scholarly journals Severe Cervical Spinal Kyphosis: Technical Case Reports on the Way of Microsurgical Management

2020 ◽  
Vol 3 (1) ◽  
pp. 1-9
Author(s):  
Forhad H. Chowdhury ◽  
Mohammod Raziul Haque
Keyword(s):  
Spinal Cord ◽  
Cervical Spine ◽  
Neurological Deficit ◽  
Anterior Approach ◽  
Case Reports ◽  
Posterior Stabilization ◽  
Cervical Corpectomy ◽  
Transforaminal Approach ◽  
Partial Corpectomy ◽  
Spinal Cord Decompression

A young man presented with quadriparesis due to severe kyphosis of the cervical spine. In the first posterior operation, the spinal cord was decompressed by laminectomies and posterior partial corpectomy through bilateral translateral mass and transforaminal approach followed by posterior stabilization and fusion. In the second operation, the cervical spine was stabilized and fused through an anterior approach. The patient recovered completely from his neurological deficit with very minimal neck movements. We report this case to describe the bilateral translateral mass and transforaminal partial posterior cervical corpectomy for spinal cord decompression followed by posterior and anterior stabilization and fusion.

Spinal cord herniation after multilevel anterior cervical corpectomy and fusion for ossification of the posterior longitudinal ligament of the cervical spine

2009 ◽  
Vol 10 (3) ◽  
pp. 240-243 ◽  
Author(s):  
Jun-Hong Min ◽  
Byung-Joo Jung ◽  
Jee-Soo Jang ◽  
Seok-Kang Kim ◽  
Dae-Jin Jung ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Cervical Spine ◽  
Anterior Approach ◽  
Posterior Longitudinal Ligament ◽  
Neurological Deterioration ◽  
Dural Defect ◽  
Cervical Corpectomy ◽  
Spinal Cord Herniation ◽  
Ossified Posterior Longitudinal Ligament ◽  
Anterior Cervical Corpectomy

The authors report the case of a 52-year-old man who had undergone resection of an ossified posterior longitudinal ligament via the anterior approach. The patient experienced postoperative neurological deterioration that may have been caused by a massive cord herniation associated with a dural defect at the corpectomy site. Spinal cord herniation may develop as a complication of anterior cervical decompression. Surgeons should be alert to this condition when planning to treat cervical ossification of the ossified posterior longitudinal ligament via the anterior approach.

scholarly journals Decompression via microsurgical anterior foraminotomy for cervical spondylotic myelopathy

1996 ◽  
Vol 1 (6) ◽  
pp. E6 ◽  
Author(s):  
Hae-Dong Jho
Keyword(s):  
Spinal Cord ◽  
Surgical Technique ◽  
Nerve Root ◽  
Cervical Spondylotic Myelopathy ◽  
Anterior Approach ◽  
Fast Recovery ◽  
The Past ◽  
Spinal Cord Decompression ◽  
New Surgical Technique ◽  
Uncovertebral Joint

Over the past few years, a microsurgical anterior foraminotomy technique has been developed by the author and used to achieve spinal cord decompression for the treatment of cervical spondylotic myelopathy. A 5 X 8-mm unilateral anterior foraminotomy is accomplished by resecting the uncovertebral joint via an anterior approach. Through the foraminotomy hole, the posterior osteophytes at the spinal cord canal are removed diagonally up to the beginning of the contralateral nerve root. To treat multilevel disease, a tunnel is made among the foraminotomy holes. This technique accomplishes widening of the spinal cord canal in the transverse and longitudinal axes by direct resection of the compressive lesions through the holes of unilateral anterior foraminotomies; however, it does not require bone fusion or postoperative immobilization. Postoperatively patients remain in the hospital overnight, and do not need to wear cervical braces. This new surgical technique has shown excellent clinical outcomes with fast recovery and adequate anatomical decompression in patients with cervical spondylotic myelopathy. The surgical technique is reported and illustrated by two of the author's cases.

Resection of a ventral intramedullary cervical spinal cord cavernous malformation through an anterior approach

2014 ◽  
Vol 37 (v2supplement) ◽  
pp. Video18 ◽  
Author(s):  
Alexander G. Weil ◽  
Sanjiv Bhatia
Keyword(s):  
Spinal Cord ◽  
Surgical Approach ◽  
Anterior Approach ◽  
Posterior Approach ◽  
Cavernous Malformation ◽  
Cervical Spinal Cord ◽  
Pediatric Population ◽  
Complete Resection ◽  
Surgical Access ◽  
Partial Corpectomy

Ventrally-located intramedullary cervical spinal cord cavernomas are rare entities in the pediatric population. Surgical access to these lesions is challenging. The authors present the complete resection of a symptomatic ventral cervical intramedullary cavernoma through an anterior approach in a 15-year-old boy. The lesion was accessed following left anterolateral dissection, C3–4 discectomy and C3/C4 partial corpectomy. The authors will discuss the rationale for intervening in this patient and for selecting this anterior approach over other approaches, such as the anterolateral, posterolateral or posterior approach. The steps, pitfalls and pearls of this surgical approach will be demonstrated in a detailed video.The video can be found here: http://youtu.be/-ARTp6g13hgs.

Decompression via microsurgical anterior foraminotomy for cervical spondylotic myelopathy

1997 ◽  
Vol 86 (2) ◽  
pp. 297-302 ◽  
Author(s):  
Hae-Dong Jho
Keyword(s):  
Spinal Cord ◽  
Surgical Technique ◽  
Cervical Spondylotic Myelopathy ◽  
Anterior Approach ◽  
Fast Recovery ◽  
Content Type ◽  
The Past ◽  
Spinal Cord Decompression ◽  
New Surgical Technique ◽  
Uncovertebral Joint

✓ Over the past few years, a microsurgical anterior foraminotomy technique has been developed by the author and used to achieve spinal cord decompression for the treatment of cervical spondylotic myelopathy. A 5 × 8—mm unilateral anterior foraminotomy is accomplished by resecting the uncovertebral joint via an anterior approach. Through the foraminotomy hole, the posterior osteophytes at the spinal cord canal are removed diagonally up to the beginning of the contralateral nerve root. To treat multilevel disease, a tunnel is made among the foraminotomy holes. This technique accomplishes widening of the spinal cord canal in the transverse and longitudinal axes by direct resection of the compressive lesions through the holes of unilateral anterior foraminotomies; however, it does not require bone fusion or postoperative immobilization. Postoperatively patients remain in the hospital overnight, and do not need to wear cervical braces. This new surgical technique has shown excellent clinical outcomes with fast recovery and adequate anatomical decompression in patients with cervical spondylotic myelopathy. The surgical technique is reported and illustrated by two of the author's cases.

scholarly journals Significance of Early Spinal Cord Decompression in Treating Cervical Spine Injury with Tetraplegia.

2002 ◽  
Vol 13 (2) ◽  
pp. 57-62
Author(s):  
Hiroshi Katou ◽  
Yasuhiro Otomo ◽  
Masato Homma ◽  
Jyun-ichi Inoue ◽  
Yoshikura Haraguchi ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Cervical Spine ◽  
Cervical Spine Injury ◽  
Spine Injury ◽  
Spinal Cord Decompression

Evaluation of cervical spine injury and predicting neurological deficit by magnetic resonance imaging

2021 ◽  
Vol 12 (2) ◽  
pp. 92-97
Author(s):  
Sushant H Bhadane ◽  
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Cervical Spine ◽  
Mr Imaging ◽  
Neurological Deficit ◽  
Spine Injury ◽  
Cervical Spine Injuries ◽  
Cord Injury ◽  
Spine Injuries ◽  
Posterior Element

Background: The consequences of cervical spine injuries range from simple neck pain, to quadriplegia, or even death. MR imaging has become part of the diagnostic and prognostic tools for spinal cord injury. Aim: To prospectively evaluate cervical spine injuries by MR imaging and to find out association of MR imaging findings with degree of neurological deficit. Material and Methods: Descriptive longitudinal hospital based study was conducted on 30 patients with known or suspected cervical spine trauma who presented to the emergency department. Results: Mean age of the cases was about 42 years, with female to male ratio of 1:6.5. C6-C7 spinal level was most commonly involved. Proportions complete spinal cord injury (CSCI), incomplete spinal cord injury (ISCI) and neurologically normal (NN) were 23.33%, 60% and 16.67% respectively. Out of 12 MRI findings, cord haemorrhage, contusion, posterior element fracture, disc injury, prevertebral hematoma, subluxation and soft tissue injury was statistically associated with degree of neurological deficit. Cord contusion, cord haemorrhage and posterior element fracture were potential predictors of neurological status at admission. Cord contusion, cord haemorrhage and subluxation were potential predictors at 3 months. Conclusion: MRI proved a pivotal role in the diagnosis of SCIs, deciding prompt management and predicting neurological deficit and prognosis of neurological recovery. So, MRI is an excellent diagnostic modality for the evaluation of spinal trauma and predicting the degree of neurological deficit and recovery.

scholarly journals Outcome of Late Anterior Surgery and Arthrodesis of Lower Cervical Spinal Cord Injury

1970 ◽  
Vol 18 (1) ◽  
pp. 47-53
Author(s):  
SMNK Chowdhury ◽  
SU Ahmed ◽  
SA Ara ◽  
SMMA Chowdhury ◽  
SS Hossain ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Cervical Spine ◽  
Neurological Deficit ◽  
Neurological Outcome ◽  
Spinal Injury ◽  
Cervical Spinal Cord ◽  
Cervical Spinal Cord Injury ◽  
Anterior Surgery ◽  
Cord Injury

Objective: To evaluate the efficacy and outcome of late anterior surgery and arthrodesis of lower cervical spinal cord injury. Study design: Prospective Analysis. Setting: Department of Neurosurgery, Bangabandhu Sheikh Mujib Medical University (BSMMU) Dhaka; Bangladesh. Subjects and Methods: 32 consecutive patients with sub axial cervical spinal cord injury managed surgically from January 2000 to July 2005 by late anterior surgery and autologous bone graft stabilization considered as study unit. The indications of surgery were persistent cervical spinal cord compression and / or instability of cervical spine. Most cases were admitted late and operations were carried out as late 1 week to 27 weeks after injury. All the patients were investigated by radiograph and MRI of cervical spine accordingly. Post operative patient were followed up for twice, just before discharge from hospital and there-after minimum 3 months to 3 years. Quantification of deficit and neurological outcome were rated by American Spinal Injury Association (ASIA) classification system. Results: Males were found predominant with 93.75% over the female 6.25%; with ratio is 15: 1. Minimum age of the patient is 16 years and maximum age is 55 years. Most frequently (37.50%) encountered group were between the age of 31 to 40 years. Mean age is 32.29±10.09 years. Falling due to slip while carrying heavy load on head and / or neck (37.50%) was the most common cause of sub axial cervical spinal injury followed by road traffic accidents (31.25%), which may not be reported elsewhere till to-date. 31.25% suffered a single vertebral level, 62.50% patients suffered two vertebral levels and 6.25% patients suffered three level vertebral levels. The commonest skeletal level was C5/6 (46.87%) followed by C5 (25.00%) but C5 (46.87%) was commonest neurological level followed by C4 (18.75%). 81.25% of patients sustained a neurological injury. Of these, 75.00% had incomplete neurological deficit. After the operative procedure these incomplete neurological deficit patients have shown very attractive neurological recoveries. 6.25% of total population, who had complete neurological deficit, was graded as ASIA grade - A did not show any neurological recovery. In the current series none of the patients had worsening of neurological deficit due surgical intervention. Conclusion: This study offer significant potential for repairing some of the damage caused by cervical spinal cord injury. Further more, though controversy exists as to the ideal approach and timing (early versus late surgery) we have seen that benefits derived from late anterior surgery in our patients. Key words: Spinal Cord Injury; ASIA impairment scale; Neurological outcome. DOI: 10.3329/jdmc.v18i1.6306 J Dhaka Med Coll. 2009; 18(1) : 47-53

scholarly journals Feline vertebral angiomatosis: two cases

2017 ◽  
Vol 3 (2) ◽  
pp. 205511691774412 ◽  
Author(s):  
Massimo Frizzi ◽  
Nicola Ottolini ◽  
Claudia Spigolon ◽  
Giovanna Bertolini
Keyword(s):  
Spinal Cord ◽  
Back Pain ◽  
Surgical Procedures ◽  
Vascular Malformation ◽  
Case Series ◽  
Cord Compression ◽  
Normal Gait ◽  
Partial Corpectomy ◽  
Spinal Cord Decompression

Case series summary Two cats aged between 1 and 2 years were presented for paraparesis, general discomfort, back pain and urinary retention. Extradural spinal cord compression at the level of T4 and T8 was evident on CT examination and on MRI. Hemilaminectomy and partial corpectomy were performed to achieve spinal cord decompression. Histopathology of the abnormal bone tissue was suggestive of vertebral angiomatosis. After initially worsening, both cats recovered their normal gait and functional urination. Both cats have been followed-up for >1 year, without any recurrence. Relevance and novel information This is the first report of vertebral angiomatosis with complete data (CT, MRI, surgical procedures, histopathology and >1 year follow-up) and provides important information about the prognosis of this rare vascular malformation.

scholarly journals Traumatic atlantoaxial subluxation, posterior transfacet fixation: a case report

2015 ◽  
Vol 14 (1) ◽  
pp. 53-55 ◽  
Author(s):  
Mario Cahueque Lemus ◽  
Enrique Vargas Uribe ◽  
José María Jiménez Avila
Keyword(s):  
Spinal Cord ◽  
Cervical Spine ◽  
Neurological Deficit ◽  
Emergency Services ◽  
Neurological Damage ◽  
Anterior Neck ◽  
Cervical Trauma ◽  
Cervical Spine Injuries ◽  
Spine Injuries ◽  
Post Traumatic

Cervical spine injuries are often described as catastrophic events in neurological terms, with very low survival rate. Lesions to C3-C7 segment are the most common (about 80%) followed by segment C1-C2 (20%). The cervical spine injuries are of great importance, both by severity as the neurological implications. It is important to consider that among cervical traumas that do not present neurological damage at the time of the accident, 10% have deficits later, so all cervical trauma should be considered as potential spinal cord traumas, until the evolution of the case shows that definitively there is no spinal cord or nerve root damage. Cases have been reported with both atlantooccipital and atlantoaxial dislocations without neurological deficit, so these lesions went unnoticed in the emergency services. Some of the events to be considered at the time of the accident are suboccipital pain on axial skull pressure and spontaneous stiffness of the patient's neck. Dysphagia, pain on palpation of the anterior neck and a visible increase of prepharyngeal mass can also be observed, which is why it is important to keep the suspicion of craniocervical trauma in all patients who have these symptoms and carry out the relevant tests. This paper presents a case of post-traumatic atlantoaxial dislocation, which showed no neurological deficit at the time of the accident, but was later presented, as well as the surgical procedure carried out.

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