Abstract:
BACKGROUND:Surgery for degenerative cervical spine disease has escalated since the 1990s. Fusion has become the mainstay of surgery despite concerns regarding adjacent segment degeneration. The patient-specific trends in reoperations have not been studied previously. OBJECTIVE:To analyze the occurrence, risk factors, and trends in reoperations in a long-term follow-up of all the patients operated for degenerative cervical spine disease in Finland between 1999 and 2015. METHODS:The patients were retrospectively identified from the Hospital Discharge Registry. Reoperations were traced individually; only reoperations occurring >365 d after the primary operation were included. Time trends in reoperations and the risk factors were analyzed by regression analysis. RESULTS:Of the 19 377 identified patients, 9.2% underwent a late reoperation at a median of 3.6 yr after the primary operation. The annual risk of reoperation was 2.4% at 2 yr, 6.6% at 5 yr, 11.1% at 10 yr, and 14.2% at 15 yr. Seventy-five percent of the late reoperations occurred within 6.5 yr of the primary operation. Foraminal stenosis, the anterior cervical decompression and fusion (ACDF) technique, male gender, weak opiate use, and young age were the most important risk factors for reoperation. There was no increase in the risk of reoperations over the follow-up period. CONCLUSION:The risk of reoperation was stable between 1999 and 2015. The reoperation risk was highest during the first 6 postoperative years and then declined. Patients with foraminal stenosis had the highest risk of reoperation, especially when ACDF was performed.
journal_name
Neurosurgeryjournal_title
Neurosurgeryauthors
Kotkansalo A,Leinonen V,Korajoki M,Korhonen K,Rinne J,Malmivaara Adoi
10.1093/neuros/nyaa464subject
Has Abstractpub_date
2020-12-28 00:00:00eissn
0148-396Xissn
1524-4040pii
6054596pub_type
杂志文章相关文献
NEUROSURGERY文献大全abstract::The authors report two patients with a rare complication of parent artery narrowing that occurred 3 and 6 months after aneurysm surgery. In both cases, the stenosed arteries had been wrapped around their entire circumferences with neurosurgical sponge (cotton linter) and coated with plastic adhesive (cyanoacrylate com...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-199506000-00029
更新日期:1995-06-01 00:00:00
abstract::Seventy-one patients with minor head injury were given extensive neuropsychological evaluations 3 months after injury. A significant percentage of the patients demonstrated cognitive impairment, which seemed essentially unrelated to the length of unconsciousness or of posttraumatic amnesia. Impaired patients evidenced...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-198311000-00008
更新日期:1983-11-01 00:00:00
abstract::Doppler ultrasonic cardiac monitoring of patients undergoing trans-sphenoidal pituitary operations in the semisitting position has revealed the occurrence of venous air embolism in 3 of 31 consecutive cases. One such case is presented. Air may be drawn into the venous system whenever a gradient exists between the site...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-197801000-00008
更新日期:1978-01-01 00:00:00
abstract::Over 90 000 people are expected to be diagnosed with melanoma in the United States this year. The development of brain metastases is particularly difficult to manage. Over the past few years, melanoma patients with multiple unresectable brain metastases for which stereotactic surgery might also not be a viable option ...
journal_title:Neurosurgery
pub_type: 杂志文章,评审
doi:10.1093/neuros/nyaa076
更新日期:2020-09-01 00:00:00
abstract::Local steroid injections for symptomatic relief of carpal tunnel syndrome have become common in the evaluation and treatment of this disorder; yet reports of median nerve injection injury from this practice are rare. We present a case of nerve injury from a steroid injection in a 24-year-old man with carpal tunnel syn...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1097/00006123-199003000-00021
更新日期:1990-03-01 00:00:00
abstract:BACKGROUND:While high-resolution imaging is increasingly used in guiding decisions about surgical interventions for the treatment of trigeminal neuralgia, direct assessment of the extent of vascular contact of the trigeminal nerve is still considered the gold standard for the determination of whether nerve decompressio...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1093/neuros/nyx636
更新日期:2019-01-01 00:00:00
abstract:BACKGROUND:Subdural hematoma (SDH) in patients with cancer is poorly described, and its frequency and causes may have changed with recent oncologic advances. OBJECTIVE:We conducted an analysis of the clinical and radiographic features, etiologies, treatments, and outcomes of patients with SDHs and cancer. METHODS:We ...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/NEU.0b013e3182517938
更新日期:2012-07-01 00:00:00
abstract:OBJECTIVE:To study the distribution of intracranial arachnoid cysts in a large and nonbiased patient population. METHODS:One hundred twenty-six patients with 132 arachnoid cysts were studied. Patients were consecutively referred to our department during a 10-year period from a well-defined geographical area with a sta...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1097/00006123-199910000-00008
更新日期:1999-10-01 00:00:00
abstract:OBJECTIVE:Atherosclerotic stenosis or obstruction of the innominate artery is rare. Traditional surgical management is a technically demanding intervention with acceptable, but not negligible, rates of morbidity and mortality. Endovascular approaches to supraaortic lesions have been successful and are now the preferred...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/01.NEU.0000367549.33541.34
更新日期:2010-04-01 00:00:00
abstract:OBJECTIVE:Neurenteric cysts (NCs) typically arise as benign ventral intradural extramedullary developmental malformations of the spine which contain heterotopic epithelium resembling the intestinal or respiratory tracts. Intracerebral NCs are extremely rare, though the frequency of symptomatic reports and incidental fi...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/01.NEU.0000361998.93841.C3
更新日期:2010-01-01 00:00:00
abstract::Endovascular neurosurgical procedures are complex, requiring significant planning, foresight, and coordination. The neuroanesthetist is an integral part of these procedures, organizing efforts of the technicians and nurses and responding to the needs of the neurointerventionalist. The purpose of this article is to rev...
journal_title:Neurosurgery
pub_type: 杂志文章,评审
doi:10.1227/01.NEU.0000237337.38375.90
更新日期:2006-11-01 00:00:00
abstract::We have recently shown that seizures induce significant and sustained elevations of thyrotropin-releasing hormone (TRH) in specific extrahypothalamic rat brain regions associated with epileptic foci including amygdala, hippocampus, pyriform cortex, and anterior cortex. Seizures were induced in dogs to further study th...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-199211000-00017
更新日期:1992-11-01 00:00:00
abstract:OBJECT:Data regarding the long-term efficacy of Gamma knife surgery on a large series of patients with low-grade gliomas is lacking. We aimed to review the outcome of patients with low-grade gliomas undergoing Gamma knife surgery at the Lars Leksell Gamma Knife Center at the University of Virginia to clarify its role i...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/01.neu.0000316279.22371.b8
更新日期:2008-02-01 00:00:00
abstract::Visualization of the ostium of an arteriotomy by staining it blue with methylrosaniline chloride (pyoctaninum blue) in anastomotic bypass surgery for children with moyamoya disease is described. This technique enables surgeons to create an anastomosis more precisely and quickly. No adverse effects were observed. ...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-199312000-00023
更新日期:1993-12-01 00:00:00
abstract::Ten cases of posterior cerebral artery (PCA) aneurysm are presented. There were 13 aneurysms in the 10 patients: 6 saccular, 5 fusiform, 1 broad-based, and 1 giant fusiform serpentine aneurysm. Eight patients underwent operation: clipping for 2 saccular aneurysms, trapping for 1 saccular and 3 fusiform aneurysms, and ...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-198612000-00017
更新日期:1986-12-01 00:00:00
abstract:OBJECTIVE:The recent successful development of chronic stimulation of the motor cortex as a treatment for neuropathic and central pain does not exclude the possibility of eventual side effects, such as epileptic seizure or a lowering of the epileptic threshold. This study evaluates the behavioral and electroencephalogr...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1097/00006123-199908000-00030
更新日期:1999-08-01 00:00:00
abstract:OBJECTIVE:This study uses proton magnetic resonance spectroscopy to investigate whether or not idiopathic normal pressure hydrocephalus is associated with neuronal dysfunction or ischemia in the brain. We evaluate whether or not proton magnetic resonance spectroscopy is useful for predicting improvement after long-term...
journal_title:Neurosurgery
pub_type: 临床试验,杂志文章
doi:10.1227/01.NEU.0000311070.25992.05
更新日期:2008-01-01 00:00:00
abstract:OBJECTIVE AND IMPORTANCE:Brain magnetic resonance imaging scans occasionally reveal asymmetrical ventricles with no identifiable cause. A case is presented that highlights a possible connection between transient choroid plexus cysts and benign asymmetrical ventricles. CLINICAL PRESENTATION:The patient was a 2.5-week-o...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1097/00006123-200301000-00027
更新日期:2003-01-01 00:00:00
abstract:OBJECTIVE:This study aimed to examine early effects of ex vivo-expanded bone marrow-derived endothelial progenitor cells (EPCs) on focal cerebral ischemia-reperfusion injury. METHODS:EPCs were obtained from mononuclear cells of autologous bone marrow of a rat. After culture on fibronectin-coated dishes for 10 to 14 da...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/01.NEU.0000229058.08706.88
更新日期:2006-09-01 00:00:00
abstract::In the May 2009 issue of The Lancet Neurology, the 5-year follow-up results of the International Subarachnoid Aneurysm Trial (ISAT) were published. The authors concluded that, although the significant difference between coiling and neurosurgical clipping of ruptured intracranial aneurysms in terms of death and severe ...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/01.NEU.0000368152.67151.73
更新日期:2010-05-01 00:00:00
abstract:BACKGROUND:The transforaminal lumbar interbody fusion (TLIF) procedure may reduce many of the risks and limitations associated with posterior lumbar interbody fusion (PLIF). However, little is known about the biomechanical difference between PLIF and TLIF. OBJECTIVE:To determine the biomechanical difference between PL...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/NEU.0b013e3182742a69
更新日期:2013-03-01 00:00:00
abstract:OBJECTIVE AND IMPORTANCE:We describe a patient with a cavernous malformation within the trigeminal nerve at the nerve root entry zone who presented with trigeminal neuralgia. CLINICAL PRESENTATION:A 52-year-old woman sought treatment after experiencing dizziness and lancinating left facial pain for almost a year. Neur...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:
更新日期:2005-03-01 00:00:00
abstract::Medical and surgical graduate medical education has historically used a halstedian approach of "see one, do one, teach one." Increased public demand for safety, quality, and accountability in the setting of regulated resident work hours and limited resources is driving the development of innovative educational tools. ...
journal_title:Neurosurgery
pub_type: 历史文章,杂志文章,评审
doi:10.1227/NEU.0000000000000093
更新日期:2013-10-01 00:00:00
abstract:BACKGROUND:Tractography based on diffusion tensor imaging has become a popular tool for delineating white matter tracts for neurosurgical procedures. OBJECTIVE:To explore whether navigated transcranial magnetic stimulation (nTMS) might increase the accuracy of fiber tracking. METHODS:Tractography was performed accord...
journal_title:Neurosurgery
pub_type: 临床试验,杂志文章
doi:10.1227/NEU.0000000000000715
更新日期:2015-06-01 00:00:00
abstract:BACKGROUND AND IMPORTANCE:This article describes delayed endovascular revascularization in a patient with clinical and radiographic evidence of posterior circulation hemodynamic failure in the setting of intracranial occlusive lesions. CLINICAL PRESENTATION:A 48-year-old man presented with a 6-week history of progress...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/NEU.0b013e3182186811
更新日期:2011-07-01 00:00:00
abstract::A case of congenital lumbar stenosis producing lower extremity spasticity and bladder dysfunction in a young child is presented. Myelography demonstrated a marked stenosis of the spinal canal at L-2, L-3, and decompressive laminectomy resulted in a marked improvement in symptoms. A discussion of lumbar stenosis in gen...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-198207010-00013
更新日期:1982-07-01 00:00:00
abstract:INTRODUCTION:The most frequent embryonic communication between the vertebrobasilar and carotid systems is a persistent trigeminal artery (PTA). It has been observed in 0.1 to 0.2% of cerebral angiograms. We found this variation in an anatomic specimen, and after microscopic dissection, we performed an analysis of the c...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1097/00006123-199809000-00082
更新日期:1998-09-01 00:00:00
abstract::The authors discuss the indications for both elective and emergency carotid endarterectomy. Reports on the surgical treatment of asymptomatic bruit and contralateral carotid stenosis are reviewed. The results of endarterectomy for symptomatic carotid disease, including transient ischemic attacks, acute neurological de...
journal_title:Neurosurgery
pub_type: 杂志文章,评审
doi:10.1227/00006123-198312000-00021
更新日期:1983-12-01 00:00:00
abstract:OBJECTIVE:To describe the technique and indications of a Smith-Petersen osteotomy in spinal deformity surgery. METHODS:Pertinent literature was reviewed to describe the indications and reported complications of this corrective technique. RESULTS:The operative nuances of the technique are described. CONCLUSION:A Smit...
journal_title:Neurosurgery
pub_type: 杂志文章,评审
doi:10.1227/01.NEU.0000320428.67620.4F
更新日期:2008-09-01 00:00:00
abstract:OBJECTIVE:To describe the surgical approaches, the radiographic and clinical outcomes, and the long-term follow-up of patients harboring thalamic pilocytic astrocytomas after radical resection by means of a stereotactic volumetric technique. METHODS:Seventy-two patients with thalamic pilocytic astrocytomas underwent s...
journal_title:Neurosurgery
pub_type: 临床试验,杂志文章
doi:10.1227/01.neu.0000279725.13521.a3
更新日期:2007-07-01 00:00:00