Major intraoperative neurologic deficits in pediatric and adult spinal deformity patients. Incidence and etiology at one institution.

Abstract:

STUDY DESIGN:A retrospective study of 1,090 patients undergoing corrective spinal deformity surgery for scoliosis (n = 920), kyphosis (n = 77), or a combination of the two (n = 93) at one institution. OBJECTIVES:To ascertain the etiologies and incidence of neurologic deficits occurring at the time of surgery. SUMMARY OF BACKGROUND DATA:Potential etiologies of intraoperative neurologic deficits include cord compression, overdistraction, purely vascular, or a combination. METHODS:The study group included only patients with useful function of their lower extremities and normal bowel and bladder control, and patients whose surgeries were in spinal cord territory as opposed to purely cauda equina territory. RESULTS:There were four major neurologic deficits that occurred during surgery. Three of the four deficits were purely vascular in etiology. The fourth may have had a vascular and mechanical etiology. All four patients had anterior and posterior surgery with harvesting of the unilateral convex segmental vessels, and each had a component of hyperkyphosis, as well as intraoperative controlled hypotension. All four patients showed marked improvement of motor weakness with time. CONCLUSIONS:Significant risk factors were combined anterior and posterior surgery (P = 0.009) and hyperkyphosis (P = 0.0006).

journal_name

Spine (Phila Pa 1976)

journal_title

Spine

authors

Bridwell KH,Lenke LG,Baldus C,Blanke K

doi

10.1097/00007632-199802010-00008

subject

Has Abstract

pub_date

1998-02-01 00:00:00

pages

324-31

issue

3

eissn

0362-2436

issn

1528-1159

journal_volume

23

pub_type

杂志文章

相关文献

SPINE文献大全
  • The mechanical properties of the human L4-5 functional spinal unit during cyclic loading. The structural effects of the posterior elements.

    abstract::Cyclic axial compression-tension tests and cyclic torsional tests were performed on ten fresh human L4-5 functional spinal units to investigate the structural effects of the posterior elements on the mechanical properties of L4-5 functional spinal units. The stiffness of the functional spinal unit increased with the i...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-199211000-00014

    authors: Asano S,Kaneda K,Umehara S,Tadano S

    更新日期:1992-11-01 00:00:00

  • Anterior decompression and stabilization of thoracolumbar burst fractures by the use of the Slot-Zielke device.

    abstract::Between July 1983 and November 1986, 29 patients with thoracolumbar burst fractures underwent a one-stage operation consisting of anterior decompression by subtotal vertebrectomy, reduction, and stabilization with the Slot-Zielke device. The mean follow-up was 3.1 years. Most patients with incomplete neurologic lesion...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-199101000-00013

    authors: Been HD

    更新日期:1991-01-01 00:00:00

  • The neurologic workup in patients with cervical spine disorders.

    abstract::Care must be exercised in interpreting the clinical and radiologic findings when assessing patients with cervical spondylosis and involvement of neural structures for surgery. If the clinical picture cannot logically be explained by the radiologic findings, further investigation is indicated to exclude a coexistent di...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-199015100-00007

    authors: Dvorák J,Janssen B,Grob D

    更新日期:1990-10-01 00:00:00

  • Isolation and characterization of mesenchymal stromal cells from human degenerated nucleus pulposus: comparison with bone marrow mesenchymal stromal cells from the same subjects.

    abstract:STUDY DESIGN:To identify mesenchymal stromal cells (MSC) from degenerate human nucleus pulposus (NP) and compare them with bone marrow (BM) MSC. OBJECTIVE:To test whether MSC obtained from NP and BM from the same subjects share similar biologic characteristics. SUMMARY OF BACKGROUND DATA:Recent studies have proposed ...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0b013e3181cb8828

    authors: Blanco JF,Graciani IF,Sanchez-Guijo FM,Muntión S,Hernandez-Campo P,Santamaria C,Carrancio S,Barbado MV,Cruz G,Gutierrez-Cosío S,Herrero C,San Miguel JF,Briñon JG,del Cañizo MC

    更新日期:2010-12-15 00:00:00

  • An independent interobserver reliability and intraobserver reproducibility evaluation of the new AOSpine Thoracolumbar Spine Injury Classification System.

    abstract:STUDY DESIGN:Agreement study. OBJECTIVE:To perform an independent interobserver and intraobserver agreement evaluation of the new AOSpine Thoracolumbar Spine Injury Classification System. SUMMARY OF BACKGROUND DATA:The new AOSpine Thoracolumbar Spine Injury Classification System was recently published. It showed subs...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0000000000000656

    authors: Urrutia J,Zamora T,Yurac R,Campos M,Palma J,Mobarec S,Prada C

    更新日期:2015-01-01 00:00:00

  • The Spine Surgical Care and Outcomes Assessment Program (Spine SCOAP): a surgeon-led approach to quality and safety.

    abstract:STUDY DESIGN:Prospective registry of spine surgery. OBJECTIVE:To identify variation in utilization, processes of care, and outcomes in spine surgery to improve statewide quality and safety. SUMMARY OF BACKGROUND DATA:Variability in the utilization and outcomes of elective spine surgery across different regions in the...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0000000000000750

    authors: Lee MJ,Shonnard N,Farrokhi F,Martz D,Chapman J,Baker R,Hsiang J,Lee C,Gholish R,Flum D,Spine SCOAP-CERTAIN Collaborative.

    更新日期:2015-03-01 00:00:00

  • Bernardino Ramazzini: the father of occupational medicine.

    abstract::Bernardino Ramazzini was born on October 4, 1633, in the small town of Capri located in the duchy of Modula, Italy. He is credited with establishing the field of occupational medicine during his lifetime. His major contributions came after 1682, when Duke Francesco II of Modena assigned him to establish a medical depa...

    journal_title:Spine

    pub_type: 传,历史文章,杂志文章

    doi:10.1097/01.brs.0000142437.70429.a8

    authors: Pope MH

    更新日期:2004-10-15 00:00:00

  • Assessment of pedicle screw placement utilizing conventional radiography and computed tomography: a proposed systematic approach to improve accuracy of interpretation.

    abstract:STUDY DESIGN:This was a human cadaver study to determine the accuracy of conventional radiography and computed radiography in the evaluation of pedicle screw placement and to identify methodology for more precise reading of these examinations. OBJECTIVES:To determine the accuracy of conventional radiography and comput...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/01.brs.0000112071.69448.a1

    authors: Learch TJ,Massie JB,Pathria MN,Ahlgren BA,Garfin SR

    更新日期:2004-04-01 00:00:00

  • Posterolateral Disc Prolapse in Flexion Initiated by Lateral Inner Annular Failure: An Investigation of the Herniation Pathway.

    abstract:STUDY DESIGN:Structural investigation of mechanically induced herniations in ovine lumbar motion segments. OBJECTIVE:This new study addresses the question of whether there are regions other than the posterior and posterolateral aspects that are implicated in the initiation of disc disruption and herniation. SUMMARY O...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0000000000002181

    authors: van Heeswijk VM,Thambyah A,Robertson PA,Broom ND

    更新日期:2017-11-01 00:00:00

  • Chondrogenic and fibrotic process in the ligamentum flavum of patients with lumbar spinal canal stenosis.

    abstract:STUDY DESIGN:A histological, biological, and immunohisto-chemical study of human lumbar ligamentum flavum. OBJECTIVE:To analyze changes in the hypertrophied ligamentum flavum and clarify their etiology. SUMMARY OF BACKGROUND DATA:Hypertrophy of the ligamentum flavum has been considered a major contributor to the deve...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0000000000000795

    authors: Yabe Y,Hagiwara Y,Ando A,Tsuchiya M,Minowa T,Takemura T,Honda M,Hatori K,Sonofuchi K,Kanazawa K,Koide M,Sekiguchi T,Itoi E

    更新日期:2015-04-01 00:00:00

  • Prevertebral vascular and esophageal consideration during percutaneous cervical disc procedures.

    abstract:STUDY DESIGN:A retrospective review series. OBJECTIVE:To identify vascular anatomy and esophageal deviations that may interfere with a percutaneous anterior approach in cervical spine surgery. SUMMARY OF BACKGROUND DATA:The percutaneous anterior approach has been used for minimally invasive interventions of cervical ...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0000000000000140

    authors: Jeon JK,Oh CH,Chung D,Lee J,Choi SH,Choi E,Ji GY

    更新日期:2014-02-15 00:00:00

  • Experimental vertebroplasty using osteoconductive granular material.

    abstract:STUDY DESIGN:Osteoporotic human cadaveric thoracic vertebral bodies and vertebral bodies from mature sheep were used as model systems to assess coral resorption and new bone formation after injection of coral granules. OBJECTIVE:To evaluate the use of natural coral exoskeleton, an osteoconductive material, for the fil...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-200005010-00006

    authors: Cunin G,Boissonnet H,Petite H,Blanchat C,Guillemin G

    更新日期:2000-05-01 00:00:00

  • Surgical site infections in spine surgery: identification of microbiologic and surgical characteristics in 239 cases.

    abstract:STUDY DESIGN:Retrospective analysis. OBJECTIVE:The objective of this study was to describe the microbiology of surgical site infection (SSI) in spine surgery and relationship with surgical management characteristics. SUMMARY OF BACKGROUND DATA:SSI is an important complication of spine surgery that results in signific...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0b013e3182a42a68

    authors: Abdul-Jabbar A,Berven SH,Hu SS,Chou D,Mummaneni PV,Takemoto S,Ames C,Deviren V,Tay B,Weinstein P,Burch S,Liu C

    更新日期:2013-10-15 00:00:00

  • Antenatal factors in the development of the lumbar vertebral canal: a magnetic resonance imaging study.

    abstract:STUDY DESIGN:The lumbar vertebral canal was measured in two cohorts of 10-year-old children (n = 161) using magnetic resonance imaging (MRI) and compared with obstetric records. OBJECTIVE:To investigate whether there are identifiable obstetric factors that determine the size of the lumbar vertebral canal. SUMMARY OF ...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/01.BRS.0000067086.39849.B3

    authors: Jeffrey JE,Campbell DM,Golden MH,Smith FW,Porter RW

    更新日期:2003-07-01 00:00:00

  • Two Doses of Tranexamic Acid Reduce Blood Transfusion in Complex Spine Surgery: A Prospective Randomized Study.

    abstract:STUDY DESIGN:Prospective, double-blinded, randomized controlled study. OBJECTIVE:To determine whether the use of 2 doses of tranexamic acid (TXA) can reduce perioperative blood loss and blood transfusions in low-risk adult patients undergoing complex laminectomy. SUMMARY OF BACKGROUND DATA:Complex laminectomy (multil...

    journal_title:Spine

    pub_type: 杂志文章,随机对照试验

    doi:10.1097/BRS.0000000000001063

    authors: Raksakietisak M,Sathitkarnmanee B,Srisaen P,Duangrat T,Chinachoti T,Rushatamukayanunt P,Sakulpacharoen N

    更新日期:2015-12-01 00:00:00

  • Vibration and the human spine.

    abstract::Vibrational effects have been found to be associated with increased frequency of low-back pain in various industries, and because of this the study herein reported was conducted to assess the physiologic response of the spinal system to sinusoidal vibrations. A device replicating industrial vibration was constructed a...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-198205000-00008

    authors: Wilder DG,Woodworth BB,Frymoyer JW,Pope MH

    更新日期:1982-05-01 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...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-200102150-00019

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

    更新日期:2001-02-15 00:00:00

  • Resting energy expenditure and respiratory quotient in adolescents following spinal fusion surgery.

    abstract:STUDY DESIGN:Prospective, 2-factor design. The first factor was the group with 2 levels, spine surgery and control. The second factor was timing with 3 levels, baseline, 1-week follow-up, and 6-week follow-up. OBJECTIVES:The purpose of this study was to assess changes in caloric requirements and the body's nutritional...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/01.brs.0000134564.24874.10

    authors: McMulkin ML,Ferguson RL

    更新日期:2004-08-15 00:00:00

  • Obesity is associated with reduced disc height in the lumbar spine but not at the lumbosacral junction.

    abstract:STUDY DESIGN:Cross-sectional, community-based study. OBJECTIVE:To investigate the relationships between obesity, disc height, and low back pain in the lumbosacral spine. SUMMARY OF BACKGROUND DATA:Although obesity is a recognized risk factor for low back pain, our understanding of the mechanisms for this is limited. ...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0000000000000411

    authors: Urquhart DM,Kurniadi I,Triangto K,Wang Y,Wluka AE,OʼSullivan R,Jones G,Cicuttini FM

    更新日期:2014-07-15 00:00:00

  • Combined VDS and Harrington instrumentation for treatment of idiopathic double major curves.

    abstract::The authors reviewed the results of the combined ventral derotation system (VDS) and Harrington operation in 34 selected patients with idiopathic scoliosis and kyphoscoliosis of double major curve pattern. The use of both VDS and Harrington instrumentation gives better correction and stabilization of the particular cu...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-198704000-00009

    authors: Korovessis P

    更新日期:1987-04-01 00:00:00

  • Manipulation for chronic neck pain. A double-blind controlled study.

    abstract::Twenty-one with symptomatic cervical spondylosis or nonspecific neck pain were given an amnesic dose of diazepam before manipulation of the cervical spine. Eighteen patients served as controls and also received diazepam but no manipulation. Results were obtained in a randomized, double-blind fashion. Statements of out...

    journal_title:Spine

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1097/00007632-198211000-00003

    authors: Sloop PR,Smith DS,Goldenberg E,Doré C

    更新日期:1982-11-01 00:00:00

  • Delirium after spinal surgery in Korean population.

    abstract:STUDY DESIGN:The incidence and risk factors of postoperative delirium were retrospectively examined in patients who had spine surgery for degenerative lumbar disease. OBJECTIVE:The aim of this study is to examine the incidence, pre- and postoperative risk factors and clinical results of postoperative delirium after sp...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0b013e3181c423fc

    authors: Lee JK,Park YS

    更新日期:2010-08-15 00:00:00

  • The Impact of COVID-19 pandemic on Spine Surgeons: An Asia Pacific Spine Society (APSS) Survey.

    abstract:STUDY DESIGN:Cross-sectional survey. OBJECTIVE:The aim of this study was to investigate the impact of COVID-19 pandemic on the clinical practices of spine surgeons within the Asia Pacific region. SUMMARY OF BACKGROUND DATA:COVID-19 pandemic had changed spine surgeons' clinical practices and their concerns toward pers...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0000000000003622

    authors: Chan CYW,Chiu CK,Cheung JPY,Cheung PWH,Gani SMA,Kwan MK

    更新日期:2020-09-15 00:00:00

  • Kinematics of the canine lumbar intervertebral joint. An in vivo study before and after adjacent instrumentation.

    abstract:STUDY DESIGN:In vivo, canine lumbar spine intervertebral motion was measured before and after instrumentation of caudal segments. The three-dimensional kinematics of the intervertebral joint were described using helical axes and Fourier series. OBJECTIVE:The in vivo three-dimensional kinematics of the intervertebral j...

    journal_title:Spine

    pub_type: 杂志文章

    doi:

    authors: Schendel MJ,Dekutoski MB,Ogilvie JW,Olsewski JM,Wallace LJ

    更新日期:1995-12-01 00:00:00

  • Principles for selecting fusion levels in adult spinal deformity with particular attention to lumbar curves and double major curves.

    abstract:STUDY DESIGN:Review article. OBJECTIVES:To identify decision-making principles for selecting fusion levels in adult spinal deformity, with particular attention to lumbar curves and double major curves. SUMMARY OF BACKGROUND DATA:Although numerous articles have been published on the selection of fusion levels for adol...

    journal_title:Spine

    pub_type: 杂志文章,评审

    doi:10.1097/01.brs.0000236023.08226.90

    authors: Kuklo TR

    更新日期:2006-09-01 00:00:00

  • Complications, Readmissions, and Reoperations in Posterior Cervical Fusion.

    abstract:STUDY DESIGN:Retrospective cohort study of the American College of Surgeons National Surgical Quality Improvement Program database from 2011 to 2012. OBJECTIVE:Minimizing the morbidity of posterior cervical fusion can be improved with identification of patient risk factors. SUMMARY OF BACKGROUND DATA:Posterior cervic...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0000000000001564

    authors: Medvedev G,Wang C,Cyriac M,Amdur R,O'Brien J

    更新日期:2016-10-01 00:00:00

  • Preoperative Factors Predict Postoperative Trajectories of Pain and Disability Following Surgery for Degenerative Lumbar Spinal Stenosis.

    abstract:STUDY DESIGN:Longitudinal analysis of prospectively collected data. OBJECTIVE:Investigate potential predictors of poor outcome following surgery for degenerative lumbar spinal stenosis (LSS). SUMMARY OF BACKGROUND DATA:LSS is the most common reason for an older person to undergo spinal surgery, yet little information...

    journal_title:Spine

    pub_type: 杂志文章,多中心研究

    doi:10.1097/BRS.0000000000003587

    authors: Hébert JJ,Abraham E,Wedderkopp N,Bigney E,Richardson E,Darling M,Hall H,Fisher CG,Rampersaud YR,Thomas KC,Jacobs WB,Johnson M,Paquet J,Attabib N,Jarzem P,Wai EK,Rasoulinejad P,Ahn H,Nataraj A,Stratton A,Manson N

    更新日期:2020-11-01 00:00:00

  • A biomechanical analysis of intravertebral pressures during vertebroplasty of cadaveric spines with and without simulated metastases.

    abstract:STUDY DESIGN:A biomechanical cadaveric study of thoracic and lumbar vertebrae with simulated metastases quantifying intravertebral pressures during transpedicular vertebroplasty. OBJECTIVE:To compare intravertebral pressures during percutaneous vertebroplasty in vertebrae with and without simulated lytic metastases. ...

    journal_title:Spine

    pub_type: 杂志文章

    doi:

    authors: Reidy D,Ahn H,Mousavi P,Finkelstein J,Whyne CM

    更新日期:2003-07-15 00:00:00

  • The role of laminectomy, facet rhizotomy, and epidural steroids.

    abstract::A retrospective review of the treatment of chronic back and extremity pain is presented. Laminectomy is most effective for pain secondary to direct compression of the neural elements. Treatment of pseudoradicular pain requires identification of the source of pain input. Facet rhizotomy is specific for pain arising fro...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-197903000-00009

    authors: Oudenhoven RC

    更新日期:1979-03-01 00:00:00

  • Does maintained spinal manipulation therapy for chronic nonspecific low back pain result in better long-term outcome?

    abstract:STUDY DESIGN:A prospective single blinded placebo controlled study was conducted. OBJECTIVE:To assess the effectiveness of spinal manipulation therapy (SMT) for the management of chronic nonspecific low back pain (LBP) and to determine the effectiveness of maintenance SMT in long-term reduction of pain and disability ...

    journal_title:Spine

    pub_type: 杂志文章,随机对照试验

    doi:10.1097/BRS.0b013e3181f5dfe0

    authors: Senna MK,Machaly SA

    更新日期:2011-08-15 00:00:00