Abstract:
OBJECTIVE:To review the dorsal approaches to the cervical spine for myelopathy and myeloradiculopathy. METHODS:The literature was reviewed in reference to dorsal approaches for cervical myelopathy and myeloradiculopathy. RESULTS:There are a variety of surgical approaches in the management of cervical myelopathy and myeloradiculopathy. Deciding which is the best method for any individual requires the surgeon to be aware of the advantages of each technique, as well as the complications and limitations of each approach. CONCLUSION:Laminectomy is the traditional technique used for multilevel cervical stenosis. The complications related to laminectomy, such as late neurological decline, kyphosis, instability, and postoperative radiculopathy, led to laminectomy with fusion. In Japan, dissatisfaction with both laminectomy and laminectomy with fusion led to the development of laminoplasty for dorsal treatment of multilevel cervical stenosis. This article highlights the salient features of preoperative evaluation in this patient population as it pertains to dorsal surgical approaches. Additionally, the techniques of laminectomy, laminectomy with fusion, and laminoplasty are compared, and the results are reviewed.
journal_name
Neurosurgeryjournal_title
Neurosurgeryauthors
Wiggins GC,Shaffrey CIdoi
10.1227/01.NEU.0000215379.90537.0Bsubject
Has Abstractpub_date
2007-01-01 00:00:00pages
S71-81issue
1 Supp1 1eissn
0148-396Xissn
1524-4040pii
00006123-200701001-00012journal_volume
60pub_type
杂志文章,评审相关文献
NEUROSURGERY文献大全abstract::A patient with a planum sphenoidale meningioma mimicking a classic case of pituitary apoplexy is presented. A review of the apoplectiform onset of meningiomas is included. ...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:
更新日期:1984-12-01 00:00:00
abstract:BACKGROUND AND IMPORTANCE:Deep brain stimulation (DBS) of the bilateral globus pallidus internus (GPi) has been used effectively to treat dystonia. We report a patient with severe Meige syndrome who received bilateral GPi DBS with good improvement in symptoms during the first 24-month stimulation therapy. To decrease e...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/NEU.0b013e31822a9ad2
更新日期:2011-12-01 00:00:00
abstract::A rat model of cortical vein occlusion by the photochemical thrombotic technique was used to evaluate whether monitoring the change in the local cerebral blood flow (LCBF) could predict brain damage after cortical vein occlusion. The cortical vein occlusion was attained by using the photochemical thrombotic technique,...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-199508000-00013
更新日期:1995-08-01 00:00:00
abstract::A prospective analysis of cranioplasty, vertebral body replacement, and spinal fusion using tobramycin-impregnated methylmethacrylate in 65 patients is presented. Cranioplastic methacrylate (1 packet) was mixed with 1.2 g of powdered tobramycin and placed into the desired location. The polymer was irrigated with bacit...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1097/00006123-199106000-00001
更新日期:1991-06-01 00:00:00
abstract:BACKGROUND:Resection of cerebellopontine angle (CPA) meningiomas may result in significant neurological morbidity. Radiosurgery offers a minimally invasive alternative to surgery. OBJECTIVE:To evaluate, in a multicenter cohort study, the outcomes of patients harboring CPA meningiomas who underwent Gamma Knife radiosur...
journal_title:Neurosurgery
pub_type: 杂志文章,多中心研究
doi:10.1227/NEU.0000000000000480
更新日期:2014-10-01 00:00:00
abstract::A helpful clinical sign of ruptured cervical disc is pain relief upon arm abduction. When the disease process is spondylosis with foraminal stenosis, changing arm position does not relieve pain. Anatomical considerations are discussed. ...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-198711000-00024
更新日期:1987-11-01 00:00:00
abstract:OBJECTIVE:Adult gliomas have indistinct borders. As the ratio of neoplastic cells to normal cells becomes lower, the ability to detect these cells diminishes. We describe a device designed to augment intraoperative identification of both solid tumor and infiltrating tumor margins. METHODS:A novel, intraoperative, opti...
journal_title:Neurosurgery
pub_type: 临床试验,杂志文章
doi:10.1227/01.neu.000176855.39826.2d
更新日期:2005-10-01 00:00:00
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
更新日期:1988-09-01 00:00:00
abstract::A benign recurrence of a cerebellar juvenile astrocytoma was found in a 52-year-old woman 36 years after the initial radical removal, which was performed when she was 16 years of age. To our knowledge, this is the third detailed case report of the late benign recurrence of cerebellar astrocytoma after total removal. T...
journal_title:Neurosurgery
pub_type: 杂志文章,评审
doi:10.1097/00006123-199104000-00023
更新日期:1991-04-01 00:00:00
abstract::Clinical recovery after central nervous system (CNS) trauma or ischemia may be limited by a neural injury process that is triggered and perpetuated at the cellular level, rather than by a lesion amenable to surgical repair. It is widely thought that one such process, a fundamental pathological mechanism initiated by C...
journal_title:Neurosurgery
pub_type: 杂志文章,评审
doi:10.1097/00006123-199606000-00028
更新日期:1996-06-01 00:00:00
abstract:BACKGROUND:Approximately 20% of low-grade gliomas (LGG) display visible protoporphyrin fluorescence during surgery after 5-aminolevulinic acid (5-ALA) administration. OBJECTIVE:To determine if fluorescence represents a prognostic marker in LGG. METHODS:Seventy-four consecutive patients with LGG (World Health Organiza...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1093/neuros/nyy365
更新日期:2019-06-01 00:00:00
abstract::The sciatic nerve is by far the most common nerve accidentally injured during intramuscular injection. Despite its close proximity to the sciatic nerve, however, injury to the posterior femoral cutaneous nerve is apparently quite rare. In this report, clinical features of a patient with isolated injection injury to th...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1097/00006123-198911000-00027
更新日期:1989-11-01 00:00:00
abstract:BACKGROUND:Novel radiographic sagittal parameters of the thoracolumbar junction orientation (TLJO, thoracolumbar slope [TLS] and thoracolumbar tilt [TLT]) have been introduced and correlated with lumbopelvic parameters and thoracic kyphosis. OBJECTIVE:To determine a predictive model for reciprocal thoracic kyphosis an...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1093/neuros/nyaa311
更新日期:2020-12-15 00:00:00
abstract:OBJECTIVE:To conduct a pilot trial of mild intraoperative hypothermia during cerebral aneurysm surgery. METHODS:One hundred fourteen patients undergoing cerebral aneurysm clipping with (n = 52) (World Federation of Neurological Surgeons score < or =III) and without (n = 62) acute aneurysmal subarachnoid hemorrhage (SA...
journal_title:Neurosurgery
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1097/00006123-199901000-00009
更新日期:1999-01-01 00:00:00
abstract:BACKGROUND:Obtaining a watertight reconstruction with a fat graft with wide sellar exposures can be challenging, including the risk of reinstating mass effect with the fat graft. The alternative, a vascularized pedicle nasoseptal flap, may require several days to heal and still has a > 5% cerebrospinal fluid (CSF) leak...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/NEU.0b013e318241af25
更新日期:2012-09-01 00:00:00
abstract:BACKGROUND:Cerebrovascular autoregulation (CA) is an important hemodynamic mechanism that protects the brain against inappropriate fluctuations in cerebral blood flow in the face of changing cerebral perfusion pressure. Temporal CA failure is associated with worse outcomes in various acute neurological diseases. An int...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/NEU.0000000000001192
更新日期:2016-07-01 00:00:00
abstract::Intraventricular tension pneumocephalus is an unusual complication of surgically treated hydrocephalus. This is a life-threatening complication requiring prompt diagnosis and treatment. A case is presented wherein tension pneumocephalus developed as a result of cervicocranial subcutaneous emphysema in the presence of ...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-198410000-00016
更新日期:1984-10-01 00:00:00
abstract:INTRODUCTION:Isolated spinal aneurysms are rare; only a few have been reported. To the best of our knowledge, this series represents the largest experience with four ruptured spinal aneurysms, all of which were treated surgically. METHODS:Clinical information from the hospital charts and diagnostic images of four pati...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/01.neu.0000186010.34779.10
更新日期:2005-12-01 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: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::In three cases involving meningiomas in the ethmoid and sphenoid sinuses, transbasal spreading of the interocular distance (telecanthal approach) was used for tumor removal and reconstruction of the skull base. This telecanthal approach involves 1) bilateral en bloc removal of the superior lateral rim of the orbit, th...
journal_title:Neurosurgery
pub_type: 杂志文章,评审
doi:10.1097/00006123-199105000-00013
更新日期:1991-05-01 00:00:00
abstract:BACKGROUND:As with most minimally invasive spine procedures, lateral lumbar interbody fusion (LLIF) requires the use of biplanar fluoroscopy for localization and safe interbody cage placement. Computed tomography (CT)-based intraoperative spinal navigation has been shown to be more effective than fluoroscopic guidance ...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/NEU.0000000000000726
更新日期:2015-06-01 00:00:00
abstract:BACKGROUND:Identifying which factors influence treatment costs of transsphenoidal surgery for removal of sellar lesions can be complex. OBJECTIVE:To identify which patient-level factors are associated with higher costs and evaluate the relationship between expenditures and short-term patient-reported outcomes. METHOD...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1093/neuros/nyx471
更新日期:2018-10-01 00:00:00
abstract:OBJECTIVE AND IMPORTANCE:Focal or diffuse corpus callosal changes can occur in patients with active hydrocephalus who undergo shunting procedures. The neural compression caused by active hydrocephalus and the conditions that follow ventricular shunting may contribute to the development of these changes. CLINICAL PRESE...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1097/00006123-199708000-00037
更新日期:1997-08-01 00:00:00
abstract:OBJECTIVE:The microendoscopic discectomy (MED) technique was initially developed in 1997 to treat herniated lumbar disc disease. Since then, thousands of cases have been successfully performed at more than 500 institutions. This article discusses the technical aspects of this procedure and presents a consecutive case s...
journal_title:Neurosurgery
pub_type: 临床试验,杂志文章
doi:
更新日期:2002-11-01 00:00:00
abstract::A case of hemangioma calcificans in the 4th ventricle is reported. Skull x-ray films demonstrated a dense calcification in the posterior fossa. Computed tomography disclosed a hyperdense mass in the 4th ventricle. The clinical picture was of increased intracranial pressure due to obstructive hydrocephalus. An hemangio...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-198406000-00016
更新日期:1984-06-01 00:00:00
abstract::There is increasing interest in staged corpus callosotomy for intractable generalized epilepsy. At the first procedure, a portion (usually the anterior two-thirds) of the corpus callosum is sectioned. If seizures persist, completion of callosotomy or alternative treatment approaches can be considered. It is obviously ...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1097/00006123-199001000-00014
更新日期:1990-01-01 00:00:00
abstract:OBJECTIVE:Intracerebral clysis is a drug delivery technique that depends on convection-enhanced microinfusion to achieve therapeutic drug levels within the brain. In this study, brain tumor-bearing rats were treated with topotecan delivered systemically and by the intracerebral clysis method. Our objective was to deter...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:
更新日期:2000-12-01 00:00:00
abstract:OBJECTIVE AND IMPORTANCE:Traumatic intraventricular hemorrhage (IVH) can result in association with acute obstructive hydrocephalus, repetitive malfunction of external ventricular drains (EVDs), and uncontrollable increased intracranial pressure. We report a case showing the safe and effective use of intraventricular r...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1097/00006123-199810000-00150
更新日期:1998-10-01 00:00:00
abstract:BACKGROUND:Spine and nonspine skeletal metastases occur in more than 80% of patients with prostate cancer. OBJECTIVE:To examine the characteristics of the patient population undergoing surgery for the treatment of prostate cancer metastatic to the spine. METHODS:A retrospective chart review was performed on all patie...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1093/neuros/nyx292
更新日期:2018-05-01 00:00:00