Favorable Long-Term Outcomes for Positional Vertebral Artery Occlusion with Treatment Strategy Prioritizing Spinal Fusion Surgery

Background: Spinal instrumentation provides a stable, rigid column that encourages bones to fuse after spinal fusion surgery. Methods: The study was carried out in the Neurosurgery Center, CMH, Dhaka, from 01 January 2013 to July 31 2018. A total of 95 patients were included with unrestricted age and gender, underwent spinal surgery with fixation. Result: Better outcome was observed in spinal surgery with stabilization. Conclusion: Whereas early (within hours) or immediate (within 48 h) stabilization and indirect or direct decompression has excellent outcome, even delayed stabilization of the unstable spine has benefits. Bang. J Neurosurgery 2019; 9(1): 11-15

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Fusion Surgery for Recurrent Cerebellar Infarctions Due to Bilateral Atlantoaxial Rotational Vertebral Artery Occlusion

Spine ◽

10.1097/brs.0000000000000341 ◽

2014 ◽

Vol 39 (14) ◽

pp. E860-E863 ◽

Cited By ~ 7

Author(s):

Yasuhiro Takeshima ◽

Fumihiko Nishimura ◽

Young-Su Park ◽

Hiroyuki Nakase

Keyword(s):

Vertebral Artery ◽

Artery Occlusion ◽

Fusion Surgery ◽

Vertebral Artery Occlusion

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Rotational vertebral artery occlusion: Mechanisms and long-term outcome

Journal of the Neurological Sciences ◽

10.1016/j.jns.2013.07.720 ◽

2013 ◽

Vol 333 ◽

pp. e175

Author(s):

K.-D. Choi ◽

J.-H. Choi ◽

J.-D. Seo ◽

H.-J. Cho ◽

S.-H. Kim ◽

...

Keyword(s):

Vertebral Artery ◽

Artery Occlusion ◽

Term Outcome ◽

Long Term Outcome ◽

Vertebral Artery Occlusion

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Short-term and long-term revision rates after lumbar spine discectomy versus laminectomy: a population-based cohort study

BMJ Open ◽

10.1136/bmjopen-2017-021028 ◽

2018 ◽

Vol 8 (7) ◽

pp. e021028 ◽

Cited By ~ 1

Author(s):

Feng-Chen Kao ◽

Yao-Chun Hsu ◽

Chang-Bi Wang ◽

Yuan-Kun Tu ◽

Pao-Hsin Liu

Keyword(s):

Cohort Study ◽

Lumbar Spine ◽

Spinal Fusion ◽

Revision Rate ◽

Population Based ◽

Lumbar Discectomy ◽

Research Database ◽

Fusion Surgery ◽

Spinal Fusion Surgery

Background/objectiveDegenerative diseases of the lumbar spine were managed with discectomy or laminectomy. This study aimed to compare these two surgical treatments in the postoperative revision rates.DesignA population-based cohort study from analysis of a healthcare database.SettingData were gathered from the Taiwan National Health Insurance Research Database (NHIRD).ParticipantsWe enrolled 16 048 patients (4450 women and 11 598 men) with a mean age of 40.34 years who underwent lumbar discectomy or laminectomy for the first time between 1 January 1997 and 31 December 2007. All patients were followed up for 5 years or until death.ResultsRevision rate within 3 months of the index surgery was significantly higher in patients who underwent discectomy (2.75%) than in those who underwent laminectomy (1.18%; p<0.0001). This difference persisted over the first year following the index surgery (3.38% vs 2.57%). One year afterwards, the revision rates were similar between the discectomy (9.75%) and laminectomy (9.69%) groups. The final spinal fusion surgery rates were also similar between the groups (11.25% vs 12.08%).ConclusionThe revision rate after lumbar discectomy was higher than that after laminectomy within 1 year of the index surgery. However, differences were not identified between patient groups for the two procedures with respect to long-term revision rates and the proportion of patients who required final spinal fusion surgery.

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