Surgical treatment of tumors involving the cervicothoracic junction.

Abstract:

OBJECT:Tumors involving the cervicothoracic junction can have a high propensity for causing instability, with kyphosis and spinal cord compression resulting. Treatment with decompression only can lead to further instability and worsening neurological status. In this article, the authors review their surgical experience in the treatment of 19 patients with tumors involving the cervicothoracic junction. The various approaches and instrumentation techniques involved in decompression and stabilization of the cervicothoracic junction are also reviewed. METHODS:Aggressive instrumentation-augmented fusion after decompression of the cervicothoracic region can provide for immediate stabilization and early rehabilitation. Recent development of new hardware such as dual-diameter transition rods, polyaxial screws, and interlocking devices have enhanced the ability to fashion a strong construct for stabilization of the cervicothoracic junction. CONCLUSIONS:Familiarity with complex instrumentation techniques and various surgical approaches to the cervicothoracic junction will be required for effective treatment of tumors causing instability of this region.

journal_name

Neurosurg Focus

journal_title

Neurosurgical focus

authors

Le H,Balabhadra R,Park J,Kim D

doi

10.3171/foc.2003.15.5.3

subject

Has Abstract

pub_date

2003-11-15 00:00:00

pages

E3

issue

5

issn

1092-0684

pii

150503

journal_volume

15

pub_type

杂志文章,评审
  • Imaging of primary central nervous system lymphoma.

    abstract::Primary central nervous system lymphoma (PCNSL) is an aggressive neoplastic process that occurs in both immunocompetent and immunocompromised patients. Over the past 30 years there has been a steady increase in the number of cases in both patient populations. The imaging features for the disease and demographic charac...

    journal_title:Neurosurgical focus

    pub_type: 杂志文章,评审

    doi:10.3171/foc.2006.21.5.5

    authors: Go JL,Lee SC,Kim PE

    更新日期:2006-11-15 00:00:00

  • Spinal cord injury and the human microbiome: beyond the brain-gut axis.

    abstract::In addition to standard management for the treatment of the acute phase of spinal cord injury (SCI), implementation of novel neuroprotective interventions offers the potential for significant reductions in morbidity and long-term health costs. A better understanding of the systemic changes after SCI could provide insi...

    journal_title:Neurosurgical focus

    pub_type: 杂志文章,评审

    doi:10.3171/2018.12.FOCUS18206

    authors: Wallace DJ,Sayre NL,Patterson TT,Nicholson SE,Hilton D,Grandhi R

    更新日期:2019-03-01 00:00:00

  • Application of emerging technologies to improve access to ischemic stroke care.

    abstract::During the past 20 years, the traditional supportive treatment for stroke has been radically transformed by advances in catheter technologies and a cohort of prominent randomized controlled trials that unequivocally demonstrated significant improvement in stroke outcomes with timely endovascular intervention. However,...

    journal_title:Neurosurgical focus

    pub_type: 杂志文章,评审

    doi:10.3171/2017.1.FOCUS16520

    authors: Vuong SM,Carroll CP,Tackla RD,Jeong WJ,Ringer AJ

    更新日期:2017-04-01 00:00:00

  • Cerebrospinal fluid fistula prevention and treatment following frontal sinus fractures: a review of initial management and outcomes.

    abstract::Frontal sinus fractures are heterogeneous, and management of these fractures is often modified based on injury pattern and institutional experience. The optimal initial treatment of frontal sinus fractures is controversial. Treatment strategies are aimed at correcting cosmetic deformity, as well as at preventing delay...

    journal_title:Neurosurgical focus

    pub_type: 杂志文章,评审

    doi:10.3171/2012.3.focus1266

    authors: Castro B,Walcott BP,Redjal N,Coumans JV,Nahed BV

    更新日期:2012-06-01 00:00:00

  • Morbidity and mortality in elderly patients undergoing evacuation of acute traumatic subdural hematoma.

    abstract:OBJECTIVE:Acute traumatic subdural hematoma (atSDH) can be a life-threatening neurosurgical emergency that necessitates immediate evacuation. The elderly population can be particularly vulnerable to tearing bridging veins. The aim of this study was to evaluate inpatient morbidity and mortality, as well as predictors of...

    journal_title:Neurosurgical focus

    pub_type: 杂志文章

    doi:10.3171/2020.7.FOCUS20439

    authors: Kerezoudis P,Goyal A,Puffer RC,Parney IF,Meyer FB,Bydon M

    更新日期:2020-10-01 00:00:00

  • Differential angiogenesis function of CCM2 and CCM3 in cerebral cavernous malformations.

    abstract:OBJECT:Loss-of-function mutations in CCM genes are frequently detected in familial cerebral cavernous malformations (CCMs). However, the current functional studies of the CCM genes in vitro have been performed mostly in commercially purchased normal cell lines and the results appeared discrepant. The fact that the cere...

    journal_title:Neurosurgical focus

    pub_type: 杂志文章

    doi:10.3171/2010.5.FOCUS1090

    authors: Zhu Y,Wu Q,Xu JF,Miller D,Sandalcioglu IE,Zhang JM,Sure U

    更新日期:2010-09-01 00:00:00

  • Novel placement of cortical bone trajectory screws in previously instrumented pedicles for adjacent-segment lumbar disease using CT image-guided navigation.

    abstract:OBJECT:Symptomatic adjacent-segment lumbar disease (ASLD) after lumbar fusion often requires subsequent surgical intervention. The authors report utilizing cortical bone trajectory (CBT) pedicle screw fixation with intraoperative CT (O-arm) image-guided navigation to stabilize spinal levels in patients with symptomatic...

    journal_title:Neurosurgical focus

    pub_type: 杂志文章

    doi:10.3171/2014.1.FOCUS13521

    authors: Rodriguez A,Neal MT,Liu A,Somasundaram A,Hsu W,Branch CL Jr

    更新日期:2014-03-01 00:00:00

  • Surgical treatment of intractable epilepsy associated with focal cortical dysplasia.

    abstract::Focal cortical dysplasias (FCDs) are congenital malformations of cortical development that are a frequent cause of refractory epilepsy in both children and adults. With advances in structural and functional neuroimaging, these lesions are increasingly being identified as a cause of intractable epilepsy in patients und...

    journal_title:Neurosurgical focus

    pub_type: 杂志文章,评审

    doi:10.3171/FOC/2008/25/9/E6

    authors: Diaz RJ,Sherman EM,Hader WJ

    更新日期:2008-09-01 00:00:00

  • Extracranial-intracranial bypass approach to cerebral revascularization: a historical perspective.

    abstract::While the majority of cerebral revascularization advancements were made in the last century, it is worth noting the humble beginnings of vascular surgery throughout history to appreciate its progression and application to neurovascular pathology in the modern era. Nearly 5000 years of basic human inquiry into the vasc...

    journal_title:Neurosurgical focus

    pub_type: 历史文章,杂志文章

    doi:10.3171/2018.11.FOCUS18527

    authors: Soldozy S,Costello JS,Norat P,Sokolowski JD,Soldozy K,Park MS,Tvrdik P,Kalani MYS

    更新日期:2019-02-01 00:00:00

  • The history of brain retractors throughout the development of neurological surgery.

    abstract::Early neurosurgical procedures dealt mainly with treatment of head trauma, especially skull fractures. Since the early medical writings by Hippocrates, a great deal of respect was given to the dura mater, and many other surgeons warned against violating the dura. It was not until the 19th century that neurosurgeons st...

    journal_title:Neurosurgical focus

    pub_type: 历史文章,杂志文章

    doi:10.3171/2014.2.FOCUS13564

    authors: Assina R,Rubino S,Sarris CE,Gandhi CD,Prestigiacomo CJ

    更新日期:2014-04-01 00:00:00

  • Effect of intraarterial papaverine and/or angioplasty on the cerebral veins in patients with vasospasm after subarachnoid hemorrhage due to ruptured intracranial aneurysms.

    abstract:OBJECT:The goal in this study was to determine if there was a change in intracranial venous diameters after endovascular treatment of carotid distribution vasospasm caused by subarachnoid hemorrhage. METHODS:The venous diameters were measured in all patients who received intraarterial papaverine and/or balloon angiopl...

    journal_title:Neurosurgical focus

    pub_type: 临床试验,杂志文章

    doi:10.3171/foc.2006.21.3.16

    authors: Elsayed AA,Moran CJ,Cross DT 3rd,Derdeyn CP,Pilgram TK,Milburn JM,Dacey RG Jr,Diringer MN Jr

    更新日期:2006-09-15 00:00:00

  • Resection of large epidermoid tumors ventral to the brainstem: techniques to expand the operative corridor across the basilar artery.

    abstract::Epidermoid tumors comprise about 1% of all intracranial tumors. They are congenital lesions that arise from paramedian cisterns within the posterior fossa. These tumors present as heterogeneous hyperintense lesions on FLAIR and homogenous hyperintense lesions on DWI. Surgical resection remains the most accepted form o...

    journal_title:Neurosurgical focus

    pub_type: 杂志文章

    doi:10.3171/2014.V1.FOCUS13308

    authors: Cohen-Gadol AA

    更新日期:2014-01-01 00:00:00

  • Home palliative care and end of life issues in glioblastoma multiforme: results and comments from a homogeneous cohort of patients.

    abstract:OBJECT:Glioblastoma multiforme (GBM) is a rare tumor whose prognosis has remained poor over the years despite innovative radio- and chemotherapies, and important technical advances in neurosurgery such as intraoperative imaging, fluorescence, Cavitron ultrasonic surgical aspirator, and neuronavigation. Particular atten...

    journal_title:Neurosurgical focus

    pub_type: 杂志文章

    doi:10.3171/2014.9.FOCUS14493

    authors: Pompili A,Telera S,Villani V,Pace A

    更新日期:2014-12-01 00:00:00

  • Intraoperative magnetic resonance imaging in pituitary macroadenoma surgery: an assessment of visual outcome.

    abstract::Pituitary macroadenomas most frequently present with visual loss. Although transsphenoidal surgery remains the treatment of choice for patients with neurological manifestations, there have been several advances in its implementation over the last 5 years. Intraoperative magnetic resonance (MR) imaging has emerged as a...

    journal_title:Neurosurgical focus

    pub_type: 杂志文章,评审

    doi:10.3171/FOC-07/11/E12

    authors: Jones J,Ruge J

    更新日期:2007-01-01 00:00:00

  • Spontaneous thrombosis of neonatal vein of Galen malformation.

    abstract::Vein of Galen malformations are rare congenital intracranial vascular malformations. Based on reports in the literature, spontaneous thrombosis or regression of these lesions is rare. Patients have variable outcomes from an asymptomatic course to death. The reasons behind spontaneous thrombosis are not entirely unders...

    journal_title:Neurosurgical focus

    pub_type: 杂志文章

    doi:10.3171/2009.8.FOCUS09162

    authors: Moftakhar P,Danielpour M,Maya M,Alexander MJ

    更新日期:2009-11-01 00:00:00

  • Deep brain stimulation for the treatment of drug-refractory epilepsy in a patient with a hypothalamic hamartoma. Case report.

    abstract::Hypothalamic hamartomas (HHs) are developmental malformations associated with a range of neurological problems, including intractable seizures. There is increasing evidence of the epileptogenicity of the hamartoma and of the inhomogeneous distribution of the epileptic abnormalities within the malformation. The managem...

    journal_title:Neurosurgical focus

    pub_type: 杂志文章

    doi:10.3171/2010.11.FOCUS10241

    authors: Marras CE,Rizzi M,Villani F,Messina G,Deleo F,Cordella R,Franzini A

    更新日期:2011-02-01 00:00:00

  • Late pediatric ventriculoperitoneal shunt failures: a Singapore tertiary institution's experience.

    abstract::OBJECTIVE The introduction of ventriculoperitoneal shunts changed the way hydrocephalus was treated. Whereas much is known about the causes of shunt failure in the first few years, there is a paucity of data in the literature regarding the cause of late shunt failures. The authors conducted a study to find out the dif...

    journal_title:Neurosurgical focus

    pub_type: 杂志文章

    doi:10.3171/2016.8.FOCUS16277

    authors: Lee L,Low S,Low D,Ng LP,Nolan C,Seow WT

    更新日期:2016-11-01 00:00:00

  • Transarterial embolization of an internal maxillary artery arteriovenous fistula presenting with pulsatile tinnitus.

    abstract::Arteriovenous fistulae of the internal maxillary artery are exceedingly rare, with less than 30 cases reported in the literature. Most of these lesions are congenital, iatrogenic, or posttraumatic. The most common presentation of internal maxillary artery fistulae is pulsatile tinnitus and headache. Because these lesi...

    journal_title:Neurosurgical focus

    pub_type: 杂志文章

    doi:10.3171/2019.1.FocusVid.18479

    authors: Brinjikji W,Cloft HJ,Lanzino G,Rangel-Castilla L,Morris PP

    更新日期:2019-01-01 00:00:00

  • Expanded endonasal approach: fully endoscopic, completely transnasal approach to the middle third of the clivus, petrous bone, middle cranial fossa, and infratemporal fossa.

    abstract:OBJECT:The middle third of the clivus and the region around the petrous internal carotid artery (ICA) is a difficult area of the skull base in terms of access. This is a deep area rich with critical neurovascular structures, which is often host to typical skull base diseases. Expanded endoscopic endonasal approaches of...

    journal_title:Neurosurgical focus

    pub_type: 杂志文章

    doi:

    authors: Kassam AB,Gardner P,Snyderman C,Mintz A,Carrau R

    更新日期:2005-07-15 00:00:00

  • Hemodynamic instability after carotid artery angioplasty and stent placement: a review of the literature.

    abstract::In this review of the literature the goal was to determine the frequency and relevance of hemodynamic instability after carotid artery (CA) angioplasty and stent placement. Hemodynamic instability after CA angioplasty and stent placement is a well-recognized phenomenon that occurs in 29 to 51% of patients undergoing t...

    journal_title:Neurosurgical focus

    pub_type: 杂志文章,评审

    doi:10.3171/foc.2005.18.1.7

    authors: Gupta R,Horowitz M,Jovin TG

    更新日期:2005-01-15 00:00:00

  • Determination of filling volumes in HydroCoil-treated aneurysms by using three-dimensional computerized tomography angiography.

    abstract:OBJECT:Coil embolization of aneurysms has been shown to be as safe and effective as surgical clip ligation, but has a higher recurrence rate. Advances in coil technology aim to reduce aneurysm recurrence by coating the devices with biological substances. An example of this is MicroVention's HydroCoil, which is a platin...

    journal_title:Neurosurgical focus

    pub_type: 杂志文章

    doi:10.3171/foc.2005.18.2.6

    authors: Deshaies EM,Bagla S,Agner C,Boulos AS

    更新日期:2005-02-15 00:00:00

  • Stereotactic robot-assisted MRI-guided laser thermal ablation of radiation necrosis in the posterior cranial fossa: technical note.

    abstract::Laser interstitial thermal therapy (LITT) is a minimally invasive procedure used to treat a variety of intracranial lesions. Utilization of robotic assistance with stereotactic procedures has gained attention due to potential for advantages over conventional techniques. The authors report the first case in which robot...

    journal_title:Neurosurgical focus

    pub_type: 杂志文章

    doi:10.3171/2016.4.FOCUS1622

    authors: Chan AY,Tran DK,Gill AS,Hsu FP,Vadera S

    更新日期:2016-10-01 00:00:00

  • Molecular pathology of adamantinomatous craniopharyngioma: review and opportunities for practice.

    abstract::Since the first identification of CTNNB1 mutations in adamantinomatous craniopharyngioma (ACP), much has been learned about the molecular pathways and processes that are disrupted in ACP pathogenesis. To date this understanding has not translated into tangible patient benefit. The recent development of novel technique...

    journal_title:Neurosurgical focus

    pub_type: 杂志文章,评审

    doi:10.3171/2016.8.FOCUS16307

    authors: Apps JR,Martinez-Barbera JP

    更新日期:2016-12-01 00:00:00

  • Posterior fossa arteriovenous malformations.

    abstract::Arteriovenous malformations (AVMs) of the posterior fossa are complex neurovascular lesions that are less common than their supratentorial counterparts, accounting for < 15% of all AVMs. The majority of patients with these lesions present with intracranial hemorrhage, a factor that has been consistently shown to incre...

    journal_title:Neurosurgical focus

    pub_type: 杂志文章,评审

    doi:10.3171/2009.2.FOCUS0914

    authors: Arnaout OM,Gross BA,Eddleman CS,Bendok BR,Getch CC,Batjer HH

    更新日期:2009-05-01 00:00:00

  • Stereotactic radiosurgery boost to the resection bed for oligometastatic brain disease: challenging the tradition of adjuvant whole-brain radiotherapy.

    abstract:OBJECT:Whole-brain radiation therapy (WBRT) has been the traditional approach to minimize the risk of intracranial recurrence following resection of brain metastases, despite its potential for late neurotoxicity. In 2007, the authors demonstrated an equivalent local recurrence rate to WBRT by using stereotactic radiosu...

    journal_title:Neurosurgical focus

    pub_type: 杂志文章

    doi:10.3171/2009.9.FOCUS09191

    authors: Karlovits BJ,Quigley MR,Karlovits SM,Miller L,Johnson M,Gayou O,Fuhrer R

    更新日期:2009-12-01 00:00:00

  • Deep brain stimulation for hyperkinetic disorders.

    abstract::Deep brain stimulation (DBS) has a record of safety and efficacy for an expanding range of indications. Recently,the Food and Drug Administration provided approval through a Humanitarian Device Exemption for DBS of the globus pallidus internus and subthalamic nucleus for the treatment of dystonia. There is increasing ...

    journal_title:Neurosurgical focus

    pub_type: 杂志文章,评审

    doi:10.3171/foc.2004.17.1.1

    authors: Montgomery EB Jr

    更新日期:2004-07-15 00:00:00

  • Need for standard outcome reporting systems in craniosynostosis.

    abstract::Craniosynostosis is the premature fusion of one or more cranial sutures. When a cranial suture fuses prematurely, skull growth is altered and the head takes on a characteristic pathological shape determined by the suture(s) that fuses. Numerous treatment options have been proposed, but until recently there were no par...

    journal_title:Neurosurgical focus

    pub_type: 杂志文章,评审

    doi:10.3171/2011.6.FOCUS1192

    authors: Szpalski C,Weichman K,Sagebin F,Warren SM

    更新日期:2011-08-01 00:00:00

  • Ventral fusion versus dorsal fusion: determining the optimal treatment for cervical spondylotic myelopathy.

    abstract::Cervical spondylotic myelopathy (CSM) often can be surgically treated by either ventral or dorsal decompression and fusion. However, there is a lack of high-level evidence on the relative advantages and disadvantages for these treatments of CSM. The authors' goal was to provide a comprehensive review of the relative b...

    journal_title:Neurosurgical focus

    pub_type: 杂志文章,评审

    doi:10.3171/2013.4.FOCUS13103

    authors: Alvin MD,Lubelski D,Benzel EC,Mroz TE

    更新日期:2013-07-01 00:00:00

  • Hydrocephalus: the role of cerebral aquaporin-4 channels and computational modeling considerations of cerebrospinal fluid.

    abstract::Aquaporin-4 (AQP4) channels play an important role in brain water homeostasis. Water transport across plasma membranes has a critical role in brain water exchange of the normal and the diseased brain. AQP4 channels are implicated in the pathophysiology of hydrocephalus, a disease of water imbalance that leads to CSF a...

    journal_title:Neurosurgical focus

    pub_type: 杂志文章,评审

    doi:10.3171/2016.7.FOCUS16191

    authors: Desai B,Hsu Y,Schneller B,Hobbs JG,Mehta AI,Linninger A

    更新日期:2016-09-01 00:00:00

  • Robotic image-guided depth electrode implantation in the evaluation of medically intractable epilepsy.

    abstract:OBJECT:The authors describe their experience with a technique for robotic implantation of depth electrodes in patients concurrently undergoing craniotomy and placement of subdural monitoring electrodes for the evaluation of intractable epilepsy. METHODS:Patients included in this study underwent evaluation in the Dartm...

    journal_title:Neurosurgical focus

    pub_type: 杂志文章

    doi:10.3171/FOC/2008/25/9/E19

    authors: Spire WJ,Jobst BC,Thadani VM,Williamson PD,Darcey TM,Roberts DW

    更新日期:2008-09-01 00:00:00