Preoperative Evaluation of the Vertebral Arteries and Posterior Portion of the Circle of Willis for Cervical Spine Surgery Using 3-Dimensional Computed Tomography Angiography

Spine ◽  
2013 ◽  
Vol 38 (15) ◽  
pp. E960-E967 ◽  
Author(s):  
Atsuki Sano ◽  
Toru Hirano ◽  
Kei Watanabe ◽  
Tomohiro Izumi ◽  
Naoto Endo ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Cervical Spine ◽  
Spine Surgery ◽  
Computed Tomography Angiography ◽  
Preoperative Evaluation ◽  
Circle Of Willis ◽  
Posterior Portion ◽  
Cervical Spine Surgery ◽  
3 Dimensional ◽  
Vertebral Arteries

Advantages and Disadvantages of the Use of Various Types of Interbody Implants in Cervical Spine Surgery. Critical Review of the Literature

2020 ◽  
Vol 22 (4) ◽  
pp. 213-222
Author(s):  
Bartosz Godlewski( ◽  
Maciej Dominiak
Keyword(s):  
Cervical Spine ◽  
Spine Surgery ◽  
Structural Design ◽  
Titanium Implants ◽  
Implant Fixation ◽  
Disc Disease ◽  
Cervical Spine Surgery ◽  
3 Dimensional ◽  
Advantages And Disadvantages

Background. Most cervical spine procedures in patients with degenerative disc disease involve discectomy and remo­val of osteophytes in posterior vertebral body surfaces followed by interbody stabilisation with an interbody implant. Interbody implants are made of a variety of materials, differing in structural design, shape and surface topography. Considering that fusion between the implant and host bone is crucial for long-term positive outcomes, the choice of an appropriate implant is significantly important clinically and continues to be an important area of study. Material and methods. Relevant published studies indexed by Medline were identified via PubMed and reviewed. The findings were combined with the authors’ experiences. The database query was based on keywords related to implants in cervical spine surgery. This article presents the currently most popular types of implants by describing their properties and indicating their strengths and weaknesses as well as differences between different implant types. Results. Currently, the most popular interbody cages in cervical spine surgery are polyetheretherketone (PEEK) im­plants, titanium-coated PEEK implants and titanium implants. Besides the type of material used, the shape and surface structure of an implant appear to be of significant importance for a successful bony fusion. Conclusions. 1. 3D printing and the ability to produce 3-dimensional porous-surfaced implants opens up considerable pro­spects for this technique in the production of modern interbody implants. 2. Implants that facilitate the engagement (interlocking) of greater volumes of bone (e.g. porous implants) offer better implant fixation, with the type of material used being less important.

Intraoperative Computed Tomography in Cervical Spine Surgery

Skull Base ◽  
2007 ◽  
Vol 17 (S 1) ◽  
Author(s):  
W. Steudel ◽  
K. Shariat ◽  
T. Pitzen ◽  
A. Nabhan
Keyword(s):  
Computed Tomography ◽  
Cervical Spine ◽  
Spine Surgery ◽  
Cervical Spine Surgery ◽  
Intraoperative Computed Tomography

Selective Intra-Arterial 3-Dimensional Computed Tomography Angiography for Preoperative Evaluation of Nephron-Sparing Surgery

2004 ◽  
Vol 28 (4) ◽  
pp. 496-504 ◽  
Author(s):  
Takuya Ueda ◽  
Toyofusa Tobe ◽  
Seiji Yamamoto ◽  
Ken Motoori ◽  
Yoshitaka Murakami ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Computed Tomography Angiography ◽  
Preoperative Evaluation ◽  
Nephron Sparing Surgery ◽  
3 Dimensional ◽  
Nephron Sparing

scholarly journals Embolisation of Vertebral Artery Damaged Following Cervical Disc Removal

2015 ◽  
Vol 2 (LATEST ONLINE) ◽  
Author(s):  
Johannes Borkert ◽  
Annika Hirte ◽  
Jacobus Reimers ◽  
Nicoline Jochmann ◽  
Sigrid Nikol
Keyword(s):  
Computed Tomography ◽  
Cervical Spine ◽  
Vertebral Artery ◽  
Cranial Computed Tomography ◽  
Cervical Disc ◽  
Focal Neurological Deficit ◽  
Cervical Spine Surgery ◽  
Vertebral Arteries ◽  
Endovascular Embolisation ◽  
Arterial Bleeding

Introduction: The incidence of vertebral artery (VA) injury during cervical spine surgery is rare. Even though tamponade is effective in many cases, early consultation of an endovascular team is recommended if bleeding cannot be controlled. We report a case of emergent endovascular embolisation of left VA due to iatrogenic injury during anterior cervical disc removal and fusion. Case: A 47-year-old woman was admitted to our emergency department with serious arterial bleeding from the neck only hours after undergoing anterior cervical disc removal and fusion surgery.  She was intubated and mechanically ventilated, however hemorrhage could not be successfully controlled by packing with surgical hemostatic agents. Cranial computed tomography, computed tomography of the cervical spine and CT angiography confirmed the suspected diagnosis of injury to the VA. Emergent endovascular embolisation successfully stopped the bleeding. Occlusion of the vessel was achieved by vascular plugging. The patient was discharged from our hospital 14 days after the intervention, receiving a revision surgery of the cervical spine on the day of embolisation. At the date of discharge she presented without any focal neurological deficit. Conclusion: Pre-operative radiographic imaging of the cervical spine should be used routinely to identify anatomic abnormalities of the vertebral arteries. Endovascular embolisation appears to be effective in treating acute iatrogenic dissection of the vertebral arteries.

Regional bone mineral density differences measured by quantitative computed tomography in patients undergoing anterior cervical spine surgery

2020 ◽  
Vol 20 (7) ◽  
pp. 1056-1064 ◽  
Author(s):  
Stephan N. Salzmann ◽  
Ichiro Okano ◽  
Courtney Ortiz Miller ◽  
Erika Chiapparelli ◽  
Marie-Jacqueline Reisener ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Bone Mineral Density ◽  
Cervical Spine ◽  
Bone Mineral ◽  
Spine Surgery ◽  
Quantitative Computed Tomography ◽  
Mineral Density ◽  
Cervical Spine Surgery ◽  
Anterior Cervical Spine Surgery ◽  
Regional Bone Mineral Density

Application of Smith-Robinson approach for C2/3 cervical spine surgery

2013 ◽  
Vol 32 (11) ◽  
pp. 1199-1202
Author(s):  
Ying ZHANG ◽  
Jun MA ◽  
Yuan-yuan CHEN ◽  
Xin-wei WANG ◽  
De-yu CHEN ◽  
...  
Keyword(s):  
Cervical Spine ◽  
Spine Surgery ◽  
Cervical Spine Surgery

scholarly journals Impact of Diabetes Mellitus on Cervical Spine Surgery for Ossification of the Posterior Longitudinal Ligament

2021 ◽  
Vol 10 (15) ◽  
pp. 3375
Author(s):  
Atsushi Kimura ◽  
Katsushi Takeshita ◽  
Toshitaka Yoshii ◽  
Satoru Egawa ◽  
Takashi Hirai ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Cervical Spine ◽  
Postoperative Complications ◽  
Spine Surgery ◽  
Posterior Longitudinal Ligament ◽  
Lower Extremity Function ◽  
Cervical Spine Surgery ◽  
The Impact

Ossification of the posterior longitudinal ligament (OPLL) is commonly associated with diabetes mellitus (DM); however, the impact of DM on cervical spine surgery for OPLL remains unclear. This study was performed to evaluate the influence of diabetes DM on the outcomes following cervical spine surgery for OPLL. In total, 478 patients with cervical OPLL who underwent surgical treatment were prospectively recruited from April 2015 to July 2017. Functional measurements were conducted at baseline and at 6 months, 1 year, and 2 years after surgery using JOA and JOACMEQ scores. The incidence of postoperative complications was categorized into early (≤30 days) and late (>30 days), depending on the time from surgery. From the initial group of 478 patients, 402 completed the 2-year follow-up and were included in the analysis. Of the 402 patients, 127 (32%) had DM as a comorbid disease. The overall incidence of postoperative complications was significantly higher in patients with DM than in patients without DM in both the early and late postoperative periods. The patients with DM had a significantly lower JOA score and JOACMEQ scores in the domains of lower extremity function and quality of life than those without DM at the 2-year follow-up.

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