scholarly journals Laminoplasty Techniques for the Treatment of Multilevel Cervical Stenosis

2012 ◽  
Vol 2012 ◽  
pp. 1-15 ◽  
Author(s):  
Lance K. Mitsunaga ◽  
Eric O. Klineberg ◽  
Munish C. Gupta
Keyword(s):  
Cervical Spondylotic Myelopathy ◽  
Significant Risk ◽  
Anterior Decompression ◽  
Surgical Indications ◽  
Surgical Options ◽  
The Right ◽  
Multilevel Cervical Myelopathy ◽  
Multilevel Cervical Stenosis ◽  
Anterior Decompression And Fusion ◽  
Surgical Option

Laminoplasty is one surgical option for cervical spondylotic myelopathy. It was developed to avoid the significant risk of complications associated with alternative surgical options such as anterior decompression and fusion and laminectomy with or without posterior fusion. Various laminoplasty techniques have been described. All of these variations are designed to reposition the laminae and expand the spinal canal while retaining the dorsal elements to protect the dura from scar formation and to preserve postoperative cervical stability and alignment. With the right surgical indications, reliable results can be expected with laminoplasty in treating patients with multilevel cervical myelopathy.

Surgical treatment of cervical spondylotic myelopathy with anterior compression: a review of 67 cases

2008 ◽  
Vol 9 (2) ◽  
pp. 152-157 ◽  
Author(s):  
Beril Gok ◽  
Daniel M. Sciubba ◽  
Gregory S. McLoughlin ◽  
Matthew McGirt ◽  
Selim Ayhan ◽  
...  
Keyword(s):  
Complication Rate ◽  
Cervical Spondylotic Myelopathy ◽  
Posterior Fixation ◽  
Adjacent Segment ◽  
Cervical Lordosis ◽  
Anterior Decompression ◽  
Anterior Surgery ◽  
Fusion Procedure ◽  
Increased Risk ◽  
Anterior Decompression And Fusion

Object In patients with cervical spondylotic myelopathy (CSM), ventral disease and loss of cervical lordosis are considered to be relative indications for anterior surgery. However, anterior decompression and fusion operations may be associated with an increased risk of swallowing difficulty and an increased risk of nonunion when extensive decompression is performed. The authors reviewed cases involving patients with CSM treated via an anterior approach, paying special attention to neurological outcome, fusion rates, and complications. Methods Retrospectively, 67 cases involving consecutive patients with CSM requiring an anterior decompression were reviewed: 46 patients underwent anterior surgery only (1-to3-level anterior cervical discectomy and fusion [ACDF] or 1-level corpectomy), and 21 patients who required > 3-level ACDF or ≥ 2-level corpectomy underwent anterior surgery supplemented by a posterior instrumented fusion procedure. Results Postoperative improvement in Nurick grade was seen in 43 (93%) of 46 patients undergoing anterior decompression and fusion alone (p < 0.001) and in 17 (81%) of 21 patients undergoing anterior decompression and fusion with supplemental posterior fusion (p = 0.0015). The overall complication rate for this series was 25.4%. Interestingly, the overall complication rate was similar for both the lone anterior surgery and combined anterior-posterior groups, but the incidence of adjacent-segment disease was greater in the lone anterior surgery group. Conclusions Significant improvement in Nurick grade can be achieved in patients who undergo anterior surgery for cervical myelopathy for primarily ventral disease or loss of cervical lordosis. In selected high-risk patients who undergo multilevel ventral decompression, supplemental posterior fixation and arthrodesis allows for low rates of construct failure with acceptable added morbidity.

Cervical spondylotic myelopathy: 10 years of prospective outcome analysis of anterior decompression and fusion

2005 ◽  
Vol 64 ◽  
pp. S30-S35 ◽  
Author(s):  
Haroldo Chagas ◽  
Flavio Domingues ◽  
Antonio Aversa ◽  
Ana Luiza Vidal Fonseca ◽  
Jorge Marcondes de Souza
Keyword(s):  
Cervical Spondylotic Myelopathy ◽  
Outcome Analysis ◽  
Anterior Decompression ◽  
Anterior Decompression And Fusion

Endovascular Retrieval of a Migrated TrapEase Inferior Vena Cava Filter From the Right Atrium: A Brief Report and Literature Review

2018 ◽  
Vol 52 (4) ◽  
pp. 291-294
Author(s):  
Andrew J. Gunn ◽  
Nathan W. Ertel
Keyword(s):  
Inferior Vena Cava ◽  
Right Atrium ◽  
Inferior Vena ◽  
Rare Complication ◽  
Vena Cava ◽  
Significant Risk ◽  
Vena Cava Filters ◽  
Surgical Options ◽  
Endovascular Approach ◽  
The Right

Intracardiac migration is a rare complication of inferior vena cava filters (IVCFs) that poses a significant risk to patients. Both endovascular and surgical options exist, although only a few endovascular options are described in the literature. This brief report describes the endovascular approach used to successfully remove a TrapEase IVCF from the right atrium in a single patient. A brief review of the literature is also provided.

scholarly journals Clinical and Radiological Outcomes of Anterior Approach Microscopic Surgery for the Pincer Mechanism in Cervical Spondylotic Myelopathy

2019 ◽  
Vol 2019 ◽  
pp. 1-7
Author(s):  
Deqing Peng ◽  
Yuyuan Ma ◽  
Bin Lei
Keyword(s):  
Spinal Canal ◽  
Cervical Spondylotic Myelopathy ◽  
Anterior Approach ◽  
Anterior Decompression ◽  
Intervertebral Space ◽  
Japanese Orthopedic Association ◽  
Microscopic Surgery ◽  
Cobb’S Angle ◽  
Surgical Option

Objective. We aimed to evaluate the efficacy of anterior approach microscopic surgery for patients with the pincer mechanism in cervical spondylotic myelopathy. Methods. The clinical data of pincer cervical spondylotic myelopathy that received anterior cervical decompression and fusion in our hospital from Aug 2014 to Dec 2017 were analyzed retrospectively, including 12 males and 9 females, with an average age of 64.3 years (range 46-81 years). Occupying rate, anterior occupying rate, and posterior occupying rate were measured on pre- and postoperative mid-sagittal MRIs. Pre- and postoperative Japanese Orthopedic Association (JOA) scores, intervertebral space height, and C2 to C7 Cobb’s angle were analyzed. Result. Duration of follow-up was six months. The pre- and postoperative anterior occupying rate were averagely 38.6±8.5% and 12.9±5.5%, respectively, the posterior occupying rates were averagely 27.4±7.2% and 13.1±6.6%, respectively, and Cobb’s angle changed from 15.3±8.0° to 22.7±7.9°. The intervertebral space height increased from 4.6±0.4mm to 6.5±0.4mm. JOA scores improved significantly by 59.4±34.0% at six months after surgery. Conclusion. Decompression by anterior microscopic surgery can increase spinal canal volume directly, recover intervertebral space height, and resize Cobb’s angle, but decrease the posterior compression by ligament Flava indirectly. Anterior decompression under the microscope may provide an alternative surgical option for partial patients with the pincer mechanism in cervical spondylotic myelopathy.

Single- and multi-level anterior decompression and fusion for cervical spondylotic myelopathy – A long term follow-up with a minimum of 5 years

2013 ◽  
Vol 115 (10) ◽  
pp. 1966-1971 ◽  
Author(s):  
Simon Bayerl ◽  
Kurt Wiendieck ◽  
Daniel Koeppen ◽  
Miroslav Topalovic ◽  
Anett Übelacker ◽  
...  
Keyword(s):  
Cervical Spondylotic Myelopathy ◽  
Anterior Decompression ◽  
Long Term Follow Up ◽  
Multi Level ◽  
Anterior Decompression And Fusion

An interarterial course of anomalous coronary artery and an alternative surgical option

2012 ◽  
Vol 22 (5) ◽  
pp. 536-538 ◽  
Author(s):  
Kachaporn Nimdet ◽  
Jarupim Soongswang ◽  
Somchai Sriyodchati
Keyword(s):  
Coronary Artery ◽  
Left Main Coronary Artery ◽  
Rare Condition ◽  
Sinus Of Valsalva ◽  
Left Main ◽  
Surgical Options ◽  
The Right ◽  
Anomalous Coronary ◽  
Surgical Option

AbstractAn interarterial course of anomalous left main coronary artery originating from the right aortic coronary sinus of valsalva is a rare condition among anomalous aortic origin of the coronary artery. Various surgical options are available. We performed an alternative procedure, that is, mobilisation of the pulmonic root, pulmonary bifurcation, and plication of the pulmonic root adjacent to the left main coronary artery, in a 12-year-old boy. Favourable results were achieved after 43 months of follow-up.

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