In vitro study of biomechanical behavior of anterior and transforaminal lumbar interbody instrumentation techniques.

Abstract:

OBJECTIVE:To study the biomechanical behavior of lumbar interbody instrumentation techniques using titanium cages as either transforaminal lumbar interbody fusion (TLIF) or anterior lumbar interbody fusion (ALIF), with and without posterior pedicle fixation. METHODS:Six fresh-frozen lumbar spines (L1-L5) were loaded with pure moments of +/-7.5 Nm in unconstrained flexion-extension, lateral bending, and axial rotation. Specimen were tested intact, after implantation of an ALIF or TLIF cage "stand-alone" in L2-L3 or L3-L4, and after additional posterior pedicle screw fixation. RESULTS:In all loading directions, the range of motion (ROM) of the segments instrumented with cage and pedicle screw fixation was below the ROM of the intact lumbar specimen for both instrumentation techniques. A significant difference was found between the TLIF cage and the ALIF cage with posterior pedicle screw fixation for the ROM in flexion-extension and axial rotation (P < 0.05). Without pedicle screw fixation, the TLIF cage showed a significantly increased ROM and neutral zone compared with an ALIF cage "stand-alone" in two of the three loading directions (P < 0.05). CONCLUSION:With pedicle screw fixation, the ALIF cage provides a higher segmental stability than the TLIF cage in flexion-extension and axial rotation, but the absolute biomechanical differences are minor. The different cage design and approach show only minor differences of segmental stability when combined with posterior pedicle screw fixation.

journal_name

Neurosurgery

journal_title

Neurosurgery

authors

Niemeyer TK,Koriller M,Claes L,Kettler A,Werner K,Wilke HJ

doi

10.1227/01.NEU.0000245609.01732.E4

subject

Has Abstract

pub_date

2006-12-01 00:00:00

pages

1271-6; discussion 1276-7

issue

6

eissn

0148-396X

issn

1524-4040

pii

00006123-200612000-00014

journal_volume

59

pub_type

杂志文章
  • Potent mimicry of fibronectin-induced intracellular signaling in glioma cells by the homodimeric snake venom disintegrin contortrostatin.

    abstract:OBJECTIVE:The snake venom disintegrin contortrostatin (CN) is able to inhibit tumor progression and angiogenesis in vivo and therefore is of considerable interest as a potential antitumor drug. CN specifically binds to certain integrins on the tumor cell and angiogenic endothelial cell surface and inhibits their intera...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/01.neu.0000163426.25227.56

    authors: Schmitmeier S,Markland FS,Schönthal AH,Chen TC

    更新日期:2005-07-01 00:00:00

  • Long-Term Endocrine Outcomes Following Endoscopic Endonasal Transsphenoidal Surgery for Acromegaly and Associated Prognostic Factors.

    abstract:BACKGROUND:Long-term remission rates from endoscopic transsphenoidal surgery for acromegaly and their relationship to prognostic indicators of disease aggressiveness are not well documented. OBJECTIVE:To investigate long-term remission rates in patients with acromegaly after endoscopic transsphenoidal surgery, and cor...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1093/neuros/nyx020

    authors: Babu H,Ortega A,Nuno M,Dehghan A,Schweitzer A,Bonert HV,Carmichael JD,Cooper O,Melmed S,Mamelak AN

    更新日期:2017-08-01 00:00:00

  • Endovascular treatment of middle cerebral artery aneurysms: a systematic review and single-center series.

    abstract:BACKGROUND:Middle cerebral artery (MCA) aneurysms are often considered unsuitable for endovascular coiling because of unfavorable morphological features. With improvements in endovascular techniques, several series have detailed the results and complications of endovascular treatment of MCA aneurysms. OBJECTIVE:We per...

    journal_title:Neurosurgery

    pub_type: 杂志文章,评审

    doi:10.1227/NEU.0b013e318201d7f4

    authors: Brinjikji W,Lanzino G,Cloft HJ,Rabinstein A,Kallmes DF

    更新日期:2011-02-01 00:00:00

  • Sitting prone position for the posterior surgical approach to the spine and posterior fossa.

    abstract::The sitting prone position is compared with the standard laminectomy prone position and the sitting up position for posterior fossa surgery. We measured central venous pressure and airway pressure with the patient in different positions to determine the comparative efficacy of the sitting prone position. On a linear a...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:

    authors: Cook AW,Siddiqi TS,Nidzgorski F,Clarke HA

    更新日期:1982-02-01 00:00:00

  • Cortical areas involved in virtual movement of phantom limbs: comparison with normal subjects.

    abstract:OBJECTIVE:To demonstrate that amputees performing "virtual" movements of their amputated limb activate cortical areas previously devoted to their missing limb, we studied amputees with functional magnetic resonance imaging (fMRI) and positron emission tomographic (PET) scans and compared the results with those of norma...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/01.neu.0000093424.71086.8f

    authors: Roux FE,Lotterie JA,Cassol E,Lazorthes Y,Sol JC,Berry I

    更新日期:2003-12-01 00:00:00

  • Incidence of blunt craniocervical artery injuries: use of whole-body computed tomography trauma imaging with adapted computed tomography angiography.

    abstract:BACKGROUND:The incidence of traumatic craniocervical artery dissection varies in published trauma series. OBJECTIVE:To determine the frequency of traumatic craniocervical artery injury in polytrauma patients by using standardized whole-body trauma computed tomography with adapted computed tomography angiography of the...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/NEU.0b013e31821a8701

    authors: Fleck SK,Langner S,Baldauf J,Kirsch M,Kohlmann T,Schroeder HW

    更新日期:2011-09-01 00:00:00

  • The regional oxygen saturation of pituitary adenomas is lower than that of the pituitary gland: microspectrophotometric study with potential clinical implications.

    abstract:OBJECTIVE:To study the regional oxygen saturation (rSO(2)) of pituitary adenomas, in comparison with that of the pituitary gland. METHODS:Microspectrophotometric (MSP) measurements of rSO(2) in adenomas and pituitary tissue were performed for a series of patients undergoing first-time transsphenoidal pituitary adenoma...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/01.neu.0000083604.09901.f6

    authors: Kristof RA,Aliashkevich AF,Hans V,Haun D,Meyer B,Thees C,Schramm J

    更新日期:2003-10-01 00:00:00

  • Intraventricular solitary fibrous tumor: an unusual tumor with radiological, ultrastructural, and immunohistochemical evaluation: case report.

    abstract:OBJECTIVE AND IMPORTANCE:Intracranial solitary fibrous tumors have been described previously, but intraventricular solitary fibrous tumors are extremely rare. We present what is, to our knowledge, the first reported case of solitary fibrous tumor in the third ventricle. CLINICAL PRESENTATION:A 63-year-old man presente...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/01.neu.0000097555.75899.c3

    authors: Koçak A,Cayli SR,Saraç K,Aydin NE

    更新日期:2004-01-01 00:00:00

  • Ganglioglioma--neurogliogenic tumor involving the left frontal lobe: case report.

    abstract::A 5-year-old boy presented with a 7-month history of headache and projectile vomiting. Computerized axial tomography revealed a large, high density lesion involving the entire left frontal lobe. At operation a 330-g, apparently encapsulated, mildly cystic neoplasm was removed from the region of the left frontal opercu...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:

    authors: DiTullio MV Jr,Fried H

    更新日期:1979-09-01 00:00:00

  • Cotton-clipping technique to repair intraoperative aneurysm neck tear: a technical note.

    abstract:BACKGROUND:Intraoperative rupture of an intracranial aneurysm is a potentially devastating but avoidable and manageable complication of aneurysm surgery. OBJECTIVE:To describe a surgical technique that the authors have used successfully to repair a tear at the neck of an intracranial aneurysm, as well as alternative o...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/NEU.0b013e31821343c6

    authors: Barrow DL,Spetzler RF

    更新日期:2011-06-01 00:00:00

  • Microsurgery of the fourth ventricle: Part 1. Microsurgical anatomy.

    abstract::Operations on the 4th ventricle offer the potential for injury of the brain stem, cerebellum, cranial nerves, and major cerebellar arteries and veins. Twenty-five cadaver brains were examined using 3x to 25x magnification to define the relationship of these vital structures to the 4th ventricle. The 4th ventricle has ...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-198211000-00008

    authors: Matsushima T,Rhoton AL Jr,Lenkey C

    更新日期:1982-11-01 00:00:00

  • Neurosurgery and Manned Spaceflight.

    abstract::There has been a renewed interest in manned spaceflight due to endeavors by private and government agencies. Publicized goals include manned trips to or colonization of Mars. These missions will likely be of long duration, exceeding existing records for human exposure to extra-terrestrial conditions. Participants will...

    journal_title:Neurosurgery

    pub_type: 杂志文章,评审

    doi:10.1093/neuros/nyy531

    authors: Panesar SS,Fernandez-Miranda JC,Kliot M,Ashkan K

    更新日期:2020-03-01 00:00:00

  • Impairment of cerebral autoregulation during the development of chronic cerebral vasospasm after subarachnoid hemorrhage in primates.

    abstract::We studied the impairment of autoregulation of cerebral blood flow (CBF) and its effect on the electrical activity of the brain during the development of chronic cerebral vasospasm after subarachnoid hemorrhage, using a vasospasm model in primates. Fourteen animals were divided into two groups: a clot group (8) and a ...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1097/00006123-199101000-00007

    authors: Takeuchi H,Handa Y,Kobayashi H,Kawano H,Hayashi M

    更新日期:1991-01-01 00:00:00

  • Embolization of arteriovenous malformations with Onyx: clinicopathological experience in 23 patients.

    abstract:OBJECTIVE:To report our experience in treatment of arteriovenous malformations (AVMs) using a new liquid embolic agent, Onyx (Micro Therapeutics, Inc., Irvine, CA). METHODS:Between January 1998 and May 1999, 23 patients (8 men and 15 women) were treated. The patients' average age was 40 years, with seizure being the m...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1097/00006123-200105000-00003

    authors: Jahan R,Murayama Y,Gobin YP,Duckwiler GR,Vinters HV,Viñuela F

    更新日期:2001-05-01 00:00:00

  • Impact of changes in intraoperative somatosensory evoked potentials on stroke rates after clipping of intracranial aneurysms.

    abstract:BACKGROUND:Somatosensory evoked potential (SSEP) monitoring is used during intracranial aneurysm surgery to track the effects of anesthesia, surgical manipulation, and temporary clipping. OBJECTIVE:To present the outcomes of 663 consecutive patients (691 cases) treated surgically for intracranial aneurysms who underwe...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/NEU.0b013e31823f5cf7

    authors: Wicks RT,Pradilla G,Raza SM,Hadelsberg U,Coon AL,Huang J,Tamargo RJ

    更新日期:2012-05-01 00:00:00

  • Role of prostaglandins in delayed cerebral ischemia after subarachnoid hemorrhage.

    abstract::Prostaglandin E2, thromboxane B2, and 6-oxo-prostaglandin F1 alpha were assayed in blood and cerebrospinal fluid samples from patients after subarachnoid hemorrhage (SAH) and from a control population. The levels found in samples obtained from patients after SAH were compared with those found in controls and were also...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-199201000-00004

    authors: O'Neill P,Walton S,Foy PM,Shaw MD

    更新日期:1992-01-01 00:00:00

  • Cord compression secondary to cervical disc herniation associated with calcification of the ligamentum flavum: case report.

    abstract:OBJECTIVE AND IMPORTANCE:Calcification of the ligamentum flavum is a rare disease that occurs almost exclusively in elderly Japanese people. We report the case of a young Caucasian woman who presented with a C5-C6 disc herniation associated with a cervical calcified ligamentum flavum. CLINICAL PRESENTATION:The patient...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1097/00006123-200103000-00047

    authors: Ugarriza LF,Cabezudo JM,Porras LF,Rodríguez-Sánchez JA

    更新日期:2001-03-01 00:00:00

  • Treatment of intact familial intracranial aneurysms: a decision-analytical approach.

    abstract::Clinical decision analysis is applied to the treatment decisions for four patients with unruptured familial aneurysms. The surgical treatment was uneventful in all patients except one with mild mixed aphasia and facial weakness postoperatively; these deficits disappeared in less than 2 years. In the decision analysis,...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-198809000-00007

    authors: ter Berg HW,Dippel DW,Habbema JD,Bijlsma JB,van Gijn J,Tulleken CA,Willemse J

    更新日期:1988-09-01 00:00:00

  • The use of allograft or autograft and expandable titanium cages for the treatment of vertebral osteomyelitis.

    abstract:OBJECTIVE:The results of the surgical treatment of osteomyelitis with expandable titanium cages and either allograft or autograft are presented. METHODS:Thirty-six patients with vertebral osteomyelitis are presented. There were 7 cervical, 17 thoracic, 4 thoracolumbar (involving T12-L1), 5 lumbar, and 3 lumbosacral (i...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/01.NEU.0000336332.11957.0B

    authors: Lu DC,Wang V,Chou D

    更新日期:2009-01-01 00:00:00

  • Dandy-Walker complex and syringomyelia in an adult: case report and discussion.

    abstract:OBJECTIVE AND IMPORTANCE:Syringomyelia in association with the Dandy-Walker complex is rare and only 17 cases have been reported, mostly as autopsy findings or incidental reports in series for other conditions. We present a further case report and discuss the possible pathogenetic mechanisms of syrinx formation in the ...

    journal_title:Neurosurgery

    pub_type: 杂志文章,评审

    doi:10.1097/00006123-200201000-00028

    authors: Hammond CJ,Chitnavis B,Penny CC,Strong AJ

    更新日期:2002-01-01 00:00:00

  • Intracranial hemangiopericytoma: patterns of failure and the role of radiation therapy.

    abstract:BACKGROUND:Meningeal hemangiopericytoma (M-HPC) is a rare entity. OBJECTIVE:To characterize our institutional experience in treating M-HPC. METHODS:We reviewed the medical records of patients with M-HPC evaluated at The University of Texas M.D. Anderson Cancer Center between 1979 and 2009. RESULTS:We identified 63 p...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/NEU.0000000000000064

    authors: Ghia AJ,Chang EL,Allen PK,Mahajan A,Penas-Prado M,McCutcheon IE,Brown PD

    更新日期:2013-10-01 00:00:00

  • Brucellosis of the spine.

    abstract::The spinal form of brucellosis is still a disabling disease in many countries outside North America and northern and central Europe. Fifteen consecutive cases of spinal brucellosis diagnosed and treated over a 20-year period were reviewed retrospectively. Six patients were farmers, while 10 patients had a history of i...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-199311000-00008

    authors: Tekkök IH,Berker M,Ozcan OE,Ozgen T,Akalin E

    更新日期:1993-11-01 00:00:00

  • Treatment of traumatic brain injury with a combination therapy of marrow stromal cells and atorvastatin in rats.

    abstract:OBJECTIVE:This study investigated the effects of a combination therapy of marrow stromal cells (MSCs) and statins (atorvastatin) after traumatic brain injury in rats. METHODS:Thirty-two female Wistar rats were injured by controlled cortical impact and divided into four groups. Group I was injected with MSCs (1 x 10(6)...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/01.NEU.0000255346.25959.99

    authors: Mahmood A,Lu D,Qu C,Goussev A,Chopp M

    更新日期:2007-03-01 00:00:00

  • Infants with medulloblastoma: a single institution review of survival.

    abstract::Although the prognoses of children with medulloblastoma have improved dramatically over the last several decades, the reported survival for very young children with this tumor remains poor. We undertook a retrospective review of patients less than 36 months of age at the time of the diagnosis of a medulloblastoma who ...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:

    authors: Geyer R,Levy M,Berger MS,Milstein J,Griffin B,Bleyer WA

    更新日期:1991-11-01 00:00:00

  • Impairment of motor recovery after late nerve suture: experimental study in the rabbit. Part 1: functional and electromyographic findings.

    abstract::To study the motor recovery after increasingly late nerve suture, we severed 75 rabbit peroneal nerves and reanastomosed them by microsurgical epineural technique after a delay of up to 12 months. Functional, electromyographic, and morphological parameters were used to evaluate the quality of motor function 6 months a...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:

    authors: Richter HP

    更新日期:1982-01-01 00:00:00

  • The history of neurosurgery at the University of Alabama at Birmingham.

    abstract::: The Division of Neurosurgery at the University of Alabama at Birmingham was formally founded in 1954 under the leadership of James Garber Galbraith. The following 60 years would see neurosurgery at the forefront of the development of a nationally recognized medical center in the heart of Birmingham, Alabama. The Dep...

    journal_title:Neurosurgery

    pub_type: 传,历史文章,杂志文章

    doi:10.1227/NEU.0000000000000464

    authors: Foreman PM,Markert JM,Diethelm AG,Hadley MN

    更新日期:2014-10-01 00:00:00

  • Stereotactic aspiration and antibiotic treatment combined with hyperbaric oxygen therapy in the management of bacterial brain abscesses.

    abstract:OBJECTIVE:Despite advances in surgical techniques in the management of the brain abscess, long-term antibiotics are as crucial to cure as the initial surgical procedure itself. This study was designed to evaluate the effect of adjuvant hyperbaric oxygen (HBO) therapy on the duration of antibiotic treatment. METHODS:Be...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/01.neu.0000316257.21478.5b

    authors: Kutlay M,Colak A,Yildiz S,Demircan N,Akin ON

    更新日期:2008-02-01 00:00:00

  • Syndrome of inappropriate secretion of antidiuretic hormone (SIADH) after head injury.

    abstract::The authors report a review of 1808 patients admitted for the treatment of craniocerebral injuries. Eighty-four (4.6%) developed the syndrome of inappropriate secretion of antidiuretic hormone (SIADH). Two types of SIADH (severe and mild) were defined on the basis of laboratory findings and clinical signs. SIADH occur...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-198206010-00001

    authors: Dóczi T,Tarjányi J,Huszka E,Kiss J

    更新日期:1982-06-01 00:00:00

  • Presentation and management of pediatric Chiari malformations without myelodysplasia.

    abstract::Chiari malformations without myelodysplasia are rarely diagnosed in the pediatric age group. With current neurodiagnostic techniques, however, they are being seen more frequently. Unfortunately, the prognosis is not clear because publications have included a number of different entities, used a variety of surgical app...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-198811000-00008

    authors: Dyste GN,Menezes AH

    更新日期:1988-11-01 00:00:00

  • Phosphodiesterase 5 inhibition attenuates cerebral vasospasm and improves functional recovery after experimental subarachnoid hemorrhage.

    abstract:BACKGROUND:Cerebral vasospasm is an independent predictor of poor outcome after subarachnoid hemorrhage (SAH). The nitric oxide-cyclic guanosine monophosphate (NO-cGMP) vasodilatory pathway is strongly implicated in its pathophysiology. Preliminary studies suggest that phosphodiesterase 5 (PDE5), an enzyme that degrade...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/NEU.0b013e31822ec2b0

    authors: Han BH,Vellimana AK,Zhou ML,Milner E,Zipfel GJ

    更新日期:2012-01-01 00:00:00