic variation in back surgery rates within the United States have been documented, international comparisons have not been published. METHODS:The authors compared rates of back surgery in eleven developed countries to determine if back surgery rates are higher: 1) in the...


    pub_type: 杂志文章


    authors: Cherkin DC,Deyo RA,Loeser JD,Bush T,Waddell G

    更新日期:1994-06-01 00:00:00

  • Osteochondroma of the C5 lamina with cord compression: case report and review of the literature.

    abstract:STUDY DESIGN:Case report of a solitary osteochondroma of the cervical spine causing myelopathy in a 66-year-old woman. OBJECTIVES:To review the relevant literature and describe a highly unusual clinical manifestation of solitary osteochondroma. SUMMARY OF BACKGROUND DATA:Osteochondromas are common benign bony lesions...


    pub_type: 杂志文章,评审


    authors: Ratliff J,Voorhies R

    更新日期:2000-05-15 00:00:00

  • Accuracy and interobserver agreement for determinations of rabbit posterolateral spinal fusion.

    abstract:STUDY DESIGN:The accuracy and interobserver agreement of fine detail radiography and computed tomography (CT) determination of spinal fusion were evaluated in an established animal spine fusion model. OBJECTIVE:To determine the accuracy and interobserver agreement of radiographic determinations of spinal fusion in rab...


    pub_type: 杂志文章


    authors: Yee AJ,Bae HW,Friess D,Robbin M,Johnstone B,Yoo JU

    更新日期:2004-06-15 00:00:00

  • Comparison of the lowest instrumented, stable, and lower end vertebrae in "single overhang" thoracic adolescent idiopathic scoliosis: anterior versus posterior spinal fusion.

    abstract:STUDY DESIGN:A retrospective multicenter study. OBJECTIVE:To investigate the relationship between the lowest instrumented, stable, and lower end vertebrae in patients with "single overhang" thoracic (main thoracic) curves treated with anterior or posterior spinal fusion. SUMMARY OF BACKGROUND DATA:Previous studies ha...


    pub_type: 杂志文章,多中心研究


    authors: Kuklo TR,O'Brien MF,Lenke LG,Polly DW,Sucato DS,Richards BS,Lubicky J,Ibrahim K,Kawakami N,King A,Spinal Deformity Study Group: AIS Section.

    更新日期:2006-09-01 00:00:00

  • Chylothorax: an unusual complication of anterior thoracic interbody spinal fusion.

    abstract::Chylothorax as a complication of anterior thoracic spine fusion is described in the case of a male with congenital kyphosis. Treatment with protracted chest tube drainage was required, along with dietary modification in which fat ingestion was restricted. This complication is reported to occur in 0.2% of intrathoracic...


    pub_type: 杂志文章


    authors: Colletta AJ,Mayer PJ

    更新日期:1982-01-01 00:00:00

  • Understanding peripartum pelvic pain. Implications of a patient survey.

    abstract:STUDY DESIGN:An analysis was made of the self-reported medical histories of patients with peripartum pelvic pain. OBJECTIVES:To compile an inventory of the disabilities of patients with peripartum pelvic pain, analyze factors associated with the risk for development of the disease, and to formulate a hypothesis on pat...


    pub_type: 杂志文章


    authors: Mens JM,Vleeming A,Stoeckart R,Stam HJ,Snijders CJ

    更新日期:1996-06-01 00:00:00

  • Viscous carboxymethylcellulose in the prevention of epidural scar formation.

    abstract::Six chemical agents were evaluated for their efficacy in preventing epidural scar formation following laminectomy in rabbits. One agent was carboxymethylcellulose and the other five agents represented various compositions of modified carboxymethylcellulose. Four weeks after laminectomy, spines were harvested and decal...


    pub_type: 杂志文章


    authors: Kitano T,Zerwekh JE,Edwards ML,Usui Y,Allen MD

    更新日期:1991-07-01 00:00:00

  • Biomechanical analysis of posterior fixation techniques in a 360 degrees arthrodesis model.

    abstract:STUDY DESIGN:A biomechanical study to assess the ability of posterior fixation techniques to stabilize a functional spine unit (FSU) after insertion of an anterior load-sharing device. OBJECTIVE:The objective of this study is to compare various posterior fixation techniques in combination with an anterior load-sharing...


    pub_type: 杂志文章


    authors: Burton D,McIff T,Fox T,Lark R,Asher MA,Glattes RC

    更新日期:2005-12-15 00:00:00

  • Primary Epidural Lumbar Ewing Sarcoma: Case Report and Review of the Literature.

    abstract:STUDY DESIGN:Case report. OBJECTIVE:We present a case of isolated primary epidural lumbar Ewing sarcoma and review the current literature on the standard management. We also propose laminoplasty as safe procedure in this patient population that can provide good stabilization in young people. SUMMARY OF BACKGROUND DAT...


    pub_type: 杂志文章


    authors: Giner J,Isla A,Cubedo R,Tejerina E

    更新日期:2016-03-01 00:00:00

  • Fluoroscopically assisted percutaneous translaminar facet screw fixation following anterior lumbar interbody fusion: technical report.

    abstract:STUDY DESIGN:A technical report of fluoroscopically assisted percutaneous translaminar facet screw fixation after anterior lumbar interbody fusion (ALIF). OBJECTIVES:To describe a minimally invasive translaminar facet screw fixation technique that was modified from the Magerl method, and to assess its technical feasib...


    pub_type: 杂志文章


    authors: Shim CS,Lee SH,Jung B,Sivasabaapathi P,Park SH,Shin SW

    更新日期:2005-04-01 00:00:00

  • Timing of activation of the erector spinae and hamstrings during a trunk flexion and extension task.

    abstract:STUDY DESIGN:Timing of activation of the hamstrings and erector spinae was assessed using surface electromyography. OBJECTIVES:To investigate the influence of posture and movement speed during trunk flexion-extension on the flexion-relaxation response and trunk muscle activation patterns. SUMMARY OF BACKGROUND DATA:T...


    pub_type: 杂志文章


    authors: McGorry RW,Hsiang SM,Fathallah FA,Clancy EA

    更新日期:2001-02-15 00:00:00

  • Intraoperative electrophysiological monitoring in spine surgery.

    abstract:STUDY DESIGN:Review of the literature with analysis of pooled data. OBJECTIVE:To assess common intraoperative neuromonitoring (IOM) changes that occur during the course of spinal surgery, potential causes of change, and determine appropriate responses. Further, there will be discussion of appropriate application of IO...


    pub_type: 杂志文章,评审


    authors: Malhotra NR,Shaffrey CI

    更新日期:2010-12-01 00:00:00

  • Laboratory testing of segmental spinal instrumentation versus traditional Harrington instrumentation for scoliosis treatment.

    abstract::The authors have tested 51 instrumented calf spines in vitro, using a scoliosis simulator, to evaluate the adequacy of fixation and nature of acute failure seen with various methods of scoliosis instrumentation. Tests were performed in compressive loading, rotation, and forward bending on the following instrumentation...


    pub_type: 杂志文章


    authors: Wenger DR,Carollo JJ,Wilkerson JA Jr,Wauters K,Herring JA

    更新日期:1982-05-01 00:00:00

  • Predictors of musculoskeletal pain in men: A twenty-year follow-up from examination at enlistment.

    abstract:STUDY DESIGN:Prospective study with follow-up by a postal questionnaire to 6626 men nearly 40 years of age who had been examined for the first time at the age of 18. OBJECTIVES:To study the predictability of frequent musculoskeletal problems, health, lifestyle, and work situation from the examination 20 years earlier....


    pub_type: 杂志文章


    authors: Hellsing AL,Bryngelsson IL

    更新日期:2000-12-01 00:00:00

  • Opioid-free Analgesia for Posterior Spinal Fusion Surgery Using Erector Spinae Plane (ESP) Blocks in a Multimodal Anesthetic Regimen.

    abstract:STUDY DESIGN:A case report. OBJECTIVE:The aim of this study was to report the use of erector spinae plane (ESP) blocks as part of an opioid-free multimodal anesthetic regimen and its impact on postoperative pain and opioid requirements following spine surgery. SUMMARY OF BACKGROUND DATA:Posterior spinal fusion surger...


    pub_type: 杂志文章


    authors: Chin KJ,Lewis S

    更新日期:2019-03-15 00:00:00

  • Musculoskeletal modeling of the suboccipital spine: kinematics analysis, muscle lengths, and muscle moment arms during axial rotation and flexion extension.

    abstract:STUDY DESIGN:In vitro and modeling study of upper cervical spine (UCS) three-dimensional (3D) kinematics and muscle moment arm (MA) during axial rotation (AR) and flexion extension (FE). OBJECTIVE:To create musculoskeletal models with movement simulation including helical axis (HA) and muscle features. SUMMARY OF BAC...


    pub_type: 杂志文章


    authors: Dugailly PM,Sobczak S,Moiseev F,Sholukha V,Salvia P,Feipel V,Rooze M,Van Sint Jan S

    更新日期:2011-03-15 00:00:00

  • Cervical pedicle screws: conventional versus computer-assisted placement of cannulated screws.

    abstract:STUDY DESIGN:Prospective clinical study with postoperative radiologic control of pedicle screw placement in the cervical spine. OBJECTIVES:To evaluate whether cervical pedicle screws can be placed safely in a conventional technique when using cannulated screws and separate stab incisions. Also, to evaluate if accuracy...


    pub_type: 杂志文章


    authors: Richter M,Cakir B,Schmidt R

    更新日期:2005-10-15 00:00:00

  • Radiation exposure to the spine surgeon in lumbar and thoracolumbar fusions with the use of an intraoperative computed tomographic 3-dimensional imaging system.

    abstract:STUDY DESIGN:A prospective clinical research article. OBJECTIVE:The primary goals were to determine (1) radiation exposure to the spine surgeon with the use of an intraoperative 3-dimensional imaging system and (2) to define the safe distance from the computed tomographic scanner. SUMMARY OF BACKGROUND:Intraoperative...


    pub_type: 临床试验,杂志文章


    authors: Abdullah KG,Bishop FS,Lubelski D,Steinmetz MP,Benzel EC,Mroz TE

    更新日期:2012-08-01 00:00:00

  • Quantitation of three-dimensional deformity of idiopathic scoliosis.

    abstract::Three-dimensional deformities in vertebrae of patients with idiopathic scoliosis were analyzed quantitatively using three-dimensional computed tomography. To evaluate the deformities, the vertebral lordosis and scoliosis were defined clearly. An average lordosis of 7.9 degrees and an average scoliosis of 6.8 degrees w...


    pub_type: 杂志文章


    authors: Kojima T,Kurokawa T

    更新日期:1992-03-01 00:00:00

  • Thoracolumbar kyphosis in treated mucopolysaccharidosis 1 (Hurler syndrome).

    abstract:STUDY DESIGN:A retrospective radiographical follow-up study of thoracolumbar deformity in 33 children with mucopolysaccharidosis 1 (Hurler syndrome). OBJECTIVE:To report the severity, natural history, risk factors for progression, and results of intervention for thoracolumbar kyphosis in children with Hurler syndrome....


    pub_type: 杂志文章


    authors: Yasin MN,Sacho R,Oxborrow NJ,Wraith JE,Williamson JB,Siddique I

    更新日期:2014-03-01 00:00:00

  • Degenerative spondylolisthesis: review of current trends and controversies.

    abstract:STUDY DESIGN:A literature-based review. OBJECTIVES:To review management and controversies and to present authors recommendations. SUMMARY OF BACKGROUND DATA:There is considerable controversy regarding indication for surgery, role for decompression alone, and decompression with fusion with or without instrumentation. ...


    pub_type: 杂志文章,评审


    authors: Sengupta DK,Herkowitz HN

    更新日期:2005-03-15 00:00:00

  • Acute low back pain and primary care: how to define recovery and chronification?

    abstract:STUDY DESIGN:A prospective cohort study. OBJECTIVE:To establish outcome measures for recovery and chronic pain for studies with patients who present with recent-onset acute low back pain (LBP) in primary care. SUMMARY OF BACKGROUND DATA:Among back pain researchers, no consensus exists about outcome definitions or how...


    pub_type: 杂志文章


    authors: Mehling WE,Gopisetty V,Acree M,Pressman A,Carey T,Goldberg H,Hecht FM,Avins AL

    更新日期:2011-12-15 00:00:00