Spinal deformities following selective dorsal rhizotomy.

Abstract:

OBJECT:Selective dorsal rhizotomy (SDR) has been shown to provide considerable benefit to children with spastic cerebral palsy (CP). The authors sought to evaluate the risks of postoperative spinal deformities in patients following SDR. METHODS:All patients who underwent SDR at McGill University between 1991 and 2001 were identified. Hospital charts and radiographic spinal studies (both preoperative and the latest postoperative) were systematically reviewed. Univariate and multivariate regression analyses were conducted to test all independent variables of potential interest to determine risk factors more likely to be associated with spinal deformity. There were 98 patients whose mean age at surgery was 5.1 years; the mean radiographic follow-up duration was 5.8 years. Thirty-nine (44.8%) of 87 patients in whom postoperative weight-bearing radiographs were obtained had mild scoliosis, and 17 in whom standing radiographs were acquired had hyperlordosis. In all, 18 of 94 patients (19.1%) who had postoperative radiographs on which the lumbosacral junction was visible were found to have spondylolisthesis. Regression analysis identified the severity of preoperative CP as an important predictor, and less ambulatory patients were more likely to have scoliotic curves. Younger age at surgery and male sex were factors associated with a lower rate of hyperlordosis. Spondylolisthesis developed only in ambulatory children. None of the patients experienced clinically significant deficits. CONCLUSIONS:There was a high rate of radiologically documented deformities in patients with CP who underwent SDR. Ambulatory function, CP severity, age at surgery, and sex may be contributing factors.

journal_name

J Neurosurg

journal_title

Journal of neurosurgery

authors

Golan JD,Hall JA,O'Gorman G,Poulin C,Benaroch TE,Cantin MA,Farmer JP

doi

10.3171/ped.2007.106.6.441

subject

Has Abstract

pub_date

2007-06-01 00:00:00

pages

441-9

issue

6 Suppl

eissn

0022-3085

issn

1933-0693

journal_volume

106

pub_type

杂志文章
  • Combined interventional and surgical treatment of tandem middle cerebral artery embolus and internal carotid artery occlusion: case report.

    abstract::Tandem internal carotid artery (ICA) origin occlusion and middle cerebral artery (MCA) thromboembolism is a life-threatening condition with poor neurological outcome. The authors report on a patient presenting with acute ischemic stroke from a tandem ICA and MCA occlusion with penumbra. Emergency MCA mechanical thromb...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/2017.6.JNS162368

    authors: Frenkel MB,Renfrow JJ,Singh J,Garg N,Wolfe SQ

    更新日期:2018-09-01 00:00:00

  • A stereotactic device for rabbits based on mandibular and cranial landmarks: technical note.

    abstract::The authors have developed a stereotactic device for use in rabbits that uses the plane at the base of the mandible combined with cranial sutures as an anatomical reference. The device was developed for a study designed to evaluate catheters for infection prophylaxis, and this required the implantation of silicone cat...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/JNS/2008/108/3/0601

    authors: Kockro RA,Giacomelli R,Scheihing M,Aschoff A,Hampl JA

    更新日期:2008-03-01 00:00:00

  • Tentorial edge traumatic aneurysm of the superior cerebellar artery. Case report.

    abstract::The authors report an unusual case of a traumatic aneurysm of the right superior cerebellar artery (SCA). A 22-year-old woman presented with continuous headaches that appeared 15 days after she experienced closed head trauma as a result of a cycling accident. Computerized tomography scanning performed 3 months later s...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章,评审

    doi:10.3171/jns.1997.87.6.0950

    authors: Proust F,Callonec F,Bellow F,Laquerriere A,Hannequin D,Fréger P

    更新日期:1997-12-01 00:00:00

  • Infarction of the spinal cord as a complication of pneumococcal meningitis. Case report.

    abstract::Spinal cord infarction in association with pneumococcal meningitis has not been previously recognized. The case is reported of a 5 1/2-year-old boy who had Streptococcus pneumoniae meningitis complicated by the sudden onset of flaccid paraplegia and loss of all sensory modalities below the level of T-2. At operation, ...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1981.55.1.0121

    authors: Haupt HM,Kurlinski JP,Barnett NK,Epstein M

    更新日期:1981-07-01 00:00:00

  • Ultrasound determination of cerebrospinal fluid shunt patency. Technical note.

    abstract::A technique employing a Doppler ultrasound flowmeter in determining cerebrospinal fluid shunt patency is described. The technique has proven to be a valuable aid in the elevaluation of the patient in whom shunt function is in question. ...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1975.42.6.0728

    authors: Flitter MA,Buchheit WA,Murtagh F,Lapayowker MS

    更新日期:1975-06-01 00:00:00

  • Evaluation of prognostic factors and clinical outcome in elderly patients in whom expansive laminoplasty is performed for cervical myelopathy due to multisegmental spondylotic canal stenosis. A retrospective comparison with younger patients.

    abstract:OBJECT:It remains unclear whether elderly patients with compressive cervical myelopathy can be expected to experience a promising surgery-related outcome after undergoing expansive laminoplasty. The purposes of this study were to evaluate the efficacy of expansive laminoplasty in elderly patients with cervical myelopat...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/spi.2002.96.2.0173

    authors: Handa Y,Kubota T,Ishii H,Sato K,Tsuchida A,Arai Y

    更新日期:2002-03-01 00:00:00

  • Interstitial radiosurgery of low-grade gliomas.

    abstract::The treatment of patients with low-grade gliomas remains a subject of controversy, especially with respect to new treatment modalities such as interstitial radiosurgery (brachytherapy), radiosurgery, and stereotactic radiotherapy. In a retrospective analysis conducted between 1979 and 1991, the authors studied the res...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1995.82.3.0418

    authors: Kreth FW,Faist M,Warnke PC,Rossner R,Volk B,Ostertag CB

    更新日期:1995-03-01 00:00:00

  • Neurosurgical correction of upper brachial plexus birth injuries.

    abstract::The authors review the cases of 116 infants treated consecutively for birth-related brachial plexus injuries. Twenty-eight infants with upper brachial plexus lesions who showed no neurological improvement by 4 months of age were selected for early surgical reconstruction (at a mean age of 5 months). Neurological impro...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1993.79.2.0197

    authors: Laurent JP,Lee R,Shenaq S,Parke JT,Solis IS,Kowalik L

    更新日期:1993-08-01 00:00:00

  • Femoral nerve palsy secondary to traumatic pseudoaneurysm and iliacus hematoma.

    abstract::The authors report a case of traumatic femoral nerve palsy caused by a pseudoaneurysm of the iliolumbar artery and a iliacus muscle hematoma. This case report details not only the classic history and physical findings seen in patients such as this one, but also illustrates an unusual source of the hematoma and a discu...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.2005.102.2.0382

    authors: Rochman AS,Vitarbo E,Levi AD

    更新日期:2005-02-01 00:00:00

  • Rate of cerebral energy consumption in concussive head injury in the rat.

    abstract::The metabolic rate was determined in the rat brain during the immediate concussive response to standardized impact accelerations of 7 and 9 m/sec velocity. In one series, the metabolic state was determined in freeze-clamped cortical and brain-stem tissue 20 seconds after the impact. The metabolic rate was calculated f...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1977.47.2.0274

    authors: Nilsson B,Nordström CH

    更新日期:1977-08-01 00:00:00

  • Intrinsic development of choroidal and thalamic collaterals in hemorrhagic-onset moyamoya disease: case-control study of the Japan Adult Moyamoya Trial.

    abstract::OBJECTIVE: This study was performed to identify the angiographic features of hemorrhagic-onset moyamoya disease (MMD) in comparison with those of patients with ischemic-onset MMD. METHODS: This case-control study compared the data set of the Japan Adult Moyamoya (JAM) Trial with the angiographic data of adult patients...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/2017.11.JNS171990

    authors: Fujimura M,Funaki T,Houkin K,Takahashi JC,Kuroda S,Tomata Y,Tominaga T,Miyamoto S

    更新日期:2019-05-01 00:00:00

  • The prognosis in subarachnoid hemorrhage of unknown etiology.

    abstract::The mortality rate, risk of rebleeding, relevant subjective and objective symptoms, and daily functional capacity after a verified subarachnoid hemorrhage (SAH) of unknown etiology were evaluated in 44 patients treated during a 5-year period (1978 to 1983). A vascular basis for the SAH had been excluded by bilateral c...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1984.61.6.1029

    authors: Eskesen V,Sørensen EB,Rosenørn J,Schmidt K

    更新日期:1984-12-01 00:00:00

  • Anomalous rib presenting as cervical myelopathy: a previously unreported variant of Klippel-Feil syndrome. Case report.

    abstract::A patient is reported with an anomalous rib that caused compression of the cervical spinal cord and presented with cervical myelopathy. This appears to be the first reported instance of this particular anomaly. The clinicoanatomical aspects of this case are discussed. ...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1991.75.3.0465

    authors: Rock JP,Spickler EM

    更新日期:1991-09-01 00:00:00

  • Increased prevalence of autoimmune disease in patients with unilateral compared with bilateral moyamoya disease.

    abstract::OBJECT This study explored whether there were differences between the autoimmune disease prevalence rates in unilateral and bilateral moyamoya disease (MMD). METHODS The authors performed a retrospective review of data obtained from the medical records of their hospital, analyzing and comparing the clinical characteri...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/2015.4.JNS142936

    authors: Chen JB,Liu Y,Zhou LX,Sun H,He M,You C

    更新日期:2016-05-01 00:00:00

  • Fenestrated clips for internal carotid artery aneurysms. Technical note.

    abstract::A new aneurysm clip has been developed specifically for internal carotid artery (ICA) aneurysms. This fenestrated clip's occluding blades deviate laterally, since the majority of ICA aneurysms protrude posterolateral to the parent artery. The clip was applied safely in seven recent patients with ICA aneurysms. ...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1986.65.1.0122

    authors: Fujita S

    更新日期:1986-07-01 00:00:00

  • Deep and brainstem cavernomas: a consecutive 8-year series.

    abstract:OBJECT:The goal of this study was to provide epidemiological and clinical data on the management of cavernomas of the basal ganglia and brainstem from a long-term series at one institution. METHODS:All 68 patients who were referred to the authors' department between 1992 and 2000 for deep cavernomas were evaluated by ...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.2003.99.1.0031

    authors: Mathiesen T,Edner G,Kihlström L

    更新日期:2003-07-01 00:00:00

  • A retrospective cohort-matched comparison of conscious sedation versus general anesthesia for supratentorial glioma resection. Clinical article.

    abstract:OBJECT:Glioma resection under conscious ("awake") sedation (CS) is used for eloquent areas of the brain to minimize postoperative neurological deficits. The objective of this study was to compare the duration of hospital stay, overall hospital cost, perioperative morbidity, and postoperative patient functional status i...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/2010.5.JNS1041

    authors: Peruzzi P,Bergese SD,Viloria A,Puente EG,Abdel-Rasoul M,Chiocca EA

    更新日期:2011-03-01 00:00:00

  • The occurrence of dural invasion in pituitary adenomas.

    abstract::This report describes 60 dural specimens from patients with pituitary adenomas treated by transsphenoidal microsurgery, and attempts to define more precisely the clinical and pathological correlation of microscopic dural invasion. Analysis of the adenomas was based on four characteristics; size, surgical invasiveness ...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1986.64.3.0402

    authors: Selman WR,Laws ER Jr,Scheithauer BW,Carpenter SM

    更新日期:1986-03-01 00:00:00

  • Intraoperative subcortical mapping of a language-associated deep frontal tract connecting the superior frontal gyrus to Broca's area in the dominant hemisphere of patients with glioma.

    abstract:OBJECT:The deep frontal pathway connecting the superior frontal gyrus to Broca's area, recently named the frontal aslant tract (FAT), is assumed to be associated with language functions, especially speech initiation and spontaneity. Injury to the deep frontal lobe is known to cause aphasia that mimics the aphasia cause...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/2014.10.JNS14945

    authors: Fujii M,Maesawa S,Motomura K,Futamura M,Hayashi Y,Koba I,Wakabayashi T

    更新日期:2015-06-01 00:00:00

  • Indwelling double-balloon shunt for carotid endarterectomy. Technical note.

    abstract::The authors describe an indwelling intraluminal shunt for carotid endarterectomy. The device is equipped with balloons at both ends to prevent bleeding and to hold the tube in place. The design permits use of a small tube which facilitates insertion, and prevents intimal damage and limitation of exposure of arterial p...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1984.60.4.0861

    authors: Furui T,Hasuo M

    更新日期:1984-04-01 00:00:00

  • Modification of Cloward cervical retractor. Technical note.

    abstract::A modification of a Cloward lateral cervical retractor with sharp blades is described. The purpose of the adaptation is to help prevent injuries to soft tissues of the neck and to facilitate placement during anterior cervical discectomy and fusion. ...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1984.61.1.0193

    authors: Leibrock LG,Berman BM

    更新日期:1984-07-01 00:00:00

  • Distribution of cerebellar tonsil position: implications for understanding Chiari malformation.

    abstract:OBJECT:Prior attempts to define normal cerebellar tonsil position have been limited by small numbers of patients precluding analysis of normal distribution by age group. The authors' objective in the present study was to analyze cerebellar tonsil location in every age range. METHODS:Two thousand four hundred patients ...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/2013.5.JNS121825

    authors: Smith BW,Strahle J,Bapuraj JR,Muraszko KM,Garton HJ,Maher CO

    更新日期:2013-09-01 00:00:00

  • Polymorphism rs42524 of COL1A2 and sporadic intracranial aneurysms in the Chinese population.

    abstract:OBJECT:The COL1A2 gene at 7q22.1 has been shown to be associated with familial intracranial aneurysms (IAs) in the Japanese population. In the present study, the authors investigated the correlation between the presence of the rs42524 polymorphism in COL1A2 and the occurrence of sporadic IAs in Chinese patients. METHO...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/JNS.2008.109.12.1060

    authors: Zhu Y,Li W,Ge M,Xu S,Zhao G,Wang H,Qian H,Zhu N,Pang Q

    更新日期:2008-12-01 00:00:00

  • Displacement of mammillary bodies by craniopharyngiomas involving the third ventricle: surgical-MRI correlation and use in topographical diagnosis.

    abstract:OBJECT:Accurate diagnosis of the topographical relationships of craniopharyngiomas (CPs) involving the third ventricle and/or hypothalamus remains a challenging issue that critically influences the prediction of risks associated with their radical surgical removal. This study evaluates the diagnostic accuracy of MRI to...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/2013.1.JNS111722

    authors: Pascual JM,Prieto R,Carrasco R,Barrios L

    更新日期:2013-08-01 00:00:00

  • Barbiturate coma in focal cerebral ischemia. Relationship of protection to timing of therapy.

    abstract::The therapeutic application of barbiturate-induced coma was evaluated in a primate model of focal cerebral ischemia. A standardized regimen of pentobarbital was used, and the times of initiation of administration were varied following a 6-hour middle cerebral artery occlusion in baboons. Three groups of five animals w...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1982.56.5.0685

    authors: Selman WR,Spetzler RF,Roski RA,Roessmann U,Crumrine R,Macko R

    更新日期:1982-05-01 00:00:00

  • Corpus callosotomy performed with laser interstitial thermal therapy.

    abstract:OBJECTIVE:Corpus callosotomy is a palliative procedure that is effective at reducing seizure burden in patients with medically refractory epilepsy. The procedure is traditionally performed via open craniotomy with interhemispheric microdissection to divide the corpus callosum. Concerns for morbidity associated with cra...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/2019.9.JNS191769

    authors: Roland JL,Akbari SHA,Salehi A,Smyth MD

    更新日期:2019-12-13 00:00:00

  • A cost-effectiveness analysis of anterior temporal lobectomy for intractable temporal lobe epilepsy.

    abstract::Patients with medically intractable temporal lobe epilepsy are potential candidates for anterior temporal lobectomy (ATL), in which epileptogenic temporal lobe tissue is localized and surgically removed. This surgical approach can eliminate or drastically reduce seizures in the majority of patients. The authors used a...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1997.87.1.0020

    authors: King JT Jr,Sperling MR,Justice AC,O'Connor MJ

    更新日期:1997-07-01 00:00:00

  • Virtual reality system for planning minimally invasive neurosurgery. Technical note.

    abstract:OBJECT:The authors report on their experience with a 3D virtual reality system for planning minimally invasive neurosurgical procedures. METHODS:Between October 2002 and April 2006, the authors used the Dextroscope (Volume Interactions, Ltd.) to plan neurosurgical procedures in 106 patients, including 100 with intracr...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/JNS/2008/108/2/0382

    authors: Stadie AT,Kockro RA,Reisch R,Tropine A,Boor S,Stoeter P,Perneczky A

    更新日期:2008-02-01 00:00:00

  • Harvey W. Cushing and cerebrovascular surgery: Part II, Vascular malformations.

    abstract::The surgical treatment of cerebrovascular malformations intrigued early neurosurgeons. Cushing defined vascular malformations as tumors arising from cerebral blood vessels. He successfully resected the first arteriovenous malformation 3 years after it had been irradiated. In the absence of angiography, the pathoanatom...

    journal_title:Journal of neurosurgery

    pub_type: 传,历史文章,杂志文章

    doi:10.3171/jns.2004.101.3.0553

    authors: Cohen-Gadol AA,Spencer DD

    更新日期:2004-09-01 00:00:00

  • Outpatient brain tumor craniotomy under general anesthesia.

    abstract::OBJECTIVE Outpatient craniotomy has many advantages to the psychological and physical well-being of patients, as well as benefits to the health care system. Its efficacy and safety have been well demonstrated, but barriers to its widespread adoption remain. Among the challenges is a perception that its application is ...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/2015.11.JNS152151

    authors: Au K,Bharadwaj S,Venkatraghavan L,Bernstein M

    更新日期:2016-11-01 00:00:00