scholarly journals Transoral decompression and posterior stabilisation in Morquio's disease.

1991 ◽  
Vol 66 (11) ◽  
pp. 1318-1321 ◽  
Author(s):  
J Ashraf ◽  
H A Crockard ◽  
A O Ransford ◽  
J M Stevens
Keyword(s):  
Posterior Stabilisation ◽  
Transoral Decompression

scholarly journals 413 Posterior Stabilisation Without Formal Debridement for The Treatment of Non-Tuberculous Pyogenic Spinal Infection in A Frail and Debilitated Population – A Systematic Review and Meta-Analysis

2021 ◽  
Vol 108 (Supplement_2) ◽  
Author(s):  
M Elmajee ◽  
C Munasinghe ◽  
A Aljawadi ◽  
K Elawady ◽  
F Shuweihde ◽  
...  
Keyword(s):  
Posterior Approach ◽  
Meta Analysis ◽  
Spinal Infection ◽  
Spinal Instability ◽  
Surgical Interventions ◽  
Spine Tango ◽  
Neurological Outcomes ◽  
Neurological Improvement ◽  
Posterior Stabilisation ◽  
Successful Infection

Abstract Background Non-tuberculous pyogenic spinal infection (PSI) incorporates a variety of different clinical conditions. Surgical interventions may be necessary for severe cases where there is evidence of spinal instability or neurological compromise. The primary surgical procedure focuses on the anterior approach with aggressive debridement of the infected tissue regions. We aim to evaluate the effectiveness of the posterior approach without debridement. Method Several databases including MEDLINE, NHS evidence and the Cochrane database were searched. The main clinical outcomes evaluated include pain, neurological recovery (Frankel Grading System, FGS) post-operative complications and functional outcomes (Kirkaldy-Willis Criteria and Spine Tango Combined Outcome Measure Index, COMI). Results From the four papers included in the meta-analysis, post-operative pain levels were found to be lower at a statistically significant level when a random effects model was applied, with the effect size found to be at 0.872 (p < 0.001, 95% CI: 0.7137 to 1.0308). Post-surgical neurological improvement was also demonstrated with a mean FGS improvement of 1.12 in 64 patients over the included articles. Conclusions Posterior approach with posterior stabilisation without formal debridement can results in successful infection resolution, improved pain scores and neurological outcomes. However, Larger series with longer follow-up duration are strongly recommended.

Iatrogenic pyogenic osteomyelitis of C-1 and C-2 treated with transoral decompression and delayed posterior occipitocervical arthrodesis

2007 ◽  
Vol 7 (6) ◽  
pp. 664-668 ◽  
Author(s):  
Patrick J. Reid ◽  
Paul J. Holman
Keyword(s):  
Antibiotic Therapy ◽  
Facet Joint ◽  
Trigger Point ◽  
Corticosteroid Injection ◽  
Craniocervical Junction ◽  
Anterior Decompression ◽  
The Right ◽  
Pyogenic Osteomyelitis ◽  
Posterior Instrumented Fusion ◽  
Transoral Decompression

✓The authors describe a case of osteomyelitis of the craniocervical junction caused by iatrogenic infection of the spine during corticosteroid injection therapy. This 58-year-old diabetic man presented with acute exacerbation of neck pain that had began 4 months prior to admission. He did not experience the associated fever, chills, or sweats, but he did notice transient weakness in the right upper extremity. A computed tomography (CT) scan of the cervical spine demonstrated a destructive process involving the odontoid and the left occipitocervical and atlantoaxial joints that was not present on a CT obtained 2 months earlier, just before trigger-point and left-sided C1–2 facet joint corticosteroid injections. A diagnosis of staphylococcal osteomyelitis was made, and initial treatment with external immobilization and appropriate antibiotic therapy failed to control radiographically demonstrated and clinical progression. The patient was successfully treated using staged anterior decompression and posterior instrumented fusion with prolonged antibiotic therapy. To the authors' knowledge this case is the first reported instance of iatrogenic pyogenic osteomyelitis of the craniocervical junction successfully treated with anterior decompression and delayed posterior arthrodesis.

Odontoid process and clival regeneration with Chiari malformation worsening after transoral decompression: an unexpected and previously unreported cause of “accordion phenomenon”

2014 ◽  
Vol 24 (S4) ◽  
pp. 564-568 ◽  
Author(s):  
Massimiliano Visocchi ◽  
Gianluca Trevisi ◽  
Domenico Gerardo Iacopino ◽  
Gianpiero Tamburrini ◽  
Massimo Caldarelli ◽  
...  
Keyword(s):  
Chiari Malformation ◽  
Odontoid Process ◽  
Transoral Decompression

scholarly journals Does Image Derived Instrumentation Alter Revision Rates? An AOANJRR Analysis

2017 ◽  
Vol 5 (5_suppl5) ◽  
pp. 2325967117S0015
Author(s):  
MJ McAuliffe ◽  
B Beer ◽  
J Hatch ◽  
SL Whitehouse ◽  
RW Crawford
Keyword(s):  
Subgroup Analysis ◽  
Proportional Hazards ◽  
Standard Group ◽  
Polyethylene Insert ◽  
Kaplan Meier ◽  
Posterior Stabilisation ◽  
Increased Risk ◽  
Primary Tkas ◽  
Potential Benefits ◽  
Total Knee

Objectives: Image Derived Instrumentation (IDI) has been introduced into regular use in modern day total knee arthroplasty (TKA) with many potential benefits touted. Despite this, much of the research involving IDI has failed to prove any significant benefit in alignment, operative time, blood loss and cost. The purpose of this study, the first of its kind, was to compare IDI with non-IDI TKA with respect to rate of revision. Methods: The Australian Orthopaedic Association National Joint Replacement Registry (AOANJRR) was queried to analyse the survivorship of primary TKAs using IDI reported to the AOANJRR, between April 2009 to December 2014, compared with those without IDI instrumentation. Subgroup analysis was performed to determine the effect of polyethylene insert thickness upon IDI outcomes. The Kaplan-Meier method and proportional hazards models were used to determine the cumulative rates of revision and which prostheses or circumstances lead to an increased risk of revision. Results: In the period studied, there were 11197 primary TKAs performed utilising IDI. This was 4.8% of all primary TKAs during this period. The overall rate of revision/100 observed years was 1.07 in the PSI group, compared with, 0.82 in the standard group. This was equivalent to a hazard ratio (HR) of 1.15 (1.01,1.31; p=0.041). Posterior stabilised (PS) knees in particular showed an increased risk when compared with minimally stabilised knees when using IDI (HR=1.49; p=0.002) and non-IDI PS knees (HR=1.30; p=0.014). Subgroup analysis of the PSI (Zimmer); Signature (Vanguard) and Visionaire (Smith and Nephew) systems by polyethylene insert thickness found varied alteration in revision rates. Of the specific prosthetic combinations examined the NEXGEN CR FLEX/NEXGEN >11 mm poly (909 pts) HR 1.83 p=0.022 and GII Oxinium PS/GII <11 mm poly (868 pts) HR 1.45 p=0.049 were found to have significantly elevated risk of revision with the use of IDI. Conclusion: Using the AOANJRR we have shown that in primary TKAs, the use of IDI is associated with an increased overall revision rate. This is particularly prevalent in those knees using posterior stabilisation. The effect of polyethylene insert thickness varied dependent on manufacturer. The reasons for this cannot be determined from this analysis but suggest caution should be exercised in relation to this technology. Further study is warranted to better understand the reasons for increased revision rates.

Arthroscopic shoulder posterior stabilisation – How I do it

2018 ◽  
Vol 5 (2) ◽  
pp. 114-118
Author(s):  
Daniel L.J. Morris ◽  
David J. Bryson ◽  
Martin A. Scott ◽  
James French ◽  
John Geoghegan
Keyword(s):  
Posterior Stabilisation

Congenital arthrogryposis associated with atlantoaxial subluxation and dysraphic abnormalities

2000 ◽  
Vol 93 (1) ◽  
pp. 130-132
Author(s):  
Wolf O. Luedemann ◽  
Marcos S. Tatagiba ◽  
Sami Hussein ◽  
Madjid Samii
Keyword(s):  
Traffic Accident ◽  
Craniocervical Junction ◽  
Atlantoaxial Subluxation ◽  
Arthrogryposis Multiplex Congenita ◽  
Good Clinical Outcome ◽  
Content Type ◽  
Dorsal Stabilization ◽  
A Minor ◽  
Transoral Decompression ◽  
Fine Print

✓ The authors report the case of a 27-year-old woman with an arthrogryposis multiplex congenita (AMC) associated with atlantoaxial subluxation. To the authors' knowledge, this is the first report of its kind. The authors review the literature with reference to dysraphic abnormalities associated with atlantoaxial subluxation and with AMC. The patient presented with severe tetraparesis following a minor traffic accident. She underwent a procedure in which transoral decompression and dorsal stabilization were performed and, postoperatively, made a good clinical outcome. The authors stress the need for diagnostic neuroimaging of the craniocervical junction in patients with AMC.

Transoral decompression for myelopathy caused by rheumatoid arthritis of the cervical spine

1972 ◽  
Vol 37 (4) ◽  
pp. 493-497 ◽  
Author(s):  
Michael H. Sukoff ◽  
Milton M. Kadin ◽  
Terrance Moran
Keyword(s):  
Rheumatoid Arthritis ◽  
Cervical Spine ◽  
Cervical Myelopathy ◽  
Transoral Approach ◽  
Anterior Decompression ◽  
Posterior Decompression ◽  
Content Type ◽  
Transoral Decompression ◽  
Fine Print

✓ A case of rheumatoid cervical myelopathy that responded to posterior decompression and fusion is presented. Progression of the disease ultimately required anterior decompression through a transoral approach.

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