Anterior transthoracic surgical decompression of acute spinal cord injuries

1975 ◽  
Vol 43 (3) ◽  
pp. 299-307 ◽  
Author(s):  
Ronald L. Paul ◽  
Roger H. Michael ◽  
James E. Dunn ◽  
J. Powell Williams
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injuries ◽  
Cord Compression ◽  
Surgical Anatomy ◽  
Surgical Decompression ◽  
Transthoracic Approach ◽  
Content Type ◽  
Diagnostic Work ◽  
Work Up ◽  
Diagnostic Work Up

✓ Three cases of incomplete acute traumatic myelopathies resulting from anterior spinal cord compression were managed by direct surgical decompression by way of the transthoracic approach. The surgical anatomy, technique, diagnostic work-up, and indications for the procedure are discussed.

Evaluation of acute nonpenetrating cervical spinal cord injuries with CT metrizamide myelography

1985 ◽  
Vol 63 (4) ◽  
pp. 510-520 ◽  
Author(s):  
Robert L. Allen ◽  
Phanor L. Perot ◽  
Steven K. Gudeman
Keyword(s):  
Spinal Cord ◽  
Computerized Tomography ◽  
Spinal Cord Compression ◽  
Spinal Canal ◽  
Spinal Cord Injuries ◽  
Cervical Spinal Cord ◽  
Cord Compression ◽  
Surgical Decompression ◽  
Content Type ◽  
Fine Print

✓ Computerized tomography metrizamide myelography was performed in 46 patients with acute, nonpenetrating cervical spinal cord injuries. By visualizing the spinal canal, spinal cord, and any compressive lesion, the study proved valuable in the decision as to whether surgical decompression was indicated and what approach should be used. Eleven patients were found to have significant spinal cord compression, 10 of whom were treated surgically. The technique, results, and complications resulting from the study are discussed.

Thoracic cord compression due to chondrosarcoma in two cousins with hereditary multiple exostoses

1972 ◽  
Vol 36 (1) ◽  
pp. 86-89 ◽  
Author(s):  
Robert M. Crowell ◽  
James G. Wepsic
Keyword(s):  
Clinical Presentation ◽  
Cord Compression ◽  
Pathological Findings ◽  
Content Type ◽  
Hereditary Multiple Exostoses ◽  
Multiple Exostoses ◽  
Thoracic Cord ◽  
Diagnostic Work ◽  
Work Up ◽  
Diagnostic Work Up

✓ Two teen-age male cousins with hereditary multiple exostoses developed cord compression secondary to chondrosarcoma. The clinical presentation, diagnostic work-up, surgical treatment, pathological findings, and postoperative course are described in each patient.

Benign osteoblastoma of a thoracic vertebra

1980 ◽  
Vol 53 (5) ◽  
pp. 710-713 ◽  
Author(s):  
Nancy Epstein ◽  
Vallo Benjamin ◽  
Richard Pinto ◽  
Gleb Budzilovich
Keyword(s):  
Spinal Cord ◽  
Computerized Tomography ◽  
Residual Tumor ◽  
Cord Compression ◽  
Transthoracic Approach ◽  
Content Type ◽  
Benign Osteoblastoma ◽  
Posterior Laminectomy ◽  
Subtotal Removal ◽  
Fine Print

✓ A patient with osteoblastoma of the T-11 vertebral body presented with symptoms of spinal cord compression. Six weeks after an emergency laminectomy and subtotal removal, spinal computerized tomography disclosed residual tumor, which was totally removed via a combined anterior transthoracic approach and posterior laminectomy.

Spinal cord concussion

1990 ◽  
Vol 72 (6) ◽  
pp. 894-900 ◽  
Author(s):  
Thomas J. Zwimpfer ◽  
Mark Bernstein
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injuries ◽  
Spinal Injury ◽  
Cord Compression ◽  
Neurological Deficits ◽  
Content Type ◽  
Young Males ◽  
Cord Injury ◽  
Sensory Disturbances ◽  
Fine Print

✓ The hallmark of concussion injuries of the nervous system is the rapid and complete resolution of neurological deficits. Cerebral concussion has been well studied, both clinically and experimentally. In comparison, spinal cord concussion (SCC) is poorly understood. The clinical and radiological features of 19 SCC injuries in the general population are presented. Spinal cord injuries were classified as concussions if they met three criteria: 1) spinal trauma immediately preceded the onset of neurological deficits; 2) neurological deficits were consistent with spinal cord involvement at the level of injury; and 3) complete neurological recovery occurred within 72 hours after injury. Most cases involved young males, injured during athletics or due to falls. Concussion occurred at the two most unstable spinal regions, 16 involving the cervical spinal and three the thoracolumbar junction. Fifteen cases presented with combined sensorimotor deficits, while four exhibited only sensory disturbances. Many patients showed signs of recovery with the first few hours after injury and most had completely recovered within 24 hours. Only one case involved an unstable spinal injury. There was no evidence of ligamentous instability, spinal stenosis, or canal encroachment in the remaining 18 cases. Two patients, both children, suffered recurrent SCC injuries. No delayed deterioration or permanent cord injuries occurred. Spinal abnormalities that would predispose the spinal cord to a compressive injury were present in only one of the 19 cases. This suggests that, as opposed to direct cord compression, SCC may be the result of an indirect cord injury. Possible mechanisms are discussed.

Possible mechanisms for observed pathophysiological variability in experimental spinal cord injury by the method of Allen

1976 ◽  
Vol 44 (4) ◽  
pp. 429-434 ◽  
Author(s):  
Said H. Koozekanani ◽  
W. Michael Vise ◽  
Reza M. Hashemi ◽  
Robert B. McGhee
Keyword(s):  
Spinal Cord ◽  
High Speed ◽  
Spinal Cord Injuries ◽  
Cord Compression ◽  
High Speed Photography ◽  
Content Type ◽  
Drop Mass ◽  
Injury Model ◽  
Cord Injury ◽  
Animal Material

✓ Experimental spinal cord injuries were induced in dogs by dropping calibrated weights through a vented tube onto a small impounder resting on the surgically exposed cord. The motion of the impounder and the drop-mass were recorded by high-speed photography and the resulting data were compared to those obtained from a computer simulation of the dynamics of the injury mechanism. It is concluded that this method of inducing spinal cord injuries may yield markedly different degrees of cord compression depending upon the parameters of the animal material and apparatus even when the gm-cm of impact energy is maintained at a constant value. Some approaches to standardization of this injury model are suggested.

scholarly journals Bartonella quintana as a cause for prosthetic valve endocarditis and post-sternotomy mediastinitis

2021 ◽  
Author(s):  
Nienke L. Plantinga ◽  
Roemer J. Vos ◽  
Lyuba Georgieva ◽  
Nienke Roescher
Keyword(s):  
Type Species ◽  
Prosthetic Valve ◽  
Prosthetic Valve Endocarditis ◽  
Content Type ◽  
Bartonella Quintana ◽  
Link Type ◽  
Severe Infections ◽  
Diagnostic Work ◽  
Work Up ◽  
Diagnostic Work Up

An otherwise healthy patient, with minimal clinical, biochemical and peroperative signs of infection, was diagnosed with Bartonella quintana prosthetic valve endocarditis by 16S PCR. The patient subsequently developed a post-sternotomy mediastinitis and Bartonella quintana was the only detected pathogen. Bartonella quintana can cause severe infections in individuals not classically at risk, and may be missed in the routine diagnostic work-up of endocarditis.

Value of gas myelography in early management of acute cervical spinal cord injuries

1975 ◽  
Vol 42 (3) ◽  
pp. 330-337 ◽  
Author(s):  
Alain B. Rossier ◽  
Jean Berney ◽  
Arthur E. Rosenbaum ◽  
Jurg Hachen
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injuries ◽  
Cervical Spinal Cord ◽  
Cord Compression ◽  
Cervical Cord ◽  
Valuable Contribution ◽  
Early Management ◽  
Specific Patient ◽  
Content Type ◽  
Cord Injury

✓ Gas myelography was carried out in 22 patients with acute cervical spinal cord injuries in whom oily contrast media seemed contraindicated. The authors believe this technique makes a valuable contribution to the basic decision regarding the surgical versus medical treatment of a specific patient with a cervical cord injury. They emphasize the importance of visualizing cord compression due to disc herniation in these cases and conclude that gases are the optimal contrast agents for visualization of the entire circumference of the spinal cord.

Management of cervical spinal cord trauma in Southern California

1975 ◽  
Vol 43 (6) ◽  
pp. 732-736 ◽  
Author(s):  
James S. Heiden ◽  
Martin H. Weiss ◽  
Alan W. Rosenberg ◽  
Michael L. J. Apuzzo ◽  
Theodore Kurze
Keyword(s):  
Spinal Cord ◽  
Southern California ◽  
Spinal Cord Injuries ◽  
Cervical Spinal Cord ◽  
Surgical Decompression ◽  
Neurological Recovery ◽  
Spinal Cord Trauma ◽  
Content Type ◽  
Neurological Improvement ◽  
Similar Incidence

✓ Acute cervical spinal cord injuries were reviewed in 356 patients treated by the neurosurgical community in Southern California. Neurological recovery was compared in operated and nonoperated patients with complete and incomplete cervical myelopathies. The complications of nonsurgical and surgical therapy are identified. No neurological improvement was noted in any patient with a complete lesion who underwent early surgical decompression. In those with incomplete sensorimotor paralysis, it was difficult to document any effect of surgical decompression on neurological recovery. Patients with some degree of sensory preservation had a similar incidence of motor recovery in both surgical and nonsurgical groups. With complete sensorimotor paralysis, anterior cervical fusion within the first week of injury was associated with increased pulmonary morbidity.

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