Clinical feasibility of minimally invasive cervical laminoplasty

Minimally invasive approaches to the cervical spine for lateral disc herniation or foraminal stenosis have recently been described. Lower rates of blood loss, decreased narcotic dependence, and less tissue destruction as well as shorter hospital stays are all advantages of utilizing these techniques. These observations can also be realized with a minimal access approach to cervical laminoplasty. Multiple levels of the cervical spine can be treated from a posterior approach with the potential to decrease the incidences of postoperative axial neck pain and kyphotic deformity. In this report the authors present a concise history of the open laminoplasty technique, provide data from previous cadaveric studies (6 cases) along with recent clinical experience for minimally invasive laminoplasty, and describe the advantages and challenges of this novel procedure.

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The impact of minimally invasive cervical spine surgery

Journal of Neurosurgery Spine ◽

10.3171/spi.2004.1.1.0043 ◽

2004 ◽

Vol 1 (1) ◽

pp. 43-46 ◽

Cited By ~ 17

Author(s):

Tim E. Adamson

Keyword(s):

Cervical Spine ◽

Surgical Technique ◽

Minimally Invasive ◽

Cervical Radiculopathy ◽

Foraminal Stenosis ◽

Content Type ◽

Cervical Spine Surgery ◽

The Impact ◽

Safe Treatment Option ◽

Fine Print

✓ Since 1997, cervical endoscopic laminoforaminotomy (CELF) has been an effective and safe treatment option for unilateral cervical radiculopathy secondary to disc herniation or foraminal stenosis. The development of the surgical technique is reviewed and recent outcomes discussed. Its impact is addressed in relation to the patient and surgeon.

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Multiple subluxations and comminuted fracture of the cervical spine in a sheep

Tierärztliche Praxis Ausgabe G Großtiere / Nutztiere ◽

10.15653/tpg-140371 ◽

2015 ◽

Vol 43 (01) ◽

pp. 44-38

Author(s):

C.-C. Lin ◽

K.-S. Chen ◽

Y.-L. Lin ◽

J. P.-W. Chan

Keyword(s):

Cervical Spine ◽

Pain Perception ◽

Cervical Vertebrae ◽

Traumatic Injury ◽

Spinal Reflexes ◽

Spine Trauma ◽

Blunt Force Trauma ◽

Comminuted Fracture ◽

History Of ◽

The Right

SummaryA 5-month-old, 13.5 kg, female Corriedale sheep was referred to the Veterinary Medicine Teaching Hospital, with a history of traumatic injury of the cervical spine followed by non-ambulatoric tetraparesis that occurred 2 weeks before being admitted to the hospital. At admission, malalignment of the cervical spine with the cranial part of the neck deviating to the right was noted. Neurological examinations identified the absence of postural reactions in both forelimbs, mildly decreased spinal reflexes, and normal reaction to pain perception tests. Radiography revealed malalignment of the cervical vertebrae with subluxations at C1–C2 and C2–C3, and a comminuted fracture of the caudal aspect of C2. The sheep was euthanized due to a presumed poor prognosis. Necropsy and histopathological findings confirmed injuries of the cervical spine from C1 to C3, which were consistent with the clinical finding of tetraparesis in this case. This paper presents a rare case of multiple subluxations of the cervical spine caused by blunt force trauma in a young sheep. These results highlight the importance of an astute clinical diagnosis for such an acute cervical spine trauma and the need for prompt surgical correction for similar cases in the future.

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The History of Missed Opportunities

10.11126/stanford/9781503600195.001.0001 ◽

2017 ◽

Cited By ~ 2

Author(s):

William H. Galperin

Keyword(s):

Eighteenth Century ◽

William Wordsworth ◽

Jane Austen ◽

Lord Byron ◽

Missed Opportunities ◽

Romantic Period ◽

The Everyday ◽

Everyday World ◽

History Of ◽

Multiple Levels

This study is about the emergence of the everyday as both a concept and a material event and about the practices of retrospection in which it came to awareness in the romantic period in “histories” of the missed, the unappreciated, the overlooked. Prior to this moment everyday life was both unchanging and paradoxically unpredictable. By the late eighteenth century, however, as life became more predictable and change on a technological and political scale more rapid, the present came into unprecedented focus, yielding a world answerable to neither precedent nor futurity. This alternative world soon appears in literature of the period: in the double takes by which the poet William Wordsworth disencumbers history of memory in demonstrating what subjective or “poetic” experience typically overlooks; in Jane Austen, whose practice of revision returns her to a milieu that time and progress have erased and that reemerges, by previous documentation, as something different. It is observable in Lord Byron, thanks to the “history” to which marriage and domesticity are consigned not only in the wake of his separation from Lady Byron but during their earlier epistolary courtship, where the conjugal present came to consciousness (and prestige) as foredoomed but an opportunity nonetheless. The everyday world that history focalizes in the romantic period and the conceptual void it exposes in so doing remains a recovery on multiple levels: the present is both “a retrospect of what might have been” (Austen) and a “sense,” as Wordsworth put it, “of something ever more about to be.”

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Tophaceous gout of the atlantoaxial joint: a case report

Journal of Medical Case Reports ◽

10.1186/s13256-020-02638-9 ◽

2021 ◽

Vol 15 (1) ◽

Author(s):

Andrew Benjamin Romero ◽

Evan Paul Johnson ◽

John S. Kirkpatrick

Keyword(s):

Cervical Spine ◽

Tissue Sample ◽

Significant Finding ◽

Atlantoaxial Joint ◽

Tophaceous Gout ◽

Case Presentation ◽

American College Of Rheumatology ◽

European League Against Rheumatism ◽

History Of ◽

Clinically Significant

Abstract Background To report the occurrence of tophaceous gout in the cervical spine and to review the literature on spinal gout. Case presentation This report details the occurrence of a large and clinically significant finding of tophaceous gout in the atlantoaxial joint of the cervical spine in an 82-year-old Caucasian man with a 40-year history of crystal-proven gout and a 3-month history of new-onset progressive myelopathy. The patient's American College of Rheumatology/European League Against Rheumatism (ACR/EULAR) criteria score was 15.0. Conclusion Spinal gout is more common than previously thought, and it should be considered in patients who present with symptoms of myelopathy. Diagnosis can be made without a tissue sample of the affected joint(s) with tools like the ACR/EULAR criteria and the use of the “diagnostic clinical rule” for determining the likelihood of gout. Early conservative management with neck immobilization and medical management can avoid the need for surgical intervention.

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A rare case of Paget’s disease affecting the cervical spine

Annals of The Royal College of Surgeons of England ◽

10.1308/rcsann.2018.0187 ◽

2019 ◽

Vol 101 (2) ◽

pp. e38-e42

Author(s):

J Holton ◽

M Jones ◽

Z Klezl ◽

M Czyz ◽

M Grainger ◽

...

Keyword(s):

Cervical Spine ◽

Independent Living ◽

Paget’S Disease ◽

Posterior Part ◽

Cord Compression ◽

Bone Cell ◽

Paget's Disease ◽

History Of ◽

Posterior Instrumented Fusion ◽

Degenerative Cervical Spine

We present the case of a 75-year-old man with a rapidly progressive cervical myelopathy on a background of a 3-year history of neck pain and a severely degenerative cervical spine. The patient developed progressive myelopathy over a six-month period and suffered from worsening kyphosis. Suspicion of an underlying oncological process prompted transfer to our tertiary referral unit. Biopsy was consistent for Paget’s disease, an extremely rare diagnosis of the cervical spine. Magnetic resonance imaging revealed cord compression between C4 and C6 with associated cord signal change indicative of myelopathy. A three-level corpectomy and posterior instrumented fusion was performed. There was significant blood loss (3.5l) intraoperatively, consistent with a diagnosis of Paget’s disease of the bone. Cell salvage was used, as was neuromonitoring for both the anterior and posterior part of the procedure. Postoperatively, neurological function improved slightly and the patient required community neurorehabilitation to allow independent living.

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Intradural Dirofilariasis in a Dog with Chronic Cervical Pain

Journal of the American Animal Hospital Association ◽

10.5326/jaaha-ms-6450 ◽

2017 ◽

Vol 53 (1) ◽

pp. 59-63

Author(s):

Kathleen Ann Bonawandt ◽

Jason M. Berg ◽

Richard J. Joseph ◽

Joseph D. Stefanacci

Keyword(s):

Magnetic Resonance Imaging ◽

Cervical Spine ◽

Magnetic Resonance ◽

Spinal Pain ◽

Resonance Imaging ◽

Male Adult ◽

Normal Limits ◽

History Of ◽

C2 Vertebra ◽

Intradural Extramedullary

ABSTRACT A 7 yr old female spayed Yorkshire terrier was referred to the author's institute for a 5 mo history of recurrent cervical spinal pain. Neurologic examination did not reveal any deficits. Hematologic and serum analyses were within normal limits. Thoracic radiographs that incorporated the cervical spine did not show structural abnormalities. Magnetic resonance imaging of the cervical spine demonstrated a contrast enhancing, intradural extramedullary lesion at the level of the C2 vertebra. Hemilaminectomy was performed, during which a long, narrow nematode was visualized upon opening of the dura mater. The parasite was alive when removed during surgery, and the dog recovered with complete resolution of symptoms. The parasite was submitted and confirmed as a male adult Dirofilaria immitis. This is a novel case of an intradural D. immitis infection in the dog with a magnetic resonance imaging description of spinal D. immitis.

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Minimally invasive implantation of epidural spinal cord neurostimulator electrodes by using a tubular retractor system

Journal of Neurosurgery ◽

10.3171/jns.2004.100.6.1119 ◽

2004 ◽

Vol 100 (6) ◽

pp. 1119-1121 ◽

Cited By ~ 12

Author(s):

Matthew R. Johnson ◽

Daniel J. Tomes ◽

John S. Treves ◽

Lyal G. Leibrock

Keyword(s):

Spinal Cord ◽

Postoperative Pain ◽

Minimally Invasive ◽

Intractable Pain ◽

Tubular Retractor ◽

Content Type ◽

Novel Technique ◽

Pain Syndromes ◽

Hospital Stays ◽

Fine Print

✓ The authors describe a novel technique for the implantation of multipolar epidural spinal cord neurostimulator electrodes with the aid of a tubular retractor system. Spinal cord neurostimulation is used as a neuroaugmentive tool for treating chronic intractable pain syndromes. Minimally invasive placement of the multipolar neurostimulator electrodes may allow for shorter hospital stays and less postoperative pain associated with the incision.

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Comparison of posterior foraminotomy and anterior foraminotomy with fusion for treating spondylotic foraminal stenosis of the cervical spine: study protocol for a randomized controlled trial (ForaC)

Trials ◽

10.1186/1745-6215-15-437 ◽

2014 ◽

Vol 15 (1) ◽

pp. 437 ◽

Cited By ~ 8

Author(s):

Anja Tschugg ◽

Sabrina Neururer ◽

Kai Scheufler ◽

Hanno Ulmer ◽

Claudius Thomé ◽

...

Keyword(s):

Randomized Controlled Trial ◽

Cervical Spine ◽

Study Protocol ◽

Controlled Trial ◽

Foraminal Stenosis ◽

Randomized Controlled ◽

Posterior Foraminotomy

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Modification of the ventral approach to the caudal cervical spine by resection of the manubrium in a dog

Veterinary and Comparative Orthopaedics and Traumatology ◽

10.3415/vcot-09-02-0015 ◽

2009 ◽

Vol 22 (06) ◽

pp. 514-516 ◽

Cited By ~ 2

Author(s):

M. R. Owen ◽

M. A. Bush

Keyword(s):

Magnetic Resonance Imaging ◽

Spinal Cord ◽

Cervical Spine ◽

Magnetic Resonance ◽

Neurological Examination ◽

Resonance Imaging ◽

Successful Performance ◽

Disc Material ◽

History Of ◽

Adverse Affects

SummaryA five-year-old neutered female Bassett Hound weighing 29 kg was presented with a two-day history of paraparesis. Neurological examination and magnetic resonance imaging confirmed the presence of extruded disc material ventral to the spinal cord, from the C7-T1 intervertebral disc. A ventral slot was performed to decompress the cord. In making the approach to the caudal cervical spine, the cranial aspect of the manubrium of the sternum was resected. This improved the exposure of a region normally difficult to expose via a conventional ventral approach to the cervical spine. The successful performance of the ventral slot procedure was greatly facilitated by this adaptation, which was quick and simple to perform, without any apparent adverse affects to the animal.

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