Abstract:
BACKGROUND:Iliac screw fixation is a powerful tool used by spine surgeons to achieve fusion across the lumbosacral junction for a number of indications, including deformity, tumor, and pseudarthrosis. Complications associated with screw placement are related to blind trajectory selection and excessive soft tissue dissection. OBJECTIVE:To describe the technique of iliac screw fixation using computed tomographic (CT)-based image guidance. METHODS:Intraoperative registration and verification of anatomic landmarks are performed with the use of a preoperatively acquired CT of the lumbosacral spine. With the navigation probe, the ideal starting point for screw placement is selected while visualizing the intended trajectory and target on a computer screen. Once the starting point is selected and marked with a burr, a drill guide is docked within this point and the navigation probe re-inserted, confirming the trajectory. The probe is then removed and the high-speed drill reinserted within the drill guide. Drilling is performed to a depth measured on the computer screen and a screw is placed. RESULTS:Confirmation of accurate placement of iliac screws can be performed with standard radiographs. CONCLUSION:CT-guided navigation allows for 3-dimensional visualization of the pelvis and minimizes complications associated with soft-tissue dissection and breach of the ilium during screw placement.
journal_name
Neurosurgeryjournal_title
Neurosurgeryauthors
Shin JH,Hoh DJ,Kalfas IHdoi
10.1227/NEU.0b013e318230517asubject
Has Abstractpub_date
2012-03-01 00:00:00pages
16-20; discussion 20issue
1 Suppl Operativeeissn
0148-396Xissn
1524-4040journal_volume
70pub_type
杂志文章相关文献
NEUROSURGERY文献大全abstract:IMPORTANCE:Rhinocerebral mucormycosis is extremely difficult to treat. Approximately 70% of patients are poorly controlled diabetics, and many of the remainder are immunocompromised as a consequence of cytotoxic drugs, burn injuries, or end-stage renal disease. Despite standard treatment consisting of surgical debridem...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1097/00006123-199803000-00037
更新日期:1998-03-01 00:00:00
abstract::Approximately 12 million Americans undergo spinal manipulation therapy (SMT) every year. Renewed interest in this method requires an analysis of its reported risks and possible benefits. This review describes two patients with spinal cord injuries associated with SMT and establishes the risk/benefit ratios for patient...
journal_title:Neurosurgery
pub_type: 历史文章,杂志文章,评审
doi:10.1227/00006123-199307000-00011
更新日期:1993-07-01 00:00:00
abstract::A case of ruptured distal anterior cerebral artery aneurysm associated with neurogenic pulmonary edema is presented. It is suggested that this association should not be accepted as a "taboo" for radical intervention followed by a proper management of ventilation with positive end-expiratory pressure to maintain the an...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-198608000-00025
更新日期:1986-08-01 00:00:00
abstract:BACKGROUND:Cerebral cavernous malformations (CCM) may lead to repetitive intracerebral hemorrhage. In selected cases, a surgical resection is indicated. OBJECTIVE:To identify magnetic resonance imaging (MRI) features of CCM that correlate with the difficulty of dissection and postoperative outcome. METHODS:This study...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1093/neuros/nyx025
更新日期:2017-09-01 00:00:00
abstract:OBJECTIVE:We evaluated long-term clinical outcomes and postoperative physiological findings in acutely comatose patients with nonmissile surgical intraparenchymal temporal lobe hemorrhages and abnormal pupillary widening who received early preoperative high-dose mannitol (HDM) versus conventional dose mannitol treatmen...
journal_title:Neurosurgery
pub_type: 临床试验,杂志文章,随机对照试验
doi:
更新日期:2002-09-01 00:00:00
abstract::We present 25 pituitary adenomas that were confirmed surgically to have invaded the cavernous sinus space. The surgical results are compared with the preoperative magnetic resonance imaging findings. For comparable radiological criteria, we classified parasellar growth into five grades. This proposed classification is...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-199310000-00008
更新日期:1993-10-01 00:00:00
abstract:OBJECTIVE:Despite apparent gross total resection, olfactory groove meningiomas have a high rate of late recurrence (average, 23%). In this retrospective study, we confirmed that the sites of these recurrences are the cranial base and paranasal sinuses. We postulated that these recurrences stem from conservative handlin...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/01.neu.0000079484.19821.4a
更新日期:2003-09-01 00:00:00
abstract::In patients with subarachnoid hemorrhage, delayed neurological deficits, often followed by infarction, are believed to result from ischemia caused by vasospasm. Cerebral blood flow (CBF) data have been useful in predicting the risk of vasospasm in these patients and in distinguishing those deficits caused by vasospasm...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-198903000-00010
更新日期:1989-03-01 00:00:00
abstract:OBJECTIVE:To determine the indications for, efficacy of, and safety of depth electrode placement using magnetic resonance imaging (MRI)-guided stereotactic surgery in patients with intractable epilepsy. METHODS:We analyzed retrospectively the results of depth electrode usage in 50 consecutive patients at the Universit...
journal_title:Neurosurgery
pub_type: 杂志文章,评审
doi:10.1097/00006123-199608000-00018
更新日期:1996-08-01 00:00:00
abstract::This investigation tested the hypothesis that the degree of impairment to memory function caused by an anterior temporal lobectomy (ATL) is inversely related to the pathological status of the resected hippocampus. Specifically, the greatest risk to postoperative memory function should be to patients with no or minimal...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-199210000-00006
更新日期:1992-10-01 00:00:00
abstract::Irrigation bipolar systems are particularly useful for the washout of hematomas in subarachnoid hemorrhage during the acute stage of surgery and for preventing adherence of tissue to the bipolar tips during coagulation. These systems have become essential tools, and numerous improvements have been made to them. First,...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1097/00006123-199606000-00044
更新日期:1996-06-01 00:00:00
abstract:OBJECTIVE:Ion transporters play pivotal roles in cancer cell migration in general and in glioblastomas (GBMs) in particular. However, the specific role of Na/K-ATPase (the sodium pump) and, in particular, its alpha1 subunit, has remained unexplored in GBMs. MATERIALS AND METHODS:The expression of Na+/K+ -ATPase alpha1...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/01.NEU.0000311080.43024.0E
更新日期:2008-01-01 00:00:00
abstract::Neurosurgery as a specialty medical field is new in Jordan. This article documents the history, current status, and projected future of neurosurgery in Jordan. Resident training is also highlighted, and challenges for the future of the profession are presented. ...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1097/00006123-199807000-00086
更新日期:1998-07-01 00:00:00
abstract:OBJECTIVE:Fourth ventricular neurocysticercosis (FVNCC) usually presents with obstructive hydrocephalus. Available treatment options are medical, external cerebrospinal fluid diversion, microsurgical, or endoscopic removal alone or in combination. We present our experience of transaqueductal removal of FVNCC by angiogr...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/01.NEU.0000255382.72593.81
更新日期:2007-04-01 00:00:00
abstract::Twenty patients who underwent early aneurysm surgery--that is, surgery within 72 hours after rupture--underwent further follow-up examination including magnetic resonance imaging (MRI) of the brain and a comprehensive neuropsychological assessment. Significant statistical correlation between tissue loss as seen on a l...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1097/00006123-198909000-00012
更新日期:1989-09-01 00:00:00
abstract::The paraclinoid area is investigated anatomically for possible microneurosurgical approaches to the C3 segment of the internal carotid artery and to structures in the vicinity of the anterior siphon knee. Removal of the anterior clinoid process reveals a tight connective tissue ring that fixes the internal carotid art...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:
更新日期:1988-05-01 00:00:00
abstract::The Moscow Institute of Neurosurgery was established in 1932. The institute's founders were Nikolai Nilovich Burdenko, the surgeon (his name was later conferred on the institute), and Vasily Vasilyevich Kramer, the neurologist. This article presents the institute's history and its activities in different periods, incl...
journal_title:Neurosurgery
pub_type: 传,历史文章,杂志文章
doi:10.1097/00006123-199701000-00039
更新日期:1997-01-01 00:00:00
abstract::OBJECTIVE: In the treatment of patients with cranial base tumors, unclippable aneurysms, or medically intractable ischemia, it may be necessary to use high-flow bypass grafts. The indications, surgical techniques and complications are discussed. METHODS: During a 10-year period, 99 saphenous vein grafts and 3 radial a...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1097/00006123-199906000-00028
更新日期:1999-06-01 00:00:00
abstract::A patient with Charcot's disease of the lumbar spine presented with weakness of one extremity. Myelographic and x-ray film studies indicated stenosis and compression due to degenerative changes. Although decompression and fusion were considered, computed tomographic scans indicated the wide extent and location of the ...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-198607000-00017
更新日期:1986-07-01 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:BACKGROUND:The use of flow diverters such as the pipeline embolization device (PED) for treatment of intracranial aneurysms carries the risk of side branch occlusion. OBJECTIVE:To determine the incidence and clinical outcomes associated with supraclinoid internal carotid artery (ICA) branch occlusion after deployment ...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/NEU.0000000000000595
更新日期:2015-02-01 00:00:00
abstract::Currently, only presumptive diagnosis of chronic traumatic encephalopathy (CTE) can be made in living patients. We present a modality that may be instrumental to the definitive diagnosis of CTE in living patients based on brain autopsy confirmation of [F-18]FDDNP-PET findings in an American football player with CTE. [...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1093/neuros/nyx536
更新日期:2018-02-01 00:00:00
abstract::This article represents the first of a 2-part exploration of quantum dots (Qdots) and their application to neurological surgery. Spanning from materials science to immunology, this initial review traces the marriage of imaging physics to biochemical specificity. Qdot science now stands poised to dramatically advance t...
journal_title:Neurosurgery
pub_type: 杂志文章,评审
doi:10.1227/01.NEU.0000347889.62762.3F
更新日期:2009-06-01 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::Pyogenic brain stem abscess is rare. A case of spontaneous abscess of the medulla oblongata is reported in which the diagnosis was made preoperatively by computed tomography. Surgical drainage resulted in good functional recovery and radiological resolution of the lesion. This is the first reported case of survival in...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-198603000-00024
更新日期:1986-03-01 00:00:00
abstract:BACKGROUND:The Sundt clip graft is a vessel-encircling clip that can be used to repair a significant dehiscence or tear in an intracerebral vessel wall during urgent situations. OBJECTIVE:This article analyzes the use of the Sundt clip in a variety of acute intraoperative situations. METHODS:Under institutional revie...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/01.NEU.0000369923.05148.67
更新日期:2010-06-01 00:00:00
abstract:OBJECTIVE:To describe a new endoscope shaft developed for suction-aspiration during endoscopic transsphenoidal pituitary surgery. METHODS:A custom-made shaft for a Wolf endoscope (Richard Wolf GmbH, Knittlingen, Germany) was developed with a height of 10 mm and a width of 5 mm, allowing an additional working channel f...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/01.neu.0000163681.28487.2f
更新日期:2005-07-01 00:00:00
abstract::To assess the predictive value of a normal computed tomographic (CT) scan obtained shortly after head injury, we reviewed all cases of patients with acute closed injury seen at the North Carolina Baptist Hospital over a 42-month period for whom initial CT scanning and continuous intracranial pressure (ICP) monitoring ...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:
更新日期:1982-01-01 00:00:00
abstract:OBJECTIVE:Previously, we reported bypass coaptation of the C3 and C4 anterior rami to the upper trunk of the brachial plexus for restoration of the muscles denervated as a result of C5 and C6 nerve root avulsion. This procedure is thought to be superior to the transfer of individual peripheral nerve fibers to the brach...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/01.NEU.0000358615.92344.D1
更新日期:2009-10-01 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