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Case report Epidural tuberculosis involving the entire spineEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We discuss an elderly male who developed severe back pain, rapidly progressing paraparesis and urinary retention consequent to L5-S1 spinal tuberculosis with dissemination of epidural tubercular abscess and granulation tissue to the cervical, thoracic, lumbar and sacral region. The initial diagnosis of lumbo-sacral pathology with high thoracic extension was tackled by an L5 laminectomy and decompression along with saline flushing and evacuation of the thoraco-lumbar and sacral epidural abscess with the aid of a catheter passed superiorly and inferiorly. He developed neck pain and upper limb weakness subsequently and was fo...
Source: Articles of Polish Journal of Neurology and Neurosurgery - TERMEDIA publishing house - October 30, 2009 Category: Neurosurgery Source Type: journals

Article 3: Fear-Avoidance Beliefs on Pain Intensity and Patient-Reported Disability After Spine SurgeryEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Objective: To determine the effects of fear of movement/(re)injury on pain intensity, pain interference and disability among patients undergoing spine surgery for degenerative disc disease (DDD), after controlling for depressive symptoms. Design: Prospective cohort design. Setting: University-based clinic setting. Participants: Seventy patients, 18 to 88 years of age, treated by laminectomy and/or fusion procedure for cervical (N=27) or lumbar (N=43) DDD. Interventions: Not applicable. Main Outcome Measures: Pain intensity and pain interference measured by the Brief Pain Inventory. A secondary outcome variable was pain-rel...
Source: Archives of Physical Medicine and Rehabilitation - September 30, 2009 Category: Rehabilitation Authors: Kristin Archer, Stephen Wegener, Caryn Seebach, Richard Skolasky, Colleen Thornton, Jay Khanna, Lee Riley Tags: Paper Presentations Source Type: journals

Original paper Serum cortisol levels following acute experimental spinal cord injuryEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: Activation of endogen cortisol secretion of the organism starts immediately after the SCI injury and throughout the experiment the serum cortisol levels in neurotrauma groups remained high compared with the control and sham-operated groups. At the beginning, the level of neurological lesion (cervical or thoracic) affected differently the level of serum cortisol at a statistically significant level but this difference disappeared at the 6th hour. (Source: Articles of Polish Journal of Neurology and Neurosurgery - TERMEDIA publishing house)
Source: Articles of Polish Journal of Neurology and Neurosurgery - TERMEDIA publishing house - September 4, 2009 Category: Neurosurgery Source Type: journals

Anterior neurodecompression of kyphotic spondylogenic myelopathy Ranawat grade III and posterior decompression of lordotic spine improve walking ability.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Cervical spondylosis is common condition rarely associated with radiculomyelopathy which surgical treatment, according to meta-analysis, is not better than nonsurgical. Our hypothesis was that neurodecompression which type is chosen according to spinal alignment should result in better functional improvement comparing with nonsurgical treatment. Between January 1, 1998 and December 31, 2007 a total of 77 patients with spondylogenic myelopathy were selected for the study. The inclusion criteria were symptoms and signs of myelopathy Ranawat grade III. Exclusion criteria were amyotrophic lateral sclerosis (ALS) and multip...
Source: Collegium Antropologicum - September 1, 2009 Category: Epidemiology Authors: Margetić P, Elabjer E, Milosević M, Skoro I, Milanov B, Stancić M Tags: Coll Antropol Source Type: journals

Comparison of ventral corpectomy and plate-screw-instrumented fusion with dorsal laminectomy and rod-screw-instrumented fusion for treatment of at least two vertebral-level spondylotic cervical myelopathyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The objective of the article is to verify the hypothesis that the dorsal multilevel laminectomy and rod-screw-instrumented fusion (DLF) for multilevel spondylotic cervical myelopathy (MSCM) is less strenuous for patients, and less prone to perioperative complications, than ventral multilevel corpectomy and plate-screw-instrumented fusion (VCF), while clinical outcome is comparable. One hundred and three successive patients were treated for at least two vertebral-level MSCM, 42 of them by VCF and 61 by DLF. The two patients groups were retrospectively compared. VCF patients were slightly younger than DLF patients (62.5&...
Source: European Spine Journal - August 7, 2009 Category: Orthopaedics Tags: European Spine Journal Source Type: journals

Extensive posterolateral exposure and total removal of the giant extraforaminal dumbbell tumors of cervical spine: surgical technique in a series of 16 patientsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: Extensive posterolateral exposure enables surgeons to reach the lateralmost portion of CSDTs and also facilitates septation of the VA and resection of vertebral body encroachment of the tumor. (Source: The Spine Journal)
Source: The Spine Journal - August 6, 2009 Category: Orthopaedics Authors: Bizeng Zhao, Jianguang Xu Tags: Clinical Studies Source Type: journals

Enlargement of an osseous loose body in the cervical spine with cord compressionEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: We report herein an extremely rare case of an osseous loose body in the spinal canal with cord compression. This report represents the first documented case of growth of a loose body in the spinal canal. (Source: The Spine Journal)
Source: The Spine Journal - August 6, 2009 Category: Orthopaedics Authors: Michio Hongo, Naohisa Miyakoshi, Yuji Kasukawa, Shigeru Ando, Noriyuki Ishikawa, Kyoji Okada, Yoichi Shimada Tags: Case Reports Source Type: journals

Endoscopic Suboccipital Decompression on Pediatric Chiari Type IEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Minim Invasive Neurosurg 2009; 52: 119-125DOI: 10.1055/s-0029-1224170Abstract To minimize the invasiveness and maximize the adequacy of Chiari decompression on pediatric patients, 0° and 30° endoscopes were adapted to perform the procedure of suboccipital craniectomy and upper cervical laminectomies.[...]© Georg Thieme Verlag KG Stuttgart · New YorkGet connected:Table of contents | Abstract | Full text (Source: min - Minimally Invasive Neurosurgery)
Source: min - Minimally Invasive Neurosurgery - August 1, 2009 Category: Neurosurgery Tags: Original Article Source Type: journals

Laminectomy and fusion for the treatment of cervical degenerative myelopathy.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions Laminectomy with fusion (arthrodesis) is an effective strategy to improve functional outcome in CSM and OPLL. PMID: 19769494 [PubMed - in process] (Source: Journal of Neurosurgery.Spine)
Source: Journal of Neurosurgery.Spine - July 31, 2009 Category: Neurosurgery Authors: Anderson PA, Matz PG, Groff MW, Heary RF, Holly LT, Kaiser MG, Mummaneni PV, Ryken TC, Choudhri TF, Vresilovic EJ, Resnick DK Tags: J Neurosurg Spine Source Type: journals

Cervical laminectomy for the treatment of cervical degenerative myelopathy.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions Laminectomy is an acceptable therapy for near-term functional improvement of CSM (Class III). It is associated with development of kyphosis, however. PMID: 19769493 [PubMed - in process] (Source: Journal of Neurosurgery.Spine)
Source: Journal of Neurosurgery.Spine - July 31, 2009 Category: Neurosurgery Authors: Ryken TC, Heary RF, Matz PG, Anderson PA, Groff MW, Holly LT, Kaiser MG, Mummaneni PV, Choudhri TF, Vresilovic EJ, Resnick DK Tags: J Neurosurg Spine Source Type: journals

Cervical surgical techniques for the treatment of cervical spondylotic myelopathy.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions Multiple approaches exist with similar near-term improvements; however, laminectomy appears to have a late deterioration rate that may need to be considered when appropriate. PMID: 19769492 [PubMed - in process] (Source: Journal of Neurosurgery.Spine)
Source: Journal of Neurosurgery.Spine - July 31, 2009 Category: Neurosurgery Authors: Mummaneni PV, Kaiser MG, Matz PG, Anderson PA, Groff MW, Heary RF, Holly LT, Ryken TC, Choudhri TF, Vresilovic EJ, Resnick DK Tags: J Neurosurg Spine Source Type: journals

Surgical management of cervical degenerative disease: the evidence related to indications, impact, and outcome.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
In this special edition of Journal of Neurosurgery: Spine, a series of systematic reviews sponsored by the Section on Disorders of the Spine and Peripheral Nerves of the American Association of Neurological Surgeons/Congress of Neurological Surgeons is presented. This collection of comprehensive reviews summarizes the medical evidence related to the surgical management of cervical degenerative disc disease. Several of the key conclusions are discussed in this introduction to the issue: There is Class II evidence to suggest that the clinical condition remains stable when observed over a 3-year period in patients with mi...
Source: Journal of Neurosurgery.Spine - July 31, 2009 Category: Neurosurgery Authors: Fehlings MG, Arvin B Tags: J Neurosurg Spine Source Type: journals

Unilateral ossified ligamentum flavum in the high cervical spine causing myelopathyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Udit Singhal, Manoj Jain, Awadhesh K Jaiswal, Sanjay BehariIndian Journal of Orthopaedics 2009 43(3):305-308High cervical ossified ligamentum flavum (OLF) is rare and may cause progressive quadriparesis and respiratory failure . Our two patients had unilateral OLF between C1 and C4 levels. MR showed a unilateral, triangular bony excrescence with low signal and a central, intermediate or high signal on all pulse sequences due to bone marrow within. There was Type I thecal compression (partial deficit of contrast media ring). The first patient had a linear and nodular OLF with ...
Source: Table of Contents : Indian Journal of Orthopaedics : 2007 - 41(1) - July 30, 2009 Category: Orthopaedics Authors: Udit Singhal, Manoj Jain, Awadhesh K Jaiswal, Sanjay Behari Source Type: journals

Cervical synovial cyst: case report and review of literatureEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract Synovial cysts, typically observed in the lumbar spine eventually associated with degenerative changes of the facet joints, only rarely present in the cervical spine. Up to now, only 28 symptomatic cases are described in literature. Typically, the treatment of these cases is a decompressive laminectomy followed by complete surgical removal of the lesion. The authors present the case of an 84-year-old man with a symptomatic synovial cyst involving the space between C7 and T1. Content Type Journal ArticleCategory Case ReportDOI 10.1007/s00586-009-1094-6Authors Francesco Costa, Istituto IRCCS Galea...
Source: European Spine Journal - July 23, 2009 Category: Orthopaedics Tags: European Spine Journal Source Type: journals

The relationship between preoperative cervical alignment and postoperative spinal cord drift after decompressive laminectomy and arthrodesis for cervical spondylotic myelopathyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: Preoperative cervical alignment does not statistically correlate with postoperative spinal cord drift in patients undergoing multisegmental decompressive laminectomy and fusion for CSM. The observation of significant posterior shifting of the spinal cord in the context of straight or kyphotic preoperative alignment suggests that posterior decompression and arthrodesis represent a viable option in the surgical management of patients with CSM with nonlordotic preoperative alignment. (Source: Surgical Neurology)
Source: Surgical Neurology - July 16, 2009 Category: Neurosurgery Authors: Vartan S. Tashjian, Emil Kohan, David L. McArthur, Langston T. Holly Tags: Spine Source Type: journals

Unilateral ossified ligamentum flavum in the high cervical spine causing myelopathyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Singhal Udit, Jain Manoj, Jaiswal Awadhesh K, Behari SanjayIndian Journal of Orthopaedics 2009 43(3):305-308High cervical ossified ligamentum flavum (OLF) is rare and may cause progressive quadriparesis and respiratory failure . Our two patients had unilateral OLF between C1 and C4 levels. MR showed a unilateral, triangular bony excrescence with low signal and a central, intermediate or high signal on all pulse sequences due to bone marrow within. There was Type I thecal compression (partial deficit of contrast media ring). The first patient had a linear and nodular OLF with ...
Source: Table of Contents : Indian Journal of Orthopaedics : 2007 - 41(1) - July 15, 2009 Category: Orthopaedics Authors: Singhal Udit, Jain Manoj, Jaiswal Awadhesh K, Behari Sanjay Source Type: journals

Acute swan-neck deformity and spinal cord compression after cervical laminectomy.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19650366 [PubMed - in process] (Source: The Canadian Journal of Neurological Sciences)
Source: The Canadian Journal of Neurological Sciences - June 30, 2009 Category: Neurology Authors: Rahme R, Boubez G, Bouthillier A, Moumdjian R Tags: Can J Neurol Sci Source Type: journals

Serum cortisol levels following acute experimental spinat cord injury.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: Activation of endogen cortisol secretion of the organism starts immediately after the SCI injury and throughout the experiment the serum cortisol levels in neurotrauma groups remained high compared with the control and sham-operated groups. At the beginning, the level of neurological lesion (cervical or thoracic) affected differently the level of serum cortisol at a statistically significant level but this difference disappeared at the 6th hour. PMID: 19742394 [PubMed - as supplied by publisher] (Source: Neurologia i Neurochirurgia Polska)
Source: Neurologia i Neurochirurgia Polska - June 30, 2009 Category: Neurology Authors: Gezici AR, Karakas A, Ergun R, Gunduz B Tags: Neurol Neurochir Pol Source Type: journals

Task-Dependent Modulation of Primary Afferent Depolarization in Cervical Spinal Cord of Monkeys Performing an Instructed Delay TaskEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Task-dependent modulation of primary afferent depolarization (PAD) was studied in the cervical spinal cord of two monkeys performing a wrist flexion and extension task with an instructed delay period. We implanted two nerve cuff electrodes on proximal and distal parts of the superficial radial nerve (SR) and a recording chamber over a hemi-laminectomy in the lower cervical vertebrae. Antidromic volleys (ADVs) in the SR were evoked by intraspinal microstimuli (ISMS, 3–10 Hz, 3–30 µA) applied through a tungsten microelectrode, and the area of each ADV was measured. In total, 434 ADVs were evoked by ISMS in ...
Source: Journal of Neurophysiology - June 28, 2009 Category: Neurology Authors: Seki, K., Perlmutter, S. I., Fetz, E. E. Tags: Articles Source Type: journals

Direct cord implantation in brachial plexus avulsions: revised technique using a single stage combined anterior (first) posterior (second) approach and end-to-side side-to-side grafting neurorrhaphyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: Through providing proper exposure to the brachial plexus and to the cervical cord, the single stage combined anterior (first) posterior (second) approach approach might stimulate brachial plexus surgeons to go more for direct cord implantation. In this study, it allowed for placing side grafts along an extensive donor recipient area by end-to-side side-to-side grafting neurorrhaphy and thus improved results.Level of evidence: Level IV, prospective case series. (Source: Journal of Brachial Plexus and Peripheral Nerve Injury)
Source: Journal of Brachial Plexus and Peripheral Nerve Injury - June 18, 2009 Category: Surgery Authors: Sherif AmrAhmad EssamAmr Abdel-MeguidAhmad KholeifAshraf MoharramRashed El-Sadek Source Type: journals

Spontaneous Cervical Epidural Hematoma Masquerading as an Abscess on Magnetic Resonance Imaging ScanEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: The MRI features of SSEH may be misleading and mimic other spinal lesions such as abscess. Presence of tapering superior and inferior margins, spotty Gadolinium enhancement in the mass, along with abrupt clinical onset of pain and neurologic deficit, should raise the suspicion toward epidural hematoma. Enhancement in the hyperacute stage of the hematoma itself might indicate continued bleeding and, in the case of deteriorating neurologic status, will necessitate decompression. (Source: Journal of Manipulative and Physiological Therapeutics)
Source: Journal of Manipulative and Physiological Therapeutics - May 31, 2009 Category: Complementary Medicine Authors: Ali Nourbakhsh, Gregory Chaljub, Kim J. Garges Tags: Case Reports Source Type: journals

Functional outcome of corpectomy in cervical spondylotic myelopathyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: Cervical corpectomy is a reliable and rewarding procedure for CSM, with functional improvement in most patients. (Source: Table of Contents : Indian Journal of Orthopaedics : 2007 - 41(1))
Source: Table of Contents : Indian Journal of Orthopaedics : 2007 - 41(1) - May 7, 2009 Category: Orthopaedics Authors: Williams Kanishka E, Paul Rajesh, Dewan Yashbir Source Type: journals

Upper cervical spinal cord tumors: review of 13 casesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions Spinal cord tumors in the upper cervical region tend to progress as dumbbell tumors. As all the neurinomas had this shape (Eden type 2 or 3) at C1/2, this anatomy might favor progression to the extradural and extraforaminal spaces. However, it also allows total removal of the tumor via a posterior approach. To maintain postoperative cervical alignment, the surgeon should select the least invasive approach to the paraspinal muscles attached to the spinous process of C2 Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s00776-008-1309-4Authors Masahiko Watanabe, Tokai Universi...
Source: Journal of Orthopaedic Science - April 1, 2009 Category: Orthopaedics Tags: Journal of Orthopaedic Science Source Type: journals

Distal-type cervical spondylotic amyotrophy: incidence and outcome after central corpectomy.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSIONS: Distal-type CSA is a rare form of CSM that should be differentiated from motor neuron disease on the basis of subtle sensory symptoms or signs in the upper limbs, and the presence of significant cord compression on the MR imaging. Patient outcome after central corpectomy is good and long lasting. PMID: 19441997 [PubMed - indexed for MEDLINE] (Source: Journal of Neurosurgery.Spine)
Source: Journal of Neurosurgery.Spine - March 31, 2009 Category: Neurosurgery Authors: Srinivasa Rao NV, Rajshekhar V Tags: J Neurosurg Spine Source Type: journals

The posterior cervical foraminotomy in the treatment of cervical disc/osteophyte disease: a single-surgeon experience with a minimum of 5 years' clinical and radiographic follow-up.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSIONS: The posterior cervical foraminotomy is highly effective in treating patients with cervical radiculopathy and results in long-lasting pain relief and improved quality-of-life outcomes in most patients. Long-term radiographic follow-up shows no significant trend toward kyphosis, although select patient subsets (patients older than 60 years, patients who had previous posterior surgery, and patients with < 10 degrees of lordosis preoperatively) appear to be at higher risk and require closer follow-up. PMID: 19441994 [PubMed - indexed for MEDLINE] (Source: Journal of Neurosurgery.Spine)
Source: Journal of Neurosurgery.Spine - March 31, 2009 Category: Neurosurgery Authors: Jagannathan J, Sherman JH, Szabo T, Shaffrey CI, Jane JA Tags: J Neurosurg Spine Source Type: journals

Cervical Hemangioblastoma with holocord syrinxEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
A 38-year-old woman patient presented to us with complaints of progressive quadriparesis along with bladder bowel involvement for 6 months. On examination, she had spastic quadriparesis with power 4/5 (Medical Research Council grade) and hesitancy with urge incontinence. Plain magnetic resonance imaging (MRI) of spine suggested possibility of an intramedullary extending from the cervicomedullary to the cervicothoracic junction (). However, complete spinal contrast imaging revealed a well-defined avid and homogenously enhancing intramedullary tumor at C7-T1 vertebral level with accompanying holocord syrinx extending from ce...
Source: Surgical Neurology - March 30, 2009 Category: Neurosurgery Authors: Sachin A. Borkar, Manish K. Kasliwal, Ashish Suri, Bhawani S. Sharma Tags: Letters to the Editor Source Type: journals

Spontaneous Cervical Epidural Hematoma Causing Brown-Sequard Syndrome: Case Report.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSION: This report highlights the various presentations, evaluation, and management options for this rare diagnosis. It emphasizes the necessity of prompt diagnosis for possible emergent intervention. PMID: 19263364 [PubMed - as supplied by publisher] (Source: Turkish Neurosurgery)
Source: Turkish Neurosurgery - March 7, 2009 Category: Neurosurgery Authors: Ofluoğlu E, Ozdemır A, Toplamaoğlu H, Sofuoğlu E Tags: Turk Neurosurg Source Type: journals

Comparative study of anterior versus posterior decompression in elderly patients of cervical myelopathy with co-morbid conditionsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion Anterior decompression is the gold standard. However, in medically unfit patients with multi-level circumferential compression laminectomy is an equally rewarding option. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s00590-009-0444-8Authors Sudeep Jain, All India Institute of Medical Sciences New Delhi 79 First Floor, Raja Garden New Delhi 110015 IndiaSaurabh Singh, All India Institute of Medical Sciences New Delhi 79 First Floor, Raja Garden New Delhi 110015 IndiaAnil Kumar Joshi, All India Institute of Medical Sciences New Delhi 79 First Floor, Raja Garden New Delhi 110...
Source: European Journal of Orthopaedic Surgery & Traumatology - March 7, 2009 Category: Orthopaedics Tags: European Journal of Orthopaedic Surgery & Traumatology Source Type: journals

Modified Minimally Invasive Surgical Approach to Cervical Neuromas with Intraforaminal Components: Hemi-semi-laminectomy and Supraforaminal Burr Hole (Modified Foraminotomy) TechniqueEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Minim Invasive Neurosurg 2009; 52: 56-58DOI: 10.1055/s-0028-1104564Abstract The aim of this study was to develop a minimal invasive approach suitable for exploring neuromas with an intraforaminal component in the cervical spine with the aim of preservation of as much of the mechanically relevant bone structures and facet joints as possible.[...]© Georg Thieme Verlag KG Stuttgart · New YorkGet connected:Table of contents | Abstract | Full text (Source: min - Minimally Invasive Neurosurgery)
Source: min - Minimally Invasive Neurosurgery - March 1, 2009 Category: Neurosurgery Tags: Technical Note Source Type: journals

Surgical resection without dural reconstruction of a lumbar meningioma in an elderly womanEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract Meningiomas of the spine occur in the thoracic spine in approximately 80%, followed in frequency by the cervical and lumbar regions. The treatment of spinal meningiomas is complete surgical resection. As intraspinal meningiomas are almost always adherent to the dura, extensive dural resection or diathermic treatment of the dural attachment is usually performed to prevent tumor recurrence. The authors present the case of lumbar spinal meningioma in 82-year-old woman. Successful resection with preservation of the dura mater using the technique of Saito et al. (Spine 26:1805-1808, 2001) is described: A...
Source: European Spine Journal - February 14, 2009 Category: Orthopaedics Tags: European Spine Journal Source Type: journals

Biomechanical rigidity of cadaveric cervical spine with posterior versus combined posterior and anterior instrumentation.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSIONS: Rigidity imparted to the cervical spine by a 5-level posterior lateral mass fixation is not augmented by anterior instrumentation. PMID: 19278327 [PubMed - in process] (Source: Journal of Neurosurgery.Spine)
Source: Journal of Neurosurgery.Spine - February 1, 2009 Category: Neurosurgery Authors: Dahdaleh NS, Nakamura S, Torner JC, Lim TH, Hitchon PW Tags: J Neurosurg Spine Source Type: journals

Pneumatic Kerrison rongeur: technical note.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSION: The new pneumatically powered Kerrison rongeur not only is safe and easy to use but also virtually eliminates the manual fatigue and, at times, pain associated with prolonged bone removal from the use of standard Kerrison rongeurs. PMID: 19147188 [PubMed - as supplied by publisher] (Source: Surgical Neurology)
Source: Surgical Neurology - January 13, 2009 Category: Neurosurgery Authors: Maroon JC, El-Kadi M, Bost J Tags: Surg Neurol Source Type: journals

A novel strategy for repairing preganglionic cervical root avulsion in brachial plexus injury by sural nerve grafting.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions The authors' new surgical strategy yielded clinical improvement in muscle strength after preganglionic brachial plexus injury, such that nerve regeneration may have taken place. Reconnection of the brachial plexus to the cervical spinal cord is possible. Functional motor recovery, observed through increases in Medical Research Council-rated muscle strength in the affected arm, is likewise possible. PMID: 19119881 [PubMed - as supplied by publisher] (Source: Journal of Neurosurgery)
Source: Journal of Neurosurgery - January 2, 2009 Category: Neurosurgery Authors: Wu JC, Huang WC, Huang MC, Tsai YA, Chen YC, Shih YH, Cheng H Tags: J Neurosurg Source Type: journals

Congenital irreducible atlantoaxial dislocation associated with cervical intramedullary astrocytoma causing progressive spastic quadriparesisEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Chatley Anooj, Jaiswal Awadesh K, Jain Manoj, Behari SanjayNeurology India 2008 56(4):477-479Simultaneous presence of congenital irreducible atlantoaxial dislocation (AAD) and cervical intramedullary astrocytoma has not been previously described and may cause disabling myelopathy. This 55-year-old lady presented with suboccipital pain, spastic quadriparesis, Lhermitte's phenomenon and sphincteric disturbances. Lateral radiographs and magnetic resonance imaging showed irreducible AAD, occipitalized atlas, C2-3 fusion, and,an intramedullary tumor from C2-5 level iso-to-hypointense, non-enhancing, except in a small seg...
Source: Neurology India - January 2, 2009 Category: Neurology Authors: Chatley Anooj, Jaiswal Awadesh K, Jain Manoj, Behari Sanjay Source Type: journals

Cervical and thoracic spine tumor management: surgical indications, techniques, and outcomes.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Since the first pioneering work in the area of tumors of the spine, medical professionals have sought to determine the proper role of spine surgery in the management of spinal tumors. Experience has proven that spine surgery is effective in the treatment of spinal cord compression for decreasing pain and improving quality of life with low rates of surgical complications. We use several staging systems to assess the patient's prognosis, to determine the best type of tumoral resection in preoperative surgical planning, and to provide guidance as to the best therapeutic option for the patient. In the surgical treatment of...
Source: The Orthopedic Clinics of North America - December 11, 2008 Category: Orthopaedics Authors: Mazel C, Balabaud L, Bennis S, Hansen S Tags: Orthop Clin North Am Source Type: journals

[Febrile cellulitis surrounding a scar revealing a large immunoblastic B-cell lymphoma.]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We report the first case of a pericicatricial skin infiltration, mimicking febrile dermohypodermitis, revealing diffuse immunoblastic large B-cell non-Hodgkin's lymphoma. PATIENTS AND METHODS: Four months after decompressive cervical laminectomy, a 56-year-old man presented an inflammatory pericicatricial patch evoking cellulitis in a setting of hyperthermia and lymphadenopathy. Blood cultures and bacteriological analysis of skin biopsy samples were negative. The images showed infiltration of the soft subcutaneous areas and polyadenopathy. Two weeks later, several subcutaneous nodules appeared on the trunk. Histological an...
Source: Annales de Dermatologie et de Cenereologie - December 1, 2008 Category: Dermatology Authors: Charavin-Cocuzza M, Templier I, Simon A, Salameire D, Cuchet E, Reymond JL, Beani JC, Leccia MT Tags: Ann Dermatol Venereol Source Type: journals

Apnea and macrocephaly-cutis marmorata telangiectatica congenitaEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract: The authors report a case of an infant girl with macrocephaly-cutis marmorata telangiectatica congenita (Macrocephaly-CMTC). This patient presented with developmental delay, mild subcostal retractions, and occasional apneic spells. An MRI demonstrated mild to moderate lateral ventricle hydrocephalus, left hemi-megalencephaly, and left cerebellar tonsillar herniation with full occlusion of the cisterna magna. Her foramen magnum was narrowed, measuring 17.5mm in transverse diameter. This value was significantly below the 50th percentile for age, which is 23.5mm. Together, these findings were suggestive of cervicome...
Source: Brain & Development - November 28, 2008 Category: Neurology Authors: Brodus Franklin, Jaime Gasco, Leonardo Rangel-Castilla, Haring J.W. Nauta Tags: Case reports Source Type: journals

Apnea and macrocephaly-cutis marmorata telangiectatica congenita.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The authors report a case of an infant girl with macrocephaly-cutis marmorata telangiectatica congenita (Macrocephaly-CMTC). This patient presented with developmental delay, mild subcostal retractions, and occasional apneic spells. An MRI demonstrated mild to moderate lateral ventricle hydrocephalus, left hemi-megalencephaly, and left cerebellar tonsillar herniation with full occlusion of the cisterna magna. Her foramen magnum was narrowed, measuring 17.5mm in transverse diameter. This value was significantly below the 50th percentile for age, which is 23.5mm. Together, these findings were suggestive of cervicomedullar...
Source: Brain & Development - November 26, 2008 Category: Neurology Authors: Franklin B, Gasco J, Rangel-Castilla L, Nauta HJ Tags: Brain Dev Source Type: journals

Acute symptomatic cerebellar tonsillar herniation following intraoperative lumbar drainage.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Complications of tonsillar herniation associated with lumbar drainage have been reported in the literature. However, acutely symptomatic tonsillar herniation after intraoperative lumbar drainage is rare. The following case illustrates the risk associated with cerebrospinal fluid (CSF) drainage in the setting of tonsillar herniation. The use of lumbar drainage during cranial surgery is a common practice for reducing intracranial pressure and enhancing exposure, but is not without complications. In addition to the complications of the insertion procedure itself, the change in pressure gradient between the intracranial an...
Source: Journal of Neurosurgery - October 10, 2008 Category: Neurosurgery Authors: Sugrue PA, Hsieh PC, Getch CC, Batjer HH Tags: J Neurosurg Source Type: journals

Chiari malformation in a patient presenting with knee pain.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The patient was a 20-year-old male collegiate athlete who was referred to physical therapy for left knee pain. The patient reported an insidious onset of symptoms 1 year prior to evaluation and the symptoms were intermittent in nature, though exacerbation of his knee pain was attributed to being tackled during a backyard football game 3 months prior to evaluation. He described his left knee pain as "burning" that worsened with walking more than 10 minutes and reported that his left foot would "go to sleep" after sitting for approximately 30 minutes. He also complained of decreased standing balance. Additionally, the pa...
Source: Physical Therapy - October 1, 2008 Category: Physiotherapy Authors: Walk M Tags: J Orthop Sports Phys Ther Source Type: journals

Cervical Intradural Ventral Arachnoid Cyst Resected Via Anterior Corpectomy With Reconstruction: A Case Report.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSION: For purely ventral cervical intradural arachnoid cysts, which compress the spinal cord dorsally, an anterior approach can allow access to the lesion without any need for intraoperative manipulation of the spinal cord. For such cases, the anterior approach prevents the consequent risk of neurological injury due to posterior approaches. PMID: 18814111 [PubMed - as supplied by publisher] (Source: Turkish Neurosurgery)
Source: Turkish Neurosurgery - September 26, 2008 Category: Neurosurgery Authors: Muhammedrezaı S, Ulu MO, Tanriöver N, Moghaddam AM, Akar Z Tags: Turk Neurosurg Source Type: journals

Cervical juxtafacet cyst combined with spinal dysraphism.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We present a case of a patient with radicular pain and early onset myelopathy. A juxtafacet cyst at the cervico-thoracic junction combined with discal herniation and spina bifida occulta was diagnosed with computed tomography (CT) and magnetic resonance imaging (MRI). Laminectomy with removal of the cyst was the treatment and the patient recovered rapidly. PMID: 18760727 [PubMed - in process] (Source: Clinical Imaging)
Source: Clinical Imaging - September 1, 2008 Category: Radiology Authors: Vastagh I, Palásti A, Nagy H, Veres R, Bálint K, Karlinger K, Várallyay G Tags: Clin Imaging Source Type: journals

Upper airway obstruction after cervical spine fusion surgery: role of cervical fixation angle.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We present the case of a 56-year-old female with breast cancer and metastasis to the cervical spine. The surgical procedure involved C2-C3 laminectomy, posterior fixation (C0-C5), and C2 neurectomy. Tracheal extubation was carried out in the intensive care unit, and upper airway obstruction immediately followed. Emergency cricothyrotomy was performed under well-managed ventilation with a laryngeal mask after several failed intubation attempts. Over-flexion of the cervical spine fixation and severe prevertebral soft tissue swelling were the most probable causes of upper airway obstruction. With a well-adjusted angle for fix...
Source: Acta Anaesthesiologica Taiwanica - September 1, 2008 Category: Anesthesiology Authors: Lee YH, Hsieh PF, Huang HH, Chan KC Tags: Acta Anaesthesiol Taiwan Source Type: journals

Cervical spine instability following cervical laminectomies for Chiari II malformation: a retrospective cohort studyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion Radiographic evidence of cervical spine instability following multilevel cervical laminectomies for Chiari II is common but may be of minimal clinical significance. The reason for the lack of clinical instability in what might be considered high-risk patients is not understood. Content Type Journal ArticleCategory Original PaperDOI 10.1007/s00381-008-0694-5Authors Fred C. Lam, University of Alberta Department of Neurosurgery Edmonton Alberta CanadaBeverly J. Irwin, BC Children’s Hospital Division of Pediatric Neurosurgery, Department of Pediatric Surgery 4480 Oak Street, #K3-159 Vancouver...
Source: Child's Nervous System - August 15, 2008 Category: Pediatrics Tags: Child's Nervous System Source Type: journals

Long-term outcome of laminectomy and instrumented fusion for cervical ossification of the posterior longitudinal ligamentEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract Between January 2000 and December 2003, a total of 83 patients (64 men and 19 women, average age: 56.4 years, range: 42–78 years) who underwent posterior laminectomy and instrumented fusion for ossification of the posterior longitudinal ligament (OPLL) were included in this study to investigate the long-term outcome of this surgical option and clarify which factors affect the prognosis. After an average 4.8-year follow-up, the mean Japanese Orthopaedic Association (JOA) score significantly increased from 9.2 ± 1.3 points before operation to 14.2 ± 0.9 points at the latest foll...
Source: International Orthopaedics - August 7, 2008 Category: Orthopaedics Tags: International Orthopaedics Source Type: journals

Spinal myoclonus following a peripheral nerve injury: A case reportEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Spinal myoclonus is a rare disorder characterized by myoclonic movements in muscles that originate from several segments of the spinal cord and usually associated with laminectomy, spinal cord injury, post-operative, lumbosacral radiculopathy, spinal extradural block, myelopathy due to demyelination, cervical spondylosis and many other diseases. On rare occasions, it can originate from the peripheral nerve lesions and be mistaken for peripheral myoclonus. Careful history taking and electrophysiological evaluation is important in differential diagnosis. The aim of this report is to evaluate the clinical and electrophysiolo...
Source: BioMed Central - August 6, 2008 Category: Journals (General) Authors: Feray Karaali Savrun, Derya Uluduz, Gokhan Erkol and Meral E Kiziltan Source Type: journals

Posterior stabilization strategies following resection of cervicothoracic junction tumors: review of 90 consecutive cases.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions Current posterior instrumentation strategies involving LMSRSs and PSSs provide excellent and safe stabilization of the cervicothoracic junction following resection of primary or metastatic tumors. PMID: 18764742 [PubMed - as supplied by publisher] (Source: Journal of Neurosurgery.Spine)
Source: Journal of Neurosurgery.Spine - August 1, 2008 Category: Neurosurgery Authors: Placantonakis DG, Laufer I, Wang JC, Beria JS, Boland P, Bilsky M Tags: J Neurosurg Spine Source Type: journals

Treatment of Cervical Degenerative Disc Disease – Current Status and TrendsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article reviews the evolution of the operative treatment of cervical disc disease in the last 80 years, outlines the advantages and disadvantages of each approach and technique and focuses on the rationale of the paradigm shifts. Current established and alternative treatment concepts are illuminated and discussed together with the currently relevant literature.[...]© Georg Thieme Verlag KG Stuttgart · New YorkGet connected:Table of contents | Abstract | Full text (Source: Zentralblatt fur Neurochirurgie - Central European Neurosurgery)
Source: Zentralblatt fur Neurochirurgie - Central European Neurosurgery - July 30, 2008 Category: Neurosurgery Tags: Review Source Type: journals

Treatment of Cervical Degenerative Disc Disease - Current Status and Trends.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article reviews the evolution of the operative treatment of cervical disc disease in the last 80 years, outlines the advantages and disadvantages of each approach and technique and focuses on the rationale of the paradigm shifts. Current established and alternative treatment concepts are illuminated and discussed together with the currently relevant literature. PMID: 18666050 [PubMed - as supplied by publisher] (Source: Zentralblatt fur Neurochirurgie)
Source: Zentralblatt fur Neurochirurgie - July 29, 2008 Category: Neurosurgery Authors: Korinth MC Tags: Zentralbl Neurochir Source Type: journals