Clinical characteristics and neurologic recovery of patients with cervical spinal tuberculosis: should conservative treatment be preferred? A retrospective follow-up study of 115 cases.

Abstract:

OBJECTIVE:To present the clinical characteristics and prognostic factors of neurologic recovery in patients with cervical spinal tuberculosis (CST). METHODS:General description and multivariate analysis were used to detect possible predictors of the outcome of patients with neurologic deficit. Follow-up data were used to generate a Kaplan-Meier curve of neurologic recovery. RESULTS:Protective factors in neurologic recovery included less involved vertebrae, surgery, and higher Japanese Orthopaedic Association score before treatment; not shorter symptom duration was not a protective factor. Normal neurologic function was present in 30% of patients 6 months after treatment, in 56% of patients 12 months after treatment, and in 93% of patients 28 months after treatment. The cumulative complete neurologic recovery rates at 6 months, 12 months, and 28 months were 44%, 68%, and 91.7% in the surgery group and 16.7%, 38.8%, and 94.4% in the nonsurgery group. CONCLUSIONS:Surgery and Japanese Orthopaedic Association score before treatment are important predictors of neurologic recovery in patients with CST. A neurologic recovery curve could predict neurologic recovery in patients with CST and indicate in patients with neurologic deficit how long it will take to achieve complete neurologic recovery. The effect of surgery is quick, and the effect of conservative treatment is slower, but no difference in neurologic recovery was found in the long-term. Conservative treatment should be tried in every patient with CST with no obvious indication for surgery. In contrast to patients with tuberculosis without cervical spine involvement but with more complications, comprehensive conservative therapy should be preferred for patients with neurologic deficit to avoid unnecessary surgery and overtreatment and to conserve medical resources. Indications for surgical intervention for CST should be carefully selected.

journal_name

World Neurosurg

journal_title

World neurosurgery

authors

Qu JT,Jiang YQ,Xu GH,Tang Y,Wang ZT,Ye XJ,Shi GH,Dong JW,Li J,Zhou JL,Hu Y

doi

10.1016/j.wneu.2015.01.015

subject

Has Abstract

pub_date

2015-05-01 00:00:00

pages

700-7

issue

5

eissn

1878-8750

issn

1878-8769

pii

S1878-8750(15)00037-6

journal_volume

83

pub_type

杂志文章
  • Delayed Traumatic Aortic Pseudoaneurysm Formation Causing Vertebral Body Erosion and Back Pain: Case Report and Literature Review.

    abstract:BACKGROUND:Aortic pseudoaneurysms are a rare cause of chronic back pain, usually resulting from compression of the adjacent neurovasculature. It is uncommon for patients with pseudoaneurysms of the abdominal aorta to present in a delayed fashion after initial traumatic injury. CASE DESCRIPTION:We describe an unusual c...

    journal_title:World neurosurgery

    pub_type: 杂志文章,评审

    doi:10.1016/j.wneu.2017.11.035

    authors: Cappuzzo JM,Knudson KE,Sarin S,Babrowicz J,Cherrick A,Sherman JH

    更新日期:2018-02-01 00:00:00

  • Predictors of Outcomes and Complications After Microsurgical and Endovascular Treatment of 1300 Intracranial Aneurysms.

    abstract:BACKGROUND:We performed a rigorous statistical analysis of the complications and outcomes of patients with ruptured or unruptured intracranial aneurysms. Our emphasis was on the potential predictive factors when both surgical and endovascular management are offered by a team with balanced microsurgical and endovascular...

    journal_title:World neurosurgery

    pub_type: 杂志文章

    doi:10.1016/j.wneu.2018.10.094

    authors: Acioly MA,Shaikh KA,White IK,Ziemba-Davis M,Bohnstedt BN,Cohen-Gadol A

    更新日期:2019-02-01 00:00:00

  • Diagnostic and Prognostic Potential of Serum Cell-Free microRNA-214 in Glioma.

    abstract:OBJECTIVE:We aimed to expound feasibility of serum cell-free microRNA-214 (miR-214) as a noninvasive biomarker for glioma in this study. PATIENTS AND METHODS:We detected expression of miR-214 in medium from 2 glioma cell lines to confirm whether it is secretory in screening phase. Then, we verified cell-free miR-214 e...

    journal_title:World neurosurgery

    pub_type: 杂志文章

    doi:10.1016/j.wneu.2019.02.009

    authors: Wang J,Che F,Zhang J,Zhang M,Xiao S,Liu Y,Zhou L,Su Q,You C,Lu Y,Heng X

    更新日期:2019-05-01 00:00:00

  • Bibliometric Analysis of the Top 100 Influential Studies on Carotid Artery Stenting.

    abstract:BACKGROUND:Artery stenting is an effective therapy for carotid artery stenosis to prevent ischemic stroke. We aimed to identify and analyze the 100 top-cited reports on carotid artery stenting (CAS) to review the achievements and developments in this field. METHODS:The Web of Knowledge database was searched from its i...

    journal_title:World neurosurgery

    pub_type: 杂志文章,评审

    doi:10.1016/j.wneu.2018.11.042

    authors: Cheng W,Kang Q,Xiao Q

    更新日期:2019-02-01 00:00:00

  • Novel Oral Anticoagulants in Patients Undergoing Cranial Surgery.

    abstract:BACKGROUND:The number of patients treated with novel oral anticoagulants (NOACs) is increasing. Despite growing clinical relevance, guidelines on the perioperative management of neurosurgical patients treated with NOACs are still lacking. The aim of this study was to analyze the occurrence of postoperative bleeding eve...

    journal_title:World neurosurgery

    pub_type: 杂志文章

    doi:10.1016/j.wneu.2017.06.105

    authors: Croci DM,Kamenova M,Guzman R,Mariani L,Soleman J

    更新日期:2017-09-01 00:00:00

  • Gender Differences in Use of Prolonged Nonoperative Therapies Before Index Lumbar Surgery.

    abstract:OBJECTIVE:The purpose of the present study was to assess for gender-based differences in the usage and cost of maximal nonoperative therapy before spinal fusion surgery in patients with symptomatic lumbar stenosis or spondylolisthesis. METHODS:A large insurance database was queried for patients with symptomatic lumbar...

    journal_title:World neurosurgery

    pub_type: 杂志文章

    doi:10.1016/j.wneu.2018.08.131

    authors: Davison MA,Vuong VD,Lilly DT,Desai SA,Moreno J,Cheng J,Bagley C,Adogwa O

    更新日期:2018-12-01 00:00:00

  • Surgical resolution of trigeminal neuralgia due to intra-axial compression by pontine cavernous angioma.

    abstract:BACKGROUND:Trigeminal neuralgia is usually caused by microvascular conflict with the fifth cranial nerve in the pontocerebellar angle. Rarely is it secondary to other extra-axial or intra-axial lesions. Few cases of trigeminal neuralgia due to cavernous angiomas have been reported in the literature. This is the first r...

    journal_title:World neurosurgery

    pub_type: 杂志文章

    doi:10.1016/j.wneu.2010.03.035

    authors: Cenzato M,Stefini R,Ambrosi C,Latronico N,Milani D

    更新日期:2010-10-01 00:00:00

  • Management of Root-Level Double Crush: Case Report with Technical Notes on Contralateral Interlaminar Foraminotomy with Full Endoscopic Uniportal Approach.

    abstract:BACKGROUND:Double crush of a nerve at the root level is not common. We describe here a double crush of the right L4 nerve with foramina to far lateral disk (ventral) and extraforaminal (dorsal) compression. The double crush was managed by endoscopy with a contralateral uniportal approach from the left interlaminar spac...

    journal_title:World neurosurgery

    pub_type: 杂志文章

    doi:10.1016/j.wneu.2018.11.110

    authors: Kim HS,Singh R,Adsul NM,Oh SW,Noh JH,Jang IT

    更新日期:2019-02-01 00:00:00

  • Carotid Free-Floating Thrombus in a Stent 6 Months After Carotid Artery Stenting.

    abstract:BACKGROUND:Carotid free-floating thrombus (CFFT) is defined as a blood clot attached to the arterial wall with surrounding blood flow at its distal component. Although rare, it is a clinically significant cause of embolic stroke. CFFT within a stent has not been previously reported. CASE DESCRIPTION:We report a 64-yea...

    journal_title:World neurosurgery

    pub_type:

    doi:10.1016/j.wneu.2020.06.100

    authors: Sugie A,Yamada M,Yokoyama K,Yamashita M,Ito Y,Tanaka H,Nomura Y,Fujita M,Nakatani T,Kawanishi M

    更新日期:2020-09-01 00:00:00

  • A Novel Hybrid Endoscopic Approach for Anterior Cervical Discectomy and Fusion and a Meta-Analysis of the Literature.

    abstract:BACKGROUND:We describe our experience in the endoscopic treatment of cervical spondylosis. We present a "hybrid" technique that is similar to an open anterior cervical discectomy with fusion but is performed endoscopically. We also analyzed data from studies on endoscopic cervical discectomies published in the past 2 d...

    journal_title:World neurosurgery

    pub_type: 杂志文章,meta分析

    doi:10.1016/j.wneu.2019.07.122

    authors: Tacconi L,Giordan E

    更新日期:2019-11-01 00:00:00

  • Primary Spinal Cord Small-Cell Glioblastoma: Case Report and Literature Review.

    abstract:BACKGROUND:Approximately 2%-10% of all central nervous system tumors are primary spinal cord tumors (SCTs). Spinal cord glioblastoma is a rare tumor type accounting for 1%-3% of all SCTs and 7.5% of all spinal cord gliomas. Notably, the small-cell variant of spinal cord glioblastoma is even rarer with only 2 previously...

    journal_title:World neurosurgery

    pub_type: 杂志文章,评审

    doi:10.1016/j.wneu.2018.07.007

    authors: Caro-Osorio E,Herrera-Castro JC,Barbosa-Quintana A,Benvenutti-Regato M

    更新日期:2018-10-01 00:00:00

  • Prevalence and Incidence of Drug-Resistant Mesial Temporal Lobe Epilepsy in the United States.

    abstract:OBJECTIVE:We reviewed data on the epidemiology of epilepsy in the United States and estimated the prevalence and incidence of drug-resistant temporal lobe epilepsy (TLE) due to hippocampal sclerosis (HS) based on extrapolation from the available data drawn from the literature. METHODS:We searched the electronic databa...

    journal_title:World neurosurgery

    pub_type: 杂志文章,评审

    doi:10.1016/j.wneu.2016.12.074

    authors: Asadi-Pooya AA,Stewart GR,Abrams DJ,Sharan A

    更新日期:2017-03-01 00:00:00

  • The History of Neurosurgery at the National Hospital, Queen Square, London, with Some Personal Recollections from 1948 Onwards: The Early Years.

    abstract::The National Hospital, Queen Square, London was founded as a charitable institution in 1860, becoming the first dedicated neuroscience hospital in the world. Sir Victor Horsley, the first neurosurgeon was appointed in 1886, and since that time, Queen Square neurosurgeons have been prominent on the World neurosurgical ...

    journal_title:World neurosurgery

    pub_type: 历史文章,杂志文章

    doi:10.1016/j.wneu.2017.02.021

    authors: Powell MP

    更新日期:2017-07-01 00:00:00

  • Impact of Race on 30-Day Complication Rates After Elective Complex Spinal Fusion (≥5 Levels): A Single Institutional Study of 446 Patients.

    abstract:OBJECTIVE:Racial disparities have been shown to affect surgical outcomes. However, the effect of race on complex spinal fusion outcomes remains understudied. The aim of this study is to determine if patient race affects 30-day complication rates after elective complex spinal fusion (≥5 levels). METHODS:The medical rec...

    journal_title:World neurosurgery

    pub_type: 杂志文章

    doi:10.1016/j.wneu.2016.12.029

    authors: Elsamadicy AA,Adogwa O,Sergesketter A,Hobbs C,Behrens S,Mehta AI,Vasquez RA,Cheng J,Bagley CA,Karikari IO

    更新日期:2017-03-01 00:00:00

  • Prevention of Proximal Junctional Kyphosis: Are Polyaxial Pedicle Screws Superior to Monoaxial Pedicle Screws at the Upper Instrumented Vertebrae?

    abstract:INTRODUCTION:Evidence regarding whether the polyaxial pedicle screws at the upper instrumented vertebrae (UIV) are superior to monoaxial pedicle screws in prevention of proximal junctional kyphosis (PJK) is not clear. The aim of this study was therefore to explore the influence of different types of pedicle screws at U...

    journal_title:World neurosurgery

    pub_type: 杂志文章

    doi:10.1016/j.wneu.2017.02.013

    authors: Wang H,Ding W,Ma L,Zhang L,Yang D

    更新日期:2017-05-01 00:00:00

  • 5-Aminolevulinic Acid False Positives in Cerebral Neuro-Oncology: Not All That Is Fluorescent Is Tumor. A Case-Based Update and Literature Review.

    abstract:BACKGROUND:One of the most valuable innovations in high-grade glioma surgery is 5-aminolevulinic acid (5-ALA). Fluorescence is a specific and sensitive indicator of metabolically active tumor tissue. In the published literature, the main focus has been placed on false-negative cases, with only a few articles addressing...

    journal_title:World neurosurgery

    pub_type: 杂志文章,评审

    doi:10.1016/j.wneu.2020.01.238

    authors: La Rocca G,Sabatino G,Menna G,Altieri R,Ius T,Marchese E,Olivi A,Barresi V,Della Pepa GM

    更新日期:2020-05-01 00:00:00

  • Glioneuronal Heterotopia Presenting as Cerebellopontine Angle Tumor of Cranial Nerve VIII.

    abstract:BACKGROUND:Vestibular schwannomas and meningiomas account for the great majority of lesions arising in the cerebellopontine angle. In this report, we present a case of glioneuronal heterotopia, also known as glioneuronal hamartoma, arising from cranial nerve VIII, which is an extremely uncommon lesion. Important radiol...

    journal_title:World neurosurgery

    pub_type: 杂志文章,评审

    doi:10.1016/j.wneu.2018.03.185

    authors: Peris-Celda M,Giannini C,Diehn FE,Eckel LJ,Neff BA,Van Gompel JJ

    更新日期:2018-06-01 00:00:00

  • Incidence and mortality of spontaneous subarachnoid hemorrhage in Hong Kong from 2002 to 2010: a Hong Kong hospital authority clinical management system database analysis.

    abstract:BACKGROUND:Ninety-five percent of the Hong Kong population is Chinese, and no previous epidemiological study has focused on spontaneous subarachnoid hemorrhage (SAH) in Hong Kong. These data would have significant public health implications and can guide future resource allocations and service development in Hong Kong....

    journal_title:World neurosurgery

    pub_type: 杂志文章

    doi:10.1016/j.wneu.2013.07.128

    authors: Wong GK,Wun Tam YY,Zhu XL,Poon WS

    更新日期:2014-03-01 00:00:00

  • Posterior percutaneous full-endoscopic cervical laminectomy and decompression for cervical stenosis with myelopathy: a technical note.

    abstract:PURPOSE:Cervical stenosis with myelopathy caused by ossification of the ligamentum flavum is relatively rare, and surgical treatment is the preferred option. Previous surgical procedures usually require assisted internal fixation, while some problems may occur, such as large trauma, intraoperative bleeding, wound infec...

    journal_title:World neurosurgery

    pub_type: 杂志文章

    doi:10.1016/j.wneu.2018.12.180

    authors: Lin Y,Rao S,Li Y,Zhao S,Chen B

    更新日期:2019-01-12 00:00:00

  • Local vascularized flap reconstruction of the skull base—clinical outcomes and analysis.

    abstract:OBJECTIVE:The purpose of this study was to describe the effectiveness of local vascularized flaps for the repair of various skull base defects. METHODS:We analyzed a cohort of 138 patients undergoing skull base surgery in a retrospective review of all head and neck surgical oncology cases done at a major tertiary care...

    journal_title:World neurosurgery

    pub_type: 杂志文章

    doi:10.1016/j.wneu.2012.11.073

    authors: Jalisi S,O'Gara B,Toshkezi G,Chin L

    更新日期:2015-01-01 00:00:00

  • Bypass for Innominate Artery Occlusive Disease.

    abstract::The innominate artery, also known as the brachiocephalic artery, is the first vessel off the aortic arch and provides blood to the right arm, neck, and head. Occlusion of the innominate artery can be treated with endarterectomy, angioplasty, stenting, and bypass grafting. Bypass grafting describes a surgical procedure...

    journal_title:World neurosurgery

    pub_type: 杂志文章

    doi:10.1016/j.wneu.2018.05.134

    authors: Kühn AL,Puri AS,Rex DE

    更新日期:2018-08-01 00:00:00

  • The History of Neurosurgery in the Hawaiian Islands.

    abstract::The field of neurosurgery has a rich and fascinating history. The development of the specialty in Hawaii has been particularly unique, given the state's remote location, indigenous population, and military presence. The life of Dr. Ralph B. Cloward, Hawaii's most noted neurosurgeon, has received some attention in the ...

    journal_title:World neurosurgery

    pub_type: 传,历史文章,杂志文章,评审

    doi:10.1016/j.wneu.2017.10.065

    authors: Swinney C,Obana W

    更新日期:2018-01-01 00:00:00

  • Severe Traumatic Brain Injury at a Tertiary Referral Center in Tanzania: Epidemiology and Adherence to Brain Trauma Foundation Guidelines.

    abstract:BACKGROUND:Severe traumatic brain injury (TBI) is a major cause of death and disability worldwide. Prospective TBI data from sub-Saharan Africa are sparse. This study examines epidemiology and explores management of patients with severe TBI and adherence to Brain Trauma Foundation Guidelines at a tertiary care referral...

    journal_title:World neurosurgery

    pub_type: 杂志文章

    doi:10.1016/j.wneu.2017.05.101

    authors: Smart LR,Mangat HS,Issarow B,McClelland P,Mayaya G,Kanumba E,Gerber LM,Wu X,Peck RN,Ngayomela I,Fakhar M,Stieg PE,Härtl R

    更新日期:2017-09-01 00:00:00

  • Subdural Empyema in the Setting of Multimodal Intracranial Monitoring.

    abstract:BACKGROUND:Multimodal intracranial monitoring is becoming an increasingly common tool in the management of patients with traumatic brain injury. Although numerous reports detailing the benefits of such advanced monitoring exist in the literature, there is minimal discussion of the possible complications that may arise ...

    journal_title:World neurosurgery

    pub_type: 杂志文章

    doi:10.1016/j.wneu.2016.10.133

    authors: Guan J,Spivak ES,Wilkerson C,Park MS

    更新日期:2017-01-01 00:00:00

  • Radiographic Evaluation and Clinical Implications of Venous Connections Between Dural Arteriovenous Fistula of the Cavernous Sinus and Cerebellum and the Pontomedullary Venous System.

    abstract:OBJECTIVE:The types of cortical venous reflux channels, posterior fossa and pontomesencephalic venous reflux or their connections with the cavernous sinus (CS) are inadequately described in the literature. This study uses angiography, magnetic resonance imaging, and X-ray computed tomography to clarify the possible rou...

    journal_title:World neurosurgery

    pub_type: 杂志文章

    doi:10.1016/j.wneu.2015.05.074

    authors: Kobkitsuksakul C,Jiarakongmun P,Chanthanaphak E,Pongpech S

    更新日期:2015-10-01 00:00:00

  • Intervertebral Displacement of the Thoracic Spine with and without Loading: Radiographic and in Vitro Measurements.

    abstract:BACKGROUND:We are developing an intradural approach to spinal cord stimulation, where the thin electrode array is affixed stably to the underside of the thoracic spinal dura mater without leakage of cerebrospinal fluid. As part of the design and testing process, we sought to evaluate the potential risk of inadvertent c...

    journal_title:World neurosurgery

    pub_type: 杂志文章

    doi:10.1016/j.wneu.2020.02.172

    authors: Seaman SC,Zanaty M,Holland MT,Gillies GT,Howard MA 3rd,Yamaguchi S

    更新日期:2020-06-01 00:00:00

  • Translaminar Approach for Treatment of Hidden Zone Foraminal Lumbar Disc Herniations: Surgical Technique and Preoperative Selection of Patients with Long-Term Follow-Up.

    abstract:BACKGROUND:Lumbar disc herniation is a common degenerative disease of the lumbar spine with a prevalence of 1%-3% in some population studies. In 10% of patients, there is a fragment migrated cranially in Macnab's "hidden zone." In selected cases, this fragment can be removed with a translaminar approach that was descri...

    journal_title:World neurosurgery

    pub_type: 杂志文章

    doi:10.1016/j.wneu.2018.05.072

    authors: Cossandi C,Fanti A,Gerosa A,Bianco A,Fornaro R,Crobeddu E,Forgnone S,Panzarasa G,Di Cristofori A

    更新日期:2018-08-01 00:00:00

  • Autologous Bone Harvest in Anterior Cervical Spine Surgery: A Quantitative and Qualitative In Vitro Analysis of Cadaveric Tissue.

    abstract:BACKGROUND:The cervical spine may be used as a harvesting site of local autograft material during anterior cervical discectomy and fusion procedures. We analyzed the quality and composition of bone grafts obtained from different parts of the cervical vertebrae in a cadaveric model. METHODS:Five fresh adult human cadav...

    journal_title:World neurosurgery

    pub_type: 杂志文章

    doi:10.1016/j.wneu.2017.12.175

    authors: Rustagi T,Alonso F,Drazin D,Schmidt C,Rostad S,Yilmaz E,Oskouian RJ,Tubbs RS,Chapman JR,Fisahn C

    更新日期:2018-04-01 00:00:00

  • Transforaminal Endoscopic Lumbar Discectomy for Lumbar Disc Herniation Causing Bilateral Symptoms.

    abstract:BACKGROUND:Transforaminal endoscopic lumbar discectomy (TELD), a minimally invasive spinal technique, has advantages over open discectomy. Unilateral TELD for disc herniation causing bilateral symptoms is challenging. In this study, we describe a percutaneous endoscopic herniotomy technique by using a unilateral approa...

    journal_title:World neurosurgery

    pub_type: 杂志文章

    doi:10.1016/j.wneu.2017.06.191

    authors: Ren C,Li Y,Qin R,Sun P,Wang P

    更新日期:2017-10-01 00:00:00

  • Muscle Forehead Flap: Salvage Surgery for Closure of Cutaneous Fistula After Cranioplasty Exposure.

    abstract:BACKGROUND:Infection and skin fistula are well-known complications after cranioplasty leading to reconstruction exposure and usually requiring new surgical procedure with poor condition for cutaneous closure. We describe 2 cases using muscle forehead flap (MFF) to treat skin fistula and cranioplasty exposure. CASE DES...

    journal_title:World neurosurgery

    pub_type: 杂志文章

    doi:10.1016/j.wneu.2018.10.184

    authors: Reiss S,Zemmoura I,Joly A,Kün-Darbois JD,Laure B,Paré A

    更新日期:2019-02-01 00:00:00