Abstract:
BACKGROUND:Surgical treatment of C2 tumors remains challenging. Because of the deep location and unique anatomical complexity, anterior exposure in this region is considered difficult and dangerous, and few reports concerning anterior tumor resection and reconstruction exist. OBJECTIVE:To describe a technique of sequentially staged resection and 2-column reconstruction for C2 tumors through a combined anterior retropharyngeal-posterior approach. METHODS:Eleven patients with C2 tumors underwent sequentially staged tumor resection and 2-column reconstruction in our institute. Eight primary lesions and 3 metastases were involved. Tumor resections and anterior reconstructions with conventional constructs were accomplished by an anterior retropharyngeal approach, and occipitocervical fusions through posterior access were performed in the same anesthesia. RESULTS:No operative mortality occurred in this series. All patients experienced pain relief and neurological improvement after surgery. Except for 1 incidence of screw pullout, which was corrected by revision surgery, solid fusion was achieved in all patients. A follow-up period of 12 to 37 months was available for this study. Two patients with chordoma relapsed; 1 died of disease, and the other was alive with disease. Two patients with metastasis died of multiple remote metastases. No evidence of local recurrence was found in the other patients. CONCLUSION:The anterior retropharyngeal approach is a favorable route to treat tumor lesions of the C2 vertebral body that allows tumor resection and placement of anterior constructs between C1 and the subaxial vertebral body. Tumor resection and 2-column reconstruction could safely be accomplished simultaneously through the combined anterior retropharyngeal-posterior approach.
journal_name
Neurosurgeryjournal_title
Neurosurgeryauthors
Yang X,Wu Z,Xiao J,Teng H,Feng D,Huang W,Chen H,Wang X,Yuan W,Jia Ldoi
10.1227/NEU.0b013e31821bc7f9subject
Has Abstractpub_date
2011-12-01 00:00:00pages
ons184-93; discussion ons193-4issue
2 Suppl Operativeeissn
0148-396Xissn
1524-4040journal_volume
69pub_type
杂志文章相关文献
NEUROSURGERY文献大全abstract:BACKGROUND:FLOW 800 delivers a color-coded map for snapshot visualization of the temporal distribution dynamics after indocyanine green angiography with post hoc calculation of FLOW 800-specific hemodynamic parameters. However, the value of these parameters regarding quantitative flow assessment remains unclear. OBJEC...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/NEU.0000000000000277
更新日期:2014-06-01 00:00:00
abstract:OBJECTIVE:To evaluate the reclosure-promoting capacity of a neural stem cell line (F3) and a human bone marrow stem cell line (B10) injected into the amniotic cavity of spinal open neural tube defects (ONTDs) of chick embryos of Hamburger and Hamilton stage 18 or 19. METHODS:Fifteen chick embryos that survived the pro...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/01.NEU.0000371048.76494.0F
更新日期:2010-07-01 00:00:00
abstract:OBJECTIVE:Surgical resection of mass lesions in Broca's area is controversial. To demonstrate that pathology may influence the localization of functional areas and language performance, we reviewed our experience of awake craniotomies in Broca's area. METHODS:Sixteen consecutive patients who underwent awake craniotomy...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/01.NEU.0000368442.92290.04
更新日期:2010-05-01 00:00:00
abstract:BACKGROUND:Deep brain stimulation alleviates tremor of various origins. Several regions like the ventralis intermediate nucleus of thalamus, the caudal zona incerta, and the posterior subthalamic region are generally targeted. Previous work with fiber tractography has shown the involvement of the cerebello-thalamo-cort...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/NEU.0000000000000540
更新日期:2014-12-01 00:00:00
abstract:OBJECTIVE AND IMPORTANCE:Hypertrophic neuropathy of the cauda equina (HNCE) is a rare form of peripheral neuropathy. The diagnosis is complicated by an insidious clinical presentation and complex radiographic images. We present a case of HNCE caused by chronic inflammatory demyelinating polyneuropathy with symptomatic ...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/01.neu.0000103492.19663.ef
更新日期:2004-02-01 00:00:00
abstract:OBJECTIVE:A quantitative analysis of intraoperative cortical shift and deformation was performed to gain a better understanding of the nature and extent of this problem and the resultant loss of spatial accuracy in surgical procedures coregistered to preoperative imaging studies. METHODS:Three-dimensional feature trac...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1097/00006123-199810000-00010
更新日期:1998-10-01 00:00:00
abstract::External ventricular drainage (EVD) was used before and after posterior fossa operations in 62 children and adolescents. In all cases, the removal of the tumor (midline in 47 and laternal in 15) was attempted; total removal was achieved in 41. The overall mortality was 6.5% (4 patients). Only 25% of the survivors need...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:
更新日期:1982-01-01 00:00:00
abstract::A silicone, dual cuffed catheter designed for the control of nasal hemorrhage was used for rectal sphincter pressure monitoring. Patients with lipomyelomeningocele and tethered spinal cord were monitored during their operative procedures to aid in distinguishing sacral nerve roots from other tissues. Stimulation of sa...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-198905000-00023
更新日期:1989-05-01 00:00:00
abstract:OBJECTIVE AND IMPORTANCE:Four rare cases of central nervous system solitary fibrous tumors (C-SoFTs) are described. This tumor has not previously been reported in children or in deep cortical structures. Three of these tumors occurred in the posterior fossa. Only four cases in the posterior fossa have been described pr...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/01.neu.0000115675.74366.87
更新日期:2004-04-01 00:00:00
abstract:OBJECTIVE:To investigate the number of subsidences of inserted cervical carbon fiber cages and to define predictive factors for subsidence. METHODS:All patients treated for a cervical herniated disc and fusion with a cervical carbon fiber cage between January 2002 and December 2003 were retrospectively identified. The...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/01.NEU.0000197258.30821.50
更新日期:2006-03-01 00:00:00
abstract::ANTON VON EISELSBERG was the first to resect a cerebral tumor at the First Surgical Clinic at the General Hospital in Vienna in 1904. He successfully removed a cerebral glioma, the first of no fewer than 15,000 tumors operated on at that hospital to date. von Eiselsberg and his successors, Egon Ranzi and Leopold Schön...
journal_title:Neurosurgery
pub_type: 历史文章,杂志文章
doi:10.1097/00006123-199609000-00030
更新日期:1996-09-01 00:00:00
abstract:OBJECTIVE AND IMPORTANCE:Cerebral ischemia is the most worrisome perioperative complication of carotid endarterectomy (CEA). The stroke rate occurring with CEA is estimated to range from 2.3 to 6.3%. Numerous treatment options are available to the neurosurgeon in this scenario, although no "gold standard" exists. CLIN...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/01.neu.0000134466.55733.3e
更新日期:2004-09-01 00:00:00
abstract:BACKGROUND:Minimal clinically important difference (MCID) is determined when a patient or physician defines the minimal change that outweighs the costs and untoward effects of a treatment. These measurements are "anchored" to validated quality-of-life instruments or physician-rated, disease-activity indices. To capture...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1093/neuros/nyaa490
更新日期:2020-12-28 00:00:00
abstract:OBJECTIVE:Our previous studies demonstrated that simvastatin promotes neurological functional recovery after traumatic brain injury (TBI) in rat; however, the underlying mechanisms remain poorly understood. The purpose of this study was to investigate the anti-inflammatory effect of simvastatin by measuring the level o...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/01.NEU.0000346272.76537.DC
更新日期:2009-07-01 00:00:00
abstract:BACKGROUND:Although there are several large-species animal models for saccular aneurysms, there is a need for a simple, reproducible saccular aneurysm model in mice. OBJECTIVE:To develop a murine saccular aneurysm model, which replicates key characteristics that occur in the formation of human cerebral aneurysms. MET...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/01.NEU.0000365616.46414.2B
更新日期:2010-03-01 00:00:00
abstract:OBJECTIVE:During the past 15 years, the concept of dysembryoplastic neuroepithelial tumors has continued to evolve. We present an interesting case of dysembryoplastic neuroepithelial tumor that showed rapid growth during a short period of time. CLINICAL PRESENTATION:A 9-year-old boy had been experiencing intractable c...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/01.NEU.0000245621.62721.79
更新日期:2006-12-01 00:00:00
abstract:OBJECTIVE:Recent findings have cast doubt on vasospasm as the sole cause of delayed cerebral ischemia after subarachnoid hemorrhage. METHODS:We reviewed the medical records of 29 patients who died after subarachnoid hemorrhage. Brain sections were taken from the insula, cingulate gyrus, and hippocampus. Adjacent secti...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/01.NEU.0000227519.27569.45
更新日期:2006-10-01 00:00:00
abstract:OBJECTIVE:Percutaneous endoscopic transforaminal discectomy is often used as a minimally invasive procedure for lumbar disc herniation. However, a transforaminal approach posts limitations at the L5-S1 level owing to anatomic constraints, such as a high iliac crest or small intervertebral foramen and especially for mig...
journal_title:Neurosurgery
pub_type: 临床试验,杂志文章
doi:10.1227/01.neu.0000192713.95921.4a
更新日期:2006-02-01 00:00:00
abstract:OBJECTIVE:Major steps in the evolution of advanced neurosurgical techniques include microneurosurgery, neuroendoscopy and its minimally invasive variations, neuronavigation, and advanced intraoperative imaging. With traditional neuroendoscopic techniques (e.g., freehand endoscopy or the use of mechanical arms), definit...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:
更新日期:2002-12-01 00:00:00
abstract:OBJECTIVE:Patients with brain metastases were analyzed retrospectively to assess the risks and benefits of surgery with modern neurosurgical techniques, including image guidance coupled as indicated with corticography. METHODS:We retrospectively analyzed charts of patients treated surgically for brain metastases. We i...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:
更新日期:2005-05-01 00:00:00
abstract::A case of a bacterial abscess developing in the sphenoid sinus 2 weeks after transsphenoidal surgery is presented. Although abscesses within the sella turcica have been reported as rare complications of transsphenoidal surgery, this is the first reported case of the postoperative formation of an abscess of the sphenoi...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1097/00006123-199101000-00022
更新日期:1991-01-01 00:00:00
abstract::A patient with air gun bullets in the 3rd ventricle associated with delayed ventricular hemorrhage is presented. Through an anterior transcallosal approach, the surgeon successfully removed the bullets without any significant permanent sequelae. ...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-198702000-00022
更新日期:1987-02-01 00:00:00
abstract::Anterior cervical instrumentation as an adjunct to bone fusion has an important role in cervical spine surgery. Posterior vertebral body cortex purchase is strongly recommended in the use of the Caspar system, although few biomechanical data exist to validate this requirement. In this study, Caspar screws were placed ...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-199212000-00016
更新日期:1992-12-01 00:00:00
abstract:BACKGROUND:Myelomeningocele (MM) is an open neural tube defect treated by pediatric neurosurgeons with prenatal or postnatal closure. OBJECTIVE:The objective of this systematic review was to answer the question: What is the evidence for the effectiveness of prenatal vs postnatal closure of MM regarding short and long-...
journal_title:Neurosurgery
pub_type: 杂志文章,实务指引
doi:10.1093/neuros/nyz263
更新日期:2019-09-01 00:00:00
abstract::Pulmonary embolism (PE) is a devastating complication in patients with traumatic spinal cord injury (SCI). Prophylactic measures such as venous compression hose or low-dose heparin are only partially protective in reducing the risk of venous thromboembolism and are contraindicated in some patients. Because of extended...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-199408000-00008
更新日期:1994-08-01 00:00:00
abstract::Haemophilus influenzae meningitis in the presence of a cerebrospinal fluid shunt has been reported uncommonly. Staphylococcus aureus and Staphylococcus epidermidis, the most common etiological agents, are usually acquired by contiguous spread from an intraoperative or perioperative source. These infections usually occ...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-198601000-00013
更新日期:1986-01-01 00:00:00
abstract:OBJECTIVE:A systematic follow-up of infants with an obstetric brachial plexus lesion of C5 and C6 or the superior trunk showing satisfactory spontaneous recovery of shoulder and arm function except for voluntary shoulder exorotation, who underwent an accessory to suprascapular nerve transfer to improve active shoulder ...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/01.NEU.0000232988.46219.E4
更新日期:2006-10-01 00:00:00
abstract::OBJECTIVE: We developed a modified soft tissue retractor for preventing problems that occur outside of the microscopic view field during microsurgery. INSTRUMENTATION AND OPERATIVE PROCEDURE: The characteristics of the modified soft tissue retractor are detachable handgrips, which can be easily released and fixed with...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:
更新日期:1999-06-01 00:00:00
abstract:BACKGROUND:Neonatal germinal matrix hemorrhage/intraventricular hemorrhage is common and often results in hydrocephalus. The pathogenesis of posthemorrhagic hydrocephalus is not fully understood. OBJECTIVE:To explore the potential role of hemoglobin and iron released after hemorrhage. METHODS:Artificial cerebrospinal...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/NEU.0000000000000524
更新日期:2014-12-01 00:00:00
abstract:OBJECTIVE:Although radiosurgical practice mandates meticulous radiological follow-up, even the most efficient radiology department can be overwhelmed by the large number of radiosurgical patients who have undergone diagnostic studies for many years at many different institutions to follow many separate lesions. Althoug...
journal_title:Neurosurgery
pub_type: 杂志文章,评审
doi:10.1227/01.neu.0000065175.87967.8d
更新日期:2003-06-01 00:00:00