Cervical Discectomy This is an OPML file. It can be used to export all the MedWorm RSS feeds on this topic into your personal RSS reader (usually you have to save this file to your own computer before clicking on an Import OPML command in your own feed reader to upload the file which will then import all the feeds) or it can be used by webmasters to integrate MedWorm feeds with their own website. This is an RSS file. You can use it to subscribe to this data in your favourite RSS reader, such as GoogleReader, or to display this data on your own website or blog. Subscribe to this data using MyMedWorm.Subscribe to this data using GoogleReader.Subscribe to this data using Bloglines.Subscribe to this data using MyYahoo.
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Biomechanical evaluation of the craniovertebral junction after inferior-third clivectomy and intradural exposure of the foramen magnum: implications for endoscopic endonasal approaches to the cranial base.
Conclusions Inferior-third clivectomy and an intradural exposure to the ventral CVJ and foramen magnum resulted in hypermobility at Oc-C1 during flexion-extension and axial rotation. Although the results were statistically significant, the modest degree of hypermobility observed compared with other well-characterized CVJ injuries suggests that occipitocervical stabilization may be unnecessary for most patients. PMID: 23414005 [PubMed - as supplied by publisher] (Source: Journal of Neurosurgery.Spine)
Source: Journal of Neurosurgery.Spine - February 15, 2013 Category: Neurosurgery Authors: Little AS, Perez-Orribo L, Rodriguez-Martinez NG, Reyes PM, Newcomb AG, Prevedello DM, Crawford NR Tags: J Neurosurg Spine Source Type: research
Spontaneous or Traumatic Cervical Artery Dissection: A Distinction with Therapeutic Impact (P01.236)
CONCLUSIONS: Few differences exist between spontaneous and traumatic CAD, and their risk factors can overlap. Major distinguishing factors are the embolic and hemorrhagic risks, and a balance of the two should be accounted for in treatment decision making, especially involving antithrombotic therapy. More data are necessary to devise a rationalized therapeutic approach based on this distinction.Disclosure: Dr. Tsai has nothing to disclose. Dr. Swartz has received personal compensation for activities with BMS-Pfizer as a scientific advisory board member. (Source: Neurology)
Source: Neurology - February 14, 2013 Category: Neurology Authors: Tsai, J., Swartz, R. Tags: P01 Cerebrovascular Disease I Source Type: research
High Frequency of Incidental Angiographic Abnormalities in RCVS: Implications For Pathophysiology? (P03.164)
CONCLUSIONS: RCVS is associated with a high frequency of angiographic abnormalities such as cerebral artery dissection. Further studies are warranted to determine whether these reflect a subtle underlying structural abnormality that lowers the threshold for RCVS.Disclosure: Dr. Kursun has nothing to disclose. Dr. Singhal has received personal compensation as an expert witness in medicolegal cases involving stroke in young adults. Dr. Singhal's wife is an employee of Vertex Pharmaceuticals, Inc. Dr. Singhal has received research support from Pfizer and Photothera, Inc. (Source: Neurology)
Source: Neurology - February 14, 2013 Category: Neurology Authors: Kursun, O., Singhal, A. Tags: P03 Cerebrovascular Disease III Source Type: research
Cervical intervertebral disc replacement.
Abstract Symptomatic adjacent-level disease after cervical fusion has led to the development and testing of several disc-replacement prostheses.Randomized controlled trials of cervical disc replacement (CDR) compared with anterior cervical discectomy and fusion (ACDF) have demonstrated at least equivalent clinical results for CDR with similar or lower complication rates.Biomechanical, kinematic, and radiographic studies of CDR reveal that the surgical level and adjacent vertebral level motion and center of rotation more closely mimic the native state.Lower intradiscal pressures adjacent to CDR may help decrease the...
Source: The Journal of Bone and Joint Surgery. American volume - February 6, 2013 Category: Orthopaedics Authors: Cason GW, Herkowitz HN Tags: J Bone Joint Surg Am Source Type: research
Current management strategy of hypopharyngeal carcinoma
Conclusions: The treatment strategy for carcinoma of the hypopharynx has been evolving with time. Organ preserving chemoradiotherapy has been the treatment of choice for early stage disease, with surgical resection and reconstruction reserved for advanced and recurrent tumors. (Source: Auris, Nasus, Larynx)
Source: Auris, Nasus, Larynx - January 31, 2013 Category: ENT & OMF Authors: Jimmy Yu Wai Chan, William Ignace Wei Tags: Review Source Type: research
Juvenile Stroke: Cervical Artery Dissection in a Patient after a Polytrauma
Case Rep Neurol 2013;5:21–25 (DOI:10.1159/000347001) (Source: Karger Publishers)
Source: Karger Publishers - January 29, 2013 Category: Cancer & Oncology Source Type: research
Transverse cervical nerve: Implications for dental anesthesia
The inferior alveolar nerve block (IANB) has the highest failure incidence of any dental anesthetic technique. Many authors have outlined potential reasons for these failures in permanent lower molars, including accessory innervations from the mylohyoid and mental foramen. However, the potential accessory innervation of posterior mandibular teeth from the transverse cervical nerve (TCN), a branch of ventral rami from the C2–C3 spinal nerves from the cervical plexus (CP), has been difficult to assess as a result of the small size and thickness of the mandibular accessory foramina and nerve branches, as well as due to the ...
Source: Clinical Anatomy - January 29, 2013 Category: Anatomy Authors: K. Lin, D. Uzbelger Feldman, M.F. Barbe Tags: Clinical Vignettes Source Type: research
An incomplete paraplegia following the dislocation of an artificial cervical total disc replacement.
Abstract Replacement of the cervical intervertebral disc by artificial implants, known as cervical total disc replacement (CTDR), is becoming a generally applied method instead of using the gold standard of the anterior cervical discectomy and fusion. Hypothetically, the preserved mobility results in the protection of the neighboring segments. There is growing evidence that results in patients who underwent CTDR were not inferior when compared to results in patients who underwent anterior cervical discectomy and fusion. The authors report a case of a healthy 53-year-old man who suffered an incomplete paraplegia bel...
Source: Journal of Neurosurgery.Spine - January 25, 2013 Category: Neurosurgery Authors: Viezens L, Schaefer C, Beyerlein J, Thietje R, Hansen-Algenstaedt N Tags: J Neurosurg Spine Source Type: research
Cervical arterial dissection and ischaemic stroke in children: two cases
(Source: Acta Paediatrica)
Source: Acta Paediatrica - January 17, 2013 Category: Pediatrics Authors: Manuela Agostini, Maria Maddalena Lupica, Michael Mostert, Nicola Deluca, Luca Cordero di Montezemolo Tags: Readers Forum Source Type: research
Surgery in Primary Hyperparathyroidism: Extensive Personal Experience
This article reviews our approach reflecting advances in preoperative localization, anesthetic techniques, and intraoperative management of patients undergoing parathyroidectomy for the treatment of PHPT. (Source: Journal of Clinical Densitometry)
Source: Journal of Clinical Densitometry - January 1, 2013 Category: Radiology Authors: Brooks Van Udelsman, Robert Udelsman Tags: Original Articles Source Type: research
Experience of pediatric stroke from a tertiary medical center in North India
Conclusion: AIS is more common than ICH in this study and 8.9% patients died. Infection is the most common cause of pediatric stroke in Northern India which is amenable to therapy and is preventable. (Source: Journal of the Neurological Sciences)
Source: Journal of the Neurological Sciences - December 26, 2012 Category: Neurology Authors: Jayantee Kalita, Gourav Goyal, Usha Kant Misra Tags: Original Articles Source Type: research
Cervical Arterial Dissection And Ischemic Stroke In Children: Two Cases
Cervical arterial dissection (CAD) is an important cause of childhood arterial ischemic stroke (1). Dissection occurs following a vessel wall tear or rupture of the vasa vasorum with formation of an intramural hematoma. Secondary thromboembolism in the vessel territory can cause an ischemic stroke. Dissections may be traumatic or spontaneous. Trauma ranges from severe (direct neck trauma, rapid deceleration or hyperflexion), to trivial (vomiting or coughing). ©2012 The Author(s)/Acta Pædiatrica ©2012 Foundation Acta Pædiatrica (Source: Acta Paediatrica)
Source: Acta Paediatrica - December 21, 2012 Category: Pediatrics Authors: Manuela Agostini, Maria Maddalena Lupica, Michael Mostert, Nicola Deluca, Luca Cordero di Montezemolo Tags: Letter Source Type: research
Balantidium coli: an unrecognized cause of vertebral osteomyelitis and myelopathy.
Abstract Balantidium coli is a ciliated protozoan parasite that primarily infects primates and pigs. It is the largest protozoan to infect humans and is a well-known cause of diarrhea and dysentery. Extraintestinal disease is uncommon, and extraintestinal spread to the peritoneal cavity, appendix, genitourinary tract, and lung has rarely been reported. The authors describe a case of vertebral osteomyelitis with secondary cervical cord compression caused by B. coli. The patient was a 60-year-old immunocompetent man presenting with quadriplegia of short duration. Magnetic resonance imaging of the cervical spine showe...
Source: Journal of Neurosurgery.Spine - December 21, 2012 Category: Neurosurgery Authors: Dhawan S, Jain D, Mehta VS Tags: J Neurosurg Spine Source Type: research
Diagnostic accuracy of color doppler ultrasonography in evaluation of cervical lymph nodes in oral cancer patients
Conclusion: CDUS plays a definitive role as an adjunct to clinical evaluation of differentiating metastatic from reactive cervical lymph involvement in patients with oral cancer as it aid in grading and staging of oral cancer and can determine the treatment plan prognosis and morbidity by diminishing the possibility nodal dissection. (Source: Table of Contents : Indian Journal of Dental Research : 2006 - 17(3))
Source: Table of Contents : Indian Journal of Dental Research : 2006 - 17(3) - December 20, 2012 Category: Dentistry Authors: Sadaksharam JayachandranSuresh K Sachdeva Source Type: research
High-Resolution Double Inversion Recovery Black-Blood Imaging of Cervical Artery Dissection Using 3T MR Imaging [TECHNICAL NOTE]
SUMMARY: We performed high-resolution DIR-BBI of the cervical arteries at 3T in 19 subjects with cervical dissection. It offered excellent visualization of both the lumen and arterial wall, allowing detection of the primary and secondary features of dissection. We suggest that this is a highly useful technique for diagnosis of cervical dissection, either routinely or in equivocal cases of suspected dissection. It also offers further insight into the pathogenesis of this disorder. (Source: American Journal of Neuroradiology)
Source: American Journal of Neuroradiology - December 13, 2012 Category: Radiology Authors: Hunter, M. A., Santosh, C., Teasdale, E., Forbes, K. P. Tags: TECHNICAL NOTE Source Type: research
Thunderclap headache: Diagnostic considerations and neuroimaging features
Thunderclap headache (TCH) is an acute and severe headache that has maximum intensity at onset; TCH can be primary or secondary. Primary TCH is diagnosed when no underlying cause is discovered; however, imaging is crucial in distinguishing secondary causes, which are wide-ranging. The radiologist should be aware of the list of potential diagnoses. Subarachnoid haemorrhage (SAH) is the most common cause of secondary TCH. Aneurysmal SAH accounts for the majority of cases, although other causes should also be considered and these include perimesencephalic haemorrhage, arteriovenous malformations, and dural arteriovenous fistu...
Source: Clinical Radiology - December 13, 2012 Category: Radiology Authors: A.M. Mortimer, M.D. Bradley, N.G. Stoodley, S.A. Renowden Tags: Reviews Source Type: research
Parotidectomy under local anesthesia—report of 7 cases
Conclusion: Parotidectomy under local anesthesia can be conducted successfully and avoid the adverse effect of general anesthesia. (Source: American Journal of Otolaryngology)
Source: American Journal of Otolaryngology - December 11, 2012 Category: Endocrinology Authors: Tam-Lin Chow, Chi-Yee Choi, Siu-Ho Lam Tags: Case Reports Source Type: research
Occurrence and Prognostic Significance of Cervical Pseudodissection Phenomenon Associated with Acute Intracranial Internal Carotid Artery Occlusion
CONCLUSIONEarly recognition of pseudodissection in the ICA is important in the setting of acute ischemic stroke to avoid delay in treatment of intracranial ICA occlusion. (Source: Journal of Neuroimaging)
Source: Journal of Neuroimaging - December 10, 2012 Category: Radiology Authors: Farhan Siddiq, Saqib A. Chaudhry, Paramita Das, Rakesh Khatri, Gustavo Rodriguez, Adnan I. Qureshi Tags: Clinical Investigative Study Source Type: research
Erect radiographs to assess clinical instability in patients with blunt cervical spine trauma.
CONCLUSIONS: Despite major advances in imaging, these cases highlight the importance of physiological loading and radiographs. The controlled use of erect radiographs to test for clinical instability in patients with cervical spine injuries should be considered except in cases in which instability is already evident on other imaging modalities and/or surgical treatment is already indicated. PMID: 23224394 [PubMed - in process] (Source: The Journal of Bone and Joint Surgery. American volume)
Source: The Journal of Bone and Joint Surgery. American volume - December 5, 2012 Category: Orthopaedics Authors: Humphry S, Clarke A, Hutton M, Chan D Tags: J Bone Joint Surg Am Source Type: research
Predictors of delayed stroke in patients with cervical artery dissection
ConclusionsOcclusive cervical artery dissection, multiple cervical artery dissection, and vertebral artery dissection were associated with an increased risk for delayed stroke. No other risk factors for delayed stroke were identified. Immediate cervical imaging of cervical artery dissection patients without ischemic stroke is needed to identify patients at increased risk for delayed ischemia. (Source: International Journal of Stroke)
Source: International Journal of Stroke - December 1, 2012 Category: Neurology Authors: Christoph Lichy, Antti Metso, Alessandro Pezzini, Didier Leys, Tiina Metso, Philippe Lyrer, Stéphanie Debette, Vincent Thijs, Shérine Abboud, Manja Kloss, Yves Samson, Valeria Caso, Maria Sessa, Simone Beretta, Chantal Lamy, Elizabeth Medeiros, Anna Ber Tags: Research Source Type: research
No additional value of fusion techniques on anterior discectomy for neck pain: a systematic review. van Middelkoop M Rubinstein SM, Ostelo R, et al. Pain 2012;153(11):2167–73. Epub 2012 Jul 18
We aimed to assess the effects of additional fusion on surgical interventions to the cervical spine for patients with neck pain with or without radiculopathy or myelopathy by performing a systematic review. The search strategy outlined by the Cochrane Back Review Group (CBRG) was followed. The primary search was conducted in MEDLINE, EMBASE, CINAHL, CENTRAL and PEDro up to June 2011. Only randomised, controlled trials of adults with neck pain that evaluated at least one clinically relevant primary outcome measure (pain, functional status, recovery) were included. Two authors independently assessed the risk of bias by using...
Source: The Spine Journal - December 1, 2012 Category: Orthopaedics Tags: Journal Reports Source Type: research
Trans-Oral Video-Assisted Neck Surgery (TOVANS). A new transoral technique of endoscopic thyroidectomy with gasless premandible approach
Conclusions We developed a new method for gasless transoral endoscopic thyroidectomy with a premandible approach and anterior neck-skin lifting. TOVANS makes possible complete endoscopic radical lymphadenectomy for papillary thyroid cancer. We believe that this method is innovative and progressive and has not only a cosmetic advantage but also provides easy access to the central node compartment for dissection in endoscopic thyroid cancer surgery. Content Type Journal ArticlePages 1-6DOI 10.1007/s00464-012-2588-6Authors Akihiro Nakajo, Department of Surgical Oncology, Digestive Surgery, Breast and ...
Source: Surgical Endoscopy - November 26, 2012 Category: Surgery Tags: Surgical Endoscopy Source Type: research
Clinical and radiological outcomes of spinal cord injury without radiologic evidence of trauma with cervical disc herniation
Conclusions CDH in most patients with SCIWORET likely occurred before rather than after trauma. CDH caused more severe cord compression but did not aggravate the neurologic injury. The extent of MSCC had no association with the initial neurologic deficit or final recovery. Content Type Journal ArticleCategory Trauma SurgeryPages 1-6DOI 10.1007/s00402-012-1651-zAuthors Xiaofei Cheng, Department of Spine Surgery, Changzheng Hospital, Second Military Medical University, 415 Fengyang Rd, Huangpu District, 200003 Shanghai, People’s Republic of ChinaBin Ni, Department of Spine Surgery, Changzheng Hospit...
Source: Archives of Orthopaedic and Trauma Surgery - November 25, 2012 Category: Orthopaedics Tags: Archives of Orthopaedic and Trauma Surgery Source Type: research
Assessment of the minimum clinically important difference in pain, disability, and quality of life after anterior cervical discectomy and fusion.
Conclusions The ACDF-specific MCID is highly variable depending on the calculation technique used. The MDC approach seems to be most appropriate for MCID calculations in the ACDF population, as it provided a threshold value above the 95% confidence interval of nonresponders (greater than the measurement error) and was closest to the average change of most PROs reported by responders. When the MDC method was applied with the NASS patient satisfaction scale as the anchor, the MCID thresholds were 2.6 points for VAS-NP, 4.1 points for VAS-AP, 17.3% for NDI, 8.1 points for SF-12 PCS, 4.7 points for SF-12 MCS, and 0.24 QALY fo...
Source: Journal of Neurosurgery.Spine - November 23, 2012 Category: Neurosurgery Authors: Parker SL, Godil SS, Shau DN, Mendenhall SK, McGirt MJ Tags: J Neurosurg Spine Source Type: research
Significance of Incidentally Detected Thyroid Tissue in Lymph Nodes of Neck Dissections in Patients With Head and Neck Carcinoma
Conclusion. The study’s results emphasize the need for the clinician to do an accurate reevaluation and follow-up of patients with incidental occult metastasis for detection of primary thyroid tumor. A thorough sampling and screening of lymph nodes in neck dissection specimens by the pathologist is also essential. Incidentally discovered thyroid tissue in cervical lymph nodes need not always be benign inclusions. Aggressive therapy, however, may not be needed in all cases. (Source: International Journal of Surgical Pathology)
Source: International Journal of Surgical Pathology - November 21, 2012 Category: Pathology Authors: KR, A., Sebastian, P., Somanathan, T., George, N. A., Jayasree, K. Tags: Original Articles Source Type: research
Utility of 18F-FDG PET/CT for Detecting Neck Metastasis in Patients with Salivary Gland Carcinomas: Preoperative Planning for Necessity and Extent of Neck Dissection
Conclusions: 18F-FDG PET/CT imaging and histologic grade are useful for detecting CLNM in patients with salivary gland carcinoma. This finding may guide preoperative planning for the necessity and extent of neck dissection in these patients. Content Type Journal ArticleCategory Head and Neck OncologyPages 1-7DOI 10.1245/s10434-012-2716-5Authors Min-Joo Kim, Department of Otolaryngology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of KoreaJae Seung Kim, Department of Nuclear Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of K...
Source: Annals of Surgical Oncology - November 19, 2012 Category: Cancer & Oncology Tags: Annals of Surgical Oncology Source Type: research
Multilevel anterior cervical discectomy and fusion with and without rhBMP-2: a comparison of dysphagia rates and outcomes in 150 patients.
Conclusions The use of rhBMP-2 in patients undergoing 2-level ACDF significantly increases the severity of dysphagia (dysphagia score) without affecting the overall incidence of dysphagia. However, there is no statistically significant difference in the incidence or severity of dysphagia between patients undergoing 3-level or 4-level ACDF treated with PEEK/rhBMP-2 and those treated with only allograft. The use of rhBMP-2 appears to reduce the risk of pseudarthrosis. This benefit is most pronounced in patients who undergo 4-level ACDF and are smokers. PMID: 23157278 [PubMed - as supplied by publisher] (Source: Journal ...
Source: Journal of Neurosurgery.Spine - November 16, 2012 Category: Neurosurgery Authors: Lu DC, Tumialán LM, Chou D Tags: J Neurosurg Spine Source Type: research
Postoperative pelvic intensity-modulated radiotherapy and concurrent chemotherapy in intermediate- and high-risk cervical cancer.
CONCLUSIONS: Oncologic outcomes with postoperative IMRT were very good, with DFS and OS rates of >90% at median follow-up of 44months, despite a preponderance (76.5%) of high-risk features. Toxicity was minimal even in the setting of an aggressive trimodality approach. Data from this study and emerging data from the Phase II RTOG study (0418) demonstrate the advantages of postoperative IMRT in early stage cervical cancer. PMID: 23159818 [PubMed - as supplied by publisher] (Source: Gynecologic Oncology)
Source: Gynecologic Oncology - November 15, 2012 Category: Cancer & Oncology Authors: Folkert MR, Shih KK, Abu-Rustum NR, Jewell E, Kollmeier MA, Makker V, Barakat RR, Alektiar KM Tags: Gynecol Oncol Source Type: research
Laterality of cervical disc herniation
Conclusions In this study, it was revealed that the left-sided CDH was more frequent than the right-sided CDH at C6–7 level. Content Type Journal ArticleCategory Original ArticlePages 1-5DOI 10.1007/s00586-012-2565-8Authors Yuichi Takahashi, Department of Spine and Spinal Surgery, Shinkomonji Hospital, 2-5, Dairishinmachi, Moji, Kitakyushu, Fukuoka 800-0057, JapanTakao Yasuhara, Department of Spine and Spinal Surgery, Shinkomonji Hospital, 2-5, Dairishinmachi, Moji, Kitakyushu, Fukuoka 800-0057, JapanShinji Kumamoto, Department of Spine and Spinal Surgery, Shinkomonji Hospital, 2-5, Dairishinmachi, Mo...
Source: European Spine Journal - November 13, 2012 Category: Orthopaedics Tags: European Spine Journal Source Type: research
Craniospinal Abnormalities and Neurologic Complications of Osteogenesis Imperfecta: Imaging Overview [Pediatric Imaging]
Osteogenesis imperfecta is a rare genetic disorder that leads to progressive skeletal deformities due to deficits in type I collagen, the main pathophysiologic effect of the disease. In addition, it may lead to a wide range of associated neurologic abnormalities: The central nervous system is usually involved because of softening of bone at the base of the skull, with resultant upward migration of the upper cervical spine and odontoid process into the skull base. Upward migration of the spine may cause compression of the brainstem, mechanical impingement of the spinal canal with restriction of cerebrospinal fluid circulati...
Source: Radiographics recent issues - November 13, 2012 Category: Radiology Authors: Khandanpour, N., Connolly, D. J. A., Raghavan, A., Griffiths, P. D., Hoggard, N. Tags: Musculoskeletal Radiology, Neuroradiology, Pediatric Radiology, Head and Neck Pediatric Imaging Source Type: research
Percutaneous Ultrasound-Guided Laser Ablation Is Effective for Treating Selected Nodal Metastases in Papillary Thyroid Cancer.
Conclusion:LA is a well-tolerated outpatient procedure that results in a rapid cytoreduction of cervical nodal metastases of PTC. Mini-invasive procedures may be used in lieu of surgery as an adjunctive therapy for small-burden local/regional disease recurrence. They are occasionally associated with an anatomical or biochemical cure, but long-term follow-up or controlled trials are needed. PMID: 23150695 [PubMed - as supplied by publisher] (Source: The Journal of Clinical Endocrinology and Metabolism)
Source: The Journal of Clinical Endocrinology and Metabolism - November 12, 2012 Category: Endocrinology Authors: Papini E, Bizzarri G, Bianchini A, Valle D, Misischi I, Guglielmi R, Salvatori M, Solbiati L, Crescenzi A, Pacella CM, Gharib H Tags: J Clin Endocrinol Metab Source Type: research
Prospective randomized study of cervical arthroplasty and anterior cervical discectomy and fusion with long-term follow-up: results in 74 patients from a single site.
Conclusions Both cervical TDR and ACDF groups showed excellent clinical outcomes that were maintained over long-term follow-up. Both groups showed low index-level and adjacent-level reoperation rates. Both cervical TDR and ACDF appear to be viable options for the treatment of single-level cervical radiculopathy. PMID: 23140129 [PubMed - as supplied by publisher] (Source: Journal of Neurosurgery.Spine)
Source: Journal of Neurosurgery.Spine - November 9, 2012 Category: Neurosurgery Authors: Coric D, Kim PK, Clemente JD, Boltes MO, Nussbaum M, James S Tags: J Neurosurg Spine Source Type: research
A biomechanical assessment of soft-tissue damage in the cervical spine following a unilateral facet injury.
CONCLUSIONS: This study indicates that the anulus fibrosus, nucleus pulposus, and ligamentum flavum are important cervical spine stabilizers. Facet capsules were often torn bilaterally, implying a more advanced injury than a unilateral facet injury. These discoligamentous injuries result in increases in range of motion and neutral zone. CLINICAL RELEVANCE: The results from this work provide further insight into the expected injury and associated instability present in a traumatic unilateral facet injury in the cervical spine. PMID: 23138243 [PubMed - in process] (Source: The Journal of Bone and Joint Surgery. American volume)
Source: The Journal of Bone and Joint Surgery. American volume - November 7, 2012 Category: Orthopaedics Authors: Nadeau M, McLachlin SD, Bailey SI, Gurr KR, Dunning CE, Bailey CS Tags: J Bone Joint Surg Am Source Type: research
A surgical case of paraclinoid carotid aneurysm associated with ipsilateral cervical internal carotid artery dissection
This report presents a 60-year-old with a large paraclinoid carotid aneurysm associated with cervical interal carotid artery (ICA) dissection (CICAD). She had a fall while riding a bicycle and hit her head on the ground. Computed tomography scan done at another facility showed a round mass lesion near the sella. Her medical history revealed gradual decrease in left eye vision since two years. Left carotid artery digital subtraction angiography demonstrated a CICAD with an intimal flap and a large paraclinoid aneurysm (15.5 mm in size). She underwent a high-flow bypass with a so-called double-insurance bypass and proximal l...
Source: Neurology India - November 3, 2012 Category: Neurology Authors: Satoru TakeuchiKojiro WadaFumihiro SakakibaraKentaro Mori Source Type: research
360 degree decompresion and stabilisation of the C6-C7 cervical spine luxation - case report.
We present the operative technique employed in a young man with cervical spine luxation at the level of C6-C7 with clinical signs of damage to the spinal cord at the level of C5. In order to achieve an optimal therapeutic effect (decompression of neural structures and spinal stabilisation) during one surgical procedure, the positioning of the patient was changed twice during the procedure. Considering the positioning of the patient at the beginning of the procedure, the body position was changed by 360 degrees. The first part of the procedure was performed from an anterior approach with the patient in the supine position. ...
Source: Ortopedia, Traumatologia, Rehabilitacja - November 1, 2012 Category: Orthopaedics Authors: Chrzanowski R, Godlewski B, Klauz G, Janeczko L Tags: Ortop Traumatol Rehabil Source Type: research
Solid variant of aneurysmal bone cyst on the cervical spine of a child: case report, differential diagnosis and treatment rationale
Conclusion Imaging and histological pattern of this specific type of ABC, differential diagnosis from GCT and the surgical protocol followed with the patient consist of an interesting case of revising the initial plan, according to the upcoming histological reports. Content Type Journal ArticleCategory Grand RoundsPages 1-9DOI 10.1007/s00586-012-2548-9Authors Christos Karampalis, Centre for Spinal Studies and Surgery, Nottingham University Hospitals NHS Trust, Queens Medical Centre Campus, Derby Road, Nottingham, NG7 2UH UKRobert Lenthall, Department of Neuroradiology, Nottingham University Hospitals...
Source: European Spine Journal - October 30, 2012 Category: Orthopaedics Tags: European Spine Journal Source Type: research
Cerebrospinal Fluid Leakage during Anterior Approach Cervical Spine Surgery for Severe Ossification of the Posterior Longitudinal Ligament: Prevention and Treatment
ConclusionDuring anterior surgical treatment for severe OPLL, CSFL can be prevented and treated through careful analysis of CT images, meticulous operative technique, careful handling of the ossified mass, and intra‐operative repair of dural damage. (Source: Orthopaedic Surgery)
Source: Orthopaedic Surgery - October 29, 2012 Category: Orthopaedics Authors: Tao Lei, Yong Shen, Lin‐feng Wang, Jun‐ming Cao, Wen‐yuan Ding, Qing‐hua Ma Tags: Clinical Article Source Type: research
Erratum: Implantation of an empty carbon fiber or a tricortical iliac crest autograft after cervical discectomy for single-level disc herniation: a prospective comparative study.
PMID: 23101945 [PubMed - as supplied by publisher] (Source: Journal of Neurosurgery.Spine)
Source: Journal of Neurosurgery.Spine - October 26, 2012 Category: Neurosurgery Authors: Shasby G Tags: J Neurosurg Spine Source Type: research
Optimal surgical extent of lateral and central neck dissection for papillary thyroid carcinoma located in one lobe with clinical lateral lymph node metastasis
Conclusion: In PTC patients with clinical lateral lymph node metastasis, the optimal extent of lateral and central neck dissection should include levels II, III, IV and V as well as the bilateral central compartment. (Source: World Journal of Surgical Oncology)
Source: World Journal of Surgical Oncology - October 25, 2012 Category: Cancer & Oncology Authors: Hyo Sub KeumYong Bae JiJong Min KimJin Hyeok JeongWoong Hwan ChoiYou Hern AhnKyung Tae Source Type: research
Fibromuscular Dysplasia–related Carotid Pseudoaneurysm and Pulsatile Tinnitus
A 48-year-old woman presented with a 1-year history of left-sided pulsatile tinnitus. A computed tomographic (CT) angiogram () and subsequent conventional angiogram () revealed a focal dissection (arrowhead, ) of the cervical internal carotid artery (ICA) from C1/C2 with an associated pseudoaneurysm (short arrow, ), as well as a “string-of-beads” appearance of the ICA just proximal to this dissection (long arrow, ), classic for medial fibromuscular dysplasia. Intravascular ultrasonography () confirmed a dissection flap (arrow, ) and was used to measure the diameter of the ICA. A 5-mm × 40-mm bare metal Xpert stent (Ab...
Source: Journal of Vascular and Interventional Radiology : JVIR - October 23, 2012 Category: Radiology Authors: Rohit K. Raj, Ripal T. Gandhi, Barry T. Katzen Source Type: research
Perioperative outcomes of esophagectomy preceded by the laparoscopic transhiatal approach for esophageal cancer
This study was designed to determine the efficacy of esophagectomy preceded by the laparoscopic transhiatal approach (LTHA) with regard to the perioperative outcomes of esophageal cancer. The esophageal hiatus was opened by hand‐assisted laparoscopic surgery, and carbon dioxide was introduced into the mediastinum. Dissection of the distal esophagus was performed up to the level of the tracheal bifurcation. En bloc dissection of the posterior mediastinal lymph nodes was performed using LTHA. Next, cervical lymphadenectomy, reconstruction via a retrosternal route with a gastric tube and anastomosis from a cervical approach...
Source: Diseases of the Esophagus - October 22, 2012 Category: Gastroenterology Authors: A. Shiozaki, H. Fujiwara, Y. Murayama, S. Komatsu, Y. Kuriu, H. Ikoma, M. Nakanishi, D. Ichikawa, K. Okamoto, T. Ochiai, Y. Kokuba, E. Otsuji Tags: Original article Source Type: research
Internal Carotid Artery Dissection After Inferior Alveolar Nerve Block for Third Molar Dental Care Presented as Hypoglossal Nerve Palsy
We describe a case of internal carotid artery dissection, presenting as hypoglossal nerve palsy, occurring immediately after difficult inferior alveolar nerve anesthetic block for third inferior molar dental care. Carotid dissection was successfully treated with anticoagulation therapy while hypoglossal nerve palsy recovered with carotid dissection shrinkage. The etiopathogenetic mechanisms of this singular form of internal carotid artery dissection are discussed. The possibility of internal carotid artery dissection development during oral or dental procedure, specifically in cases of possible trivial intraoperative inter...
Source: Vascular and Endovascular Surgery - October 18, 2012 Category: Surgery Authors: De Santis, F., Martini, G., Thuringen, P., Thaler, M., Mani, G., Steckholzer, K. Tags: Case Reports Source Type: research
Gustatory Sweating in the Submandibular Region Following Neck Dissection: A Case With Thermographic Evaluation and Review of the Literature
Gustatory sweating is a fairly common complication after surgery or injury of the parotid gland. The pathogenesis is based on aberrant nerve regeneration between the parasympathetic fibers of the salivary glands and the sympathetic fibers of the cutaneous sweat glands or blood vessels. Inappropriate innervation leads to local cutaneous sweating and vasodilation during mastication. A similar condition has been reported in the cervical region after neck surgery, such as neck dissection, submandibular gland excision, and cervical lymphadenectomy, but the frequency of this condition is extremely rare. Since 1934, when the orig...
Source: Journal of Oral and Maxillofacial Surgery - October 17, 2012 Category: ENT & OMF Authors: Hitoshi Yoshimura, Takayoshi Tobita, Masanobu Kumakiri, Kazuo Sano Tags: Surgical Oncology and Reconstruction Source Type: research
Is there a need for cervical collar usage post anterior cervical decompression and fusion using interbody cages? A randomized controlled pilot trial.
Abstract Anterior cervical discectomy and fusion (ACDF) is a common surgical intervention for radiculopathy resulting from degenerative cervical spine conditions. Post-surgical cervical collar use is believed to reduce post-operative pain, provide the patient with a sense of security during activities of daily living and even reduce rates of non-fusion. This prospective randomized controlled pilot trial investigates trial design feasibility in relation to prospective physical, functional, and quality of life-related outcomes of patients undergoing ACDF with interbody cage, with (n = 17) and without (n = 16)...
Source: Physiotherapy Theory and Practice - October 17, 2012 Category: Physiotherapy Authors: Abbott A, Halvorsen M, Dedering A Tags: Physiother Theory Pract Source Type: research
Robot-Assisted Sistrunk’s Operation, Total Thyroidectomy, and Neck Dissection via a Transaxillary and Retroauricular (TARA) Approach in Papillary Carcinoma Arising in Thyroglossal Duct Cyst and Thyroid Gland
Discussion Although there is still a great deal of controversy regarding the treatment of TGDCa, there is little debate that for the cases of synchronous TGDCa and PTC, total thyroidectomy in addition to the Sistrunk procedure must be performed.5 – 6,12 As for the patient in our case where left level IV lymph node metastasis was detected under preoperative ultrasonography (USG), if the usual method of surgical procedure was to be selected, double incisions or a single extended transverse incision must be adopted for the Sistrunk’s operation and total thyroidectomy with lateral neck dissection. The conve...
Source: Annals of Surgical Oncology - October 15, 2012 Category: Cancer & Oncology Tags: Annals of Surgical Oncology Source Type: research
Treatment of Cervical Internal Carotid Artery Spontaneous Dissection with Pseudoaneurysm and Unilateral Lower Cranial Nerves Palsy by Two Silk Flow Diverters
Abstract Internal carotid artery (ICA) lesions in the parapharyngeal space (a dissection and a pseudoaneurysm) may present as isolated lower cranial nerves (IX, X, XI, and XII) palsy (Collet–Sicard syndrome). Some arteriopathies such as fibromuscular dysplasia and tortuosity make a vessel predisposed to dissection. Extreme vessel tortuosity makes the treatment by a stent graft impossible. Two Silk stents were used in a 46 year-old man with left lower cranial nerves (IX–XII) palsy for the treatment of left ICA spontaneous dissection with pseudoaneurysm. A follow-up angiogram 5 months later confi...
Source: CardioVascular and Interventional Radiology - October 15, 2012 Category: Radiology Tags: CardioVascular and Interventional Radiology Source Type: research
Histological assessment of cervical lymph node identifies patients with head and neck squamous cell carcinoma (HNSCC) who would benefit from chemoradiation after surgery
Conclusions:We observed a consistent survival advantage with CRT over RT for patients with positive cervical nodal metastasis, although the difference was not statistically significant. Laryngoscope, 2012 (Source: The Laryngoscope)
Source: The Laryngoscope - October 11, 2012 Category: ENT & OMF Authors: Xiao Chloe Wan, Ann Marie Egloff, Jonas Johnson Tags: Head and Neck Source Type: research
Histological assessment of cervical lymph node identifies patients with head and neck squamous cell carcinoma (HNSCC): Who would benefit from chemoradiation after surgery?
Conclusions:We observed a consistent survival advantage with CRT over RT for patients with positive cervical nodal metastasis, although the difference was not statistically significant. Laryngoscope, 2012 (Source: The Laryngoscope)
Source: The Laryngoscope - October 11, 2012 Category: ENT & OMF Authors: Xiao Chloe Wan, Ann Marie Egloff, Jonas Johnson Tags: Head and Neck Source Type: research
Cervical spondylotic myelopathy caused by violent motor tics in a child with Tourette syndrome
Conclusions The optimal management is still unclear and attempts to control tics should be paramount. Circumferential fusion with neck bracing represents a viable treatment option. Content Type Journal ArticleCategory Case ReportPages 1-5DOI 10.1007/s00381-012-1939-xAuthors Da-Young Ko, Division of Pediatric Neurosurgery, Seoul National University Children’s Hospital, 101 Daehak-ro, Jongno-gu, Seoul, 110-744 Republic of KoreaSeung-Ki Kim, Division of Pediatric Neurosurgery, Seoul National University Children’s Hospital, 101 Daehak-ro, Jongno-gu, Seoul, 110-744 Republic of KoreaJong-Hee Chae, Depa...
Source: Child's Nervous System - October 6, 2012 Category: Pediatrics Tags: Child's Nervous System Source Type: research
Changes in specialized blood vessels in lymph nodes and their role in cancer metastasis
Conclusions: The results suggest that the HEV displays a spectrum of morphological changes in the presence of cancer and LN metastasis, and that HEV is possibly involved in the process of cancer metastasis. We revealed the relationship of HEV and their metamorphosis in pre-metastatic and metastatic environments in regional lymph nodes of tongue cancer patients in relation to clinical outcomes. The significant observation of modified dilated HEV containing red blood cells in lymph nodal basin of a cancer suggests the shifting of its function from one primarily of immune response to that of a blood carrying vessel. It also d...
Source: BioMed Central - October 4, 2012 Category: Journals (General) Authors: Ser Yee LeeChao-Nan QianAik Seng OoiPeiyi ChenBernice HM WongSwe Swe MyintJing Chii WongJacqueline SG HwangSoo Khee Chee Source Type: research